Frequently Asked Questions
We love answering your questions! Please feel free to contact us so that we can help you make the right midwifery care decision for your pregnancy.
Following are answers to some of the most frequently asked questions we receive.
Is using a midwife really safe?
Many people want to know if using a midwife is really safe. After all, why wouldn’t it be preferable to have your baby in a hospital with all the latest and greatest in technology?
The truth is we’ve all heard stories of home births gone awry, but if we think about it we’ve all heard stories of hospital births gone awry too. It’s just that our culture sees the problems occurring at home as preventable and those in the hospital as inevitable.
But is this really true?
The truth is that some problems will occur at home that wouldn’t be as much of a problem in hospital, but the balancing truth is that some problems occur in the hospital that would have been prevented at home. The question then becomes not so much “Is home birth safe?” but rather, “Where is the greatest risk to myself and my baby?”
You will encounter risk in a home birth, but you will also encounter risk in a hospital birth. Birth, in the overwhelming majority of cases, will go just fine, regardless of which environment you choose, allowing each woman the freedom to decide where she is the “safest.”
This question of where the greatest risk lies does not have one answer. It is an individual answer based on your particular situation. Women who have risk factors, such as heart disease or diabetes, are more likely to encounter greater risks at home than they are in the hospital. But healthy, low-risk women usually encounter similar levels of risk in both places.
The British Medical Journal published a study addressing the issue of safety in midwifery. They examined women who intended to use a midwife for an out-of-hospital birth, and compared those with studies of women using an OB and planning a hospital birth. The results were fascinating. They found that there was statistically the same rate of newborn outcomes in both groups, concluding that when you examine a large number of women, you find that the babies of those in the hospital were no more or less safe than those out of the hospital. The cesarean rate for women starting with a midwife was 3% versus the 19% of the same group of low-risk women with an OB. The rate of intervention was much higher in the hospital, without improving the outcomes.
So the answer to where is the safest place to have your baby depends on many factors. For healthy, low-risk women, midwifery care can be just as safe as a hospital birth with an OB. Scheduling a consultation to sit down and discuss your particular case is the best way to determine if you are low-risk. We invite you to meet with us for an initial visit so that we can discuss your individual case and answer your questions better!
What is the schedule of care?
The schedule of care during and after your pregnancy is about the same as it would be with a doctor. Lisa will generally see you once a month during your first and second trimesters, and twice a month during your third trimester, until your 9th month when she will see you weekly until you deliver. Lisa will see you again between 24 and 72 hours post-delivery for a check-up to ensure all is well, and then at 2 weeks and 6 weeks after your delivery. This is a basic routine check, but if at any point extra visits are needed or the pattern needs to be changed, this schedule is flexible and will be customized to fit the needs of the individual woman. Each pregnancy is unique, and we delight to be able to provide care as it is needed and not based solely on a routine.
Should I see an OB as well?
This depends on the individual circumstances of each pregnancy, but the vast majority of our clients choose to see only their midwife. The same testing (lab work, sonograms, etc.) that would be done during routine prenatal care with an OB can be done with a midwife. Most women see a physician only if a complication develops.
How much does it cost?
On average, a birth with a midwife costs roughly half as much as a hospital birth does. But costs can vary greatly from one situation to the next, so it is difficult to provide an exact figure. Please contact us for our current pricing information.
Do you accept major insurances?
Again, it depends. Each policy and plan is different: Some insurance companies will pay for maternity care, and others will not. Contact us today and we will discuss the individual policy you have and make every effort to answer your questions.