Family-centered Prenatal Care, Hospital Birth, and VBAC

Fika provides a full range of nurse-midwife services for Buffalo and the surrounding Western New York area.


Prenatal Care

Imagine prenatal care with no wait times and no nurses or techs in and out of the room. Aside from ultrasounds, all prenatal tests done in one place.  We provide comprehensive, individualized holistic midwifery care and education.

Prenatal care encompasses:

  • Evidence based teaching and options in conjunction with women-led decision-making

  • Access to traditional components of prenatal care such as lab work, ultrasounds, screening for gestational diabetes, non-invasive prenatal testing and genetic screening, and more.

  • Visits monthly until the 28th week of pregnancy, then every other week until the 36th week, and finally, every week until delivery.

  • On-call availability of and direct access to your midwife 24 hours a day, 365 days of the year

  • Online patient portal so that you can access results and be engaged in your care.

Hospital Delivery

Here at Fika, we believe in the power of choice and want you to give birth where you and your support team feel the safest.

Select midwives have admitting privileges at area hospitals and will be there to support you each step of the way, from 24/7 on call availability from the moment you hire us through the labor & birth and the first few weeks postpartum.

Regardless of chosen birth location, we provide highly specialized attention and support for physiologic birth throughout your labor.

We have a collaborative relationship with a physician in case your pregnancy or labor becomes high risk or a cesarean is needed.


Support for Vaginal Birth After Cesarean (VBAC)

Per recommendations from the American Congress of Obstetricians & Gynecologists (ACOG) and the American College of Nurse Midwives (ACNM) we believe a trial of labor after cesarean (TOLAC) is a reasonable and safe choice for most women who have had one or two cesareans.

While individual factors such as scar type and medical/pregnancy history will be considered, we support physiologic birth in all contexts, including vaginal birth after cesarean.

VBAC after one cesarean can be attempted at home or in the hospital on a case by case basis. For women who have had two cesareans and desire a vaginal delivery, hospital birth is an option.

Depending on the hospital and provider, you may have an option for gentle cesarean in the event that a repeat cesarean, whether unplanned or planned, is necessitated.