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 - 36 weeks, the birth, and the 24/48 postpartum visit, 7-10 day postpartum visit.
What is your fee and what does that include?
The Full-service Midwifery Services Fee is $4000 which includes lab services, prenatal care, postpartum care, your homebirth kit and access to birth tub rental, PA newborn screening, an assistant with neonatal resuscitation training and homebirth emergency protocols. I bring at least one assistant to all births. I also offer a doula for a discounted fee - if you hire a doula, I pay part of her fee if she is also one of my trained assistants. I make every effort to provide you with a homebirth TEAM for your homebirth to be successful and for you to have the support you need. Additional doula fee for first-time moms or VBACs is $300 when you use a doula who is also my assistant.
This fee includes prenatal visits to every 4 weeks until 32 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: 12, 16, 20, 24, 28, 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 of life. 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. I believe that moms and babies should stay home for 2 weeks and therefore provide 2 weeks of in-home postpartum care.
Full access to my online birth education information. I am an Evidence Based Birth Professional and Educator. I offer this information at no additional cost to my clients.
24/7 on-call services at 37-42 weeks with backups provided in case of an emergency or midwife unavailability (unusual but life happens!)
Sterile birth kit supplies.
Midwifery support throughout the pregnancy as you plan your birth, or if complications arise.
Birth certificate filing in Pennsylvania, including covered notary fees.
Newborn hearing and congenital heart defect screening at no additional fee.
In appointment lab services for most prenatal needs including Group B Strep, Glucose Tolerance Test, and Prenatal profile. Regular labs scheduled include the following: Obstetric panel during first/second trimester; Ultrasound referral, if desired; 28 week Glucose Tolerance Testing with 50-gram test; 32 week Complete Blood Count, 36 week Group B Strep Screening.
What costs might I expect to have beyond the Midwifery Services fee?
Ultrasounds - These fees can usually be 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. Sometimes traveling an hour will significantly reduce the cost of an ultrasound!
Waterbirth Supply Items ($200) - I have 3 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. Note that I am not charging for use of my pools, but I am charging for the sterile liner, tarp, and the pump/assistant to empty and sanitize the pool after your use.
Herbs, Vitamins & Supplements - I provide maternity and newborn supplies at less than retail cost.
More to come....
I am adding topics as I have time!