Frequently Asked Questions About Homebirth
What is a CPM?
A Certified Professional Midwife (CPM) is a knowledgeable, skilled and independent board certified midwifery practitioner who has met the standards for certification set by the North American Registry of Midwives (NARM). The CPM is the only international credential that requires knowledge about and experience in out-of-hospital birth. Midwives are the experts in “normal”. They are also trained to handle the rare complications that arise, so that they can provide care while en route to a higher level of care. Ideally, complications are anticipated or recognized early so transport occurs before an emergency arises.
Where can CPMs practice?
CPMs are trained and credentialed to offer expert care and support to low-risk, healthy women and their babies for pregnancy, birth and the postpartum period. CPMs practice as autonomous health professionals working within a network of relationships with other maternity care professionals who can provide consultation and collaboration when needed.
In Nevada, CPMs are prevented from practicing in birth centers by current legislation. CPMs in Nevada only provide care for birth at home.
Is home birth covered by insurance?
More and more insurance companies are recognizing homebirth as a reasonable and cost effective option. Many insurance companies will cover homebirth. If you have medical insurance, we can determine if it will cover your delivery. Visit our Insurance Page to find out more information.
Do you offer the same tests as doctors?
The same lab work is offered through this practice as is offered in an OB's office. The prenatal visit before any routine lab work or test is ordered will be used to discuss risks, benefits and reasons why the testing is considered. You will have time to further research the test on your own and come back for more discussion. This allows you to make a fully informed decision on the merits of the testing offered. The lab worked offered, includes, but is not limited to, complete blood count (CBC), blood factor and type, antibodies, rubella titer, sexually transmitted infections, genetic screening and testing, group beta strep testing and preventative treatment, gestational diabetes screen & test, Rhogam administration for women with a negative blood type, and ultrasound. All test results are discussed in depth. Other tests may be considered if situations indicate them.
Is home birth covered by insurance?
More and more insurance companies are recognizing homebirth as a reasonable and cost effective option. Many insurance companies will cover homebirth. If you have medical insurance, we can determine if it will cover your delivery. Visit our insurance page to find out more information.
Is home birth safe?
Medical researchers and statisticians have studied the safety of homebirth for almost 35 years. It is thoroughly documented in studies conducted throughout the United States, Great Britain and the Netherlands that homebirth is safe for well-screened, carefully attended low risk women. Homebirth results in significantly increased odds of a normal, vaginal delivery and lower rates of surgical intervention, fewer episiotomies, decreased odds of severe perineal trauma, and significantly lower overall maternal morbidity (including postpartum hemorrhage) for those with a low-risk, healthy status. A meta-analysis showed no statistically significant difference in infant mortality (death) and stillbirth rates in well-designed studies. NICU admissions are also significantly lower in babies born at home, especially for women who have previously had a baby. There are rare complications that may be better handled in the hospital, so careful consideration is required before choosing to birth at home.
*Scarf,V.L., et.al. (03/29/2018) Maternal and perinatal outcomes by planned place of birth among women with low-risk pregnancies in high-income countries: A systematic review and meta-analysis. Midwifery 62 (2018) 240-255