Who can have a home birth?
Home birth most indicated for low-risk pregnant people who are pregnant with a single baby (i.e. not twins or multiples). Most people can have a home birth even if you had a hospital birth or c-section before. If you have concerns whether you are a candidate for a home birth, please schedule a complimentary consultation so we can discuss!
What is a midwife?
While there are a few different types of midwives in the United States, as licensed midwives we are trained providers who are licensed by the state. Elizabeth is also a naturopathic doctor and received her Masters in Midwifery from Bastyr University in Seattle, WA. As midwives we are trained in normal physiologic birth but also in emergency procedures including neonatal resuscitation, CPR, managing blood loss and other things that can come up in birth from time-to-time. Midwives are also experts in normal woman and infant care. Midwives can perform lab testing and order ultrasounds and other diagnostic tests. At Maine Coast Midwives we practice naturopathic midwifery which combines the principles and training of naturopathic medicine with the Midwifery Model of Care.
What is naturopathic midwifery?
Naturopathic midwifery combines the principles and therapeutic order of naturopathic medicine with the Midwifery Model of Care. Naturopathic midwives are naturopathic doctors often specializing in women's health and pediatrics and also trained midwives. Naturopathic midwives are experts in health optimization in pregnancy in addition to well versed in treating common conditions of pregnancy naturally. Naturopathic midwives often do more laboratory testing and in depth health analysis in pregnancy than the average midwife.
Is home birth safe?
Studies have confirmed what midwives have known in practice for a long time: home birth is safe for low-risk women when a trained provider is in attendance. Midwives monitor mothers and babies throughout the prenatal period to ensure they are good candidates for home birth. Midwives bring equipment and medication to births that greatly increases the safety of home birth. By monitoring the birthing person and baby closely throughout labor, midwives continue to ensure birth is safe for the home setting and will work to coordinate a smooth transition to the hospital setting if it's believed additional resources are needed for the time of birth.
Can I have a water birth?
In short, yes! Though sometimes babies do decide to come quickly like in the case of Elizabeth's daughter, Sadie, who was born on the walk to the birth tub!
What happens in the case of a hospital transfer?
In the case of a hospital transfer, we ensure a smooth transition by contacting the hospital ahead of time, faxing over records and alerting the hospital to your arrival. Most of the time, transportation will happen by private car, though on certain occasions, EMS may be called. A midwife will accompany you to the hospital and stay with you for the duration of your labor, acting in a doula role. A midwife would be with you at the time of birth and for a few hours postpartum. After you are discharged from the hospital, postpartum care would resume in your home.
How much does midwifery care cost?
Maine Coast Midwives charges a global fee of $5000 which includes care from 8 weeks of pregnancy to 12 weeks postpartum including all appointments, a home visit, in-home postpartum visits and being on call for birth from 37 weeks of pregnancy. Labs and ultrasounds can be billed through insurance or paid with cash. We request payment in full by 36 weeks and typically create a payment plan with patients. We work with an experienced biller to work to get our patients reimbursement once care has concluded.
MIDWIFERY FAQS
What is functional medicine?
Functional medicine is a system of medicine rooted in physiology and biology that focuses on identifying and addressing the root cause of disease. A single disease or symptom can quite a few root conditions and a root condition can lead to a number of different diseases or symptoms. Functional medicine acknowledges that a condition may span a variety of different medical "specialties;" for example, endometriosis (typically thought of as a gynecological condition) actually is caused by inflammation, imbalances in gut health, and aspects of autoimmunity, in addition to hormone balancing (there may be nutrient depletions and thyroid imbalance at play as well!). Functional medicine helps patients to find healing by working to restore balance to the underlying causes of the disease.
What types of laboratory tests might you run?
We run "basic labs" (CBC, liver function, kidney function, thyroid panels, inflammatory markers, lipid panel, ect.) in addition to more specialty testing. Labs we run on a frequent basis include:
Salivary and urine hormone panels
Adrenal (cortisol) saliva panels
Micronutrient testing
Functional stool tests
SIBO breath tests
Neurotransmitter testing
Food intolerance testing
MTHFR, COMT and other genomic/SNP testing
Comprehensive metabolic tests
Heavy metal testing
Environmental toxin testing
Organic acid testing
Viral testing including Epstein Barr Virus
Lyme disease and co-infection panels
What do treatment plans look like?
Our treatment plans consist of targeted diet and lifestyle recommendations, nutraceuticals (supplements), botanical medicine, homeopathy and flower essences, hydrotherapy and more.
Do you prescribe pharmaceutical medications?
Rarely we will prescribe a pharmaceutical medication. It is our experience that natural medicines in combination with specific diet and lifestyle interventions typically work more effectively with fewer side effects than pharmaceutical medications.
What do appointments look like?
Our new patient appointments are 75-90 minutes long. We have an in depth conversation about your current symptoms, health history, lifestyle, medical preferences and beliefs and more. Our follow up appointments are typically 30-60 minutes depending on what needs to be covered. Well child visits and acute appointments are between 30-45 minutes. We work more like a medical doctor than a chiropractor or acupuncturist, for example, meaning we typically see people for follow ups between 6 weeks and 6 months later, depending on the stage of their healing journey.