Commonly Asked Questions

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What is the difference between a Doula and Midwife?

A birth doula is a labor support person who provides educational, emotional and physical support for her client. She is Not a clinical care provider. 


A midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy and birth. Midwives offer individualized care, education, counseling and support to a woman and her newborn throughout the childbearing cycle.


A midwife is the primary care provider during pregnancy, labor, delivery, the immediate postpartum period and 6 weeks of postpartum care for low risk women. 


A midwife works with each woman and her family to identify their unique physical, social and emotional needs. When the care required is outside of the midwife's scope of practice or expertise, the woman is referred to other care providers for additional consultation or care. 

Who can have a home birth?

If you can answer Yes to all of the following questions, you May be a candidate for a home birth

1.  Are you in good physical health?

2.  Do you refrain from smoking, drinking, and drugs?

3.  Do you have good nutritional habits?

4.  Are you responsible and have a self-reliant belief system towards prenatal care and birth?

5.  Are you in a home situation that supports a home birth?

6.  Are you interested and willing to learn about all aspects of pregnancy, labor, and birth?

7.  Are you willing to transfer care to a physician or hospital upon your midwife’s recommendation?

8.  Are you a low risk status?

9.  Do you understand potential risks involved in birth and having a baby at home? 

Are you licensed?

Yes! The midwives at it's Your Birth are licensed through the State of Michigan. Our credentials are Licensed Midwife (LM) and Certified Professional Midwife (CPM).

  

The state of Michigan passed a midwifery licensing bill in January of 2017. As of August 01, 2019. 

All community (home birth) midwives must hold a midwifery license through the state of Michigan. Verify a Michigan Midwifery License 

Do I need to see a doctor in addition to my midwife?

If you are healthy and low risk, it is not necessary to see a physician in addition to your midwife in pregnancy. There are times in which a client may need to see a physician during pregnancy if  specific circumstances warrant it. 

What is the difference between a CNM and CPM?

Types of Midwives in the U.S.

There are two main categories of midwives in the U.S. 


Certified Nurse Midwives (CNM’s) are trained in both nursing and midwifery. 


Certified Professional Midwives (CPM's) train as midwives without being nurses. 


In the state of Michigan, it is not legal to call yourself a midwife or offer midwifery services unless you are a CNM (Certified Nurse Midwife) or LM with CPM credential. (Licensed Midwife, Certified Professional Midwife)


The Certified Professional Midwife (CPM) credential 

·  Not required to be nurses.

·  Multiple routes of education recognized; direct entry midwives and certified nurse midwives can 

   qualify for this credential.

·  Education programs accredited by the Midwifery Education Accreditation Council prepare 

   students to meet the requirements for the CPM.

·  Out-of-hospital birth experience is required.

·  Have met rigorous requirements, passed a written exam and hands-on skills evaluation.

·  Administered by the North American Registry of Midwives.

·  Legal status varies according to state.

·  Practice most often in homes and birth centers.

For more information e-mail info@narm.org or call 1-888-84-BIRTH (eastern time).


Certified Nurse Midwives (CNMs)

·  Educated in both nursing and midwifery, primarily in the hospital setting; are "advanced practice 

   nurses."

·  Must have at least a Bachelor’s Degree when training is complete.

·  Have successfully completed a university-affiliated nurse-midwifery program accredited by the 

  American College of Nurse-Midwives and passed the exam.

·  Out-of-hospital clinical experience is not required.

·  Are legal and can be licensed in all states.

·  Most practice in hospitals and birth centers.

·  In most states, must have some kind of agreement with a doctor for consultation and referral; 

   practicing without such an agreement can lead to loss of license.

What is the schedule for care?

Our prenatal and postpartum appointments are typically 1 hour in duration. 

Prenatals: 

Most appointments are in office 

Once a month until you are 32 weeks

Every 2 weeks from 32 to 36 weeks

The 36 week visit is in home

Weekly until delivery


Postpartum:

Days 1, 3, and 7 ~ in Home 

Week 2, 4, 6 ~ In office 

Do you support delayed cord clamping?

We support true delayed cord clamping at every birth. It is common in our practice to wait until the placenta is delivered before the cord is cut. If your baby requires resuscitation, it is done with the baby still being attached to his/her cord. 

Are you certified in CPR and neonatal resuscitation?

Yes. The midwives at It's your Birth recertify every two years in both CPR and  neonatal resuscitation.

How do you handle complications?

There are a lot of built in protective mechanisms that nature has provided in normal physiological birth. In a well nourished, healthy low risk woman, the rate of complication is extremely low. However, nature is fallible and complications can arise during labor, delivery, or the immediate postpartum period. Your midwife is there to monitor both you and your baby from active labor until approximately 3 hours post delivery. Many complications will show signs ahead of time. We are well trained and equipped to handle complications that can happen in a labor or delivery.  There are protocols followed for different complications. The midwives at It's Your Birth are also trained in midwifery pharmacology and carry certain medications that are listed for use under our license. If the complication was not resolving as expected, the team would be arranging for back up EMS/hospital transport while continuing to work on stabilizing the situation. 

Do you accompany me if I need to go to the hospital?

Yes. If you need to transport to the hospital, your midwife will call the transport in, fax over records, and follow you to the hospital. Depending on the circumstances of the transport, she may stay for the rest of labor/delivery, or she may depart with the possibility of returning for the delivery, LM's do not have hospital privileges. While at the hospital, your midwife will be in a support role. The hospital practitioner becomes the primary care giver. 

Do you accept insurance?

We do not participate with insurance/bill insurance. We provide an invoice if you would like to try to obtain reimbursement from your insurance after there is a date of birth. We find that our costs are often less than most clients deductibles/copays. Prenatal care, birth, birth team and 6 weeks of postpartum care are all included in price.

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Do You Offer Payment Plans?

Yes. We offer a variety of payment plan options.  For your convince, we accept payments in the form of cash, check, credit card or HSA cards. Payments may be made in person during It’s Your Birth Midwifery’s clinic hours or through Square invoices. See our Pricing page for details. 


Pricing and Payment Plans 


 

Are you able to order labs?

Yes. We have a lab account through Quest Diagnostics. We offer all standard prenatal labs. Quest does bill insurance. We also offer lower cost, negotiated lab rates for clients with high deductibles  or no insurance. 

Do you attend VBAC's?

Yes, we attend VBAC's for birthing center client's only. There is also an informed consent process that is required for VBAC clients.

Is water birth an option?

Yes, water birth is an option in our practice. 

How do I obtain a birth certificate if I birth my baby at home?

Your midwife has a live birth worksheet from the state of Michigan that you will bring to your County Clerk's office. You may also check a box on this form that forwards the information for a social security number. 

Do you welcome doulas?

Absolutely! We encourage all clients to consider hiring a doula.

If I am planing a hospital birth, do you offer post partum care?

Yes! We offer 6 weeks of post partum midwifery services for clients planning hospital births. Make sure to read our blog on Postpartum care in the U.S.

Do you offer breastfeeding support

Yes. Our practice has a 100% breastfeeding success rate at the 6 week postpartum visit. We are able to support most concerns with breastfeeding. If you need a help beyond what we are able to offer, we will help arrange for a visit with an IBCLC lactation consultant.