Midwives care for woman all over the world; in fact midwives attend most birth.

New York State midwives are licensed to practice and are regulated by a board, which defines and oversees the profession. To become a licensed midwife in NY you must have a masters degree and complete clinical training to attain the skills needed to practice the profession. Once the educational requirements are achieved a candidate can apply to take the licensing exam.

Most midwives in NY have education in both nursing and midwifery, however it is not a requirement to have a nursing degree to become a licensed midwife. Midwives who have both a nursing degree and clinical training as a midwife are referred to as a CNM, Certified Nurse Midwife. The certifying organization is the American College of Nurse-Midwives.

Currently in NY, midwifery education does not include any clinical preparation for home birth.

The certifying organization, NARM (North American Registry of Midwives) offers another model of midwifery education and training functions to assist those midwives seeking out of hospital experience. This model uses apprenticeship as a key focus for training midwives. Once the candidate achieves the required training and successfully completes a standardized exam the candidate is referred to as a CPM, certified professional midwife.

Eileen has attained both credentials and maintains active membership in both organizations.

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, hands-on assistance during labor and birth, and postpartum support

• Minimizing technological interventions and identifying and referring women who require obstetrical attention

The midwife is an observer of the process of birth.
We provide guidance and support for the birthing woman and her family.
At the same time that we try not to interfere with the natural course of labor and birth, we will respond to abnormal conditions as needed. We are trained in CPR & NRP and can recognize when intervention is needed, for both mother and baby.
We care for low risk women who have educated themselves about their options and maintain a healthy life style.
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 a wonderful environment for a family to gently greet 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.
We love to meet women early in their pregnancy and care continues until 6 weeks after the birth.
When you feel the need for support with your labor.
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. We are also knowledgeable about homeopathy and herbal remedies for pain.
Yes, water birth has become a popular option at home and in the hospital.
Many resources are available for tubs, but there are two below:

Purchase
www.yourwaterbirth.com

Rent
www.buffalodoulacollective.com

We have privileges at Women & Children’s Hospital 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. If necessary, we will contact your collaborating doctor. We will call for an ambulance depending on the reason for transfer.
Some years as low as 8%, some as high as 20% of woman in our care have transferred to the hospital.
We support women choosing vaginal birth after C-section, not at home though, we will discuss options for where to birth. Between 96-100% of woman who chose to VBAC with us do succeed in having a vaginal birth
We want all families to have access to the model of care and type of provider they desire. We will make any reasonable attempt to serve families with medically appropriate pregnancies who need financial assistance.

Some health insurance companies will pay part of or, in some cases, our entire fee. Our staff will assist you in initiating this process with your health plan. Email Christina for more info: buffalomidwiferyservices@gmail.com.

If you have Medicaid and are required to chose a managed care plan we ask that you choose Independent Health as this plan has regularly authorized homebirth/care with us in the past and they also cover costs associated with birthing at the Birthing Center of Buffalo.

Yes, doulas are so helpful at birth! We ask that every mama have a doula and take natural childbirth education classes. Check our Support Network tab for recommendations.
Our 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. To address these concerns we have medications to control bleeding and IV equipment if IV fluids are needed. We also have suction and resuscitation equipment if the baby needs CPR.

We’ll bring a birth assistant and medical supplies to your planned home birth. You will be responsible for an additional list of supplies that are commonly found around the house. A printed list will be given to you during prenatal care, or you can download the list here:
Home Birth Supply List
Summer Street Birth Supply List
No, we do not perform circumcision. There are many reasons why we do not offer this service, and we would be glad to discuss those reasons with anyone interested. Also, see Circumcision Resource Center [ www.circumcision.org ]