Welcome and Congratulations on your pregnancy

We would love to learn more about you...

West Seattle
phone: (425) 243-7848 • fax: (206) 641-7102

Meet Us

We offer midwifery care with a heart centered, evidence-based approach to pregnancy, labor, and postpartum. We feel it is essential to address the psycho-emotional and spiritual journey of the family and to create a safe, open space for discussion, learning and self-led health. We believe that pregnancy and birth is a normal physiological process, and strive to support women and their families in their choice for a safe home birth.

We are committed to the goal of comprehensive care during pregnancy, childbirth, breastfeeding and new family education, regardless of chosen care provider or site of birth. Should any conditions arise that place your pregnancy outside of the low-risk category, we consult with a physician about how your care should proceed, and may refer you to a physician practice and/or hospital for the appropriate level of care.

We offer routine prenatal care, home births, and birth center births to low-risk women and families in West Seattle and South King County (between Georgetown and Tacoma). For those families outside our coverage area, please contact us for resources in your neighborhood or for special accommodations.

We both hold master's degrees in midwifery from regionally accredited Bastyr University. We have an up-to-date, evidence-based education in midwifery. We were trained within a framework of accountability, integrity, and research. We offer holistic care based in love, knowledge, experience, and open communication. We are willing to discuss difficult topics with kindness and without judgment. We are committed to involving clients in all decisions related to their pregnancy, birth, and postpartum care...

christine and marino

Christine is a Washington State licensed midwife and certified professional midwife. She earned her BS in Cellular Molecular and Developmental Biology from the University of Washington in 2006 followed by her Master of Science in Midwifery at Bastyr University in 2011. She is committed to helping women and their families navigate and thrive during pregnancy and birth, and to supporting them through the transitions inherent in welcoming a new baby into the family.

Christine’s hobbies include crocheting hats and baby blankets, though most of these never seem to get finished; traveling the world one place at a time; and every once in a while, reading a book for fun. Christine can often be found playing with her favorite kids, experimenting with cookie recipes, or attempting to wear out her sweet and energetic Border Collie-German Sheperd-something mix, Henrietta, by throwing balls at the dog park.

taylor and pup

Taylor grew up in the Southeast, one mile from the Atlantic Ocean. She moved to Seattle to finish her undergraduate degree at the University of Washington where she fell in love with the rocky beaches & mountain views of the Pacific Northwest. She is committed to helping women who are eager to participate in their own health throughout the childbearing cycle and who are willing to dialogue about the psycho-emotional issues of their pregnancy, birth, and postpartum. By engaging in this open-heart communication Taylor hopes her clients will trust their bodies and feel safe and supported in their own process and journey. She sits on the Board of Directors of the Midwives Association of Washington State (MAWS) & enjoys helping aspiring midwives develop their skills. She strives to cultivate community here in West Seattle and the south end. Taylor enjoys yoga, baking, trips to the dog-park, camping and adventures to the coast with her sweetie Ben and dogs, Tallulah and Wilder. Her heart is fueled by sunshine, salt water, good coffee & beeswax candles.

Services

Free Consultation...

We are happy to schedule a free 45-60 minute initial consultation with our midwives. This visit is a great opportunity to see if our practice is a good fit for you and that your health status is a good fit for home or birth center birth. Please bring your partner or a support person & read through our website before your visit. We welcome and encourage questions.

Schedule an appointmant...

Preconception Counseling...

While many pregnancies are unplanned, some folks are fantastic planners and like to prepare for their pregnancy. We would be delighted to meet with you for a preconception visit to assist you in preparing. We can run appropriate labs and discuss your concerns or questions. This visit is not covered by insurance; for out of pocket cost please contact us.

Water Birth...

The midwives at In Tandem Midwifery love waterbirth! Submersion in water can provide great pain relief in active labor. For the baby, waterbirth can be a more gentle entry into the world. Waterbirth is a very low waste birth option, which, when used also achieves the same reduction in disposable waste and the water can sometimes then be recycled onto your garden, both watering and fertilizing! There are options for birth tubs in your home, and birth centers have birth tubs built in.

http://www.waterbirth.org/mc/page.do?sitePageId=38565&orgId=wi

Home Birth...

A midwife is on call 24 hours a day to manage and answer your questions regarding early labor and to help determine when it is appropriate for the midwife to come to your home or to meet at the birth center. Your midwifery team will aim to arrive at your home when you are in active labor. Natural comfort measures will be offered including; aquatherapy, homeopathy, acupressure, and emotional support. Medical consultation and transfer of care to the obstetrician at the hospital will be available as needed. If a transfer of care occurs, the midwife will accompany you to the hospital and help facilitate a smooth transition of care to the hospital staff. Clients will be offered the option of having the midwife continue support while at the hospital as discussed prenatally.

More than 25 studies have shown that birth at home with a trained attendant is a safe option for low-risk, healthy women and their babies. You can find links to the most recent here.

Birth Center Births...

For families that would prefer a birth center birth, In Tandem Midwifery has privileges at The Birthing Inn (Tacoma), Center for Birth (Seattle- Eastlake), Puget Sound Birth Center (Kirkland) and Seattle Home Maternity Service (Seattle- Columbia City).

Prenatal Care...

We offer routine prenatal care every month until your 28th week of pregnancy. At that time, your appointment schedule will change to every 2 weeks until 36 weeks when we both come to your home (for those planning homebirth) for your prenatal visit. We will then see you weekly until your baby is born. Prenatal visits will last up to an hour, providing time for routine care, for you and your midwives to establish a relationship, and for you and your family to voice any concerns for discussion. Care will include obtaining and discussing medical, family, psycho-social and obstetrical-gynecological histories along with physical examination, fetal monitoring, and laboratory testing as appropriate. We also offer in-office Non- Stress Tests to assess fetal wellbeing as indicated. A licensed midwife is available 24 hours a day, 7 days a week for urgent concerns and visits.

Postpartum & Newborn Care...

We will perform a full newborn exam after your birth, before we leave your home or the birth center. We will weigh and measure your baby, and provide the same physical exam you would receive in the hospital. We provide in-home postpartum visits typically at days 1 and 3; assessing maternal and newborn health with full physical exams, jaundice check, weight check, metabolic screening, critical congenital heart defect screening and lactation support. Your baby should be in pediatric care within the first 2 weeks after your birth.

We then see you in the office at week 1, 2, 4 and for your final visit at 6-8 weeks. Pap smears and other laboratory testing will be offered as appropriate at the final postpartum visit. A midwife is available 24 hours a day, 7 days a week for urgent concerns and visits. We recommend postpartum doulas and lactation consultants for those families needing more support as well as facilitate a bimonthly drop-in support group for new parents in our office called Transitions: Baby Days, by donation which supports our “Every Family Deserves a Doula” Fund.

Monitrice...

Monitrice Services are provided to support families in their goal to have a healthy hospital birth while laboring at home as long as is possible. We provide 3 prenatal visits in the 3rd trimester to encourage families emotionally and provide any additional education about pregnancy, labor, birth and postpartum. We provide 1 postpartum home visit. As a monitrice we provide supportive care but do not provide obstetrical services, and your baby's health and well-being are being monitored by your obstetrician or other care provider. The fee for this service is $2000.

Please click here for research that shows the benefit of having a doula at your birth.

Fees...

We acknowledge current financial challenges in this economy, and are committed to providing access to quality, safe, affordable maternity care, while still valuing our time, energy and commitment to our clients. Because of this deep-rooted belief, we offer a sliding scale option for those in financial need. Our regular global maternity fee is $4500 and includes prenatal, labor, and postpartum care (lab fees and ultrasounds are not included).

We offer insurance billing for those with private insurance and we are currently in network with Regence, Premera, Group Health PPO, First Choice, Aetna, Lifewise, CHPW, Amerigroup, and Provider One. Please contact us for instructions on how to verify your insurance coverage.

Questions...

Is Homebirth Safe?

Doula

The evidence shows that out of hospital birth, either at home or at a free-standing birth center, for low risk women is as safe or safer than hospital birth with fewer medical interventions. Women who chose homebirth have shown greater satisfaction in their care. Please see the articles listed below for review of the research.

Summaries of some of the most recent studies can be found below.

The Safety of Home Birth

Outcomes of Care for Planned Home Births

Some conditions that would be defined as high risk and are not appropriate for home birth with our practice are multiple gestations/ twins, high blood pressure, breech presentation at term, epilepsy etc…

Is Homebirth Messy?

Doula

No. Unlike what most people imagine, homebirth is rarely messy. Your midwives will do everything possible to protect your home (and bed). Your birth kit will contain supplies that help us do this. When the midwife leaves your home you will be left with a bag of laundry (which we will happily get started for you) and a bag of garbage, but your home will look very much as it did when we arrived.

What if something happens during labor?

Doula

Sometimes circumstances of labor call for the need to facilitate transport to the hospital for additional support. Transport sometimes occurs in labor or in the immediate hours after the baby is born. In most cases there are events to precede the need to transport that lets the midwife know before a problem develops, allowing for transport non-emergently in your own car. Reasons for this kind of transfer may include, maternal exhaustion &/or desire for pain medication, insufficient contractions and need for pitocin, meconium in the amniotic fluid. Rarely, there is the need to call 9-1-1 and transport urgently by ambulance to the hospital.

Very rarely, and without warning, an event may occur that requires immediate and emergent transport to the hospital for equipment or services not available at home. In a situation like this, although there is no guarantee that being in the hospital would save a mom or baby it may make a difference. Parents choosing home birth must be aware of these risks and must be willing to accept these risks.

How can my older children be involved?

Doula

We love including older siblings into prenatal visits and the birth itself. With well- prepared kids, being at a sibling's birth can be exciting, special, and even fun. We really enjoy having siblings at births involved at a level at which both parents and kids are comfortable. Depending on age, it is important that older siblings have someone present at the birth that is there just for them: grandparent, babysitter, or family friend.

Can I use pain medication (epidural) at a homebirth?

Doula

No, licensed midwives do not offer pharmaceutical pain medication with the exception of local anesthetic for stitching small tears, which may occur during the birth. Licensed midwives are trained to use many non-pharmaceutical techniques to help laboring mothers relax and manage the possible discomfort of labor. Immersion into a labor tub can be a very effective pain reliever for some women. Some of the techniques we can offer include: acupressure, massage, hydrotherapy, sterile water injections, position-changes, counter-pressure.

Can I have a Doula?

Doula

YES! We love working with doulas & value the support that doulas offer throughout your labor, birth and postpartum period. Please see our list of recommended doulas. If you have chosen a doula that we haven't worked with before we would love for you to bring her to an appointment with you so that your team can meet before your birth.

We are happy to take recommendations from clients and add to our list.

Family Stories

Sustainible Midwifery

The essence of midwifery care embodies individualized care while also acknowledging the impact we make on the community around us. We typically limit our practice to 6 births per month to avoid midwife burnout and overlapping births. We value the one on one time we are able to spend with our clients.

  • Reduce

    We make every attempt to reduce the amount of wasted resources within the context of client care. In Tandem Midwifery uses electronic medical records and has almost eliminated the use of paper within our practice.

    Waterbirth is a very low waste option, which achieves reduction in disposable waste.

  • Reuse

    In Tandem Midwifery is working towards offering the option of low-waste home birth supplies, which can be borrowed, returned and thoroughly cleaned and sanitized before reusing, much like hospital linens. Using one of these birth kits can eliminate an entire garbage bag of waste per home birth.

  • Recycle

    We use 100% post-consumer paper, and recycle materials where possible

Contact Us...

We at In Tandem Midwifery, LLC, would love to hear from you!