SERVICES

  • We offer:

    • Annual exams and basic gynecologic care

    • Cervical cancer screening options include traditional pap smears and HPV self-collection testing

    • Sports physicals for girls

    • STI testing

    • All contraception options are available

    • Preconception counseling

    • Infertility counseling

    • Telehealth appointments (most commonly used for mood concern visits)

  • Midwifery care includes:

    • Pregnancy confirmation (early pregnancy prior to 8 weeks)

    • Miscarriage care

    • New pregnancy appointments are typically 1.25 hours long (8-12 weeks of pregnancy)

    • Return OB appointments are 45 minutes and occur at an interval specific to your needs

    • Hospital birth at IslandHealth (WhidbeyHealth is a back-up if Island is unavailable)

    • Homebirth (ending March of 2026)

    • Anacortes Mirth Center Birth (beginning April 2026)

  • Initial newborn care includes:

    • Inpatient, well newborn care in the hospital

    • Initial newborn care and 1-2 day follow-ups for those born at home or in the birth center

    • We coordinate follow-up care with your pediatric provider of choice

    • If a concern arises and your baby needs a higher level of care, transfer into the hospital or to a physician is available at IslandHealth

    • Newborn weight checks are always available

    • Kelly McKittrick offers lactation services and frenotomies (when indicated)

  • Telehealth visits are most useful for complimentary meet & greets, problem follow-up and mental health concerns

“Every woman needs a midwife, and some women need a doctor too...”
— Jane Sandall PhD, MSc, BSc (Hons), RM, RN, HV

Most pregnancies are low risk and are recommended for midwifery care. However, there are occasions when referral to an obstetrician is indicated. Indications include:

  • Preexisting hypertension with or without medication

  • Conditions requiring cardiac medication

  • Preexisting diabetes and gestational diabetes requiring insulin

  • Pregnancies with multiples

  • Prior cesarean (Island Hospital & WhidbeyHealth do not offer LAC/VBACs at this time)

    • We provide routine prenatal care for women who desire a repeat cesarean. We will coordinate care with the local provider of your choice for your scheduled repeat cesarean. They usually like to see you in their office some time between 28-32 weeks and then again at 38 weeks of pregnancy. We will provide the rest of your care and attend your scheduled birth.

    • We provide routine prenatal care for women who desire a vaginal birth after cesarean (VBAC). Island Hospital & WhidbeyHealth do not offer LAC/VBACs at this time so we recommend establishing care with a larger medical center that does (the closest is Skagit Valley Hospital). If you prefer to initiate care closer to home, we can begin your care and assist with your transfer once you decide where you would like to go. Know that most places require transfer for LAC prior to 28 weeks pf pregnancy. Washington state just changed its birth center regulations to allow VBACs in birth centers, so be patient with us while we build this opportunity!

There are also risk limitations for home birth and birth center birth that should be carefully considered.