Author: Western OB/GYN

Which birth control method is right for me?

Women’s contraceptive options go far beyond “the pill.” While many people associate birth control with the prevention of pregnancy, these methods also provide solutions for other health concerns. Gina Edison, FNP-C, Western OB/GYN, A Division of Ridgeview Clinics, shares, “Many patients use birth control for other reasons than preventing pregnancy, such as managing painful and heavy periods, regulating your menstrual cycle, treatment for acne, and relief for some kinds of headaches and migraines.”

Generally, there are five categories of birth control methods: one-time use, short-term, long-term, permanent and emergency. Each method works in a different way and can be used for various reasons. This article will focus on short-term and long-term options.

Short-term options:

+ Contraceptive pills: Commonly referred to as “the pill,” it is one of the most used birth control methods. This hormonal pill is taken at the same time of day, every day.

+ Skin patch: This method uses a transdermal patch that you replace every week. Transdermal simply means the hormones are absorbed by your skin from an adhesive patch that can be worn on your belly, buttocks, arm or back.

+ The Ring: A vaginal ring is a small, flexible ring placed inside your vagina that releases hormones into your body. For the ring to be most effective, you must make sure you are properly inserting it and refilling it on time—this will depend on the type of ring you use.

+ Injection: The depo shot (Depo-Provera) is an injection that contains the hormone progestin, which prevents ovulation. This injection is done once every three months.

When used correctly, these options are about 99% effective. Because short-term methods require a strict schedule, their efficacy is more likely around 91% as many women do not methods consistently follow the required regimen. The benefit of short-term options is that you can try several over time to determine the one that best suits your lifestyle and needs.

Long-term options:

+ Intrauterine Device (IUD): IUDs are one of the most effective options for women. An IUD is a small device (shaped like the letter T) that is inserted into your uterus. An IUD can last from three to 12 years, depending on the type you have.

+ Implant: The Nexplanon implant is a very thin rod, about the size of a matchstick, that is inserted into your arm. The implant releases hormones into your body and lasts up to five years.

IUDs and implants have an efficacy rate of about 99% and can be removed at any time should your contraceptive needs change. “Women have busy lives and busy schedules. These long-term options are a great choice for those who want an effective option that does not require such a strict regimen,” Edison said.

Determining the best option for you

Having so many options can seem overwhelming at first, but it’s important to remember that having options gives women a say in their health care treatment. “You have to consider your quality of life,” Edison said. “Every women’s health needs are different, which is why being able to choose the best method for your situation is so valuable.”

There are several factors to consider when choosing what method is right for you. A few considerations include determining what works with your schedule and routine, whether you can and want to use hormones, and your personal comfort level in regard to insertion/removal. For women who are interested in starting birth control or changing the method they are currently using, Edison offers three pieces of advice:

+ Do some research: Look into what options interest you—creating a pros and cons list is a great way to figure out what might work best for your situation.

+ Seek advice from other women in your life: Your trusted friends and family can be a great resource to get insight into what worked or didn’t work for them.

+ Talk to a women’s health provider: Bring the information you have gathered to a women’s health provider who will answer any questions and help determine what method is best for you.

If you are interested in starting or trying a different birth control method, schedule an appointment with a provider at Western OB/GYN, A Division of Ridgeview Clinics.

Meet the midwives from Western OB/GYN, A Division of Ridgeview Clinics

Did you know a certified nurse midwife (CNM) provides care that extends well beyond a woman’s pregnancy and childbirth? They also provide care for gynecological needs, family planning, annual exams, well-women care and more for women of all ages. Western OB/GYN, A Division of Ridgeview Clinics, offers a fully staffed midwifery service with four certified nurse midwives in its practice. There is always a midwife on call, as well as an obstetrician for emergencies. Here the midwives share what influenced their paths to a career in midwifery.

Jennifer Finger, CNM: “My journey and approach to patient care was greatly influenced by the positive, caring and intuitive support I received during the birth of my own children,” said Finger. “With each birth, my midwife worked with me to implement a birth plan that honored my choices and was by my side throughout the birthing process. I offer that same personalized care for my own patients today,” she added.

Krista Kranz, CNM: “With my second pregnancy, twins, I was on bedrest for 10 weeks, four of which I spent in the hospital. That’s where I grew to love the role the nurses had in my care. This inspired me to become a labor and delivery nurse. As a nursing student at Ridgeview’s Birthing Center, I met the certified nurse midwives from Western OB/GYN. I loved watching the connection they developed with their patients, which inspired me to become a certified nurse midwife. I enjoy empowering women and encouraging them to direct their health care.”

Sarah Rose Labine, DNP, CNM: “I started my nursing career as a bedside nurse working in a Labor and Delivery unit. It was a powerful experience to be somebody’s ‘person’ during the life-changing experience of having a baby. I wanted to expand that relationship from just being a part of that person’s birth to being alongside for their entire journey. As a certified nurse midwife, I have the honor of partnering with women through all stages of life. I can be a calm, knowledgeable presence they can turn to as their body changes from a young person through menopausal age,” shares Labine.

Katelyn Neufield, CNM: “I recognized my passion in caring for women through pregnancy and childbirth when I volunteered at a birthing center in Uganda after graduating from high school,” said Neufeld. “Since then, I have supported hundreds of women in childbirth, first as a birth doula, then as a labor and delivery nurse, and now as a midwife. I have a strong desire to promote family-centered care and advocate for shared decision-making as women navigate pregnancy, childbirth, postpartum and beyond.”

If you are you looking for a women’s health provider, schedule a free Meet and Greet at Western OB/GYN. Meet and Greet visits are offered as an opportunity to get to know more about a provider’s style, interests and background and to discuss your expectations and needs as a patient.

Western OB/GYN, A Division of Ridgeview Clinics is a long-established, independent practice of board-certified obstetrics and gynecology physicians, certified nurse midwives, certified family nurse practitioner and a physician assistant. As a team, they provide an array of services for women in all stages of life.

Request a free Meet & Greet

Why it’s important to rebuild your abdominal muscles following pregnancy

Whether your baby is six weeks old or six years, you still may be thinking about getting your body back to its pre-baby shape. However, many women suffer from diastasis recti (abdominal separation) following pregnancy which can complicate a full return to exercise and even challenge everyday function. It’s not surprising that abdominal muscles separate during pregnancy and may need some extra help to return to their previous state. Diastasis recti is more common in women who have had a cesarean section birth, a multiple birth pregnancy or those who have had multiple pregnancies.

Left untreated, there can be lingering health concerns

When left untreated, diastasis recti can lead to chronic low back or hip pain, constipation, urinary incontinence and can affect the ability to return to regular exercise routines. But a timely connection with the right physical therapist can change those results.

Physical therapy can improve diastasis recti

At 12 months postpartum, about 30 percent of women still have diastasis recti, according to Tina Gapen, PT, MPT, a pregnancy and pelvic health expert with Ridgeview’s Rehab Department. “Research suggests, if it is still present at eight weeks postpartum, it will be present at one year. As with many injuries, beginning treatment sooner rather than later can improve your outcome and get you back to a better quality of life sooner,” she explains.

Women experiencing abdominal or pelvic pain or weakness postpartum should be evaluated by a physical therapist. During a functional assessment, a physical therapist will assess movement, strength, and pain and help create a road map to assist in meeting goals for post-baby performance and comfort. “I try to reduce fear in women by explaining that the actual measurement of the diastasis recti ‘gap’ is less important than being able to create tension in the linea alba—the soft tissue that connects the left and right abdominal muscles—to support functional activities,” Gapen said.

Successfully managing diastasis recti

Physical therapy, using breathing techniques and core exercises, helps to reduce pain and correct the problem. “We want women to focus on practicing good breathing techniques and avoid breath holding. Breath exhalation activates our deep core muscles, which generates tension through the linea alba,” Gapen said. Engaging in certain exercises too soon may be harmful. A physical therapist can help you choose what exercises are right for you and when the right time is to increase the challenge.

If you are newly postpartum and have concerns about diastasis recti, talk with your provider at your six-week checkup. However, even if your baby is not so much a baby anymore, it is not too late to correct your diastasis recti and regain functionality. Through physical therapy, you can manage this condition successfully, and get back to a full range of function and ability to exercise.

To learn more about physical therapy at Ridgeview’s Rehab Department.

Coughing, laughing or sneezing shouldn’t cause peeing

If you experience leakage every time you cough, laugh, sneeze or jump, you aren’t alone. Urinary incontinence is a common condition both men and women may experience, but most frequently affects women. The chance of developing incontinence increases with age, but is not an inevitable consequence of aging and is NEVER considered normal.

Michael Valley, MD, Urogynecologist, Western OB/GYN, A Division of Ridgeview Clinics, explains that many women find incontinence simply creeps up on them. “One day, they begin to experience a minor problem. A few years later, they find themselves crossing their legs every time they cough or laugh. They may have discontinued a favorite activity or exercise—such as running—because their leaky bladder became unmanageable. That’s the point when many women finally decide to seek advice from a medical provider,” Dr. Valley says. Those experiencing incontinence may find the condition isolating and embarrassing, but you are not alone.

On average, 1 in 4 women suffer with urinary incontinence.

According to the National Institute of Health, 24-45% of women over the age of 30 experience urinary incontinence at some point in their life. Women are more likely to develop problems following pregnancy, childbirth and menopause.

While common, this condition goes severely underreported as many women may feel uncomfortable discussing their symptoms with their primary care provider.

When it comes to severity, Dr. Valley shares, “Women may experience an extreme range in severity—from an occasional leak to a sudden and uncontrollable urge to urinate.” This range includes two common types of incontinence:

  • Stress incontinence. This is most common in younger women. With stress incontinence, you may experience an occasional leak when you cough, laugh or sneeze.
  • Urge incontinence. Often referred to as “overactive bladder,” you may feel a sudden urge to urinate that is so severe you can’t get to a toilet in time. This can happen when you don’t expect it, such as during sleep, when you arrive home in your car, or when you hear or touch running water.

Both types of incontinence can have a significant impact on your quality of life and make it unnerving to engage socially with friends and family when you don’t know when the problem might occur.

Treating incontinence doesn’t always mean surgery.

The good news is that for the majority of cases, treatments are available to cure or significantly improve symptoms. “We most often approach treatment with non-surgical options first, such as Kegel exercises to help strengthen your pelvic floor,” Dr. Valley says. A specialized pelvic floor/bladder physical therapist may assist you with this.

In addition, Dr. Valley suggests the following approaches before moving to a surgical option:

  • Lifestyle changes. Exercise can help restrengthen your pelvic floor. Cutting down on caffeine, carbonated beverages and alcohol can also be helpful as these drinks may irritate your bladder.
  • Behavioral techniques. In conjunction with Kegel exercises, you may also consider bladder retraining to learn to delay urination. Sometimes scheduling toilet trips rather than waiting for the need to go may decrease the times you leak. A pelvic floor/bladder physical therapist can help you with these techniques.
  • Medications. There are several medications to treat incontinence in men and women. Most are useful for urge incontinence.

If your occasional problem has turned into a bigger issue that is impacting the quality of your life, the first step is to make an appointment with your Ridgeview provider to discuss further treatment options.

Five factors to consider for your birth plan

You may have thought about your birth plan shortly after you discovered you were pregnant or maybe your plan is to simply have “no plan” and that’s okay too. A birth plan can be a useful tool to help inform your provider and the Birthing Center team of your preferences for labor and delivery. It can be very detailed and specific, or it can be open-ended.

Shelby Erickson, MSN, RNC, nurse manager at Ridgeview’s Birthing Center shares, “Some women feel strongly about developing a birth plan and some do not view it as essential. Either way, our nurses are equipped to walk you through the process and help you with each expected (and sometimes unexpected) turn of events during labor and delivery.”

Here are five factors to consider while preparing for your childbirth experience.

  1. Environment. When you think about your baby’s birth, what do you picture? Dim lights? Soft music? Scents from essential oils filling the room? You also want to consider who you want present. Many women choose to only have their partner there to support them, while others include another family member or hire a doula for additional support. In the event of a cesarean birth, you will be limited to one support person in the operating room.
  2. Pain relief. There are multiple options for pain relief. Some women labor without, some request pain medication immediately and many women fall somewhere in between. Ridgeview offers choices for pain relief—including epidural, IV pain medicine, hydrotherapy (laboring in the shower or bathtub) and nitrous oxide.
  3. Labor preferences. Every woman labors differently—some prefer to walk or stand as much as possible, while others prefer to rest in bed. Ridgeview’s Birthing Center has various amenities to aid in your labor, ranging from birthing stools and squatting bars to in-room full-size bathtubs.
  4. Cutting the cord. Cutting the baby’s umbilical cord can be very symbolic, but it’s not for everyone. Consider if you or your partner wish to do so. It is becoming more common for providers to wait 30 to 60 seconds before clamping the umbilical cord to allow more blood to transfer from the placenta to the infant, which has numerous health benefits including a decreased risk of iron deficiency anemia.
  5. Newborn care. Consider how you plan to feed your baby once he or she is born—breast, bottle or both—and whether you want your baby to use a pacifier. Additional health considerations such as immunizations and circumcision for males are important decisions you should consider in advance.
    Plan or no plan, it’s important to keep an open and relaxed mind when preparing for the birth of your child. “Things can change quickly during labor and delivery, and having mom feel comfortable with her provider and her team of caregivers helps when the unexpected occurs,” Erickson explains.

Download Ridgeview’s birth plan checklist as a guide to help you develop your personal birth plan. If you have any questions or concerns regarding labor or delivery, discuss them with your provider or send us an email, and our Birthing Center team will follow up with you.

Take a virtual tour to see why Ridgeview’s Birthing Center is preferred throughout the Twin Cities and beyond.

‘My new baby is perfect, so why do I feel so sad?’

Postpartum depression is relatively common, affecting approximately one in eight women after delivery, according to Andraya Huldeen, MD, Western OB/GYN, A Division of Ridgeview Clinics. She explains that often there is no clear trigger for postpartum depression and if the baby is healthy, women are reluctant to admit they’re struggling.

Women mask their depression.

“Depression in women tends to have a strong anxiety or guilt component and is often missed because they think ‘I get up in the morning and I am still doing what needs to be done,’” explained Dr. Huldeen. “Women tend to feel obligated to keep moving and doing what is expected of them, which is why depression in women looks much different than it does in men.”

It can be hard to differentiate serious depression from the ‘baby blues.’

Feeling the baby blues is also common in new mothers, and typically happens the first couple weeks after delivery. It’s mainly caused by a drop in hormone levels and often, lack of sleep. The baby blues usually resolve within a few weeks postpartum.

Dr. Huldeen shares that when she sees patients at their six-week postpartum checkup, sometimes it’s unclear whether they are experiencing postpartum depression or the baby blues. She tells new moms that after the six-week mark, they should start to feel a little better each week.

Watch for contributing factors of postpartum depression.

Several factors increase the likelihood of postpartum depression, including a personal history of depression or anxiety, a family history of mood disorders, poor social support, or stressful life events during pregnancy or postpartum—such as the loss of a job or death in the family. Sometimes postpartum depression can begin to manifest near the end of a woman’s pregnancy. “Women often tell me after their depression has been treated that, in retrospect, signs were there before delivery, but they didn’t have the insight at the time to realize it,” Dr. Huldeen said.

The most concerning mood disorder during the postpartum period is postpartum psychosis. It can be sudden and is rarer, occurring in one to two out of every 1,000 deliveries. Women can experience delusions, and some women hallucinate—seeing and hearing things that are not there. Postpartum psychosis is a medical emergency, and it is imperative to seek help immediately by calling 911 or going to the nearest Emergency Department.

Talk with a professional who has experience caring for postpartum women.

“Validating and normalizing their experience is helpful. Women often leave feeling better just knowing they are not alone, there are treatment options, and this is not their ‘new normal,’” Dr. Huldeen stressed. “If your provider does not make you feel heard, find another.”

Fortunately, there are effective treatment options. The medications are safe to use while breastfeeding and during future pregnancies, if necessary. These medications typically take a couple of weeks to make an impact and can take up to three months for full effect. Therefore, Dr. Huldeen tells her patients, “I would prefer to catch them ‘on the way down’ as opposed to waiting until they ‘hit rock bottom.’”

Counseling and support groups are also available. Often, a combination of medication and therapy yields the best results. Being active, getting out in nature, eating healthy and other self-care techniques can also support better postpartum mental health and well-being.

Ridgeview offers online education for Postpartum Care which focuses on both physical and mental health in the 12 weeks after birth. Ridgeview also hosts Mom & Baby Connection, a drop-in support group for new moms and their babies, where attendees meet other moms and can gain helpful information from a Ridgeview lactation consultant.

Nine life-saving health screenings for women

The COVID-19 pandemic has significantly changed how we receive health care. Early in the pandemic, wellness visits were canceled or postponed and many in-person appointments have since turned into telehealth visits.

Rebecca Baudoin, MD, Western OB/GYN, A Division of Ridgeview Clinics, encourages women to prioritize scheduling their recommended appointments. “No one will take care of you, except you! There will be no judgment about any delay; we just want to optimize your health and get screenings caught up,” Baudoin said.

When was the last time you had a wellness exam? Are there screenings you have missed due to the pandemic? Dr. Baudoin outlines nine important women’s health screenings.

  1. Pelvic exam. Pelvic exams are recommended beginning at age 21 to assess your cervix, uterus and ovaries. A Pap test is also recommended at age 21 for cervical cancer screening. When a woman reaches age 30, a human papillomavirus (HPV) test is recommended, which can be performed from the same swab as the Pap. This swab collect cells from the cervix to check for any abnormalities that could lead to cervical cancer. Both are repeated every one to three years, based on recent health history.
  2. Breast exam. Women should be familiar with their breasts in order to recognize any new lumps or changes. Your health care provider will perform a breast exam at your annual wellness appointment. If a lump or concerning tissue is found, they may order a non-routine mammogram or breast ultrasound as a precaution.
  3. Mammogram. A mammogram takes radiographic photos of your breast tissue and identifies changes and abnormalities. Dr. Baudoin recommends an annual mammogram for women beginning at age 40 to check for signs of breast cancer. A 3D mammogram is currently the best available technology in mammographic breast cancer screening. If your insurance only covers 2D mammograms, Dr. Baudoin suggests paying out-of-pocket for the difference in cost to still have the 3D images done―an option you might consider doing every other year.
  4. Skin cancer exam. Your health care provider will check your skin thoroughly for any new or suspicious moles or signs of skin cancer. You should pay close attention to the size, shape and texture of any mole you have and notify your provider of any changes.
  5. Blood pressure screening. High blood pressure is a risk factor for heart disease. Your health care provider will check your blood pressure regularly at each wellness visit. Blood pressure numbers less than 120/80 are considered within the normal range.
  6. Cholesterol screening. Women over the age of 40 should have a blood test to check their cholesterol levels every five years. High cholesterol increases your risk for heart disease and stroke, two leading causes of death in the United States according to the American Heart Association (AHA).
  7. Diabetes screening. Women over the age of 40 should also have their blood screened for diabetes every three years. Dr. Baudoin advises that women who had gestational diabetes during pregnancy may need to be screened for diabetes and high cholesterol earlier than age 40.
  8. Colonoscopy. A colonoscopy uses a scope to view the inside of the colon and rectum. Early detection is crucial for discovering polyps and treating colon cancer. Women with average risk—those without personal or family history—should begin colonoscopy screenings at age 45.
  9. Osteoporosis screening. During and post-menopause, women’s bones may begin to weaken. A bone density test (DEXA) is suggested for women over 65 to check for osteoporosis. This test uses x-rays to measure the strength of the bones.

Regular wellness exams and health screenings are key to prevention. It’s important to talk with your health care provider about the role personal and family history may have on when and how often you should have these screenings. If you are due for your wellness visit, schedule an appointment at Western OB/GYN, A Division of Ridgeview Clinics.

 

Expectant mom chooses water birth to experience natural childbirth

After having an epidural with her first son in 2019, Shelby Hallblade, Carver, knew she wanted to try a more natural approach the second time around. “When I had an epidural with my first born, Silas, I didn’t know there was another way,” Shelby said. This time she wanted to be more educated about her options. A co-worker recommended Leah Schroeder, nurse midwife, Western OB/GYN, A Division of Ridgeview Clinics.

“Leah spent 30 minutes with me at my first appointment. Not only did she answer my questions, but she asked me questions and challenged me to think about things that I hadn’t even considered. I learned that I could do things naturally and that pain was not to be feared, but could be managed. Leah educated me and advocated for natural childbirth. She listened to me and respected my wishes,” Shelby said.

Choosing a natural childbirth in a hospital setting
Planning a birth at Ridgeview’s Birthing Center gave Shelby and her husband, Kyle, the option of the natural birth they had envisioned, while providing comfort in knowing they had full access to the resources and services Ridgeview offers including a Level II Neonatal Intensive Care Unit (NICU), if needed.

“In childbirth, things can sometimes go wrong. It is good to have someone there if you need it. I felt comfortable at Ridgeview, like being at a hotel or home. It was very nice without the hospital feeling,” Shelby said. The nurturing and inviting birthing suites feature large jetted tubs to allow for water births aided by certified nurse midwives. A water birth was appealing to Shelby to help her relax and manage pain during the birth process.

Blessed with a sign of good luck—rare en caul birth
After laboring at home for two hours, Shelby was eight centimeters dilated when she arrived at Ridgeview on March 19, 2021. Schroeder was waiting for her upon arrival.

Schroeder helped Shelby into the tub, guided her breathing between contractions and worked through various techniques to help Shelby manage her pain. “Leah was with me the whole time—from the time I arrived at the hospital until delivery and after—supporting me through each contraction.”

Baby Sawyer was born just 45 minutes after the Hallblades arrived at the hospital and was born en caul. An en caul birth is a rare occurrence where the baby is born inside an intact amniotic sac, occurring in one to two percent of vaginal births, which is less than 1 in 80,000 births. In many cultures, an en caul birth is seen as a sign of good luck. It was good luck sign to the Hallblades, as they were blessed with a healthy newborn following the natural birth they had envisioned.

Managing the pain of childbirth naturally

“Leah helped me feel more in tune with my body and helped me understand and allow things to happen naturally. I was able to feel everything, and I learned how to work through it.” Shelby said. Some of the techniques that helped Shelby manage the pain of childbirth naturally were:
+ Developing a calming music playlist that played on the speakers in the birthing suite
+ Diffusing essential oils
+ Hearing positive affirmations & bible verses that Shelby had on notecards
+ Creating a calming atmosphere

Shelby noticed immediately how much easier the recovery was for her second birth compared to her first, something she credits to the water birth.

Using a nurse midwife—pregnancy, birth, post-partum and beyond
Shelby was impressed with how everyone at Ridgeview respected her wishes for a natural birth, and that Schroeder was with her for the entire journey—pregnancy, birth, post-partum support and beyond. Shelby continues to see Schroeder as her primary care provider. She sees Schroeder and the team at Western OB/GYN for everything from annual physicals and screenings, to natural family planning and has already referred many friends as patients to the practice.

Take a virtual tour of Ridgeview’s Birthing Center and learn more about the providers at Western OB/GYN, A Division of Ridgeview Clinics.

Western OB/GYN transitions to new Electronic Medical Record on Aug. 1, 2021

Western OB/GYN, A Division of Ridgeview Clinics, is transitioning to a new Electronic Medical Record called Epic on Aug. 1, 2021.  This medical record will be the same for the entire organization.

This means however, that our current patient portal – My Health Record – will no longer be updated as of Aug 1, 2021, and it will not be available for you to access at all beginning Sept. 1, 2021.

The good news is we will have a new patient portal called MyChart available Aug. 1, 2021.  MyChart is a secure online health record portal very similar to My Health Record.  All of the information from our old electronic medical record and available to you in My Health Record during the last 5 years will be converted to our new electronic medical record and be available to you via MyChart.

To use this new portal, you will need to register as a new user with MyChart any time after Aug. 1.

To make that registration process easier, you will automatically be sent an email inviting you to register MyChart when you schedule an appointment with us after Aug. 1. You will be guided through the registration process after responding to that email invitation. After successfully opening your MyChart account, you will see all your Western OB/GYN health record information for the last 5 years.

Thank you for your confidence in Western OB/GYN.

Katelyn Neufeld, CNM, now sees patients at Western OB/GYN, A Division of Ridgeview Clinics

Katelyn Neufeld, CNM

Katelyn Neufeld, CNM, now provides midwifery care to women at   Western OB/GYN, A Division of Ridgeview Clinics. She began seeing patients at Two Twelve Medical Center in Chaska and the Ridgeview Professional Building in Waconia in early November.

Neufeld received her nursing degree from Crown College in St. Bonifacius, Minn., and later earned her Master’s in Certified Nurse-Midwifery from Bethel University in St. Paul, Minn., while working as a nurse at Ridgeview.

“I recognized my passion in caring for women through pregnancy and childbirth when I volunteered at a birthing center in Uganda after graduating from high school,” Neufeld said. “Since then, I have supported hundreds of women in childbirth, first as a birth doula, then as a labor and delivery nurse, and now as a midwife. I have a strong desire to promote family-centered care and advocate for shared decision-making as women navigate pregnancy, childbirth, postpartum and beyond.”

To schedule an appointment with Katelyn Neufeld, call 952-442-2137.

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