When & How to Contact Your Midwife

I am here to serve you and your family during this beautiful journey. I know that there will be times that you have questions and concerns, and I am honored to be available to be here for you. To provide timely and compassionate care to all of my clients, I want to give the best ways for you to reach me based on your needs.


If your situation is not emergent, please use the message portal or the portal text number to send me a message. I will get back to you within 24 hours unless it is the weekend or holiday.  There are many aches and pains that are normal in pregnancy.  Therefore, what you are concerned about may not be a “danger” sign.  However, it is essential that if you have concerns to let me know in the message portal if non-urgent or via phone call if it is urgent. Please do NOT text me with critical concerns.


This is NOT a complete list of issues, but an example to help you know which option of contact would be best for your situation.


Response time expectations:

  • Non-urgent messages will be responded to within 24 hours during the week.

  • Non-urgent messages during the weekend or holiday will be responded to on the next business day.

  • Non-urgent texts will be responded to via the portal on the next business day and may incur a $25 fee.

  • Urgent concerns should always be done via a phone call.





  • Appointment questions

  • Financial concerns

  • Comfort suggestions

  • Paperwork

  • Dental work

  • Air travel

  • Cold/Flu unless fever over 100.4

  • Rashes

  • Lab questions


  • Appointment questions

  • Financial concerns

  • Lab questions


  • Any vaginal bleeding

  • Headache that is not alleviated by usual treatments

  • Visual disturbances

  • Severe abdominal pain

  • Loss of fluid from the vagina

  • Severe nausea and vomiting

  • Sudden severe swelling of hands and face

  • Fever over 100.4

  • A decrease in fetal movement

  • Signs of preterm labor (more than 10 contractions in 1 hour before 37 weeks)

  • Pain or burning with urination

  • Any other serious concern that cannot wait until the next day


  • Bright red, hard lump on breast

  • Flu-like symptoms

  • Heavy vaginal bleeding

  • Maternal fever >38°

  • Foul-smelling discharge

  • Baby concerns

  • Any other serious concern that cannot wait until the next day