What are prenatal appointments like?
Your prenatal care schedule will be very similar to what it would be in an obstetrical practice. I will see you every month until 28 weeks, then every two weeks until 36 weeks, and then every week until your baby is born. I schedule an hour for each appointment to give plenty of time for assessing you and your baby’s health, and talking about any concerns or questions you may have.
Appointments will take place in my home office, with one appointment at your house around 36 weeks.
Is homebirth safe?
There have been several reputable studies that have examined the safety of home birth and have confirmed that home birth with an appropriately trained midwife is safe for low risk women. Ultimately you need to research the question for yourself and decide if home birth is the right choice for you and your family.
What are the different types of midwives?
There are several type of midwives in the United States.
Certified Professional Midwife – Certified Professional Midwives (CPM) have been certified by the North American Registry of Midwives. They are required to attend a specified number of births, and meet certain educational requirements. They then take an exam to qualify for certification. CPMs typically only work in out of hospital settings. To keep their credential current CPMs are required to complete continuing education and participate in peer review with other midwives.
Licensed Midwife – A Licensed Midwife refers to the license to practice in specific states. Not all states license midwives. Just this year Kentucky passed a law to license CPMs.
Certified Nurse Midwives – Certified Nurse Midwives (CNMs) are midwives who first went to nursing school and then completed further education to qualify them as midwives. CNMs may attend hospital or home births.
Direct Entry Midwife (DEM) – These midwives are sometimes called “Lay Midwives” although this is a term that some find offensive. Direct Entry Midwives have not been certified or licensed, and may come from many different educational backgrounds. DEM is used by some people to refer to a midwife who is neither a CPM or a CNM, however it is not a state or federally issued credential.
So you’re basically a baby doctor?
No, I am not a doctor. I have not attended nursing school or medical school. By studying at a midwifery school I was trained specifically to care for low risk women and their babies. It is my job to monitor your and your baby’s health to make sure your pregnancy and birth stay low risk. I can also provide routine care for babies up to six weeks of age.
Are you also a doula?
The role of midwife and doula, while at times similar, are actually fairly different. A doula is there at your birth to support you physically and emotionally. They may suggest position changes, and do help facilitate a natural birth, but they are not managing your medical care. The role of a midwife is to monitor your and your baby’s health, and make sure labor is progressing normally.
While it is not required, I recommend everyone have a doula at their birth. A midwife may need to sleep occasionally to ensure that she is able to respond quickly and with accuracy if needed in an emergency. She may also need to preform clinical tasks at times, while a doula is able to focus all of her attention on you.
Is it messy?
Most births are really not very messy, but we will clean up everything. When I leave your house the only sign there will be that you had a baby there is the baby. We even start the laundry.
Who will be at my birth?
I will bring an assistant to each birth. I do not necessarily keep a specific person on call for births, but you will have an opportunity to meet the women I work with prior to labor.
What is your fee?
My fee is $2,800.00. This includes all of your prenatal, labor, and postpartum care. This does not include lab work, ultrasounds, or Rhogam (if desired). I am unfortunately not able to accept insurance, however if you would like to try to bill your insurance company on your own I can provide you with an itemized statement.
Can you take insurance?
Unfortunately I am not able to accept private insurance or medicaid. You can still use your insurance to pay for lab work and ultrasounds.