Ronnie Falcao, LM MS, Licensed Midwife
Safe, Holistic Midwifery Care for Mother and Baby

A safe and gentle birth is the foundation for a baby's physical and emotional well-being. For healthy women with low-risk pregnancies, the safest birth takes place in the home with an experienced birth attendant. The most gentle birth is assisted by a midwife who honors baby's birth experience, helping to create a welcoming atmosphere of trust, joy and love.

If you are looking for a birth attendant who is committed to providing the best possible prenatal and birth care, please phone me at 650-961-9728 or by e-mail.  I'm happy to e-mail you detailed information about my services.  Please let me know your due date, where you live, whether this is a first or subsequent baby, and what kind of insurance you have, so I can send you the relevant financial information.

I routinely attend births in homes within about 15 miles of Mountain View, California and will drive further by special arrangement.

Supporting the Birth Process - Human birth has evolved over millions of years, and is very successful - 95% of births would result in a healthy mother and baby even without a skilled birth attendant.  Like most of our biological functions, birth works best at home, where women feel safe and secure and are not triggered to a "fight or flight" response from being in a strange and unpredictable environment.  When a woman labors in her own home, there is no pressure to "get things going" just because the room is needed for another patient or because a shift change is coming up.  Babies born at home can set the pace for baby-led bonding and breastfeeding; since the midwife is providing care for just that mother-baby pair, she can wait until it is a good time for them before getting the baby's weight and measurements, performing a full newborn examination, offering vitamin K or antibiotic eye ointment.  And there is no need to separate the mother and baby at home since the midwife is only observing one baby at a time!  Allowing the birth-bonding-breastfeeding process to evolve naturally almost assures successful breastfeeding, and skin-to-skin mother-baby contact supports a happy, healthy transition to the outside world.

Avoiding Risky Interventions - Hospital procedures often cause more problems than they prevent.  The most common problematic hospital intervention is the epidural, which can cause the mother's blood pressure to drop so that her system isn't getting enough oxygen through the placenta to baby.  The second most problematic intervention is the use of pitocin - the synthetic form of the hormone that causes contractions - which can cause contractions to come too fast for baby, so baby goes into fetal distress.  When you hear people with lots of experience with hospital births talking about how dangerous birth is, they are usually referring to hospital births where these sorts of complications have occurred.  If you ask them to describe the circumstances of the really frightening births they've seen in hospitals, they will frequently involve pitocin and/or an epidural.  Sometimes people project their experience with frightening hospital births onto all births, and they assume that births that take place away from the potentially life-saving facilities of a hospital must necessarily be dangerous; it can be hard for them to grasp that some hospital interventions may actually be the cause of some of the problems they see.  They also may not understand that homebirth midwives are trained and equipped to handle the most common complications of normal, unmedicated childbirth and to relocate the birth to the hospital when the mother or baby would benefit from medical care.  These people have typically never seen a homebirth, and they are often ignorant of homebirth safety statistics and the extensive training of homebirth midwives.  They may have seen some complicated cases transported from home to the hospital and thus imagine that all homebirths have complications, but they obviously do not see all the homebirths that have no complications or minor complications that are readily handled at home.  You can do them a favor by showing this to them.  (To learn more about homebirth safety, you can visit my web pages: http://www.gentlebirth.org/ronnie/homesafe.html)

Reduced Infection Rates - Infection rates for hospital birth are four times higher than for homebirth.  In the United States, about 80,000 people die every year from hospital-acquired infections; this is more people than die from automotive accidents.  Hospitals are filled with bacteria from those who are sick and dying; often these people are given lots of antibiotics, so the bacteria readily become resistant to antibiotics, which makes them much more deadly than normal bacteria usually found outside the hospital.  In addition, babies are born with an immature immune system, so that they are not able to create antibodies to the germs they're exposed to at birth.  Nature protects new babies by providing them with antibodies from the mother, which are passed to baby through the placenta.  A pregnant woman is usually immune to the germs in her own home, so baby is already born with an immunity to these germs.  So, babies born at home have their skin and gut colonized with their normal household bacteria, to which they are already immune.  Babies born in the hospital are often colonized with hospital bacteria, to which they have no immunity, and which are often already antibiotic-resistant.  Since they have a very immature immune system, these hospital-acquired infections may be life threatening to baby.

Reduced Medical Errors - Drug errors hurt 1 in 15 hospitalized kids.  This is another side effect of piecemeal medical care, where one provider orders treatment and another provider administers the medication or treatment.  Homebirth midwives provide comprehensive care for mother and baby and have a detailed knowledge of the complete history of both mother and baby.

State-of-the-Art Training and Equipment - In the hospital, the nurses or technicians managing your labor might not even be trained in maternity care or the evaluation of fetal monitor readings.  I am trained and experienced in handling emergencies that might arise during labor or birth.  I carry lots of equipment, so I can perform  the same routine assessments and procedures that might be done in the hospital; yes, I even have a continuous electronic fetal monitor, if needed. I carry equipment to resuscitate the baby that is the same as that available in the hospital, except that mine is operated by hand instead of by machine.  I carry the standard medications used to provide safe maternity care. I have some photos of my equipment if you want to take a look at them.
 

Herbal Pain Relief - For women who want a little something extra, I carry herbs that reduce labor pains.  Much of my practice has been with high-achieving Silicon Valley women, who sometimes need a little extra help relaxing and letting go so that labor can progress.  I'm pleased to say that I've developed herbal protocols that work very well for them.

Privacy - You have complete control over who is allowed into your birthing space, and you can arrange to meet my assistant beforehand, so that no strangers are entering your birthing space.  You are guaranteed to have a "private" room after the birth so that your partner and other family members can stay with you, as you choose.
 

Baby-led bonding and breastfeeding - Your baby's experience of being welcomed into your family is based on the events of the critical first hour after the birth.  By supporting the mother's responsiveness to her newborn, I can facilitate first bonding and breastfeeding experiences that provide a solid foundation for baby's unfolding as a member of this human family.

Sibling involvement - You can choose to have your older children as involved as you want.  Some families plan to have older children participate in the birth or in welcoming baby or to have their older children cared for in a separate room.  It is much easier for older siblings to feel good about having a new baby in the house when their mother doesn't mysteriously disappear in the middle of the night and re-appear in a strange hospital room with the new baby.  Homebirth siblings often talk about "my baby" because the birth was a family affair.  Siblings are generally welcome to attend prenatal meetings.
 

I offer individualized care so the focus is on you and your choices.  I am willing to support non-standard treatment choices if you are willing to educate yourself about your choices and sign relevant informed consent forms.

I am constantly looking for ways to improve the birthing experience for the whole family, and I have many delighted client families.
 
 

Logistical Support - I provide AquaDoula birthing tubs for my clients at no extra charge.  I provide a variety of specialty supplies to increase your comfort and the overall quality of your birth experience.  I provide a variety of hard-to-find herbs as necessary for your circumstances.

Clean, tidy and comfortable environment - Your birthing environment will be as clean as your home, because it is your home.  We use sterile and disposable equipment as necessary to maintain a safe, clean, tidy and comfortable environment.

Doula/Assistant - I work with a few different midwife assistants who can also be available as your personal doula, providing all the normal doula services at a reduced price to you.  This helps to make the birth a more intimate and positive experience, especially for a first baby, while minimizing the number of people at your birth.
 
 

I became a homebirth midwife because homebirth offers the safest possible option for most mothers and babies. I offer prenatal and birthing services that nurture the whole family, honor the birth process, and protect baby-led bonding and breastfeeding.  My midwifery services include comprehensive postpartum care and breastfeeding support.

Birthing families have the right to choose the birth attendant who best meets their needs. I believe it's important for most families to have a well-trained and well-equipped birth attendant, which is why I practice as a direct-entry Licensed Midwife. However, I believe it's equally important for a birth attendant to honor the majesty and mystery of birth as a peak human experience, which is why I offer my skills as unobtrusively as possible.

If you are looking for a birth attendant who is committed to providing the best possible prenatal and birth care, please phone me at 650-961-9728 or by e-mail.  I'm happy to e-mail you detailed information about my services.  Please let me know your due date, where you live, whether this is a first or subsequent baby, and what kind of insurance you have, so I can send you the relevant financial information.

I routinely attend births in homes within about 15 miles of Mountain View, California and will drive further by special arrangement.

My e-mail username is ronnie, and my domain is gentlebirth.org.  Of course, you need to put an @ sign between those two to make it work.  I'm making this somewhat cryptic because I've discovered that having my e-mail address on the web has made me the target for hundreds of spam messages a day.  So, I also have multiple layers of spam filtering built into my e-mail system.

Here's my contact information for anything besides my midwifery services.

I live in Mountain View, California and serve birthing families throughout San Mateo and Santa Clara Counties and parts of Alameda County.

My services normally include the use of a birth tub for laboring or waterbirth.  These tubs are also available for discounted rental when available.

I can also provide referrals to trained assistants available as out-of-sight but on-site backup for families planning an "unassisted childbirth".

Some pages I've written:

Homebirth Benefits - Why Homebirth Is Most Appropriate for Normal Birth

Dangers of Hospital Birth - Why Birthing in a Hospital Causes More Problems Than It Solves for Normal Birth
 

Perspectives on Normal Childbirth - An article I wrote for the ICAN journal about my internship in an El Paso, Texas, birth center. I was astounded that they had a cesarean rate of less than 1% without compromising the well-being of the mother or baby.

Homebirth Safety and Benefits - Homebirth is as safe or safer than hospital birth in most cases; homebirth also offers intangible benefits beyond superior safety.

Information about VRE - Vancomycin-Resistant Enterococcus - It was recently reported that the antibiotic-resistant bacteria, enterococcus, has infected 100% of the surveyed hospitals in the San Francisco Bay Area.
 

Some pages I've edited:

The Midwife Archives - As a way of organizing my notes about information and wisdom shared on the various birth-related distribution lists, I created the Midwife Archives. Please visit those pages for answers to many practical questions and for an interesting perspective on the mystical side of birth.
 

Some pages I've formatted in co-operation with the authors:

Benefits and risks of episiotomy: A review of the English-language literature since 1980
A journal article by Robert J. Woolley, MD.

Is Homebirth for You?  6 Myths About Childbirth Exposed
An online version of the booklet originally published by Friends of Homebirth (Editor: Janet Tipton, 1990)

Some people ask how to pronounce my last name, especially when they see it written out with a tilde over the second a. I pronounce my last name as Falco. Some of my sisters pronounce it as the Portuguese name it is, which would sound sort of like Falcown but different if you could really speak Portuguese.

And if you're organizing a class reunion and trying to get in touch with one of my sisters, contact me and I'll let them know. Here are the names for those search engines: Elizabeth Falcao, Betty Falcao, Carol Falcao, Gloria Falcao, Lori Falcao, Joan Falcao, Linda Falcao, Maria Falcao, Pat Falcao, Patricia Falcao, Patty Falcao, Terri Falcao, Theresa Falcao, Veronica Falcao (that's me!).

And, yes, Linda Falcao is the same Linda Falcao who founded America Serves!  We're so proud of her!
America Serves is a student-driven, student-focused service project opportunity for high school students interested in learning about the challenges faced by children in other parts of the world, and doing something about them.  The goal of each AMERICA SERVES project is to design, plan, and execute an educational fundraising event for an overseas relief organization chosen by the students.

And here's the reciprocal link to breastfeeding.com, but the really good breastfeeding information is in the main part of my web site--The Midwife Archives / Breastfeeding.