What is a Certified Professional Midwife (CPM)?
A Certified Professional Midwife (CPM) is a homebirth midwife certified by the North American Registry of Midwives (NARM). Midwives specialize in supporting normal, healthy pregnancies and births through the Midwives Model of Care. They provide individualized care to women, families, and their newborns throughout the childbearing year.
What happens if there’s an emergency or if we have to transfer into the hospital?
Although statistics support the safety of homebirth, problems may arise in pregnancy, labor, or after birth that necessitate a transport of care. Throughout your pregnancy, we will be working together to keep you in optimum health and good balance; we will also be vigilantly screening for complications. If, in spite of our best efforts, complications do arise, and the balance required for homebirth cannot be restored, an individualized transfer of care plan is in place. If a transfer of care is done during pregnancy, we will be available to provide doula support through the remainder of the pregnancy and birth. If a transfer of care is done during labor, we will make the necessary arrangements and accompany our clients to the hospital. Once there, we will remain with our clients and function as in-hospital labor support the entire time.
I have had a cesarean, can I still have a homebirth?
I love supporting HBAC mamas and in the state of New Hampshire HBACs are legal if:
- The potential client has had only one previous cesarean section;
- The previous delivery was performed through a low transverse uterine segment incision;
- The potential client has had no other uterine surgeries;
- At least 18 months’ separates the date of the potential client’s previous cesarean section and the due date of the current pregnancy;
- An obstetric ultrasound documents that the placenta is not in a low-lying anterior position;
- The potential client plans to give birth in a location no more than 20 minutes’ drive from a hospital with obstetrical and anesthesia services on call 24 hours a day.
Do I need to have an ultrasound?
Ultrasound can be a useful tool but is not routinely necessary in a healthy pregnancy. Some reasons an ultrasound may be recommended include uncertain dates, vaginal bleeding, possibility of twins, abdominal pain, decreased fetal movement, or if you have previously had a cesarean. Many clients planning a homebirth do decide to have a 20-week fetal anatomy scan done, but this decision remains with you.
Can I have a waterbirth?
Waterbirth isn't just for mermaids! Borne Home has an AquaDoula, the original heated, portable pool developed specifically for labor and waterbirth. Paige loves the use of water for pain relief, and believes that a birth tub is a great tool to have at any labor.
Do I have enough room for a homebirth?
Yes you do! Babies can be born just about anywhere. As long as you have freedom to move about, feel safe, and the birth place is reasonably clean and warm, your home is a fine place to give birth.
I’m over 35, can I have a homebirth?
Yes, as long as you are healthy and wish to take an active role in your maternity care, you are a good candidate for a home birth.
Isn’t home birth messy?
Birth is not usually very messy. Midwives are good at containing the mess and you can expect to have a garbage bag full of trash and one full load of laundry when the birth is over. Sometimes your home is cleaner when we leave than when we arrive!
Who can be at my birth?
Anyone you like! You can have a doula, your mother, your best friend, anyone who can provide good support for you during birth and who accepts your decision to give birth at home. Anyone who will be at your birth is welcome at your prenatal visits, especially children. If you will have children at your birth it is wise to have a designated support person for them. I encourage family-centered birthing and have books and videos to help you prepare your children for the birth.
Who will you bring to my birth?
There will be two midwives at your birth – myself and another midwife to assist. We can be as involved or as hands-off as you’d like. We can be by your side, or quietly sit in another room, ready and available. This is your birth experience, you decide who will be present, and how each person will support you.
What equipment do you bring with you to births?
We bring a doppler for listening to the fetal heartbeat during labor, equipment for monitoring maternal vitals, herbs, homeopathics, and various other supplies and equipment. We also carry oxygen and resuscitation equipment, emergency medications to stop bleeding, IV supplies, and suturing equipment with local anesthetic.
Can my partner or I catch the baby?
Yes, parents are encouraged to receive their own baby!
What about the birth certificate and social security for the baby?
We provide the necessary paperwork required by the state to obtain these documents. New Hampshire recognizes homebirth as a valid choice and you'll have no problem with this legal process.
How much do your services cost?
Occasionally, we offer a flexible payment plan for those experiencing financial hardship. Please do not hesitate to ask, we don't want to turn anyone away who truly desires to have a homebirth. Potential clients who are receiving assistance (food stamps, WIC, medicaid) may qualify for a discounted rate. Trades and payment plans can be made on a case by case basis.