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Frequently Asked Questions
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What are your credentials?Connie is a Certified Professional Midwife, which is a midwife who entered directly into their midwifery education. Certified Professional Midwives are the only maternity healthcare specialist who is required to train in home birth. In addition to my academic learning, I trained with two home birth midwives, and I also did a large portion of my training at a fast paced high volume out of hospital birth center in Milwaukee. In addition to being a Certified Professional Midwife, I also have a Master's Degree in Education, and Bachelor's degree in History, Art History, with a minor in Women and Gender Studies. Connie's full credential list The Expert on Natural Birth: A Certified Professional Midwife -- The Home Birth Midwife Podcast
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Do you provide prenatal care?Yes! This is a huge part of how we confirm that a person and their baby can safely have a home birth! During your prenatal visits we will review maternal and fetal vital signs, offer labs and order ultrasounds as needed, discuss symptoms and answer any questions. This is also a good time to discuss resources for pregnancy, birth, postpartum, and lactation. Prenatal Appointment Schedule: Initial Prenatal: between 8-13 weeks 16 weeks 20 weeks 24 weeks 28 weeks 30 weeks 32 weeks 34 weeks 36 weeks (weekly from 36-41 weeks) We will make an individualized plan for prenatal appointments if you go beyond 41 weeks gestation.
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Do you provide and/or require any pregnancy screenings?We offer first semester full OB panels, first trimester genetic screening, urinalysis/urine culture, gestational diabetes screening and third trimester blood work, Gonorrhea and Chlamydia screening, and Group B Strep screening. All of these tests are offered and discussed so individuals can make informed choices based on current medical evidence. We also can order ultrasounds for first trimester dating, genetic screening, anatomy scans, and any additional follow up ultrasounds for medical reasons. (First and second trimester genetic screenings, gestational diabetes, Group B Strep, etc).
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Do you facilitate water births? And do you supply the birth pool?Yes, water births are an option. A birth pool will be available, and if you can add a birth pool liner in your home birth kit if you think you might want to have a water birth. Water immersion can enhance comfort during labor, and is one of the major tools for pain management in the home setting.
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What is your experience with herbs, homeopathy, and other alternative medicine as pregnancy and labor support?As midwives, in some cases, we incorporate herbs, homeopathy, and alternative medicine into their practice as complementary approaches to conventional care. These practices aim to support the natural processes of pregnancy, childbirth, and postpartum recovery. Here are some ways midwives are trained to use these methods: 1. Herbs: Midwives trained in herbal medicine may suggest the use of specific herbs during pregnancy, labor, and postpartum. Herbal remedies can be used to alleviate common discomforts such as nausea, insomnia, or digestive issues. Examples of herbs commonly used by midwives include ginger for nausea, raspberry leaf for toning the uterus after 36 weeks, etc. 2. Homeopathy: Homeopathy involves using highly diluted substances to stimulate the body's natural healing response. Some midwives may employ homeopathic remedies to address emotional or physical symptoms experienced during pregnancy, childbirth, or the postpartum period. These remedies are selected based on the individual's unique symptoms and may include substances such as Arnica montana for bruising. 3. Alternative medicine: Midwives may refer out for various techniques such as acupuncture, acupressure, reflexology, or aromatherapy. These methods are used to promote relaxation, pain relief, and overall well-being during pregnancy and childbirth. For example, acupuncture may be suggested to help manage discomfort or to encourage optimal fetal positioning. Remember that midwives are highly trained professionals who prioritize the health and well-being of both the pregnant person and the baby. They work in collaboration with other healthcare providers to provide comprehensive and personalized care throughout the childbirth journey.
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Do you attend VBAC/HBAC births?Yes! VBAC (Vaginal Birth After Cesarean) can be considered in some cases. We assess individual situations and discuss available options. Licensed Midwives can attend VBACs out of hospital, as long as the person does not have a history of vertical incision cesarean section. Based on the risks and benefits, you can make an informed decision on your care. Here's more information on the evidence on VBACs/HBAC!
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Who is a candidate for home birth with a midwife?Candidates for home birth midwifery care Absence of preexisting maternal disease Absence of significant disease or complication occurring during the pregnancy A singleton fetus estimated to be appropriate for gestational age A cephalic presentation (baby's head is faced toward the pregnant person's pelvis. Only 2% of babies don't meet this criteria) Maternal desire to birth unmedicated and go into labor spontaneously
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Under what circumstances would prenatal care need to be transferred to an OB/Gyn?There are several circumstances under which prenatal care might need to be transferred from a home birth midwife to an hospital based provider. These circumstances can include: 1. High-Risk Pregnancy: If a pregnancy is deemed high-risk due to pre-existing medical conditions or the development of complications during pregnancy, it may be necessary to transfer care to an OB/Gyn. High-risk pregnancies often require specialized medical management and monitoring. 2. Emergencies or Complications: If an unexpected emergency or complication arises during pregnancy, such as severe bleeding, fetal distress, or the need for a cesarean section, immediate medical attention from an OB/Gyn may be necessary. 3. Need for Medical Interventions: In situations where medical interventions such as inductions, medication administration, or advanced diagnostic procedures (e.g., amniocentesis) are required, an OB/Gyn's scope of care and facilities are typically more readily available. 4. Maternal Request or Change of Preference: Sometimes, a pregnant person may initially choose a midwife for prenatal care but later decide to switch to a hospital based care provider for personal reasons or a change in birth plan preferences. In such cases, the transfer of care can be arranged. It's important to note that midwives and obstetricians often work collaboratively to ensure the well-being of the pregnant person and their baby. The decision to transfer care is typically made in the best interest of the pregnant person and fetus, considering their specific needs and circumstances. While we aim for low-intervention births, we are equipped to handle minor interventions. For more extensive medical needs, we facilitate a transfer to a hospital.
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Do you offer or suggest taking childbirth preparation courses?Childbirth education is crucial for expectant parents as it equips them with valuable knowledge and skills to navigate the transformative journey of pregnancy, labor, and birth. By attending childbirth education classes, individuals and their partners gain a deeper understanding of the physiological and emotional aspects of childbirth. They learn about the stages of labor, pain management techniques, breathing exercises, relaxation methods, and positions that can facilitate a smoother birthing experience. It helps alleviate fears, build confidence, and enhance the bond between partners as they actively participate in the preparation process together. Additionally, childbirth education often covers postpartum care and lactation, providing comprehensive information for the transition into parenthood. Overall, by promoting knowledge, communication, and active involvement, childbirth education plays a vital role in fostering positive birth experiences and ensuring the well-being of both parents and babies. I offer a Hypnobirthing Home Study Course, which you can find more information about on the Courses page.
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Do you recommend working with a doula?Yes! Adding a doula to your home birth team can offer several benefits during pregnancy, birth, and the postpartum period, and they are proven to improve birth outcomes and decrease pain in labor.
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How do I know if home birth is right for me?Home birth is a suitable option for low-risk pregnancies. During prenatal care, we assess your health to determine if home birth is a safe option for you.
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What are the benefits of choosing home birth?Home birth offers a personalized and intimate birthing experience, reduced intervention rates, greater level of curating your experience, and the ability to create a comfortable environment.
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Is home birth safe?Yes, home birth can be a safe choice for low-risk pregnancies when attended by an experienced midwife. We prioritize safety and have protocols in place for potential complications. For evidence on the safety of home birth, please click here.
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How do you handle emergencies during home birth?We have emergency protocols, including resuscitation equipment and access to emergency services. We discuss these plans during prenatal visits.
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Do I need to purchase special equipment for a home birth?We provide necessary equipment, including birthing pools if desired. I will provide a checklist of additional items that you can gather, and we'll discuss any additional items you will to have on hand as you enter the third trimester. The additional items involve towels, baby blankets, menstrual pads, etc...
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How are complications handled during home birth?While we strive for low-intervention births, we are trained to manage minor complications. For more extensive medical intervention, we facilitate a transfer to a hospital.
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Can I invite family and friends to attend my home birth?We encourage involvement of supportive individuals who will enhance your birth experience. We'll discuss roles and expectations during prenatal visits to ensure a comfortable birthing environment.
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Is home birth covered by insurance?HMO's do not currently cover home birth midwifery care, however you can call them to communicate your want for this healthcare option. I can provide documentation to support insurance claims when applicable. I am a BaderCare provider, so that is an insurance option that covers home birth midwifery care. For more information, please click here.
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How far in advance should I plan for a home birth?It's recommended to start care in the first trimester of pregnancy. Contact us as soon as possible to discuss your preferences and begin prenatal care. People who are low risk can also transfer care prenatally to a home birth midwife if they haven't started their prenatal care with a midwife. You can schedule a free consultation with Connie here:
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Can I choose a home birth if I live in a rural area?Yes, home birth is possible in rural areas. Sometimes home birth is the most accessible option for those who live rurally. We plan accordingly and discuss transportation options in case of a hospital transfer. I will travel a 1 hour radius from my home office in Monona, Wisconsin. For a list of examples of areas served, please click here.
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Are home births legal in Wisconsin?Home birth legality varies by location, but home birth midwifery is very much legal and accessible in Wisconsin. Midwives are knowledgeable about local and state regulations and can provide more information.
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