My biography page will help you to know me better.
In the United States, there are three classifications of midwives: CNMs, CPMs and Traditional Midwives. The two certifying bodies recognized in the US are ACNM (American College of Nurse Midwives) and NARM (North American Registry of Midwives).
Certified Nurse Midwives (CNMs) - This midwife was a nurse first and midwife second. As such, CNMs traditionally served under physicians and only served women in hospitals while operating under the direction of a physician. Some CNMs offer home-based midwifery care.
Certified Professional Midwives (CPMs) - A CPM is certified by the North American Registry of Midwives (NARM). As such, CPMs have been educated and trained to provide out-of-hospital care. In fact, a CPM is the only midwife in US with exclusive out-of-hospital training. This education and training of CPMs makes them experts in normal, low-risk, woman-centered care. Autonomous care providers, CPMs are usually not under the direct authority of a physician. This allows the CPM and woman to work together in the best interests of the client. CPMs offer a full-spectrum of midwifery care including well-woman visits, well-baby care, antepartum and postpartum care, and counseling throughout pregnancy and life.
Other Midwives - All non-certified midwives fall into a class that has historically been referred to by many titles, including Traditional Midwife, Lay Midwife, Direct-Entry Midwife, Midwife, etc. These midwives are completely autonomous, choosing not to certify or be affiliated with any governing body, and as such offer woman-to-woman care.
There are no laws in Pennsylvania to license or state-certify Certified Professional Midwives. Only Certified Nurse Midwives are permitted licenses by Pennsylvania. Therefore, it is important while interviewing midwives to know the level of education, training, skill, and experience she brings to you as a care provider. I practice as a Certified Professional Midwife and am also a Registered Preceptor with the North American Registry of Midwives.
Frequently Asked Questions
Where are appointments held?
Most visits are held in my office located in the Lewisberry/New Cumberland area. Visits are scheduled at my client's home at the following times - the first/initial visit, 36 weeks, the birth, and the 24/48 postpartum visit.
If you are interested in only home visits, that can be arranged for an additional fee.
What is your fee and what does that include?
The Basic Midwifery Services Fee is $3000, plus a travel fee beyond 30 miles.
This fee includes prenatal visits to your home every 4 weeks until 30 weeks and then every other week until your estimated due date. I will see you weekly if there are complications being monitored that require physical observations or if you go past your estimated due date. Prenatal appointments are generally scheduled at the following weeks: 10, 14, 18, 22, 26, 30, 32, 34, 36, 38, 40.
I attend your birth with an assistant/apprentice who carries current certification in Neonatal Resuscitation Training at no additional charge to you. (I pay her fee.)
Postpartum visits and support are given through the 8th week and beyond. Postpartum visits are scheduled at 24-48 hours, 1 week and 2 weeks after the birth. I also offer a final visit around 6-8 weeks.
Full access to my online birth education information.
24/7 on-call services at 37-42 weeks.
Essential sterile birth kit supplies.
Email support throughout the pregnancy.
Birth certificate filing in Pennsylvania.
Newborn hearing and congenital heart defect screening at no additional fee.
At-home lab services for most prenatal needs including Group B Strep, Glucose Tolerance Test, and Prenatal profile.
What costs might I expect to have beyond the Midwifery Services fee?
Labs - These fees are often billed to insurance. For those choosing to pay out-of-pocket, I have contracts with providers to provide reduced cash-pay amounts when paid up-front at the time of service.
Ultrasounds - These fees are often billed to insurance. For those choosing to pay out-of-pocket, I have contracts with providers to provide reduced cash-pay amounts when paid up-front at the time of service.
Waterbirth Supply Items ($200) - I have 2 pools available for my clients' use. These are available on a first come, first serve basis. I cannot guarantee that a pool will be available to you. You are not charged unless you get a pool delivered. The fee is due when I leave the pool with you and it will include all the supplies you need to use the pool.
Herbs, Vitamins & Supplements - I have accounts to provide maternity and newborn supplies at less than retail cost.
Newborn blood spot screening - This is mandated by the state to be done between 24-48 hours after birth. There is a $50 fee that you will pay to me so that I can pay the Newborn Screening Department when they bill me.
More to come....
I am adding topics as I have time!