Pregnancy belly jean jacket

Pregnant tummy getting a kiss


Midwifery Services South Texas

Birth & Midwifery Care With Experienced, Skilled Home Birth Specialists


Claudine Crews LM, CPM

Licensed and Certified Professional Midwife

San Antonio, Floresville, and surrounding areas



·     Prenatal Care

·     Labor and Birth

·     Waterbirth

·     Postpartum Care

·     The Birth Center

·     Well-Woman

·     Childbirth Classes

·     VBAC - Vaginal Birth After Cesarean

·     Fees and Insurance


·     Qualifications

·     Personal

·     Affiliations


·     Forms

·     Nutritional Assessment

·     Preparing for Your Birth

·     Supplies




·     What is a midwife?

·     What is a Certified Professional Midwife?

·     Midwives Model of Care™

·     Texas Midwives

·     How to Choose a Midwife


·     Home Birth - Is it safe?

·     Advantages of Birth Outside of a Hospital

·     American Public Health Association Support


·     Waterbirth

·     VBAC

·     Cord Clamping

·     Preparing for Birth - Childbirth Education

·     Doulas



·     Induction

·     Continuous Fetal Monitoring

·     Cesarean Section

·     Epidurals

·     Immediate Cord Clamping Vs. Delayed Cord Clamping


·     Home Pregnancy Tests

·     Estimating Your Due Date

·     Common Discomforts

·     Warning Signs

·     Prenatal Testing

·     Ultrasound

·     Breech?

·     Induction

·     Childbirth Classes


·     Why good nutrition

·     Nutritional needs

·     Sample Diet

·     Nutritional values of foods

·     Food Safety

·     Salt - Yes, you do need it!


·     Breastfeeding

·     Circumcision

·     Immunizations

·     Childproofing Your Home



Site Map



We have a secret in our culture and it's not that birth is painful. It's that women are strong.






We love waterbirth! Whether you choose to actually give birth in water or not, water - showers, tubs, or birthing pools - can help tremendously during labor to keep you comfortable and relaxed. Laboring in water has often been referred to as an 'Aquadural'. We really encourage planning to use water at the very least while you are in labor.


Known benefits of water labor and waterbirth:


  • Facilitates mobility and enables the mother to assume any position which is comfortable for labor  and birth
  • Speeds up labor
  • Reduces blood pressure
  • Gives mother more feelings of control
  • Provides significant pain relief
  • Promotes relaxation
  • Conserves her energy
  • Reduces the need for drugs and interventions 
  • Gives mother a private protected space
  • Reduces perineal trauma and eliminates episiotomies
  • Reduces cesarean section rates
  • Is highly rated by experienced providers
  • Encourages an easier birth for mother and a gentler welcome for baby


I am always in awe of the peace and gentleness of a waterbirth, and amazed at the baby's calm transition when born by this method. The baby has grown in water for nine months. The familiarity of water seems to soothe and calm the him. Many babies, in the few seconds they remain in the water during and after birth open their eyes and visibly relax and unfold. Mothers who have given birth in water almost always choose this method of birth for any subsequent babies.


Induction of Labor

Induction for non-medical reasons, such as for the convenience of either the mother or the doctor should be avoided. Risks of induction are numerous and should not be taken lightly. Induction of labor has become almost routine, and is often the first intervention used in an otherwise normal pregnancy and labor which leads to a long line of more interventions, each with their own set of risk factors.


For more information on Induction see "Birth American Style"



Vaginal Birth After Cesarean


The past few years have seen an almost nation wide ban by hospitals and physicians on vaginal birth after cesarean. Contrary to what you may have heard, the reason for this ban is not safety, but Increased costs and fear of lawsuits. The theory that outcomes for mothers and babies would improve with repeat cesarean vs. VBAC has proved to be wrong, and in fact, studies are showing that mothers and babies do significantly better with vaginal birth. 15 studies published in 2006 alone support the safety of VBAC and/or the risks of cesarean over vaginal birth.


Uterine rupture is frequently cited as the principle risk of VBAC, and yet most incidences of rupture do not occur spontaneously. Rupture, in the few instances that happen, almost always occurs when labor is induced or augmented with drugs, or forceps or vacuum extraction is used. That being said, no one can guarantee a risk free birth under any circumstances, and not all women are good candidates for a VBAC. If you are considering a VBAC I urge you to inform yourself on both benefits and risks. Only you can make the decision, and you alone are responsible for the consequences of that decision. For more information on VBAC please visit the International Cesarean Awareness Network website.


The Vaginal Birth After Cesarean Checklist

Issues and Procedures in Women's Health Vaginal Birth After Cesarean

A 10-Year Population-based Study on Uterine Rupture

The VBAC Fact Sheet


Umbilical Cord Clamping

Delayed or Immediate - Is This Really An Issue?

Most obstetricians believe immediate cord clamping is important and beneficial. Some even believe it is dangerous to not immediately clamp and cut the cord. Many refuse to even negotiate this issue with parents, although the issue is not usually safety, it is time. Is this really an issue though? An issue to make an issue of?


All of the blood in the placenta and cord belong to the baby. Immediate clamping of the umbilical cord deprives your baby of about 30% or more of his total blood volume. This deprivation of blood can become a significant issue if your baby is born following any compromise or distress at birth, when his entire blood volume is needed to protect his brain and other internal organs by assuring adequate perfusion and oxygenation. Immediate clamping can also lead to anemia, hypoglycemia, and more, including an increased incidence of cardiac murmurs.


Some of the benefits of delayed cord clamping include:


·    50 % larger red cell volume, enlarged blood volume, and higher hematocrit. The iron in these cells is stored by the body, which protect your baby from anemia.

·    Increased amounts of white blood cells and antibodies which help the baby to fight off infections

·    Increased platelets, important in normal blood clotting     

·    Increased plasma proteins and other nutrient benefits that come with adequate perfusion

·    Better circulation in the first few hours after birth due to increased systemic vascular resistance

·    Less trouble with maintaining a normal temperature

·    The baby receives his or her own stem cells. These may contribute to health and well-being in ways we do not fully understand yet.


For more information on the risks of immediate cord clamping and how this became standard practice, and more information on the benefits of delayed cord clamping, including references:


Clamping of the Umbilical Cord - Immediate or Delayed

   Is this really an issue?


Immediate Umbilical Cord Clamping as a Cause of Autism

       George Malcolm Morley, MB ChB FACOG


Neonatal Resuscitation: Life That Failed  by Dr. G. Morley

       George Malcolm Morley, MB ChB FACOG
















© Copyright 2007 Midwifery Services of South Texas

Permission to reprint pregnancy and childbirth information contained within this website with attribution

No photographs may be copied or used without written permission




Options and Choices

Water birth mom and baby

 New family moments following the water birth of their daughter






Ten Questions To Ask

From the Coalition for Improving Maternity Services (CIMS)

Have you decided how to have your baby?
The choice is yours!


Learn as much as you can about all your choices. There are many different ways of caring for a mother and her baby during labor and birth.


Birthing care that is better and healthier for mothers and babies is called “mother-friendly.” Some birth places or settings are more mother-friendly than others.


When you are deciding where to have your baby, you'll probably be choosing from different places such as:

•     birth center,

•     hospital, or

•     home birth service.

A group of experts in birthing care came up with this list of 10 things to look for and ask about. Medical research supports all of these things. These are also the best ways to be mother-friendly.


Ten Questions To Ask

The Mother-Friendly Childbirth Initiative



New mom and babe




A doula is a woman who helps support a laboring woman during and sometimes after her birth. The word comes from the Greek, meaning the woman who mother's the mother. This type of support has been shown to:

  • Shorten first-time labor by an average of 25%

  • Reduce the need for a cesarean section by 50%

  • Reduce the use of drugs to stimulate labor by 40%

  • Reduce requests for epidural anesthesia by 60%

  • Reduce the need for forceps-assisted birth by 40%

For more information on Doulas contact:

DONA International



Childbirth Classes

Taking a childbirth education class is an excellent idea for all parents, but especially first time parents or those who had a negative experience with a previous birth. There are many great "methods" of preparing families for their birth, but I strongly suggest taking a class that is completely independent from the hospital where you will be having your baby. They may be inexpensive and probably have wonderful teachers, but the teachers are under constraints to teach only what the hospital and doctors who work there want them telling parents. These classes may help parents in preparing for birth, but is is preparation for birth the way it is preferred at that hospital. You will miss out on a great deal of information on options and the benefits and risks of various routine procedures such as induction, drugs, and breaking the bag of water.


Some of your options to investigate for childbirth preparation are:

  • Bradley, or Husband Coached Childbirth

  • Lamaze

  • Birthing From Within

  • Hypnobirthing

  • ICEA

You will find links to web sites for these organizations on the Resources page.