Nevada currently only regulates certified nurse-midwives (CNM). No other type of midwife is regulated. This has both risks and benefits for consumers. Anyone can legally call themselves a midwife and practice in Nevada and they wouldn’t be breaking any state law in doing so. Since not everyone is regulated, it’s important for parents to choose a midwife wisely. Before choosing, interview a prospective midwife and ask for educational background, clinical experience, number of births attended, and references.
As of August 2018, April has attended the births of 3,424 babies! She attended about 1,500 births as a labor and delivery nurse at Sunrise Hospital in Las Vegas, 87 births as a student nurse-midwife, 962 births as the primary CNM at St. Rose Hospital (not including cesarean births that she assisted with or births she shared with OB/GYN partners), and 696 home births since starting Baby’s 1st Day.
Because April is the only labor and delivery nurse turned midwife in Nevada, she has attended more births than any other home birth midwife in the state. This is valuable. For a midwife to see complications she has to have attended hundreds of births, as most births are perfectly normal. April’s experience gives her confidence in managing complications.
April is an out-of-network provider with nearly all insurances. Read your particular policy and look for specific terminology. Does it allow for a Certified Nurse-Midwife or advanced practice nurse? Does it mention home birth by name? April works with an insurance billing company that can answer all of your insurance billing questions: [email protected]
The option of going to the hospital at any point in your labor is always available. Having said this, it is very uncommon in a labor that is progressing normally that women opt to go to the hospital. Having the ability to eat, drink, move, and having the constant support of loves ones makes an incredible difference in your ability to cope with the hard work of labor.
Although it’s not necessary, you may choose to see an OB/GYN during your pregnancy. Clients generally find this dual care redundant as all of the lab work, ultrasounds, and prenatal assessment that you would get with an OB/GYN is available at Serenity Birth Center. Some women like the security of being able to say they have a physician relationship, just in case a hospital transport is necessary during the birth. April does work with a physician group in town if an emergency arises.
April has a small portable ultrasound machine in her office. Most of April’s clients opt to have a higher level ultrasound around 20 weeks of pregnancy. This "anatomy" ultrasound is scheduled at an imaging facility.
Water removes 75% of gravity, which significantly decreases the amount of pain you experience during labor and pushing. It also allows you to be more relaxed and mobile, and because of that, shortens your labor. Being able to change positions frequently and easily allows you to be more aware of how your labor is progressing and to feel a direct connection with what is happening. Water provides an increase in oxygen to the baby and the uterine muscles, decreasing the potential risks of fetal distress and prolonged, often ineffectual, labor.
It is more of a checklist of milestones that need to be reached rather than time frame that determines when the midwife leaves after delivery. We monitor the mother, observe that placenta has delivered and bleeding is stable, breastfeeding is off to a good start, mom has eaten, been up to urinate, and baby has a head to toe newborn exam. We also clean up during this time. By the time we leave, no one will know you had the baby at home by looking around the house; except there is the newborn in the bed with a proud Mama and family!
If, for any reason, the mother and baby are not doing just fine, we stay until the situation is resolved or go with one or both of you to the hospital.
Your midwife will complete a "Registration Of A Live Birth" form and send it in within 10 days of the birth. One of the questions on the form is for assigning a social security number at birth. We can check "yes" or "no." If you choose "no," you must then register the child for a social security number by the age of sixteen. Approximately 3 weeks after the registration of the live birth you can visit VitalChek and order the official, state-documented birth certificate.