Providing safe, comprehensive home birth services to Coastal Georgia!
Hi! My name is Jake Mearse, certified nurse midwife and psychiatric nurse practitioner. I've been married to April Mearse for 22 years, and we have seven (yes, seven!) amazing kids. I'm most passionate about informed consent, client-centered care, and compassionate, non-judgmental service.
I joined the Navy at age 18, and retired 25 years later. I graduated from the University of Washington with a doctorate in nursing practice in 2014, and have enjoyed providing care to those in need ever since. I graduated from a 2-year postdoctoral program at Frontier Nursing University in 2017, and began my dual career in psychiatry and midwifery.
- Prenatal Care (Evenings and weekends available to allow partners/spouses to be there)
- Home birth (Including water birth)
- Postpartum care
-Primary care (for women ages 12-112)
-Annual exams/pap tests/breast cancer screening (In the privacy of your own home, on your time)
- STI testing (discreet, confidential, and convenient)
*Please note: For all sensitive exams (pelvic exams, breast exams, etc.) a chaperone MUST be present. This is both common sense and standard of care in medicine. If you will be home alone at the time of your exam, please let us know so that we can bring an assistant.
1. NO ONE WILL EVER KNOW YOUR CLIENT BETTER THAN SHE DOES!
2. If someone's meds are working well, FOR THE LOVE OF GOD, DON’T MESS WITH THEM!!
3. Every client has the right to refuse, stop or pause any examination, for any reason, at any time, without any explanation needed!
4. Informed consent is EVERYTHING! Every woman has the right to make her own informed decisions regarding her care. Your job is to present risks vs. benefits, and then let her make the decision. Then respect her decision, even if you don’t agree with it!
5. Listen more than you talk. Back away from the keyboard. Put the phone down. Really listen to her.
6. At least 1 in 4 women are survivors of sexual trauma . That’s at least 5 people every clinic day. Practice trauma- informed care. (P.S. - If someone's therapist knows your name, you're doing it wrong!)
7. Be very careful about labels and assumptions!!! Incorrect diagnoses (e.g., drug seeking behavior, bipolar disorder, etc.) stick to the chart like meconium to a baby’s butt, and can doom someone to terrible care forever!
8. Always ask about pain....and believe her answer. If she says something is wrong, she's almost always correct!
9. If a multip says she's about to have a baby, BELIEVE HER!!!
10. No one knows everything. Don’t be afraid to ask questions of your clients. If she’s lived with a rare condition all her life, I guarantee you she knows more about it than you do! Be humble.
11. Don’t be in a hurry, even when you are! Always be with the patient in front of you.
12. There is no substitute for knowing your client. Learn everything you can about her. Take every opportunity to talk with her. Meet her family. Labor with her, if you can. Trust is built over time.
13. Don’t be a dick.