Fresh 48 In‑Home Visit
Immediate postpartum support focused on infant positioning, soothing, facilitating symmetry, safe sleep setup, and recovery tips within the first 48 hours home.

How should I be holding my baby to promote a good head shape? Should I be doing more tummy time? How do I "play" with my baby when they're so little? Am I holding him/her too much? Should I put my baby in a bouncer seat? A carrier? Is my baby behind on her milestones even though she seems ok at her checkups? I'm feeling flooded with emotions; I need someone to tell me I'm doing it right or what I should be doing differently. Does this sound familiar? Let Sara take on this role for you or your friend/family member. She will help to provide the professional reassurance and guidance needed in this new, beautiful chapter!
Sara Keller, PT, DPT is a Doctor of Physical Therapy with 15 years of pediatric experience including typical development to medically complex newborns across the settings of home health, outpatient, and inpatient rehabilitation. She’s BLS certified and passionate about empowering parents inside the home environment.
As a mom of five, Sara understands the whirlwind of emotions and questions in the fourth trimester. Balanced Beginnings strives to fill a gap in postpartum care by pairing evidence‑based guidance with warm, hands‑on support—so families feel confident and supported from the very beginning.
Immediate postpartum support focused on infant positioning, soothing, facilitating symmetry, safe sleep setup, and recovery tips within the first 48 hours home.
Proactive support to keep motor skills on track and build caregiver confidence. Includes pediatric PT developmental screening with individualized guidance for tummy time, plagiocephaly/torticollis prevention, soothing strategies, and gross motor milestone assessment. Can follow a Fresh 48 visit or be booked on its own.
Trusted professional services include proper hand washing and sanitation protocols. All sessions can be modified based on length of hospital stay for mom or baby, multiples, home birth, etc.
Includes Fresh 48 session plus developmental sessions at 2, 4, 6, 8, 10, and 12 months.
$1,250
Save $250 (7 total sessions)
Includes Fresh 48 session plus developmental sessions at 3, 6, and 9 months.
$850
Save $150 (4 total sessions)
Contact Sara at sara.balancedbeginnings@gmail.com or text 616‑581‑2810 for payment and scheduling.
Recommended to book during your 2nd trimester, but you can book at any time.
Gift a session or package (great idea for a group baby shower gift; will provide certificate if requested). Contact Sara for payment and she will get in touch with the parents to schedule the session(s).
Serving West Michigan (Caledonia, Alto, Middleville, Hastings, Cascade, Ada, Grand Rapids, Kentwood, Byron Center, and nearby). In‑home visits beyond the standard radius may include a travel fee. Balanced Beginnings, LLC does not participate with insurance; services are private‑pay. Payment is due prior to time of service, with 50% due at time of booking.
A postpartum doula focuses on the fourth trimester—supporting recovery, feeding, newborn care education, and the family’s adjustment. A nanny primarily provides ongoing childcare coverage. Balanced Beginnings blends doula‑style, hands‑on support with pediatric PT expertise for evidence‑based guidance tailored to your baby’s development. Catch any atypical development early and promote a well‑rounded postpartum experience throughout your baby’s first year.
Although Sara is a licensed physical therapist in the state of Michigan, her business model is not intended to provide physical therapy evaluation or treatment. She is happy to make referrals, provide skilled screenings, home programs, and talk through suggestions.
Do you know a family who could benefit from extra support at home despite no current developmental concerns?
In the therapy realm, this could be a patient who had a one-time evaluation without further services recommended, or a discharged patient whose parents could use more support but goals have been met from an insurance and developmental standpoint.
Balanced Beginnings services are a great way to provide engaged new parents with a professional and proactive resource.