Alyssa Dickerson

What is a Monitrice? A Monitrice is a trained midwife who provides continuous labor support similar to a doula, with the added ability to offer select clinical assessments while you are laboring at home. This may include: Listening to and evaluating your baby’s heartbeat Assessing labor progress Performing a vaginal exam when appropriate and desired Monitoring maternal vital signs Monitrice care is commonly chosen in special circumstances, such as: Planning a vaginal birth after cesarean (VBAC) First time giving birth Prior rapid (precipitous) birth or long labor (prodromal). Prior experience of coming and going from labor and delivery triage multiple times Healing from a previous traumatic birth experience Wanting additional emotional and clinical reassurance during labor Additionaly, families seek Monitrice support when they desire: Extra reassurance during early labor, regardless of planned place of birth Support informed by clinical knowledge Discerning normal vs abnormal labor process and progress Thoughtful guidance around timing and transitions When I serve as your Monitrice, I am not acting as your primary pregnancy or birth care provider. This means: I am not your primary prenatal care provider I am not your planned delivering provider, and will not attend a birth when another licensed midwife or physician has not been hired to attend. I am not providing medical advice, but can provide evidence-based education and guidelines Once you are admitted to the hospital or your birth team arrives, my role naturally and intentionally transitions into that of a Birth Doula — offering continuous emotional support, comfort measures, advocacy, and presence throughout your labor and birth.

Includes: Free Consultation 6 private prenatal sessions (approximately 60-90 minutes each) Supplemental prenatal care support Private childbirth, breastfeeding, and newborn care prep In-person or virtual options Flexible scheduling across pregnancy Personalized education and emotional support Evidence-based guidance Prenatal birth planning and home visit Attendance of birth as monitrice/doula Support during immediate postpartum and with breastfeeding initiation Postpartum in-home visit

60 minute consultation which may include any combination of the following depending on your method of feeding/feeding plans: observation of a feeding at breast/chest and/or bottle, positioning + latch assessment infant weight check and plotting baby on a clinical growth chart, milk transfer and/or bottle feeding instruction oral exam and structural assessment of baby, breast/nipple exam and treatment if indicated, counseling on normal newborn behavior, flange fitting/pumping instruction/plan, proper formula prep and guidance on appropriate amounts per age/stage, if indicated, as well as a specialized care plan to meet your lactation/infant feeding needs. A visit summary note will be sent to your baby’s provider within 24 hours of your consultation. $50 for virtual telehealth visit $75 for in-office $175 for in-home visit