An Integrative Care Model

Within an integrative model of care, doctors and midwives work together to provide patients the highest level of care. When doctors and midwives work together, patients benefit from:

• More time during routine appointments
• Lower rates of interventions, including labor induction and augmentation
• More wellness education, including diet, exercise, and promotion of social and emotional health
• Lower rates of cesarean and less need for epidurals in labor
• Up-to-date, evidenced based care
• Shared Decision making between doctors, midwives, and patients and true informed consent

Wombkeepers is one of the few obstetrics practices in New Jersey caring for patients in this manner and is even unique among combined obstetrician-midwifery practices in we offer all patients the option to be cared for collaboratively by our doctor and midwives, with an emphasis on low-intervention and personalized care. ​
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Three Options for Integrative Obstetrics Care

Collaborative Tract

In this tract, low and moderate risk patients may be cared for collaboratively by both our obstetrician and midwives and may be delivered by either provider, all within the low-intervention care model to which our providers ascribe. This tract offers the best of all worlds and the most flexibility in terms of appointment times and is the model the majority of our risk-appropriate patients have been cared for to date.

Midwifery Tract

In this tract, low risk patients may be cared for and delivered primarily by our midwife team. This tract offers the benefit of a complete midwifery approach, with a greater emphasis on wellness care and longer appointment times. All midwifery patients will have at least three appointments with our obstetrician, so they will be familiar with them should the need for a higher level of care arise during their pregnancy or labor and delivery.

Obstetrics Tract

In this tract, any patient may be cared for and delivered primarily by our physician obstetrician team. This tract is appropriate for all high risk patients or any patient who would prefer physician led care and offers patients the benefit of risk-appropriate, low intervention care provided by an obstetrician. Wombkeepers is unique in that even our higher risk patients have low rates of cesarean delivery.

Should a high risk complication arise either in pregnancy or labor and delivery, all our patients are able to take comfort in the fact that their own personal obstetrician can care for them in the event of a full range of high risk conditions and complications, including:

• Cesarean Delivery
• Multiple Gestations (twins and triplets), including vaginal twin deliveries
•  VBAC, including VBAC after two previous cesareans
• Diabetes, Hypertension, Preeclampsia
• Fetal Distress
• Advanced Maternal Age
• Premature labor
• Operative Vaginal Delivery
• Shoulder dystocia
• Placental complications, including placenta previa and abruption