1 What is midwifery model care?
2 What role does the midwife play in the birth?
3 Can anyone have a homebirth?
4 What are the benefits of a home birth?
5 At what point in the pregnancy does midwifery
care begin/end?
6 At what point in my labor will you or your
assistant come to my home?
7 Is the midwife on call for my whole pregnancy?
8 What methods of pain management do midwives
use?
9 Can I have a water birth at home? Where do
I get a birthing tub?
10 What happens if there is a need to go to
the hospital?
11 What is your hospital transfer rate?
12 What experience do you have with VBAC?
13 What type of training does a certified nurse
midwife have?
14 Does my insurance cover home birth?
15 What is included in the fees? What will I
need to provide?
16 What if I don’t want a hospital birth,
but I also don’t want to birth in my living space?
17 If I have a midwife, is it OK to also have
a doula?
18 What medical equipment etc. does a midwife
bring to a home birth?
1 
What is midwifery model care?
Midwives are experts in normal, natural
childbirth. They are experienced in the variations of normal
birth and recognize the early signs of conditions that are
not "normal," including medical conditions or complications
that may occasionally arise during pregnancy or the birth
process. If such conditions arise, the midwife transfers/refers
the mother to other health care specialists or to a different
birth setting if needed.
The midwifery model of care involves careful screening for
risk factors and observation including:
• Monitoring the physical,
psychological and social well being of the mother throughout
the childbearing cycle
• Providing the mother with individualized education,
counseling, and prenatal care, continuous hands-on assistance
during labor and delivery, and postpartum support
• Minimizing technological interventions and identifying
and referring women who require obstetrical attention
2
What role does the midwife play in the birth?
The midwife is observer of the process
of birth.
I provide guidance and support for the birthing woman and
her family.
At the same time that I try not to interfere with the natural
course of labor and birth, I will respond to abnormal conditions
as needed. I am trained in CPR and can recognize when intervention
is needed, for both mother and baby
3
Can anyone have a homebirth?
In my practice I care for low risk
woman, who have educated themselves about their options and
maintain a healthy life style.
4
What are the benefits of a home birth?
Many women report a deep satisfaction
after naturally birthing their baby. There is a sense of control
over the choices in their care regarding who will be there
and what will happen to them.
Home provides the right environment for the family to gently
great their babies, in the intimate environment of home deep
bonds are formed; a sense of trust and confidence in the natural
order of life can emerge.
5
At what point in the pregnancy does midwifery care begin/end?
I love to meet woman early in their
pregnancy and care continues until 6 weeks after the birth.
A midwife is a reproductive health care provider not only
providing pregnancy, birth, and postnatal care, but also well
woman care.
6
At what point in my labor will you or your assistant come
to my home?
When you feel the need for support
with your labor.
7
Is the midwife on call for my whole pregnancy?
YES
8
What methods of pain management do midwives use?
Many non-pharmaceutical pain management
techniques are used starting with education, and support during
the pregnancy to begin the process of reducing fear. Other
tools include: massage therapy, reflexology, aromatherapy,
and water birth, as well as continuous support in active labor.
Many families are also knowledgeable about homeopathy and
herbal remedies for pain.
9
Can I have a water birth at home? Where do I get a birthing
tub?
Yes, water birth has become a popular
option.
Many resources are available for tubs; families can purchase
or rent a tub.
10
What happens if there is a need to go to the hospital?
I will contact my collaborating doctor
and we will either drive to the hospital or call for an ambulance
depending on the reason for transfer.
I have privileges at Kaleida Hospitals and will continue to
remain active in providing care for you at the hospital as
long as it is within my scope of care to do so.
11
What is your hospital transfer rate?
8% of woman in my care have transferred
to the hospital.
12
What experience do you have with VBAC?
I support women choosing vaginal birth
after C-section.
13
What type of training does a certified nurse
midwife have?
In New York State all licensed midwives
have a bachelors degree as well as midwifery education. I
have background in nursing; I graduated from UB school of
Nursing in 1988.
I continued my training at the Frontier School of Midwifery
and also earned a Master’s degree in Nursing from Case
Western Reserve.
14
Does my insurance cover home birth?
Some insurance companies will pay part
of or, in some cases, my entire fee.
I am a Medicaid provider in New York State.
I am an out of network provider for all other companies.
I can provide you with the information you will need to advocate
for your self with your insurance.
15
What is included in the fees? What will I need to provide?
My fee of $4200 covers all prenatal
visits attendance at your labor and birth and six weeks of
post-partum follow up for you and your newborn.
This includes an assistant at your birth and the supplies
that I bring to your home in my birth bag.
I am interested in making sure that families wanting home
birth have access to a midwife. I will make any reasonable
attempt to serve families who need financial assistance in
obtaining a home birth.
I will provide you with a supply list or you can Download
it here.
16
What if I don’t want a hospital birth, but I also don’t
want to birth in my living space?
We do not have any other options right
now in our community.
17
If I have a midwife, is it OK to also have a doula?
Yes, doulas are so helpful at birth.
Doula’s and midwives work well together.
18
What medical equipment etc. does a midwife bring to a home
birth?
My supply bag is full of all the equipment
that a birth center would have.
The two major concerns are bleeding in a mom or breathing
problems for the baby.
What do you bring to address those two major concerns?
I bring medications to control bleeding and IV equipment if
you need IV fluids.
I bring suction and resuscitation equipment if the baby needs
CPR.
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