What is a Midwife? A Certified Professional Midwife, or CPM, is a national certification administered by the North American Registry of Midwives. It requires extensive academic training along with a hands on apprenticeship before sitting for the national exam. A Licensed Midwife, or LM, is licensed to practice within the state in which they are licensed. South Carolina is a licensed state, so midwives practicing in South Carolina should hold a state license. The Midwives Model of Care is the standard of care that I follow in my practice. You can read more about it in the link below.
How Safe is Home Birth? There have been many studies done on the safety of Midwife attended births. The most recent study published comes from MANA ( Midwives Alliance North America). In this study, researchers found that women attended by Midwives could expect the following:
93% of women have a normal physiological birth
A cesarean rate of 5% vs a national average of 31%
Only 2.5% of babies were admitted to NICU in the first 6 days of life
Only 10.9% of mothers were transported to the hospital during labor, the majority of those were for non-emergency reasons
At six weeks postpartum, nearly all the babies were breastfeed
How Often Will I be seen & When Should We Start? You can begin your care as early as you would like, although most people start care around 10-12 weeks. I will see you every month until you are 28 weeks, every 2 weeks until 36 weeks, and weekly after that until the birth. Your 36 week visit is done in your home so that we can look over your supplies and discuss how you envision your birth.
Can I Have a Water Birth? Yes! Many of my clients are interested in having a water birth. For this reason I have a La Bassine Tub that I lend out to my clients with a pump to blow it up and a pump to drain the water afterwards. If you are interested in borrowing my tub we will talk about it at your visit and arrange to have it at your house before labor begins. You will just need a few extra supplies that are easy to add on to your birth kit when you order it.
What About the Mess? The mess is one of the biggest concerns dads (and some moms) have. Believe it or not, home births are very rarely messy. We have extensive training in "out of hospital" births and that includes ensuring the space is as clean or cleaner when we leave than when we arrive. We are experts in containing our work space and keeping everything protected. In addition, we suggest a few specific items to have on hand to insure that everything is neat and tidy when we leave.
What do I Need to Have at my Home For The Birth? I have a birth kit that you can order directly to your door which contains most everything you need. I will also give you list of a few other common household items to be sure you have on hand (such as paper towels, trash bags, and the like). You can find both below.
How do I Get a Birth Certificate & Social Security Number? I handle all of the necessary paperwork for the filing of your baby's birth certificate and social security card. After the birth, I will give you your half of the necessary paperwork to fill out and you will return it to me the following day. I will complete my half and send it all in to the Department of Vital Records for you. A copy of the social security card will be mailed to your home 4-6 weeks after your baby's birth. The birth certificate will be available for you to request about 2 weeks after your baby's birth or when you receive their social security card in the mail.
What is Your Fee? My global fee is $3,800. There are some discounts that can be applied on a case by case basis. This fee includes all prenatal and postpartum visits, as well as the birth.
Do You Offer Payment Plans? Yes! I do require a $300 deposit to begin services. Beyond that, I provide a payment plan for you to follow or we can come up with a plan that works better for you. I also offer a few different discounts. Contact me to discuss your options.
Do You Take Insurance? That is a complicated subject that varies company to company. I am certainly happy to discuss that option with my clients.
Can I Eat & Drink During Labor? Absolutely! I encourage eating and drinking during labor. It is very important that your body has the nutrients, calories, and hydration it needs to give birth. Labor is a marathon! No one would ever think it is a good idea to run a marathon without eating and drinking. Small, nutrient dense snacks are ideal with water, fruit juice, and electrolytes.
Should I Have a Doula at my Home Birth? I think a doula is always a wonderful addition to any birth environment! Hiring a doula is a personal decision, but I love working with them and encourage my clients to at least look into the option.