Frequently Asked Questions

Why choose a midwifery and homebirth?


Midwives provide individualized care. We will work together with you in all your health care decisions, considering your needs, desires and individual health. We use evidence based research to help you understand your options. We respect that you are the best decision maker when it comes to your own as well as your baby’s health. Home births for low risk pregnancies have a lower risk of interventions, augmentation of labor, episiotomies, instrumental births and c-sections than if the delivery occurred in a hospital. Homebirth clients also report experiencing a higher degree of satisfaction and may experience more success with breastfeeding. Women choose a homebirth for a variety of reasons including, autonomy, increased control of environment, family/partner support, and comfort of being home. You can have who you want at your delivery and who you want caring for you. You can eat, drink, sleep, walk, dance or do whatever feels right. Women who have a homebirth usually report a greater sense of accomplishment and greater satisfaction when compared with birthing in a hospital setting.




Is a home birth right for me?


If you desire to give birth as undisturbed as possible then the answer is likely, yes! Homebirth can be a safe and satisfying way to give birth for women experiencing low risk pregnancies. Low risk simply means that neither you nor your baby has a medical condition. During your free consultation, we will discuss your health and that of the baby’s and answer questions to help you decide what is the best option for you. Throughout your pregnancy, we will continually evaluate you and your baby for health and safety.




What area do you cover?


We provide care to women in Vigo County and the surrounding counties. If you have any questions about whether we can travel to you, please contact us.




What about the pain?


It is normal to wonder about the pain of labor. Many women have concerns about how they will be able to cope. Labor is certainly hard work; and pain may be involved, however giving birth does not need to include suffering. The physical discomfort of labor may coexist with feelings of satisfaction, enjoyment, and empowerment as you give birth in your own home with your chosen support persons rooting you on. Research shows that women who have continuous emotional and physical support from a partner, loved one, doula or midwife report less pain in labor. As your midwives, we will be with you during your labor assessing how well your are coping and providing suggestions for comfort measures that may reduce pain.




When do I begin prenatal care?


Your first prenatal visit is usually around 8-10 weeks after the first day of your last menstrual period. However, some women choose to wait until early in the second trimester. If you are considering a homebirth, contact us as soon as you can to check for availability.




Can I have a waterbirth?


Absolutely! Immersion in warm water during labor and birth provides comfort and supports relaxation. It also tends to provide a gentler birth for the baby. It is a safe and effective non-medical method of providing pain relief and promoting normal physiologic birth. Research shows that water birth is just as safe for the mother and baby as a “land” birth is. If you have a large garden style tub in your home that can work well. If not, we offer a birth tub for rent and/or can provide information on selecting an inflatable pool for purchase.




Do you do VBAC, breech or twin births?


Each of these situations will be considered on an individual basis.




Do you take insurance?


Yes, we can bill insurance for midwifery services. STM Billing, LLC does our billing and will answer questions you may have regarding your insurance coverage for our services.




What does your fee cover?


The global fee covers all prenatal visits, your labor and birth and postpartum visits up to 6 weeks after the birth. It does not include labs, ultrasounds, birth kit, or birth tub rental. It also does not include physician visits or hospital birth, should a transport be needed.




What if there is an emergency?


As your midwives, we are trained to handle obstetric emergencies at home. We carry oxygen, monitoring equipment and medications to handle emergencies for both the mom and baby. We maintain current certifications in CPR and NRP (neonatal resuscitation). The most common emergency for a mom is bleeding too much after the birth. We treat this situation using the same medications that would be used at a hospital. The most common emergency for an infant is needing help to begin breathing. This too is handled using the same type of equipment and following an evidence based protocol for neonatal resuscitation from the American Academy of Pediatrics. During prenatal care, we will develop an emergency care plan just in case a transport to the hospital becomes necessary. In the event of a transfer to the hospital during labor, we will accompany you and continue to provide care until arrival. We will provide your records and update the hospital provider. We will stay with you to provide continuity and emotional support. Most transports are not emergencies and occur during labor when a decision is made that you and/or your baby would be safer or more comfortable at the hospital.




Can I get a birth certificate and a SSN if I have a home birth?


Yes, we will assist you with the necessary paperwork so that your baby will get a birth certificate and social security number.




How are CNM’s and CPM’s the same and different?


There are very few differences between CNMs (Certified Nurse Midwives) and CPMs (Certified Professional Midwives). Both are certified (although by different certification organizations) and both are licensed to practice in Indiana. Both are extensively educated in the normal pregnancy cycle and how to recognize abnormal conditions. Both receive extensive hands on training in the clinical setting. Both work in partnership with women to promote healthy pregnancy and informed decision making regarding care during labor, birth, and postpartum. CPM’s are trained to care for women throughout their childbearing cycle in an out-of-hospital setting, such as home or a birth center. In Indiana, CPM’s are also called CDEM’s (Certified Direct Entry Midwife). This is because CPM’s enter the profession of midwifery directly without first training as a nurse. CNM’s may provide care either out of hospital or in a hospital, if they get privileges to do so. They also provide non-pregnancy related medical care to women from puberty through menopause.




Can I have midwifery care but give birth in the hospital?


Certainly! We will work with you to provide the same individualized prenatal and postpartum care that all of our clients receive. We will also provide emotional support while you labor and birth in the hospital. However, we do not have hospital privileges, so you will also need to be seen by a physician during pregnancy and during your hospital birth.





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