Question 1

What is a CPM?

Accepted Answer

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)

Question 2

Is homebirth safe?

Accepted Answer

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/(https://nacpm.org/about-cpms/evidence/)

Question 3

Is homebirth for me?

Accepted Answer

An interview can answer your questions and concerns to determine whether home birth is a good fit. 
 
Click here to schedule a call. (undefined)
 
For more information about the Midwifery Model of Care can be found here.(https://nacpm.org/about-cpms/midwifery-model-of-care/)

Question 4

What does "wellbody" care mean?"

Accepted Answer

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.

Question 5

What happens if I need to be transported to the hospital during labor?

Accepted Answer

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.

Question 6

Do you attend Vaginal Birth After Caesarean (VBAC) at home?

Accepted Answer

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.

Question 7

How much does it cost?

Accepted Answer

An initial consultation is Free and encouraged.
 
The base fee for Prenatal, Labor & Postpartum care is $5800.

Payment plans are an option.
 
Other additional fees include, additional testing, lab work and or ultrasound.
Most lab work is covered by Insurance and Mainecare.

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.

Rose & Oak works with a private billing service that will counsel clients independently to pursue reimbursement for out of hospital birth.

It is recommended that a consult with the biller begin early in care to determine a 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.

.

Question 8

Do you take health insurance?

Accepted Answer

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

Question 9

Do you provide breastfeeding support?

Accepted Answer

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.

Question 10

Where do you attend births?

Accepted Answer

As a Primary Midwife I am willing to work within an hour+ radius of my home office in Rockport, 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.

Question 11

Do you still teach prenatal yoga?

Accepted Answer

Not currently. I love teaching yoga and hope to resume teaching in the future. In the meantime I am happy to share resources for home practice.

Question 12

Can my other children be part of care?

Accepted Answer

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.

Question 13

Where can I find more information and references?

Accepted Answer

Please check out www.nacpm.org(http://www.nacpm.org)

Question 14

What is your model of care?

Accepted Answer

Our 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.(https://www.internationalmidwives.org/assets/files/definitions-files/2018/06/eng-philosophy-and-model-of-midwifery-care.pdf)
 
To learn more about each area of service please continue reading or feel free to reach out.

Question 15

Is it possible to transfer my current care over to you?

Accepted Answer

It is possible, but since each situation is unique, please book a free consultation call (undefined)with me so that I can determine if I can care for your particular situation.

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