What you really want to know about pregnancy and childbirth

Karly Nuttall

Work with Me

Current Offerings

  1. Courses: Midwifery Finishing School & Miscarriage Management for the Out of Hospital Setting

  2. Happy Periods Hormonal Balancing

  3. Vaginal Steam Consultations

Midwifery Education Courses

Midwifery Finishing School: Your Springboard to Confidence

So, you just spent a few years studying midwifery and you feel like you learned so much (because you did!) and now you’ve started your practice and realize there’s SO MUCH MORE to learn. Being a new midwife can be overwhelming and humbling but I don’t think it needs to take so long to go from novice to expert. So I created Midwifery Finishing School (MFS) to speed up the process!How? MFS is a 7-week online course for newer or student midwives and its full of the un-Googleable knowledge and decision-making skills that you probably didn’t get from school or your apprenticeship; training in phone triage, miscarriage management and alternative treatments for clients with mild cervical dysplasia, even self care for birth workers, just to name a few. I didn’t include anything I remember from school, just pro-tips I’ve learned from 20 years of experience, research, courses and reading. I’ve even added client handouts and algorithms on everything from gestational diabetes  to bacterial vaginosis to make this course one big midwifery hack.When in doubt, you’ll have a handout!Click here for a full list of topics covered and handouts provided. Online only Course: 6 weeks – 1 day per week for 2 hoursPrice: $597$397 for midwives of color (not for white presenting midwives)

Miscarriage Management for the Out of Hospital Setting 

Raise your hand if you are a new midwife who got little to no training on miscarriage management? This class is for you! It’s about 2 hours and covers diagnosis, management options, sensitive client education, follow up testing and how to advise on when to get pregnant again. Online only.

  • $77

Natural Hormone Therapy

Women’s hormonal balance is delicate. Your thyroid, adrenals and sex hormones can easily be thrown off kilter by chronic or acute stress, childbearing, your diet and overall health. This can result in fatigue, brain fog, anxiety, inability to focus, low sex drive, irritability, digestive problems, acne, infertility, weight gain and more because your hormones affect everything! But with the help of  testing we can find the root cause and get you back to your best-feeling self using herbs, supplements, nutrition, and lifestyle changes.
All of these services can be done remotely
– $300 + lab fees

Vaginal Steam Therapy Plans

Vaginal Steam, or hydro-steam therapy is probably the most talked about/ridiculed women’s health treatment out there, but you know what? No, it is not evidence based but not everything is. It is traditional and has been used by women at one time or another for many years in all parts of the world. It is currently most commonly used in Korea. If you’ve been to a Korean spa you may have seen the t works! I have used it personally as have many of my clients who are using it to treat or ease hot flashes, irregular or painful periods, fibroids, cysts, endometriosis, vaginal infections, PMS and even using it for postpartum recovery!
To purchase, go to www.birthkweens,com/shop/ to pick out the right steam herbs for you. Each bag comes with downloadable instructions for a variety of issues.
– $35

Home Birth

UPDATE: I am currently living in Turkey and unavailable for this service August and September of 2021 only.
Homebirth is a magical way to make the journey into parenthood. A service based on respect and informed choice that is family centered from the first prenatal visit through the last postpartum visit.
The Home Birth package includes a free consultation, all prenatal visits, nutrition and supplement counseling, birth tub rental, labor and delivery, water birth, a thorough newborn exam, breastfeeding help, 3-5 postpartum home visits, a 6 week postpartum visit and paperwork for the birth certificate and social security card.
I only take 2-3 clients per month. Keeping my client load small allows for more personalized care, decreases my chance of having two clients in labor at once and gives you a more rested and alert midwife on the day of!
– $6,500
Insurance can be billed by our independent insurance biller.

IUI- Intrauterine

Insemination

UPDATE: I am currently living in Turkey and unavailable for this service at least through December 2021.
I am so happy to provide IUI either in my office or in your home.
This is perfect for hopeful single parents, couples without sperm in their relationship and those wanting to utilize IUI for any other reason. This service includes info on ovulation tracking, sperm washing if necessary and IUI.
-$300 per IUI (it’s often recommended to do 2 per cycle)
There is an additional $100 charge to prepare sperm from a known donor
There is an additional $50 charge per home visit, if requested

Reproductive Health Care

UPDATE: I am currently living in Turkey and unavailable for this service August and September of 2021 only.

Reproductive care can be sterile and uncomfortable but I try to make it feel more like a warm hug. During a visit, we have time to talk about things that matter to you and hopefully you’ll leave feeling like you hung out with a friend rather than a doctor. I can provide any combination of the following: PAPs, breast exams, self breast exam instruction, blood work, STD testing, and hormone testing as well as herbal, homeopathic and supplement counseling.
-$60 for a 1/2 hour visit, $120 for an hour visit. Lab fees charged separately or billed to insurance.

Prenatal and Postpartum Care

UPDATE: I am currently living in Turkey and unavailable for this service August and September of 2021 only.
Maybe you plan to give birth at the hospital but perhaps you’d still appreciate a more natural and holistic approach to your care either before or after birth? I adore prenatal and postpartum care. Good care can elevate your experience from surviving to thriving.
For prenatals I can offer:
  • Additional testing if needed
  • Nutritional/supplemental counsel to reduce risks during pregnancy and birth
  • Education on getting your baby in a good position to make birth easier
  • Counsel on almost all pregnancy discomforts
  • Making the visits family centered, helping you and any family members feel the baby in utero and listen to the heartbeat
  • Discuss the pros and cons of newborn procedures, GBS treatment, etc…
  • Help you mentally prepare for any twists and turns your birth may take

For postpartum care I can offer:

  • In-home visits
  • Assistance with latching and lactation
  • Detecting tongue tie which is very commonly missed
  • Assessing baby’s weight loss and weight gain
  • Coming up with a lactation plan when necessary
  • Helping resolve breast/chest infections
  • Vaginal steaming for a faster recovery
  • Early detection of postpartum mood disorders and natural treatments to alleviate mild ones
  • Counsel on what is normal for the baby (sleeping, elimination, etc…)
  • Listening to and helping you process your birth story
  • Advice on supplementation and nutrition postpartum (extremely helpful after a postpartum hemorrhage)
-$97 per prenatal or postpartum office visit
-$127 per home visit
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What you really want to know about pregnancy and childbirth

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