Posts Tagged ‘certified nurse-midwife’

Considering using a midwife? Here is info to help you choose a maternity care provider.

Monday, October 26th, 2015

pregnant-woman-on-weight-scale-shrunkSpecial thanks to our guest, Ginger Breedlove, PhD, CNM, FACNM, for providing this post.

A Certified Nurse-Midwife (CNM) and Certified Midwife (CM) are trained health professionals who have completed a graduate education program. They can provide you with a full range of services before and during pregnancy, labor and birth, and postpartum. CNMs and CMs are experts in the care of women who have a healthy pregnancy.

Midwives work in collaboration with physicians for consultation and referral if complications should arise. CNMs and CMs primarily deliver babies in the hospital (97%) with 3-4 % attending at home or in birthing centers.

What can a CNM/CM midwife provide?

  • Gynecological exams
  • Preconception planning
  • Labor and delivery support
  • A more natural childbirth experience
  • Assistance and support with breastfeeding and newborn care

Is there anything a CNM/CM cannot do?

Midwives are trained and licensed to provide comprehensive maternity care services, and work with physician’s to provide medical assistance when necessary. CNMs and CMs provide care to women desiring a non-medicated birth, as well as women that choose epidural anesthesia for birth. Should you need a medical intervention, they work with the collaborating physician and medical team for special care such as Cesarean section. If you have a high-risk pregnancy or a condition such as high blood pressure or Type 2 diabetes, or develop a medical complication, your midwife will refer you to an obstetrician for care.

There are different training credentials for midwives, including some (CPMs) that do not have nursing or graduate degree education.

Here is helpful information about the variety of midwife credentials in the U.S.:

  • Certified Nurse-Midwives (CNM)  are registered nurses who have graduated from a nurse-midwifery education program, passed a national exam and are certified through the American Midwifery Certification Board. CNMs can practice in all 50 states and the District of Columbia.
  • Certified Midwives (CM) are midwives who have completed a midwifery accredited education program and have passed the same national exam as CNMs. CMs can practice in 5 states: Delaware, Missouri, New York, New Jersey, and Rhode Island. Certified Midwives are also certified through the American Midwifery Certification Board.
  • Certified Professional Midwives (CPM) have training and clinical experience in childbirth and have passed a national exam. CPMs are certified through the North American Registry of Midwives. The majority of CPMs work in private homes and a few in birthing centers.

How do you find or learn more about a midwife?

The American College of Nurse-Midwives can help you find a midwife in your area.
The National Association of Certified Professional Midwives also provides information on midwives.

Dr.Ginger BreedloveGinger Breedlove, PhD, CNM, FACNM is the current President of the American College of Nurse Midwives and full-time professor at Shenandoah University in Winchester, VA. She currently sits on the March of Dimes National Nurse Advisory Council, and is engaged in numerous working groups to improve the health of mothers and babies during the childbearing years. As a midwife for over 35 years, Dr. Breedlove has cared for women in hospitals as well as birthing center settings.

Who will delivery your baby?

Tuesday, September 3rd, 2013

baby arrivesGetting early and regular prenatal care is very important for having a healthy pregnancy and baby. The first step in getting prenatal care is to choose your prenatal care provider. This is the medical professional who will care for you during your pregnancy. You have options, so think about it. Will one make you feel more comfortable or confident?

You can choose either a doctor (physician) or midwife to take care of you during your pregnancy and to deliver your baby.
• An obstetrician (OB) is a doctor who specializes in the care of women during pregnancy, childbirth and recuperation from delivery. About 8 in 10 pregnant women choose obstetricians.
• A family practice doctor is a doctor with training in all aspects of health care for every member of the family. A family practice doctor can be your health care provider before, during and after your pregnancy, and your baby’s doctor, too.
• A certified nurse-midwife is a registered nurse with advanced, specialized training and experience in taking care of pregnant women and delivering babies. Certified nurse-midwives are licensed to provide care before, during and after delivery.
• A maternal-fetal medicine specialist is an obstetrician with special training in the care of women who have high-risk pregnancies. If you have risk factors that could complicate your pregnancy, your prenatal care provider may refer you to a maternal-fetal medicine specialist.

It’s important to choose a health care provider who makes you feel comfortable and listens to you. Click on this link for a list of questions to consider when making this decision.

How to choose a prenatal care provider

Monday, July 9th, 2012

your providerWhether you choose an obstetrician, a family practice doctor, a certified nurse-midwife, or a maternal-fetal medicine specialist, the first step in getting prenatal care is to find the best provider for you.

Choose a health care provider who makes you feel comfortable and who listens to you. Questions you may want to consider include:
• Does the provider have a good reputation?
• Does the provider listen to you and take the time to explain things clearly and thoroughly?
• Are you comfortable with the gender and age of the provider?
• Does the provider make your partner feel comfortable, too?
• Is the office staff pleasant and respectful?
• Is the location of the office convenient? Do the hours fit your schedule?
• What hospital is the provider affiliated with? Does the hospital have a good reputation? Is its location convenient?
• Is the provider in a solo, group or collaborative practice?
• Will you always be seen by the same provider during your office appointments?
• Who covers for the provider when he or she is unavailable?
• Who handles phone calls during office hours? Does the provider charge for phone consultations? How are calls and emergencies handled after hours?
• Does your insurance cover this health care provider?

It’s OK to ask for an informational interview with more than one provider before making your decision. This is an important time in your life and you want to feel as comfortable and well cared for as possible.

In search of a prenatal care provider

Thursday, November 3rd, 2011

doctorGetting early and regular prenatal care is very important for having a healthy pregnancy and baby. Choosing the right care provider is your first step, but how do you know who to choose? Should it be an obstetrician, a family practice doctor, a certified nurse-midwife or a maternal-fetal medicine specialist? Here’s a link to info on who’s who in the profession.

It helps a lot to choose a health care provider who makes you feel comfortable and who listens to you. Questions you may want to consider include:

– Does the provider have a good reputation?
– Does the provider listen to you and take the time to explain things clearly and thoroughly?
– Are you comfortable with the gender and age of the provider?
– Does the provider make your partner feel comfortable, too?
– Is the office staff pleasant and respectful?
– Is the location of the office convenient? Do the hours fit your schedule?
– What hospital is the provider affiliated with? Does the hospital have a good reputation? Is its location convenient?
– Is the provider in a solo, group or collaborative practice?
– Will you always be seen by the same provider during your office appointments?
– Who covers for the provider when he or she is unavailable?
– Who handles phone calls during office hours? Does the provider charge for phone consultations? How are calls and emergencies handled after hours?
– Does your insurance cover this health care provider?

Remember, if you find that you are partway through your pregnancy and are not happy with your care, you are perfectly within your rights to look for another provider and make a change.  Do what is best for you.

How to find a midwife

Wednesday, May 4th, 2011

A certified nurse-midwife is a registered nurse with advanced, specialized training and experience in taking care of pregnant women and delivering babies. Certified nurse-midwives are licensed to provide care before, during and after delivery.

The American College of Nurse Midwives has great information about midwifery on their web site. You will see that they are primary health care providers to women throughout the lifespan. They perform physical exams, prescribe meds, order lab tests, provide prenatal care, gynecological care, labor and birth care, as well as health education and counseling to women of all ages.

If you are interested in talking to a midwife, the Find a Midwife practice locator is a web-based service that allows you to find midwifery practices in your area. It also supplies you with basic contact information like practice name, address, phone number, e-mail address, web site and a map of the area. Check it out.