Page 1: homepage
Welcome to Trillium Midwifery and Women’s Health!
It is with great joy that we offer support and guidance in achieving your optimal health. This is a place of respect, listening clearly and looking for the roots of illness and to heal the underlying issues that affect us.
Please check out our services page to see more about how we can help.
Wishing you vibrance and health!
Page 2: Pregnancy
When a woman feels safe and supported in labor, something incredible happens. Her consciousness shifts from everyday functioning to a deeper part of her body and brain. Her body produces more oxytocin (the hormone of love and labor) and natural endorphins that put her in a deep state and help birth progress smoothly. Privacy, warmth, dim lighting are important to help keep stress hormones low, so they don’t stall labor.
My job as a midwife is to help the woman stay in that safe birthing “bubble” of peaceful support and safety, so that her power stays strong and effective.
This relationship develops throughout pregnancy. At each prenatal we work together towards optimal health, based on what she needs as an individual. We discuss exercise, nutrition, and any pregnancy discomforts or concerns. We also have time to explore mental-emotional issues including stresses, joys and fears.
In labor we monitor the mom and baby closely, making sure both remain strong and healthy. The majority of births continue to be normal and low-risk. These are best managed with patience and calm support, making space for the woman to follow her instincts and have a beautiful homebirth. We follow the birthing woman's cues as she moves in whatever position feels right to her. We are able to monitor the heartbeat most anywhere, including in the tub if she desires a waterbirth.
For each birth we have two fully trained midwives (Laura and an assistant) who are skilled in handling birth emergencies. We also carry extensive supplies and medications in case of need.
Every now and then there is a situation that moves out of the low-risk category. If there is a concern about the mother or baby, sometimes changes or an intervention is necessary to keep everyone healthy and safe. We try what we can at home, including herbal or homeopathic treatments, but do not hesitate to move to a hospital when indicated. We are so fortunate to have good hospital support and collaboration when that is needed.
Postpartum is an especially precious time. A big difference in midwifery care is the extended support as the family adjusts to a new baby. In a hospital birth, the mom and baby are discharged around 24 hours (after a vaginal birth) or 48 hours (after a Cesarean), and not checked again for two weeks. Homebirth midwives come to the home for full checks for both mom and baby on postpartum day 1, day 3, 1 week and 2 week at least. If there is a concern, there may be more checks included. This frequency helps us to catch problems early enough that they can be more easily corrected. This is especially important for breastfeeding support or any concerns with the newborn. This increased home postpartum support is available also for women who have chosen a hospital birth. We are happy to collaborate and send reports to your primary OB provider.
If you have further questions or are interested in our pregnancy, homebirth and/or postpartum options, please contact us to schedule a free consult visit in our office. We look forward to meeting you!
Page 3: Women’s Health
Trillium provides a full range of safe, supportive and gentle gynecology exams. With our long appointments, we have more time to focus more clearly on your individual needs. We discuss any questions or concerns you might have and talk about available testing and treatment options.
• annual exams
• Pap and other labs
• birth control options
• STD screen
• contraception planning
• period issues - painful or irregular menstruation
mood / hormonal concerns, including anxiety, stress
Breastfeeding classes and home lactation appointments in the first 2 weeks postpartum
Page 4: About the midwife.
Laura Bartko, CNM, NP
I love my work! It is such an honor to get to work with amazing women, getting to know their strengths and personality, then be with them as they birth and welcome their child.
I started attending births in 1998 as a doula. After many travels and adventures, I came to study at Oregon Health and Science University (OHSU). While in school, I worked as a nurse at an OB/CNM practice in Oregon City. In 2007 I graduated with a masters in nursing, then worked for several years as a CNM at Vivante Midwifery in Portland.
I have three beautiful children, all born at home with a midwife. Their unique labors all deepened and expanded my understanding of birth.
I am a lifelong teacher and learner. My first degree was a bachelors in Psychology and Biology from Duquesne University. I received a diploma in homeopathy from the Canadian College of Homeopathic Medicine. I am an instructor at Birthingway College of Midwifery in Portland, and am also working towards my certification in Herbal Medicine for Women with Aviva Romm, MD, CPM. I enjoy including my knowledge of homeopathy and herbs into my evidence-based nurse-midwifery practice.
When I'm not midwifing, I'm usually snuggling my kids, reading good books, or hiking in the forest.
For each birth we have an additional experienced midwife who is also fully trained in emergency skills, including neonatal resuscitation, and CPR. The assistant typically comes near transition in labor and stays through the first couple hours of postpartum. We have a wonderful supportive community of skilled midwives who offer their help, but the one you have is determined by your due date and location. Clients typically meet at least once with this midwife in their third trimester.
Page 5: Testimonials:
"I had the most wonderful experience working with Laura. She is the embodiment of the holistic care midwives can offer. Her warmth, wisdom, and incredible sense of humor make her one of the exceptional people I’ve ever met. She replaced my anxiety about birth with excitement, happiness and joy. Working with her was such a comfort. " - JKL
Laura really stands out as really caring, genuine and knowledgeable but her best gift was the feeling of her all encompassing enjoyment/excitement about my baby. I felt I was working together with my midwife for the best health for myself and baby, as it should be. I wasn't a number being rushed though a doctor's office, Laura always had time to talk about my whole being and not just my vital signs, baby weight, etc. I felt confident that I was getting such good care and loved being able to discuss whatever was on my mind.
As well as being a Homeopathic Practicioner, Laura has a wealth of knowledge about alternative medicine which I so appreciated. I did not feel I needed to visit a naturopathic doctor to get their perspective, it was already included in my care. I like Laura personally as well as professionally and I recommend her to everyone. - Julie, mom to Jayden, Neelah, Zean
"Just sitting here as Kellen naps thinking about my labor and delivery almost 16 months ago now! I am still just so incredibly grateful... Words will never properly convey the significance of your calm, warm energy during what was such a difficult time... Thank you Laura for helping me to find the courage and will to bring Kellen into the world. I find myself truly missing my visits with you." - Erin, mother of Kellen
"We are very happy to have had Laura as one of our midwives. She is a warm and friendly person, very easy and comfortable to be around; I left our visits feeling well-cared for. She always explained all of our options and then supported our choices, and was really great at including our other young children in prenatal and postnatal care". - Sarah, mom to Eloise, Esme and Asa
"With my first baby my labor was long. Laura stayed with us and kept a watchful and supportive eye on me. When it was time to make some hard decisions she respected our wishes while keeping the best outcome possible as goal number one. Laura is patient and kind. She takes the time to listen to you and responds thoughtfully. I can't tell you how much I appreciate her open minded, wholistic approach paired with a solid background in science and nursing". - Anna, mom of Ramona
Please give me a call or fill out the form below if you would like to schedule an appointment or have any questions. I look forward to hearing from you!
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Entheos Wellness Center 419 Center St, Oregon City, OR 97045
NEW!!! Estacada location: 386 S. Broadway, Estacada, OR 97023
Phone number: (503) 860-0082
I'd also somewhere ? homepage or pregnancy page like a separate box of text with a Trillium - Trillium is also known as "birthroot". Historically it was considered a sacred female herb that facilitated childbirth.