Is using a Midwife safe?
Yes, Absolutely! Midwives work as experts in caring for you in the safest way possible. We know normal and variations from normal. We know when labor intervention is necessary and unnecessary. We know supporting you in an environment which is best for you is also best for your baby. We hold space for you in professional and courteous way that allows you your best outcome. We prepare for and practice emergency drills regularly as well as keep up certifications in CPR, ALS, NRP and more than required continuing education.
What if I need an episiotomy?
We know how to perform episiotomy but we never do it! We choose to let your body do it's best work without intervening unless there is a true emergency.
Is it really worth having a Midwife or Doula?
Yes, Absolutely! Midwives have lower rates of Cesarean Section as compared to their physician colleges.: Research shows repeatedly that continuous labor support from a Doula or Midwife yields shorter labors and lower Cesarean Section Rates. The recovery from Vaginal Birth vs. Cesarean Birth is smoother and faster.
Question:Is my health insurance going to pay for this?
Answer:Sometimes yes and sometimes no! We have had experiences where health insurances have paid for services completely and experiences where they have not. Although Midwives and Doulas are repeatedly shown to be cost effective sometimes insurance company policies are not reflective of their promise toward cost effectiveness. Our billing expert Melinda Doyle can help figure out the answers to your questions. Please visit her website www.doylebilling.com
Question:I don't have medical insurance, how can I pay for care?
Answer:Folks often want care of a Midwife or Doula from our team but they don't know how to pay for it. We know these services and valuable. We accept payment from family members, checks, credit cards and cash and will develop a payment plan to suit your needs. Please note all payments should be made before 35 weeks. Most babies are born between 37 and 41 weeks. We advise you to arrange for payment by 35 weeks. We limit the number of clients we accept monthly. In order to guarantee service you must pay to reserve your spot on our monthly roster. If you choose to move on to another persons care we will not reimburse you. We may give partial refunds if your care has to be turned over. We do expect that our time will be respected and reimbursed. We reserve the time for you in our schedule!
Question:What is the cost of care?
Answer:Global OB Care is $5,600.00. This is complete pregnancy care by the Certified Nurse Midwife, labor and delivery, newborn care and postpartum care. We also file the birth certificate with the state of Florida.
Question:Is there any state laws about home birth insurance coverage?
Answer:Yes, Florida Statute Number 627.6574, (see section 7)
1) Any group, blanket, or franchise policy of health insurance that provides coverage for maternity care must also cover the services of certified nurse-midwives and midwives licensed pursuant to chapter 467, and the services of birth centers licensed under ss. 383.30-383.335. (2) Any group, blanket, or franchise policy of health insurance that provides maternity and newborn coverage may not limit coverage for the length of a maternity and newborn stay in a hospital or for followup care outside of a hospital to any time period that is less than that determined to be medically necessary, in accordance with prevailing medical standards and consistent with guidelines for perinatal care of the American Academy of Pediatrics or the American College of Obstetricians and Gynecologists, by the treating obstetrical care provider or the pediatric care provider. (3) This section does not affect any agreement between an insurer and a hospital or other health care provider with respect to reimbursement for health care services provided, rate negotiations with providers, or capitation of providers, and this section does not prohibit appropriate utilization review or case management by an insurer. (4) Any group, blanket, or franchise policy of health insurance that provides coverage, benefits, or services for maternity or newborn care must provide coverage for post delivery care for a mother and her newborn infant. The post delivery care must include a postpartum assessment and newborn assessment and may be provided at the hospital, at the attending physician’s office, at an outpatient maternity center, or in the home by a qualified licensed health care professional trained in mother and baby care. The services must include physical assessment of the newborn and mother, and the performance of any medically necessary clinical tests and immunizations in keeping with prevailing medical standards. (5) An insurer subject to subsection (1) shall communicate active case questions and concerns regarding postdelivery care directly to the treating physician or hospital in written form, in addition to other forms of communication. Such insurers shall also use a process that includes a written protocol for utilization review and quality assurance. (6) An insurer subject to subsection (1) may not: (a) Deny to a mother or her newborn infant eligibility, or continued eligibility, to enroll or to renew coverage under the terms of the policy for the purpose of avoiding the requirements of this section. (b) Provide monetary payments or rebates to a mother to encourage the mother to accept less than the minimum protections available under this section. (c) Penalize or otherwise reduce or limit the reimbursement of an attending provider solely because the attending provider provided care to an individual participant or beneficiary in accordance with this section. (d) Provide incentives, monetary or otherwise, to an attending provider solely to induce the provider to provide care to an individual participant or beneficiary in a manner inconsistent with this section. (e) Subject to paragraph (7)(c), restrict benefits for any portion of a period within a hospital length of stay required under subsection (2) in a manner that is less favorable than the benefits provided for any preceding portion of such stay. (7)(a) This section does not require a mother who is a participant or beneficiary to: 1. Give birth in a hospital. 2. Stay in the hospital for a fixed period of time following the birth of her infant. (b) This section does not apply with respect to any health insurance coverage that does not provide benefits for hospital lengths of stay in connection with childbirth for a mother or her newborn infant. (c) This section does not prevent a policy from imposing deductibles, coinsurance, or other cost-sharing in relation to benefits for hospital lengths of stay in connection with childbirth for a mother or her newborn infant, except that such coinsurance or other cost-sharing for any portion of a period within a hospital length of stay required under subsection (2) may not be greater than such coinsurance or cost-sharing for any preceding portion of such stay.
Besides having a plan for the midwife to attend your birth we have a list of things you will need here:
1 Peri Bottle or sprayable/squirt water bottle
2 packs Chux pads, disposable or washable under pads 30 X 36
Two dozen OB size sanitary pads, self-adhesive
Digital thermometer for newborn use
2 bottles Peroxide for cleaning blood from sheets and towels
1 bottle alcohol (if you already have some, about 1⁄2 a bottle, that is fine.)
2-4 large black plastic trash bags
1 roll unopened paper towels
1 box of tissues (Kleenex)
6 - 8 clean towels (old ones are fine/ dark colors better)
6 wash rags (adult)
6- 8 receiving blankets (old ones are best, they are softer)
2 sets of baby clothing appropriate to the weather
2-4 Infant hats, cotton
2 infant wash clothes
A package of unscented baby wipes
2 clean sets of sheets/pillow cases for the bed
Plastic mattress cover on your bed to protect it
Any size crock pot with water
Advil or Ibuprofen 200 mg tablets
If you are planning a water birth you will also need the following:
· A large plastic drop cloth, about 9' x 12', at least 3 mil thickness
· 1 gallon of bleach (this is for sanitizing the pool and pump after the birth.)
· A water thermometer
· Fish Net (water birth net $1.50 from In His Hands)
· Make sure you have plenty of toilet paper!
FOOD AND DRINK SUGGESTIONS
Throughout labor we encourage you to eat if you choose to and sip fluids constantly! You will be quite hungry after your labor and delivery of your baby and will need to replace calories.
Replacement meal drinks or protein bars
Bread for sandwiches, toast
Soups and broths
Frozen juice bars
Juices (other than Orange)
Electrolyte replacement drinks, coconut water, or even Pedialyte.
Prenatal vitamins/ supplements
Do I need a childbirth or lactation class?
Yes, Absolutely! Would you get married without planning? No.Would you run a marathon without preparing? No. Since pregnancy, labor and childbirth are one of the most important events of your life you should really prepare for it! Read until you feel informed. Learn until you feel like an expert. Spread the word when you've gained the knowledge!
Do you provide water birth services?
Yes, Absolutely! We love hydrotherapy and love to help you getting what you want! Water Birth is pretty cool to watch and experience first hand. If it feels right for you then its right for us! We have many, many years of experience with water birth. We do have a tub to share with you. You will have to make a purchase of a special disposable tub liner.
Working with Midwife & Co. is personalized and unhurried. We strive to see every patient on time. Our prenatal care adheres to standard timing of visits but we are flexible.
We believe that pregnancy is a normal life process and that your body was made to create, grow, deliver and nourish your baby. We want to help you in this process. It is our responsibility to continuously evaluate your health and the health of your baby. This evaluation is by both you as the mother and by us as the Midwives.
Here is how we work with our clients….
We provide regular prenatal care on a routine basis. Routine prenatal care begins when you find out that you are expecting. For many women this begins at 8-10 weeks but we are always happy to see you before then if you have concerns. The usual schedule for prenatal visits is:
· Initial visit 8-10 weeks
· Prenatal visit every 4 weeks from 12 weeks through 28 weeks.
· Prenatal visit every 2 weeks from 28-36 weeks
· Prenatal visit weekly from 36 weeks until delivery.
· Home visit 35-37 weeks.
· From 40 weeks through 42 weeks we will order special testing to watch the wellness of your baby. Induction of labor can be at 41 weeks but this is a topic for more in depth discussion.
· Postpartum visit 1-3 days after delivery in your home.
· Postpartum visit 2 weeks after birth.
· Postpartum visit 6 weeks after birth.
· Laboratory Studies are as per standard of care and usually conducted at weeks 10, 15-18, 25-28 and 36 weeks.
We refer you for testing that we don’t offer. We do not provide in office ultrasound. We refer to radiology facilities which have radiologists in the office.
Our Certified Nurse Midwives have prescription writing authority.
We are available for questions 24/7 we ask that you try to keep your interactions to normal business hours when it’s a non-urgent situation. We define urgent as labor, preterm labor, bleeding at anytime in pregnancy, contractions, vomiting, diarrhea, leakage of fluid from the vagina (clear, brown, bloody, green, yellow) which could be a sign of preterm or full term labor. If you have questions about your dietary choices, vitamins, exercise routines, birth plans, doulas or anything which is non-urgent we ask that you write down your questions and we will happily discuss it at your visit.