They receive national certification from the American College of Nurse-Midwives. A CNM can also provide other reproductive healthcare, like yearly well-woman visits.
They are also certified by the American College of Nurse-Midwives, but can only get licensed to practice in select states. They do not practice in hospitals, working exclusively in outside settings like homes and some birthing centers. CPMs are licensed to practice in 33 states. They become credentialed in midwifery before becoming nurses. These midwives do not have licenses or certifications from a recognized organization. All midwives, regardless of their certifications, share the central idea that most women will benefit from a birthing process with minimal intervention.
In normal pregnancies that are not high-risk , letting the body go through its natural process will result in the best outcomes. The care midwives provide is more specialized and personalized for each patient. In situations that require intervention, certified-nurse midwives can provide medical care while a physician is called in if needed. A primary care provider is the medical professional who is most responsible for your care.
If serious complications do arise during your pregnancy, which necessitates a consultation or a transfer of care, your midwife or family physician will remain involved to provide supportive care or will remain the primary caregiver with consultations as necessary with an obstetrician. All prenatal care by midwives, family physicians and obstetricians is funded by the Ministry of Health and Long-term Care.
You may be asking yourself, 'why wouldn't I choose an obstetrician with their advanced training and ability to handle complex and high-risk situations'? There may be several different reasons why. Both midwives and family doctors are able to provide more time with their patients during pre-natal appointments.
Midwife visits during pregnancy will last between 30 and 60 minutes. Visits with family physicians are typically booked for 15 minutes and obstetricians can be significantly less.
Another difference, while under the care of a midwife versus a physician, is that you will typically be cared for by two or three midwives throughout your pregnancy. This allows for a continuity of care and a high likelihood that you will know the person who will be delivering your baby.
When you are under the care of an obstetrician or family physician, the person who delivers your baby will be the doctor on call at the time that you go into labour. This can be a concern for some families as the individual that you have selected and trusted with your pregnancy may not be the same person who ends up delivering your baby. My personal choice may be surprising to some. I practice medical negligence law and have a greater than average understanding of medical complications, risk factors and prenatal care.
When it came time to have my own children, I selected a midwife. The reason why was influenced by my personal experience and to some degree the knowledge I gained in my practice.
While I have been involved in cases with both obstetricians and midwives, I had seen a number of concerns with obstetrical care that I wanted to avoid.
There are inherent pressures that exist within the healthcare system and have greater impact on physicians during childbirth. One example is that a physician may be responsible for two or more people in labour. I had concerns about not knowing who would deliver my baby.
I had concerns about an over-reliance on medical interventions and I wanted an intervention-free birth. I liked the fact that my midwife would be present during my entire labour. Typically, with family physicians and obstetricians, your labour is being monitored by the labour and delivery nurses and the physician will check in periodically and be present for the birth of the baby.
This was a personal decision influenced by personal experience and personal preferences. The decision of who cares for you during your pregnancy and childbirth is a personal medical decision most definitely not a legal one, but having greater understanding of what each healthcare provider can and cannot offer you will lead to a more satisfying experience.
OMama is an Ontario project supported by eHealth Ontario to provide trusted information on pregnancy, birth and early parenting.
A doula provides one-on-one labor support to a mother, explains Denny. But they do NOT deliver babies. When labor starts, explains McGreyes, a doula joins you and helps you and your partner get the information they need to stay calm and present to support you as you labor. I also believe that everyone needs education. We don't learn enough about any of this stuff until it's right in our laps, and we need to be educated.
The number one thing moms should look for in a doula, says Diamond, is connection. If you feel a connection to them and can imagine laughing with them, yelling in front of them, letting them wipe your vomit, rub your back, hold your water straw—that's who you should hire. We support everyone and every type of birth: medicated, non-medicated, first baby, fifth baby, home, hospital, inductions, cesareans and everything in-between. What is a high-risk pregnancy?
If you have a preexisting medical condition like diabetes or high blood pressure, you may be considered high risk. But the vast majority of births happen at hospitals or their attached birth centers, where both OB-GYNs and midwives can deliver babies.
Hospitals are always the safest place to deliver your baby. If you want a wide range of birthing and pain management options so you can have flexibility when birth day arrives, finding a midwife or an OB-GYN who delivers at a hospital is key. That said, midwives often specialize in natural or little-to-no pain medication births.
Your pain management options will also be limited if you choose a home birth or a freestanding birth center. The person you choose will likely be part of a larger team.
Some teams are multi-disciplinary, meaning they work alongside a lot of different specialists. Other teams may be more focused within their specialty area.
OB-GYNs and midwives can provide ongoing care for your reproductive health. Think about the qualities and areas of expertise that are important to you, from preventive care to fertility. But the cost of delivering a baby primarily varies based on where you deliver and what type of delivery you have, not who delivers your baby. It all depends on your health insurance plan. The one exception here may be home births. Home births are usually not covered by most insurance plans.
Likewise, there are different insurance coverage levels associated with C-sections and vaginal deliveries. Member services representatives are there to answer exactly these types of calls. If you have HealthPartners insurance, you can log into your HealthPartners online account. Or, call Member Services at the number on the back of your member ID card. We try to make it as simple as possible for you to find the right specialist for your pregnancy care.
From there you can make an appointment with the person of your choice, or you can explore their individual profiles and reviews to help you choose. Another way we make it easy for you to get great care is by offering a range of appointment options, which includes in-person and video visits for prenatal care.
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