I have always given pressies to those who helped.
When I had the girls I gave a big jar of lollies to the ward, antenatal clinic, NICU and delivery suite.
I also gave flowers to the midwife who was there for the girls' birth.
Lily was the same deal.
When I had William, we gave everyone who was involved a little pewter butterfly keyring, with hope written on the back. They all got photos and a bottle of wine and a book.
On his first birthday, I sent a thankyous to all of the people involved. Both at his birth and his death. It was important to me to acknowledge the people who were with us.

Ivy and Noah's birth saw my midwives with flowers, wine and again photos but they were good friends as well.
The ward got chockies as did one special midwife who helped me through a really hard time. Chockies too, to the NICU staff.
My doctor loves fruit and rarely gets time to eat so we gave him a big basket of fruit and chockies (as he is a sugar junkie too) wine and photos. We also gave chockies to his PA, as we often spoke to her more than we did our doctor, LOL!
Again, due to the nature of the babies birth, I acknowledged everyone involved on their first birthday.
As a midwife, it's really nice to be thanked so as a patient I like to show my gratitude.