If you have other questions not answered here, please e-mail me by
clicking on the lilacs below!
What kind of training do you have?
-- I
have taken a state approved course in midwifery through the Association
of Texas Midwives and I have completed an apprenticeship of at least 18
months with an approved preceptor. During my apprenticeship,
I
had to attend at least 30 births, and be the primary midwife for at
least 20 more births under the supervision of my preceptor. I
also had to complete a certain number of other clinical skills as well.
To maintain my licensure, I will be
required to take continuing education classes each year.
What
areas / towns do you serve? -- I
live about 10 miles from Pittsburg, 15 from Gilmer, and 15 from
Daingerfield. I find it easiest to serve women who live
within a
35 mile radius from my home. This area includes all of
Franklin,
Titus, Morris, Camp, Upshur and Gregg counties, the eastern half of
Wood county and the western half of Harrison and Cass counties.
I
will consder those living outside these areas on a case by case basis.
It is difficult to give good care at greater distances and
may
incur an additional fee.
Do
you accept insurance? -- Not at this time.
Perhaps in the future. (Why
not?)
Do
you accept Medicaid? -- Medicaid
will not pay for a homebirth or the services of a licensed
midwife.
However it will pay for any labwork and testing, as well as a
sonogram if it is medically necessary. If you truly desire a
natural, home birth, please speak to me and we will try to work out a
payment plan that is mutually agreeable.
Is
homebirth safe? -- When
the mother has cared for herself well during her pregnancy and she is
at low risk of developing complications, then yes, homebirth is safe.
Of course, there is nothing that is perfectly safe, not even
a
hospital birth. My question for you is: is it safer
to
birth in a place where you are considered normal and healthy, or in a
place where you are considered a complication just waiting to happen?
What
if something goes wrong? -- There
are only a few things that could go wrong that would constitute a true
emergency. I carry pitocin, methergine, and oxygen to be used
in
these situations and would immediately transport the mother/baby to the
closest hospital while giving emergency care, or I would give care
until EMS arrived to transport the mother/baby. The most
common
reason for non-emergency transfer to the hospital is "failure to
progress."
What
if I need something for the pain? -- If
you really feel that you need pain medication during labor,
you
will need to be transported to the hospital. All pain
medications
have side effects for you and the baby that necessitate medical
supervision and care. However, remember that during a home
birth
you ar
e able to move around, eat, drink, bathe, and rest where you are
most comfortable. You are not confined to a room or a bed and
you
can work with
your
contractions. You might just surprise yourself and find that
the
contractions are quite manageable under these circumstances!
Do
you do VBACs? -- Before
agreeing to do a VBAC, I will require a copy of the surgical report on
your c-section. Both the outer and inner incisions must be
low
transverse, and double layer suturing must have been done.
I will also look at the reason(s) why the cesarean was done.
I also require that you live within 30 minutes of a hospital
(if
you don't, talk to me and we may be able to arrange an alternative).
Do
you do waterbirths? -- Yes.
You can rent or buy a birth tub from various places online,
you can use a Rubbermaid water trough
(really!) or a deep garden tub if you have one. Once the baby
is
born, I immediately lift it up out of the water into your arms so it
can breathe.
What
if someone goes into labor at the same time as I do? -- Yes,
this does happen occasionally. It depends on where both of
you
are in your labors. I always try to bring an assistant with
me to
a birth, so I might be able to leave to check on the other person if
they are nearby. Or, more likely, I would call another
midwife to
go check on the other person and attend the birth if I couldn't make
it.
I do try to limit the number of clients I take so that this
sort
of thing doesn't happen.
Do
you have other midwives that you work with? -- I
have backup arrangements with a couple of other midwives in the area.
I also have at least one trained assistant who comes to
births
with me to help me out when I need it. Once my practice is
more
established I will also have apprentices who will assist me in giving
care to my clients during prenatal visits and births.
What
do you think are the greatest benefits of midwifery care and home
birth? -- A
midwife takes more time to get to know you and your family during your
visits. The care is very personal and individualized.
Birth
at home is much more comfortable because you are with people you know
and trust in a place that you are familiar with. You don't
have
to pack a bag and go anywhere, and after the birth you can all snuggle
up in bed and take a well deserved rest! You also won't be
exposed to all those very nasty, drug-resistant germs and bacteria that
you'll find in hospitals. Your body has already built a
resistance to the germs in your own home, and you'll pass it on to your
baby while nursing.