This is a great time to ask questions and discover how this experience fits you and your growing family.
We love meeting with the newly pregnant clients in our community! Schedule a meeting with us today free of charge and with no obligations. This is a great time to ask your questions and discover that we are a fit for you and your growing family! Please reach out to us, we look forward to hearing from you!
We provide care for both you and your baby during the duration of your pregnancy. We provide in office visits with one prenatal home visit at 36 weeks. These visits give you the opportunity to ask all of your questions and express any concerns you may have. From your first visit until your birth, we provide you with the latest information and stay up to date on the latest practices to keep you healthy!
We are available for 24/7 support to all of our clients and walk with you through your pregnancy and postpartum care. We are available by phone, text or email and love hearing from our clients and answering any questions or concerns you may have. Call us with questions and concerns and we’ll be happy to provide answers!
We come to you for your birthing needs! Home birth is a safe option for healthy, low risk women. We believe you are capable of birthing your child naturally in the comfort of your home. We (one of our midwives and an assistant) arrive at your request and stay to provide support throughout your entire labor. We love supporting our moms through this incredibly special time and look forward to the call that brings us to you for your home birth!
From helping your baby transition to life outside the womb, establishing successful breastfeeding and helping your grow your healthy baby, we provide newborn care for the first 4 weeks of life for low risk, healthy newborns. We also provide two postpartum/newborn home visits so you can rest and recover with your sweet addition without having to leave your home in the first week of life! We’re here to provide care to help you and your baby adjust to life after birth!
That’s right, CNM’s are so much more than pregnancy and babies, we can also provide and specialize in well women care! We can do your annual exams, pap smear’s, and address any concerns you may have about your body. If you would like to make a women’s health appointment with us, please reach out, we would love to help you!
Currently, we are approved for reimbursement from and are in network with Tricare, United Healthcare, Medicaid, CHP+, Humana, Blue Cross Blue Shield and Health Net. Aetna and Cigna have also provided reimbursements for home birth services though we are not in network with them. Many cost share programs also cover the cost of home birth with little to no out of pocket from the client! Many insurance companies that include maternity services generally cover nurse midwife Colorado Springs services. Our billing service can help you determine what insurance is most likely to pay and will bill insurance for you.
Most insurance companies will help cover the cost of labs, ultrasounds, problem visits and hospital visits if/when these are indicated. Each client’s insurance is unique, and once again, we will work with our billing company to get the best reimbursement/payment we can but we cannot guarantee insurance reimbursement even if we have been told by the billing agency that reimbursement will occur.
For our clients paying out of pocket, we create a payment plan that is manageable for you and your family with the full lump sum being paid by 34 weeks pregnant. Making home births accessible to families who desire it is important to us; therefore, we will make every reasonable attempt to serve those families who need financial assistance in obtaining a home birth. Please address this concern at your consultation.
We do not offer childbirth education classes; however, there are many qualified educators throughout the city to choose from and we offer a list of these classes to make picking the right one out for you and your family easier! We HIGHLY recommend first time mothers and their significant others take a childbirth class, as this increases your likelihood of completing your delivery at home. We also recommend classes to women and their families who are delivering at home for the first time.
We LOVE working with doulas and highly recommend every mother pregnant for the first time or every mother having their first natural delivery at home hire a doula to support them at their birth. We do not provide a doula to you but have a list of doulas in the city we have worked with that you may interview. Our experience has been that having a doula at your birth dramatically increases your chances of completing your home birth and we want to give you every opportunity to successfully birth at home!
A certified nurse-midwife (CNM) is an individual who is educated in both nursing and midwifery and possesses certification through the American Midwifery Certification Midwifery Board (AMCB) according to the requirements of the American College of Nurse-Midwives (ACNM). CNM’s provide primary healthcare to women of all ages including:
Labor and birth care
Counseling in health maintenance and disease prevention
A certified nurse-midwife (CNM) is an Advanced Practice Nurse who is licensed to practice in the state of their choice. Most CNM’s start as a Registered Nurse with their Bachelor’s degree and choose to complete their Master’s in Nursing with a specialty in Midwifery. No other midwife can use the term Certified Nurse-Midwife or CNM unless they have completed this education and passed national boards. Essentially, we are a type of Nurse Practitioner with a specialty in pregnancy and women’s health care.
A CNM in Colorado is regulated by the Department of Regulatory Agencies: Professions and Occupations. The Colorado Nurse Practice Act determines how a CNM in Colorado may practice and the laws, statutes and regulations that go along with that specialty. In Colorado, we are considered INDEPENDENT healthcare practitioners and must follow the standards set by our professional affiliate. This affiliate for CNM’s is the American College of Nurse Midwives (ACNM). Their website may be reached at www.midwife.org. Feel free to peruse their Standard-Setting Documents for more information on CNM’s or you can ask me!
Sometimes I feel these decisions are made for you. I volunteered at Memorial Hospital throughout my high school career initially believing I was going to become an OBGYN only to change to nursing after I realized the docs had no time with their patients! This was a deal-breaker for me as the patient interaction was what I desired as a practitioner. During my nursing career, I discovered there were different types of midwives and once you became a nurse you could only obtain your masters in nursing to become a midwife. So I would have had to choose to be a direct entry midwife before I went to nursing school and therefore, not gone to nursing school. However, I believe my calling was always to go to nursing school and eventually become a nurse midwife. I was given a high quality education at Frontier and do not regret my decision to go for a higher education. I believe as a nurse-midwife I am an excellent balance between medical knowledge and midwifery knowledge. I like to say my degree gives the client the best of both worlds!
The primary difference is in the educational pathway. Direct entry midwives (DEM’s) may have completed a formal educational program or have what is considered substantially equivalent education, which likely involves an apprenticeship with another midwife. After this they must pass the North American Registry of Midwives (NARM) written exam. Direct entry midwives may have titles such as CPM (Certified Professional Midwife) which is an additional program they have completed; and/or LDEM (Licensed direct entry midwife) or RM (Registered midwife) depending on whether their state’s process is licensure or registration. DEM’s are legal in many states but not all. In the state of Colorado, CPM’s are required to complete an accredited midwifery educational program or obtain a substantially equivalent education approved by the director in order to obtain certification. Then they must pass the midwifery examination given by the North American Registry of Midwives (NARM).
A CNM is usually a registered nurse first. She has also completed a master’s in nursing degree at a university that specializes in midwifery education. She must then pass an exam and be certified by the American Midwifery Certification Board. This grants them the title “CNM” for certified nurse midwife which they must recertify with continuing education every 5 years. CNM’s can practice legally in all 50 states. CNM’s provide pregnancy care, primary care and women’s health care to women of all ages. They are independent health care providers. This means they consult, collaborate and refer appropriately to other health care providers when indicated but do not require any type of supervision or collaborative practice agreement.
DEM’s in Colorado work exclusively in the home setting but in other states they can also work in birth centers. CNM’s most often work in hospitals but can also work in birth centers and in homes.
The bottom line is that CNM’s and DEM’s are all midwives. Unlike physicians, all midwives have extensive education and training in normal female life processes such as the menstrual cycle, pregnancy, birth, and beyond. We can treat some of the abnormal or will refer appropriately if a concern is beyond our scope, but we specialize in keeping women and their family’s normal and enjoying life.
If you think you are in labor or your water breaks, you may call me and I will ask several questions to determine where you may be and listen as you labor. If I feel you are progressing, I will come to your home to determine if you are in active labor. This includes a vaginal exam to determine your current dilation and effacement. The only other vaginal exams I require are if you feel the urge to push or if I suspect a variance from normal. Otherwise, my motto is to keep everything coming out and down than up and in! It is important to remember to “surrender” yourself to your labor. There may be a temptation to resist or fight it but I have found the more relaxed a mother and her support can remain, the smoother her labor is. You may choose to labor how you wish and where you wish as long as safety is maintained! I am here to help and serve you!
You may call me at any point in your labor if you have questions or feel you may need me.
I and all of my assistants are NRP certified and trained in assisting in childbirth. We carry the necessary supplies for resuscitation of both mom and baby. We never expect the worst but always prepare for it; for this reason, I always try to have at least two assistants at every birth. At your 36 week visit, we will have your prenatal visit in your home where we will discuss an emergency plan and I will give you all the necessary numbers and contact information you may need.
If transportation is needed, a vehicle can be used or an ambulance may be called. I will go with you to the hospital and will call ahead with all the necessary information the hospital may need to prepare for your arrival.
Yes, home birth is a safe option for women who are low risk and whose births have been planned to be at home as well! Currently 1% of births occur at home or in freestanding birth centers and this number is on the rise as more women choose these options over hospital birth. Home birth has grown 41% between 2004 and 2010 with 10% of the growth occurring between 2009 and 2010!
Recently, an article was released in the Journal of Midwifery & Women’s Health by Midwives Alliance of North America (MANA) which continues to support the safety and the value of planned home birth. This article, which was release in February of 2014, covers data collected from 2004-2009 and encompasses 16,924 planned home births. Women who had planned home births had considerably fewer interventions, less augmentation or induction of labor and less operative or assisted vaginal or cesarean birth. Planned home birth was also associated with higher maternal satisfaction and is more cost-effective than hospital birth. If you like numbers, below are some of the amazing statistics from this article!
Overall, these findings are consistent with the research that shows that planned home birth is safe for healthy, low-risk women when attended by a midwife which results in positive outcomes and benefits for both mom and baby!
Cheyney, M., Bovbjerg, M., Everson, C., Gordon, W., Hannibal, D., & Vedam, S. (2014). Outcomes of care for 16,924 planned home births in the United States: The Midwives Alliance of North America statistics -project, 2004-2009. Journal of Midwifery & Women’s Health, 59(1), 17-27.
El Paso County Births and Deaths. (2013). Selected birth characteristics. Retrived from http://www.chd.dphe.state.co.us/Resources/vs/2013/El%20Paso.pdf.
The World Bank. (2015). Mortality rate, neonatal (per 1,000 live births). Retrieved from http://data.worldbank.org/indicator/SH.DYN.NMRT.
U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, & National Vital Statistics System. (2015). Births: Final data for 2013. National Vital Statistics Reports, 64(1), 1-65.
Yes and yes! Waterbirth is a beautiful, gentle transition to the world for your little one! Please see the article below on waterbirth in the US!
The Journal of Midwifery & Women’s Health released a study in June 2014 whose sole purpose was to evaluate the safety of waterbirth. The study not only validated the safety of waterbirth but even on many aspects proved that the outcomes of waterbirth may be equivalent , if not improved, among women who are low risk and healthy, when compared to land birth! Waterbirth is associated with greater maternal satisfaction, increased likelihood of an intact perineum, decreased incidence of lacerations or episiotomy use and reduced postpartum hemorrhage. Here are some of the stats:
While there are risks to water birth these risks seem to be minimal and are comparable (if not improved) to conventional or land birth. Waterbirth supports the midwifery model of care and the client-midwife relationship while maximizing the opportunity for physiologic birth. If you would like more information on water birth, please feel free to talk to me, I would love to answer your questions!
Nutter, E., Meyer, S., Shaw-Battista, J., & Marowitz, A. (2014). Waterbirth: An integrative analysis of peer-reviewed literature. Journal of Midwifery & Women’s Health, 59(3), 286-319.
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