What if you are not available when I go into labor?
I work with a strong team of midwives in the area to ensure you will always receive the best care. The midwifery community is well connected and works collaboratively. You will get to know other available midwives throughout your pregnancy at your prenatal appointments.
I never have more than 4 clients due within the same month, and I schedule time away so it does not interfere with any due dates. I will always let you know in advance if I will be out of town for any period of time. In the rare occasion that I am not available at the time you go into labor, you will be taken care of by another midwife you know.
Will I also need to see a doctor throughout my pregnancy?
For any low risk pregnancy that is free from serious complications, a midwife will be all you need throughout your pregnancy and birth.
In New Mexico, midwifery is regulated by the department of health. Midwives can perform all the routine pregnancy related tests that a doctor would, including listening to your baby’s heart. In fact, your midwife appointments are likely to be longer and more in-depth than a doctor visit.
You will only need to see a doctor if a situation arises that is beyond my regular scope of practice, such as a complication, or factors that may define your pregnancy as “high risk.”
Do you take insurance? What if I am worried about the cost of a midwife?
I take most insurance plans, including Medicaid. I am happy to discuss your situation individually and work with you to make sure you can afford the care you need.
Can I get an epidural or other pain medication during labor?
If you choose to have your baby at home, I can help you with natural pain management methods, such as hydrotherapy, massage, and breathing techniques. However, an epidural or other pain medications can only be administered in a hospital. I aim to provide you with information about your choices so you feel comfortable and confident making the best decisions for yourself.
If you are in labor at home and you decide you would like pain medication, we can transport you to the hospital. If quick accessibility to pain medication is important to you, you may want to consider planning a hospital birth.
What do I need to get ready for a home birth?
Not a lot! We will discuss this in depth at your 36 week appointment. I will bring all the medical equipment needed for the birth. You will only need to gather a few common supplies like clean sheets, towels, receiving blankets, and food and drinks for labor and postpartum.
Do you carry medical equipment?
Yes, midwives always carry necessary equipment and medications that may be used during labor, birth, and after delivery. Equipment includes but is not limited to items such as: doppler for listening to baby’s heart, oxygen, suture supplies, baby scale, blood pressure cuffs, and medications to control bleeding. When attending a home birth, I always carry everything that can be found at the birthing suite.
What if unforeseen complications arise during my pregnancy, labor or delivery?
Although home birth is generally considered safe, no one can guarantee that any birth will be free of problems. All midwives are trained in neonatal resuscitation and to respond to complications such as hemorrhage. We are also trained to recognize signs of a potential complication in time to get you additional help if needed. Although the risk for complications is low, we do carry certain equipment to manage unforeseen events.
In some cases, I may work collaboratively with a doctor of your choice to address certain pregnancy complications. However, depending on your specific circumstances, we may need to transfer your prenatal care to an OBGYN or specialist. If we do have to transfer your care, I will still be available to you if you need me.
It is worth noting that most transports to the hospital are for non-emergency situations, such as a long labor without progression, or the laboring mother’s desire for pain medication. In the rare case that an event occurs that requires a transport to the hospital, I will stay with you and continue to provide support for you during labor and after. I can also take over your postpartum care once you and your baby return home.
My partner is very nervous. What can I do?
I encourage partners to be as involved as possible in the pregnancy and birthing process. The more familiar they can be with what is happening, the more confident they will feel. Sharing knowledge, reading books together, being together at appointments, and asking questions together will go a long way in uplifting your partner’s self-assurance. Attending a childbirth class together is a great way to involve your partner.
Talking things out is important as well. I am available to answer any questions and address any concerns you or your partner may have.
What is a Certified Professional Midwife (CPM)? What is a Licensed Midwife (LM)?
- A Certified Professional Midwife has met competency-based requirements set forth by the North American Registry of Midwives (NARM). The requirements include demonstrating skills, knowledge, and abilities related to the midwife model of care, participating in a minimum number of clinical experiences, and passing the NARM written exam.
- A Licensed Midwife is a CPM who has obtained licensure in the state in which she or he practices midwifery. This means a Licensed Midwife is practicing under state laws that regulate midwifery, in addition to upholding the certification requirements set forth by NARM.
Can my baby be born in water?
Yes! I fully support moms who want a water birth! If you are planning a home birth you will have access to a birthing tub. Most women find the use of water to be a relaxing and soothing method of pain management during labor, even if they do not want to deliver in the water. If you are planning a hospital birth, access to a birthing tub depends on the hospital.
Can I have a VBAC (Vaginal Birth After Cesarean) outside of a hospital?
A VBAC at home may be an option for you, as long as you meet the following criteria:
- You must have had only one previous C-section.
- You must have had a low transverse (horizontal) uterine incision without extension
- You must be experiencing an otherwise normal, healthy pregnancy.
- An ultrasound must confirm that the location of the placenta is not previa (covering the cervix) or low and anterior (covering the scar).
- You must have waited at least 18 months after your C-section before getting pregnant
- Birth location must be no more than 30 minutes away from the nearest hospital with surgical and pediatric services.
My team and I are very comfortable with VBACs, and we have seen many babies delivered successfully this way.
Please also note that even if you would like to plan a VBAC in the hospital, pain medication such as an epidural will not be available. Anything that might strain the uterus, or prevent the mom from sensing her contractions is generally not given to women striving for a VBAC.