A Certified Professional Midwife (CPM) is a knowledgeable, skilled and professional primary maternity care provider. Certified Professional Midwives are trained and credentialed to offer expert care, education, counseling, and support to women for pregnancy, birth, and the postpartum period. CPMs practice as autonomous health professionals working within a network of relationships with other maternity care providers who can provide consultation and collaboration as needed. All Certified Professional Midwives meet the rigorous standards for certification set by the North American Registry of Midwives (NARM). In the United States, Certified Professional Midwives provide unique and critical access to normal physiologic birth, which profoundly benefits mothers and newborns. Although qualified to practice in any setting, they have particular expertise in providing care in homes and free-standing birth centers, and own or work in over half of the birth centers in the U.S. today. Certified Professional Midwives are a fast-growing branch of the midwifery profession in the United States. With the first CPM certificate issued in 1994, and with over 2454 certificates awarded as of January 2014, approximately 1 in 6 midwives in the U.S. today is a CPM. (1)

Many studies show that home birth is a safe option with statistically fewer interventions for low risk clients when planned and attended by trained Midwives. The following links provide extensive evidence of the safety of home birth. https://nacpm.org/about-cpms/evidence/

An interview can answer your questions and concerns to determine whether home birth is a good fit. Click here to schedule a call. For more information about the Midwifery Model of Care can be found here.

Midwifery care is not only for pregnant people. Rose & Oak offers routine STI testing, physicals, breast exams and pap tests. Options for birth control, preconception health, fertility awareness are discussed, as is nutrition and complementary options for general health. Inclusive full spectrum well body care is the goal of Rose & Oak, with a strong emphasis on client education and empowerment. Referrals and resources are provided as needed.

Sometimes, it is required to leave the home and transport to the hospital for various reasons. Rose & Oak strives to utilize all tools and resources to stay at home unless it is clear that hospital transfer is needed and best practice. Generally transports are non emergent and are done with clear informed choice and respect. As part of a continuity model of care, if transport is deemed necessary, a midwife will transport with the client and continue support and advocacy in the hospital setting. Postpartum care in the home setting resumes once the client returns home.

VBAC is now an option in the home setting if a client meets the recommended requirements as outlined in the Maine CPM rules & regulations. Madrona is very passionate about supporting VBAC at home and welcomes a consult to see if this is a good option.

An initial consultation is free and encouraged. The base fee for Prenatal, Labor & Postpartum care is $5800. Payment plans are an option as is sliding scale if needed. Other additional fees include, additional testing, lab work and or ultrasound. Most lab work is covered by insurance and Mainecare. Rose & Oak offers access to reduced cash pay options for both lab work & ultrasound if clients do not have insurance coverage. Wellbody visits vary and can be discussed beforehand depending on labs required. Doula Services are $1500. Availability for doula support is very limited. Primary Midwifery clients are prioritized due to limited availability, reach out for inquiry. Rose & Oak works with a private billing service that will counsel clients independently to pursue reimbursement for out of hospital birth and can submit a superbill at the conclusion of the 6 week postpartum visit. It is recommended that a consult with the biller begin early in care to determine verification of benefits. A 500. deposit is required to initiate care. Payment is required by 37 weeks unless other arrangements are made. Rose & Oak Midwifery works with clients to make every effort to explore options to afford this model of care. Post partum homevisits for both mother and newborn after a hospital birth is available for 200. per visit. This is a wonderful option for families wishing to rest in the fourth trimester at home. .

Rose & Oak Midwifery works with an independent biller who provides support to clients for filing a global bill and submitting to individual insurance companies. Lab work and ultrasounds are often covered by Insurance and Mainecare Rose & Oak is not contracted by Insurance companies and is out of network.

As part of preparation prenatally, breastfeeding support is discussed and basics are covered as well as resources provided for in depth understanding before birth. As part of the scheduled postpartum visits, lactation support is an essential component of the time spent together in the first days and weeks. As breastfeeding is an ongoing experience, and lifestyle, if there is additional support or complications that arise, I will refer to local CLC or IBCLC support services. Breastfeeding support groups and resources can be very reassuring, educational and nourishing as an ongoing community support. We are very fortunate to have great options locally.

Rose & Oak serves an hour+ radius from the office in Rockland, Maine. As an assistant midwife, that area may stretch a little further as I am not the first midwife on location. I prefer to attend home births that are within a 30 minute commute to the nearest hospital.

I love teaching yoga and hope to resume teaching in the future. In the meantime I am happy to share resources for home practice.

One of the wonderful aspects of home based midwifery is the inclusion of young ones. I am always open to having little hands assist in measuring and feeling bellies. It is a great pleasure witnessing siblings prepare for a little one to join the family.

Please check out www.nacpm.org

Rose & Oak's philosophy embraces midwifery care as a foundational relationship based practice in which the individual needs and autonomy are honored and respected within the midwifery model of care. This philosophy honors the social, emotional, spiritual, psychological and physical experience of each individual. For more information, please see Midwifery Model Of Care. To learn more about each area of service please continue reading or feel free to reach out.

It is possible, as each situation is unique, please book a free consultation call so that I can determine if I can care for your particular situation.

You can schedule by connecting through the Lets Chat Inquiry on this website or email : Madrona@Roseandoakmidwifery.com Initial Session will include an intake and anterior session with instructions for providing the techniques of self care at home. Follow up sessions will include both anterior & posterior technique and castor oil packs if indicated. Do not hesitate to reach out with questions. Please refer to the WELL BODY & ARVIGO ABDOMINAL MASSAGE page on this site. Fee is 150. per session. Cash, Check or Venmo