You might choose a community based birth if you...
desire to control your labor position or other aspects of the birthing process
desire to give birth without medical interventions
have cultural or religious norms or concerns
have a history of fast labor
need low cost maternity care
Frequently Asks Questions
What is the The Midwifery Model of Care?
The Midwifery Model of Care is based on the fact that pregnancy and birth are normal life processes. The Midwives Model of Care includes: Monitoring the physical, psychological, and social well-being of the mother; providing individualized education, counseling, and prenatal care; and minimizing technological interventions.
What is a Certified Nurse Midwife?
Certified Nurse Midwives (CNM) are educated in two disciplines: midwifery and nursing. The certified nurse-midwife scope encompasses a full range of primary health care services for women beginning from adolescence to beyond menopause. These services include: primary care; gynecologic and family planning services; preconception care; care during pregnancy, childbirth and the postpartum period; care of the normal newborn during the first 28 days of life; and treatment of male partners for sexually transmitted infections.
What a Certified Practicing Midwife?
A Certified Professional Midwife (CPM) is the only credential that requires knowledge about and experience in out-of-hospital settings. A CPM is a knowledgeable, skilled and professional independent midwifery practitioner who has met the standards for certification set by the North American Registry of Midwives and is qualified to provide the Midwives Model of Care. Additionally CPMs have basic training in holistic health modalities such as nutrition and herbs. CPMs work with women to promote a healthy pregnancy, birth, and postpartum through education and encouraging women to make informed decisions about their own care.
How many births do you take each month?
I take 4-6 clients a month, which allows time for unhurried care.
What is the cost for your services?
An out of hospital birth is about half of what a normal hospital birth would cost. I offer a discounted cash price for those who do not have insurance or have insurance with a high deductible. Price will vary depending on travel to desired birth place. A $500 deposit is due upon agreeing to work together and the balance must be paid in full by 36 weeks.
Does insurance cover home birth/birth center birth?
Many insurances will cover a significant portion of the fee. I am contracted with a billing service who will verify your insurance benefits, obtain any necessary referrals or authorizations, and request an in-network exception for out-of-network providers.
What is included in the fee?
My cash price includes all prenatal and postpartum visits, labor, birth, and basic routine labs. Fee does not include ultrasounds or birth center fees. Ultrasound fees may be covered by your insurance provider or may be an out of pocket expenses.
Am I a good candidate for midwifery care or an out of hospital birth?
If you are healthy and committed to being healthy, you are a good candidate for an out of hospital birth. In order to have an out of hosptial birth your pregnancy must remain low risk.
Is out of hospital birth safe?
The best evidence available shows that a healthy person, giving birth out of the hospital with a qualified provider, is as safe as giving birth in the hospital. What is also known is that, in low risk situations, there are fewer interventions with out of hospital birth and the incidence of birth injury, physical & emotional trauma, infection and cesarean section are reduced.
When do I begin care?
You can begin your care as soon as we agree to work together! At your first visit we will meet to go over nutrition and supplements and order ultrasound, if necessary. Statistics show that women who start early prenatal care have fewer complications and better outcomes.
Do I need to see an OB as well as a midwife for my prenatal care?
Concurrent care is not necessary. I provide complete prenatal care and offer all the standard screening options.
Can I have prenatal and postpartum care with a midwife but still deliver at the hospital?
Yes, you can have all your prenatal care and postpartum care with a midwife and then go to your hospital of choice for delivery of the baby. You will be offered all the routine prenatal care and screenings. When labor starts you walk into labor and delivery and the OB on call will deliver baby. Your records will be faxed to hospital of choice at 37 weeks. If higher level of care is needed during the prenatal or postpartum period, transfer of care will be facilitated.
How will I manage the pain?
Giving birth is an intense and challenging life event. While it can definitely be painful, most people’s relationship to pain can be greatly affected by the environment, so natural methods are encouraged: decreased lighting, showers and birthing tubs, massage, position changes, acupressure, and/or breathing techniques
What happens if complications arise in pregnancy and have to transfer?
If complications develop during your pregnancy that are outside of my scope you will be referred to an appropriate medical provider. Examples of this include developing pre eclampsia, pre term labor and gestational diabetes that can not be regulated with dietary changes.
What happens if I have to transfer during labor?
If there is a need to transfer, it will depend on the situation at the time. If it is a non-emergent transfer, you may go by car to the hospital of your choice. If the transfer is emergent, you will go by ambulance to the closest hospital. The midwife will accompany you to the hospital and take the role of a doula.
Under what conditions during the labor would I be transferred to the hospital?
Possible reasons for transfer include labor that is not progressing normally, elevated blood pressure, fever, fetal heart rate abnormalities, excessive bleeding, malpresentation (like breech), or poor infant transition after birth.
Can I have a water birth?
Many individuals choose to labor in a tub and some also give birth in water. There are pros and cons to birthing in water that we discuss during prenatal visits.
Do you do TOLAC/VBACs?
Yes. However, at this time, I can only accept clients who have a history of one cesarean.
What supplies do I need to have a home birth?
I give you a list of items to purchase. These include things that are readily found in your home like towels and plastic bags.
What do you bring to a birth?
I carry instruments and supplies for the birth which include the standard equipment for monitoring a woman and her baby's wellbeing, medications to stop bleeding, IV equipment, suture material and local anesthetic. I am trained in resuscitation and life support and carry oxygen and resuscitation equipment. I also bring essential oils and homeopathic remedies.
Do I need to take my baby to a doctor after birth?
Midwives specialize in normal, healthy newborns and provide regular care for the first 28 days of your baby's life. Your provider of choice will let you know when they would like to see baby for the first time.
How will I get a birth certificate for my baby?
I will submit all the required paperwork and file for the birth certificate and social security card. When the social security card arrives in the mail you can go to the vital statics office to pick up the birth certificate.
“We have a secret in our culture, it’s not that birth is painful, it’s that women are strong.” - Laura Stavoe Harm