What is a midwife?

Midwives are highly trained, board certified health care practitioners who provide comprehensive prenatal care as well as care during labor, birth and the postpartum period. Our practice also provides well person gynecological and contraceptive care, pre-conception and fertility counseling, and intrauterine inseminations.

The midwifery model of care is a collaborative family-centered empowering model of pregnancy care that focuses on providing patients with individualized care uniquely suited to their specific physical, mental, emotional and cultural needs.

We work in New York State where midwives are independent practitioners. We order and interpret diagnostic tests and ultrasounds. We also have DEA licenses and can prescribe medication.

CNMs (Certified Nurse Midwives) are trained nurses (RNs) and also have a master’s degree in midwifery. Abby, Gina and Ellen all have the CNM certification with master’s degrees from Yale and Columbia respectively.

The countries with the best maternal and infant health outcomes (Canada, the Netherlands, the United Kingdom) use midwives as the default health care providers for pregnancy!

Why should I choose your practice?

  • We are a three-midwife practice. This means you will receive highly personalized care and will know the person that attends the birth of your baby very well!
  • We limit ourselves to 8 patients due per month which allows us to be well rested and fully present for you during your visits as well as your labor and birth
  • Limiting our patient load also allows us to offer longer appointments (75 minute long first visits, 30 minute revisits) and not overbook our office days, so no long waits for appointments
  • We have conveniently located offices in both Brooklyn and Soho
  • We attend births at Mount Sinai West where we implement low risk protocols (intermittent monitoring; ability to eat, drink and move freely in labor, etc) for the majority of our patients
  • Our practice c-section rate in 2018 was 10.7%, well below the national average of 31.9%

What happens if any issues arise that require an obstetrician?

If any issues arise prior to labor, we have an excellent collaborative relationship with the Maternal Fetal Medicine high-risk faculty practice at Mount Sinai West and consult with them.

If a complication arises during labor the on-call OB attendings at Mount Sinai West are our back ups. We consult and can collaboratively manage care with them as needed, or transfer care to them in the event a cesarean section is necessary. If your care is transferred to an OB during your labor, your midwife will stay with you in a support role throughout your labor, birth and early postpartum/breastfeeding period.

That all sounds great, but I want the option of getting an epidural during labor!

We are delighted to support you in an unmedicated labor and birth but you can absolutely have an epidural while being cared for by a midwife and we are all about you getting an epidural if you want one! Anesthesiologists are the people that administer and manage epidural anesthesia and we have a lovely team of them at the hospital where our clients birth. We also have other pain control options we can order, such as inhaled nitrous oxide (which is extremely popular in Europe for pain relief during childbirth).

How is a midwife different from a doula?

Midwives are health care providers and doulas are not. Doulas are experts at providing support during labor and birth — physical as well as emotional. They will often meet you at your home in early labor, help you decide when to meet us at the hospital, suggest and help you implement a variety of pain coping techniques, support you in decision-making throughout the birth process, etc. They do not provide any clinical or medical care. We love doulas and believe a doula/midwife team is a recipe for a great birth!

I don’t see a phone number on your website, how can I get in touch with you? 

We have an emergency on call number that we only give out to current pregnant clients. We conduct all other communication (initial inquiries, appointment scheduling, etc) via email and can be reached at: info@communitymidwifery.com