Midwifery Care

A Certified Professional Midwife and Licensed Midwife---what does that mean? A Certified Professional Midwife (CPM) is a knowledgeable, skilled and independent midwifery practitioner who has met the standards for certification set by the North American Registry of Midwives (NARM). CPM is the only international credential that requires knowledge about and experience in out-of-hospital birth.

CPMs are guided by the NACPM Standards for Practice and the Midwives’ Model of Care™

The Midwives Model of Care™ is based on the fact that pregnancy and birth are normal life events and includes:

  • monitoring the physical, psychological and social well-being of the mother throughout the childbearing cycle;
  • providing the mother with individualized education, counseling and prenatal care,
  • continuous hands-on assistance during labor and delivery and postpartum support;
  • minimizing technological interventions; and
  • identifying and referring women who require obstetrical attention.

The application of this model has been proven to reduce the incidence of birth injury, trauma and cesarean section.

Midwifery Task Force All Rights Reserved © 1996-2001

Licensed Midwives

In Minnesota, the 1999 legislature passed Statute 147D that licenses and regulates traditional midwives. It recognizes the CPM certification and incorporates it into the process of licensure. The Minnesota Board of Medical Practice and the Advisory Council of Traditional Midwifery oversee the licensing and regulation of traditional/CPM midwives.

You can view the statute here: Statute I practice according to standards of care written by wise women in the Minnesota midwifery community. You can view those standards here: Standards

Midwifery Care at Blessed Event Midwifery with
Beth Bergeron, CPM, LM

I currently see clients at 810 4th Ave S, #138, Moorhead, MN 56560.

You can call me at 218-256-0412.

Initial Interview

For those uncertain about what midwifery is and what is involved with a home birth, I recommend you call and schedule a free consultation. I’ll answer any questions you and your partner may have about home birth and midwifery care and help you determine if you are a good candidate for home birth.

Prenatals

At the first prenatal we go over your health history and order any necessary prenatal lab work. After the initial visit I see you every 4 weeks up to 30 weeks, then every 2 weeks to 36 weeks and then weekly until birth. We discuss nutrition, vitamins/supplements, and herbs. At every prenatal we discuss any discomforts you may be having, measure the size of the uterus and palpate baby’s position. We listen to fetal heart tones. We record your weight and blood pressure. We do a urine analysis. We discuss topics you will need to make informed choices about; gestational diabetes testing, Group B strep, vitamin K for baby, newborn metabolic screening, newborn eye care, etc. We talk about your hopes and fears for this birth. We spend time getting to know one another, building a trusting relationship that is so integral to midwifery care and home birth.

You can plan on 1 ½ hours for the initial prenatal and 45-60 minutes for subsequent visits. We do a home visit around 36 weeks so we know how to get to your home, where things are kept, etc.

Assistants/apprentices

I have several assistants who are instructed in home birth procedures and who are also certified in Neonatal Resuscitation. Normally, you will meet them at your home visit around 36 weeks.

The Birth

I like to know as soon as you go into labor and together we decide how soon you want my assistance. I can help you cope with labor through suggestions to you and your birth partner and with hands on assistance as needed. I encourage position changes, the use of water, breath, music, darkness, quiet, etc. I see my job as the guardian of natural birth. I will monitor your intake and output, BP, temp, fetal heart tones, etc. as needed and communicate my findings to you.

Water birth is an option. I have a tub you can rent or they are available for purchase online.

After the birth, I assist with breastfeeding as needed and do a newborn exam. I stay until mother and baby are stable and everyone is comfortable.

Women birthing in their own home are less prone to infections as they develop immunities to the germs in their own environment. In your own home, you are the boss and have the freedom to move about as desired and best of all after the baby is born you get tucked into your own bed!

Complications

Occasionally, women or babies need additional medical assistance beyond my scope of practice. The most common reasons for transports to a hospital from a home birth are not time-pinch emergencies. The two most common reasons are non-reassuring fetal heart tones and long labors/tired moms. I will refer you to the physician of your choice or contact and go to the nearest emergency room. I will stay with you throughout the transport and until the baby is born.

CPMs are trained to deal with hemorrhage, stuck shoulders, neonatal resuscitation and other emergencies. My license allows me to legally carry oxygen, anti-hemorrhagic drugs, supplies for suturing, vitamin K, and newborn eye prophylactics.

Postpartum Care

I come to your home for postpartum checkups usually on days 1 & 3, 1 week, and 2 weeks. The six week visit is usually at the office. We talk about discomforts, normal and abnormal postpartum healing, how breast feeding is going, weigh the baby, examine the baby, check for jaundice, and etc. I provide a keepsake birth certificate with hand and footprints and also file the official birth certificate for you. I offer genetic/metabolic blood spot screening, critical congenital heart defect screening (CCHD), and hearing screening for the newborn.

Beth Bergeron,  Certified Professional Midwife, Licensed Midwife

 

Contact me at 218.256.0412 or beth@blessedeventmidwifery.com

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