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Homebirth care providers

Tell me more about the midwives that attend homebirth.

Answer Question
 
Roadfamily6now

Asked by Roadfamily6now at 12:55 PM on Nov. 10, 2010 in Pregnancy

Level 23 (17,767 Credits)
Answers (7)
  • I haven't actually been able to have a midwife (there are none around here), but that's what I'm in school for now. They're women who attend births and many even offer well woman check ups (paps and the like). For prenatal care, they take a more natural approach to things and during birth, they are mostly there for support and supervision. They don't force things on the laboring mother like many doctors do (such as coached pushing, specific positions for birth, etc.), so women in labor have much more control over the birth. If you want a lot of great information about midwives, Ina May Gaskin wrote two AMAZING books (she's one of the top midwives in the country, if not the top, and possibly one of the most respected in the world): Ina May's Guide To Childbirth and Spiritual Midwifery.

    Mrs.BAT

    Answer by Mrs.BAT at 3:17 PM on Nov. 10, 2010

  • Well this really depends on what state you are in. Some only allow certified nurse midwives while others allow lay midwives to attend. Not all midwives are the same, but in general they allow mom to progress through birth as her body sees fit and they don't push things. They may give gentle suggestion about positions etc. if it seems mom needs some help. If anything does go wrong then they will have a back OB at a nearby hospital to take care of things there (they will be there too, but often can't do more then provide support once at the hospital). I love Ina May Gaskin's books and would recommend anyone thinking about home birth to read them.
    aeneva

    Answer by aeneva at 3:21 PM on Nov. 10, 2010

  • A lot of people seem to have the impression that having a home birth means having a birth without medical assistance. In reality, having a home birth with a midwife is just bringing your medical care to you instead of bringing yourself to the hospital. My midwife brought a birthing stool, fetal monitoring equipment, an oxygen tank with masks for mom and baby, anti-hemorrhage and other drugs. She is trained in neonatal resuscitation as well as childbirth. I felt I was in very competent hands with her and that she would both be able to handle the types of situations that routinely come up in a normal birth, and that she would know if something was wrong in time to get us the hospital if that turned out to be necessary.

    riotgrrl

    Answer by riotgrrl at 3:23 PM on Nov. 10, 2010

  • Traditional Midwife/ Direct Entry Midwife: These are apprentice trained midwives who do not have a certification by any recognized group. They generally carry the same medical equipment that a CPN or CNM carry such as oxygen, medicine for hemorrhage, suturing supplies, etc.

    Certified Practical Midwife: Apprentice trained similar to a direct entry midwife as well as certified by the North American Registry of Midwives.

    Certified Nurse Midwife: Trained in a nursing program. CNMs also deliver in hospitals and birthing centers. They work under an OB in most states. Depending on the state, some can administer certain medications just as a doctor would. In some states, they are no permitted to attend home births.
    ecodani

    Answer by ecodani at 12:24 AM on Nov. 11, 2010

  • Homebirth midwives may be Certified Nurse Midwives or Certified Professional Midwives also called Lay Midwives. There is a very big difference between the two types of midwife.

    CNMs generally have at least a master's degree, have practiced as a nurse in labor in delivery for years, and have probably attended a midwifery program at a medical school. CPMs are trained via state approved programs. They may go to a school (usually also serves as a birthing center) daily or they may do the book learning at home followed by an apprenticeship for at least a year where they follow a CNM or CPM around in their daily activities and are trained directly.

    Both types can provide oxygen, eye ointment for infants, and vitamin K shots. CNMs can also provide medications to control bleeding should it become necessary, birth control if you want it afterwards, as well as mnay other things.

    In most states CNMs can be reimbursed by medic
    miasmommy21407

    Answer by miasmommy21407 at 12:30 AM on Nov. 11, 2010

  • a while CPMs can not.

    Both can provide quality prenatal care and post partum care as well as well women care.

    It really depends on what it avaliable in your area and what you are most comfortable with but most all midwives, no matter their certification, have great outcome rates which are often better than many doctors.
    miasmommy21407

    Answer by miasmommy21407 at 12:31 AM on Nov. 11, 2010

  • I didn't have homebirth but had midwife with all 3 and LOVED them
    raisingmen

    Answer by raisingmen at 9:28 AM on Nov. 11, 2010

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