Everything you need to know about certified nurse midwives (CNM)! Click image for larger view.
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This is a guest blog post by Jenny McCollian, St. Elizabeth Hospital patient
My first child, my daughter Maya, was born 12 weeks premature, but my second pregnancy seemed just as normal as any other. Because Maya had been born early, I was getting regular checkups every two weeks or so to keep an eye on things. At a checkup a week before my son James was born, I found out that he was going to come early. He arrived at exactly 28 weeks, on September 16, 2014, and I’m so happy that we had a NICU available right in our hospital to take care of him.
I started having pains late at night on September 15 and knew something was up. We initially went to the emergency room at St. Elizabeth Hospital, and when the staff on call realized that I was going into early labor, they went into action in seconds. Once the labor and delivery team came in, things were flawless, perfect. Even though my doctor, Dr. Darling, had just left to go home, he came right back to deliver James. The NICU nurses were all so sweet—truly friendly, caring and compassionate. I just loved them all.
The tradition of having a midwife for childbirth is a long one, but make no mistake that today’s certified nurse midwives (CNM) are highly trained medical professionals.
A CNM is an advanced practice nurse with a master’s degree in nursing who specializes in the care of women across their lifespan. CNMs are considered independent practitioners, who have the authority to write prescriptions.
The main difference between a midwife and an OB-GYN is in the perspective of care for their patients. Midwives are trained as nurses first, in the health promotion model of care. This means that they are trained to encourage patients to make healthy lifestyle choices while taking into account physical, emotional, mental and spiritual factors of health. OB-GYNs are trained in the medical model, which focuses mostly on the physical aspect of care and treatment. They specialize in surgery and illness processes, and midwives specialize in education and management of normal pregnancy and birth.
Because they are not called out of the office as frequently for emergencies and surgeries, midwives often have the luxury of being able to spend a great deal of time with their patients. A midwife can typically offer a highly personalized, natural process of care for your pregnancy and birth, and will have a collaborative agreement with a physician, who can consult or assist if risks or issues emerge.
If you decide that a midwife is the best choice for you and your baby, Mercy Medical Center has an expert team of certified nurse midwives, who are now accepting patients. For more information, visit http://www.affinityhealth.org/Affinity/Services/Obstetrics-and-Gynecology/Midwives.htm
As a mom, I know that pregnancy is a time filled with plans and questions. The question, “Who will provide my pregnancy and delivery care?” is front and center for many moms-to-be. Many also wonder “Who will take care of me after I have my baby?” Mercy Medical Center has a full team of compassionate, skilled Certified Nurse-Midwives (CNMs) who can fulfill all of those needs.
Care for all life’s stages
A CNM is an advanced practice nurse who specializes in the care of healthy women across the lifespan. They are RNs who have gone on to receive a master’s degree in nursing and are considered independent practitioners with the authority to write prescriptions. CNMs are required to have a collaborative agreement with a doctor to whom they can refer high-risk patients.
During pregnancy, CNMs offer the same pain management options as an OB-GYN, as well as continuous labor support and other natural pain relief options. Because they are less likely to be called away to surgery and emergencies, CNMs can often spend more time with individual patients to address any concerns you might have about your pregnancy or birth. Continue Reading »
You already know that a warm bath can soothe sore muscles and help you relax. It makes sense, then, that for many moms a water birth—when your labor, delivery or both are done in a birth tub filled with warm water—makes the birthing experience less painful and more soothing.
You may not be an ideal candidate for water birth if:
- You are having a multiple birth
- You have experienced complications such as preeclampsia or premature labor
- You have existing medical conditions
- Are considered a high-risk pregnancy
- Your baby is premature (less than 37 weeks)
- Your baby is in the breech position
- Your baby has first bowel movement while still inside (meconium stained fluid)
However, if your pregnancy has been healthy and your baby is well positioned, there are many benefits of water birthing.
While epidural and intrathecal pain control methods cannot be used during a water birth, you may not miss them. Studies have shown that having all or part of your labor in water reduces pain, in part by decreasing adrenaline production, allowing for a shorter labor, and by decreasing the pressure on your abdomen, which means better blood circulation and more oxygen to both you and your baby.
The water also helps reduce the incidence and severity of tearing, and the buoyancy makes it easier for you to move and find a position that is comfortable. The more relaxed and comfortable you are, the more you will be able to focus on the process of birth as it’s happening. Continue Reading »