Frequently-Asked Questions
Why choose midwifery care?
- Midwives hold a holistic view of health
- Midwives respect and honor the women they serve
- Midwives the take time to tailor their care to the needs of the individual
- Midwives believe pregnancy and birth are natural, normal events of life
- Midwives encourage women to become educated about relevant issues, take responsibility for their choices, and be empowered by their experiences
- Midwives use interventions only as needed, not routinely
- Midwives improve the outcomes of birth
Resources on the quality, cost benefit, and safety of midwifery care:
The Milbank Report: Evidence-Based Maternity Care: What It Is and What It Can Achieve - pdf
Washington Department of Health Cost Benefit Analysis on Washington Licensed Midwives - pdf
How safe is out-of-hospital birth?
Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician from the Canadian Medical Association Journal. "Women in the planned home-birth group were significantly less likely than those who planned a midwife-attended hospital birth to have obstetric interventions." Click here to read the abstract and access the full-text pdf.
A recent study from the Netherlands - the "largest study of its kind has found that for low-risk women, giving birth at home is as safe as doing so in hospital with a midwife." Read an excellent summary of the study by Midwives' Association of WA State member, Wendy Gordon, CPM, LM
“The largest study of home births attended by Certified Professional Midwives, as published in the British Medical Journal has found that home birth is safe for low risk women and involves far fewer interventions than similar births in hospitals.” –Citizens for Midwifery fact sheet 2005 - www.cfmidwifery.org/pdf/CPM2000.pdf
National Perinatal Association position paper on "Choice of Birth Setting" - pdf
References about the safety of out of hospital birth:
Blais, Regis, et al. (2002) Are home births safe? Canadian Medical Association Journal. The Association. 166(3):335-6.
Janssen, Patricia, et al. (2002) Outcomes of planned home births versus planned hospital births after regulation of midwifery in British Columbia. Canadian Medical Association Journal. The Association. 166(3):315-23.
Janssen, Patricia, et al. (1994) Licensed midwife-attended, out-of-hospital births in Washington state: are they safe? Birth. Blackwell Science, Inc. 21(3): 141-148.
Johnson, Kenneth and Betty-Anne Daviss. (2005) Outcomes of planned home births with certified professional midwives: large perspective study in North America. British Medical Journal 18;330:1416.
Pang, Jenny, et al. (2002) Outcomes of planned home birth in Washington State: 1989-1996. Obstetrics and Gynecology. Elsevier. 100(2):253-259.
Vedam, Saraswathi. (2003) Home birth versus hospital birth: questioning the quality of the evidence on safety. Birth. Blackwell Publishing, Inc. 30(1):57-63.
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Will my Health Insurance Company or medical coupons pay for an out-of-hospital birth?
Snohomish Midwives has insurance contracts with several insurance companies including: Aetna, Molina, United Healthcare, Premera, Regence, First Choice, Cigna, and DSHS Medicaid. We are also in the process of developing other contracts. We use a medical billing service to process our insurance reimbursement and Victoria Malloy is available to answer any questions you may have about your insurance coverage. Victoria can be reached at (206) 932-0870 or by email at vmmalloy@comcast.net.
If you don’t have health insurance, there is an out-of-pocket payment option we would be happy to discuss with you.
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Where will you travel to attend a home birth?
Snohomish Midwives will attend births as far north as Marysville, east to Lake Stevens and Monroe and south to Lynnwood, including Clearview, Woodinville, Bothell and Mukilteo.
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Are pain medications available in labor should I want them?
Licensed midwives are not allowed by law to administer pain medications other than regular over-the-counter medications someone could obtain from a drugstore. Instead, we deal with pain management in various ways according to what works best for that woman at that time. These include: knowledge about laboring/birthing positions, massage techniques, the use of heat, cold, and water, homeopathic remedies, herbal remedies, and various relaxation exercises.
If during labor you change your mind about wanting pain medications, there is always the option of transferring to the hospital, whereupon which your care providers would become the hospital staff and midwifery care would resume in the postpartum period.
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What makes Snohomish Midwives unique among local licensed midwifery practices?
- We have made a commitment to limit our client numbers so as not to sacrifice our quality of care and our quality of life.
- We are dedicated to the newborn during the prenatal period, at birth, and postpartum.
- We offer attentive postpartum support during your time of transition and the establishment of breastfeeding.
- We are continually making efforts toward environmental consciousness
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