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. My practice also provides well person gynecological, contraceptive, and pre-conception care as well as in-depth and holistic fertility counseling.
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.
I work in New York State where midwives are independent practitioners. I order and interpret diagnostic tests and ultrasounds. I also have a DEA license and can prescribe medication.
CNMs (Certified Nurse Midwives) are trained nurses (RNs) and also have a master’s degree in midwifery. I have the CNM certification with a master’s degrees from Columbia University.
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?
- I am a one-midwife solo practice. This means you will receive highly personalized care and will know the person that attends the birth of your baby very well!
- I limit myself to 2-3 patients due per month which allows me to be well rested and fully present for you during your visits as well as your labor and birth
- Limiting my patient load also allows me to offer longer appointments (75-90 minute long first visits, 30-45 minute revisits) and not overbook my office days, so no long waits for appointments
- I attend births at Mount Sinai West where I implement low risk protocols (intermittent monitoring; ability to eat, drink and move freely in labor, etc) for the majority of my patients
- My practice c-section rate is less than a third the national average
What happens if any issues arise that require an obstetrician?
If any issues arise prior to labor, I 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 my back ups. I 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, I 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!
No problem! I am delighted to support you in an unmedicated labor and birth if that’s what you want but you can absolutely have an epidural while being cared for by a midwife and I am 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.
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 me 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. I 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?
I have an emergency on-call number that I only give out to current pregnant clients. I conduct all other communication (initial inquiries, appointment scheduling, etc) via email and can be reached at: firstname.lastname@example.org
2021 Practice Statistics
C-Section rate: 16%
Epidural rate: 25%
Induction rate: 16%
Augmentation rate (for labors already underway): 8%
Artificial Rupture of Membranes: 42%
Intermittent Fetal Monitoring: 40%