The best part about working with a Certified Professional Midwife is the home visit! My midwife doesn't do many home visits anymore as her practice is rather large, but I still get the occasional home visit, this one from her apprentice of close to two years who is also a good friend of mine. Nicole took my blood and did a pap smear (because it has been about two years since I have had one), all in the comfort of my own home. Khady has been practicing taking my blood since Nicole left. It is so good for her to see mom taking charge of her own health and this means not always having to run to the doctor. I wanted early blood work because I am RH- and wanted an anti-body titer. You can debate the pros and cons of Rhogam until the cows come home but when you come from a family that has lost many babies to blood incompatibility, you don't mess around. Funny how the women in my family continually marry men with positive blood. I don't get Rhogam prophylactically but I do check for antibodies and I take Rhogam immediately if I have any bleeding.