CERTIFIED NURSE MIDWIVES (CNM)
A hospital-based nurse midwifery team follows the same ACOG recommended visit schedule of care and screening options as any standard OBGYN practice. A certified nurse-midwifery practice has several midwives whom you could meet with prenatally. Typical prenatal office appointments last approximately 15-30 minutes. During labor, they often provide an initial pelvic exam to determine dilation and if you should be admitted to the hospital after you have been triaged by a registered nurse. CNMs have an on-call rotation, so it’s uncertain who will be with you when you are birthing, or if you will have the same provider catch your baby as who has been with you throughout labor. Your midwife will ensure the safe delivery of your baby with intermittent check-ins with you or your nurse, considering changes from the curve of normal physiological birth, facilitating any interventions, catching your baby or transferring your care to an Obstetrician (OB/GYN). After the birth of your placenta and routine check of your perineum and fundus, your provider will leave your recovery care to the nursing staff who will be in charge of the care for you and your baby for about 2 hours following your birth. You will then be transferred to a postpartum floor and assigned a new nurse for each shift for the duration of your hospital stay.
Most Medical insurances will cover certified nurse midwives for a planned hospital birth. However, Nurse midwives are not available in every hospital, or may not be available 24/7.
Some Nurse Midwives will attend home birth. Though CNMs have licensing in the state of Massachusetts, medical insurance will not reimburse home birth any more than other midwives.
CERTIFIED PROFESSIONAL MIDWIVES (CPM)
Some medical insurances cover home birth, and often if they do not cover the birthday, they will often cover your prenatal and postpartum care with a homebirth midwife. Contact your insurance company to find out if birth at home is covered. Do not let finances be the reason for choosing your birth setting or provider. Deductibles for a hospital-based birth may be more than the cost of birthing with a home birth midwife. Many CPMs will offer a payment plan to help you afford a home birth in Massachusetts, Connecticut, or Rhode Island.
THE DOULA vs. MIDWIFE DIFFERENCE
Birth Doula Support can be a complimentary team member for your family. They provide childbirth education, support during pregnancy, and continuous physical, emotional and informational support to you and your partner during your labor and birth. Birth doulas are meant for those wanting natural birth, epidural birth, home birth, hospital birth, hypnobirthing, and cesarean!
After the birth of your baby, there may be new challenges during the first weeks of parenthood. Postpartum doulas provide a wide spectrum of support which include breastfeeding assistance, newborn care, sibling care, physical help around the home cooking healthy meals, laundry, and emotional support to new parents who may be experiencing the new anxieties of parenthood.
We help provide RESPECT, SUPPORT, ENCOURAGEMENT, and nurture your transition to parenthood with CONFIDENCE and PEACE!