midwife questions

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MIDWIFE QUESTIONS ABOUT HER 1. Please describe your overall approach to labor and birth. 2. How long have you been practicing midwifery? 3. Why did you become a midwife? 4. What is your training/education/certification? 5. Do you carry personal malpractice coverage for your home birth practice? 6. How many births have you attended? 7. Will you deliver the baby, or will you assist me in birthing him/her/them? 8. Who is your back-up pair of hands/midwifery assistant? When can I meet him/her? 9. Is your role more medical or do you act in a doula-type role during delivery? 10. How many births do you take on per month/year? 11. Are you planning any vacations, trips, major surgeries, or other events that would interfere with your attendance at the birth? PAYMENT 12. How much do you charge, and by what date would the full amount be due? 13. What is your hospital transfer rate? 14. Do you accept payment plans? What is your refund policy if we decide to switch care providers? 15. How often do your clients succeed in having their health insurance provider reimburse them? 16. Do you have experience and recommendations for prenatal nutrition? COMPLICATIONS 17. Do you deliver breech? Do you deliver all kinds of breech? Do you have training and experience in this kind of delivery? If not, do you have a midwife you would

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MIDWIFE QUESTIONSABOUT HER1. Please describe your overall approach to labor and birth.2. How long have you been practicing midwifery?3. Why did you become a midwife?4. What is your training/education/certification?5. Do you carry personal malpractice coverage for your home birth practice?6. How many births have you attended? 7. Will you deliver the baby, or will you assist me in birthing him/her/them?8. Who is your back-up pair of hands/midwifery assistant? When can I meet him/her?9. Is your role more medical or do you act in a doula-type role during delivery?10. How many births do you take on per month/year?11. Are you planning any vacations, trips, major surgeries, or other events that would interfere with your attendance at the birth?

PAYMENT12. How much do you charge, and by what date would the full amount be due?13. What is your hospital transfer rate?14. Do you accept payment plans? What is your refund policy if we decide to switch care providers?15. How often do your clients succeed in having their health insurance provider reimburse them?16. Do you have experience and recommendations for prenatal nutrition?

COMPLICATIONS17. Do you deliver breech? Do you deliver all kinds of breech? Do you have training and experience in this kind of delivery? If not, do you have a midwife you would refer me to if the baby had not turned?What about a posterior baby?18. Do you have experience with turning babies, not hospital version-style?19. At what point would I get risked out of your practice, e.g. how many weeks overdue could I go before you transferred my care to a doctor?20. Do you do the Gestational Diabetes screening? Is there an extra cost associated with it? Do you allow your clients to eat a specific meal before the test, or do you make them swallow a sickeningly sweet orange drink?21. Do you continue to see clients with Gestational Diabetes, or do you refer them to an obstetrics practice?22. Do you do routine episiotomies? Do you do any episiotomies? (2nd degree tear?) Do you feel confident in your ability to suture? How much experience do you have suturing? How bad would a tear need to be for you to feel it required a hospital transfer?23. What, during labor, would facilitate a hospital transfer? And how and when do you make this call? 24. With what hospital based providers do you have a collaborative relationship with to facilitate transfer of care if that is necessary?25. What is your c-section rate? Transfer rate? Emergency transfer rate? Have you experienced any poor outcomes as a home birth provider? If so, please explain.26. What kind of care would you provide if a hospital transfer took place?27. What equipment do you bring with you to a birth? Are you legally allowed to carry Pitocin (for post-birth hemorrhaging)? Do you? 28. What do you do for post-partum hemorrhaging?29. What are your protocols and treatment options for RH negative women? 30. What are your protocols and treatment options for Group B Strep?31. Do you carry oxygen?32. Are you trained in neonatal resuscitation?33. Have you had any loss (baby or mother)? Why and what happened?

OTHER 34. What do you think about delayed cord clamping?35. What methods do you suggest to alleviate labor pains?36. Do you have experience with EOs prenatally, during delivery, afterward? Or other homeopathic remedies?37. What methods of pain management do you recommend?38. Are you ok with pts who do not want vaginal checks?39. Are you familiar withother ways of assessing dilation?40. What does clean up look like post birth?41. What kind of postpartum care do you offer?42. How long will you stay with us after the baby is born?43. At what point in labor do you like to be called & typically come?44. How do you view the fathers role?45. What measures do you take to prevent tearing?46. Do you do placenta encapsulation? Is there an extra charge?47. Do you facilitate water birth? Do you rent out or provide tubs? What have you seen the pros & cons to be for water births?48. What medical supplies do you have with you when attending a birth? 49. What supplies are we required to have/get?50. Are you able to help with breastfeeding afterward?51. Do you do newborn screening tests?52. What can you do to help with newborn jaundice?53. How is the filing of the birth certificate handled?54. What is your preferred method of communication, prenatally (phone, email, text)?55. Midwifery is a challenging profession, and often a labour of love. What can I do to make this experience easiest for both of us?