I'm Not Pregnant Can I Still Use You For Services? Yes, we are available as advanced practice registered nurses or adult nurse practitioner to help you with women's health, birth control, basic primary care, wellness checkups, and much more. Please see a list of specified visit types under the services section of the website.
What Primary Care Services are Offered? We offer comprehensive physical exams, acute visits (colds, pain, ect), GYN exams, and chronic disease visits. Adolescent through adults, male, female, TGLBQ and elderly welcome.
What is a Adult Nurse Practitioner? A nurse practitioner is trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose illness and disease, prescribe medication and formulate treatment plans. Nurse Practitioner training covers basic disease prevention, coordination of care, and health promotion, but does not provide the depth of expertise needed to recognize more complex conditions. According to the American Association of Nurse Practitioners, an adult nurse practitioner is educated at the graduate level to provide "primary, acute, chronic, and specialty care to adult patients".
What is a Certified Nurse Midwife or CNM? "Midwifery as practiced by certified nurse-midwives (CNMs®) and certified midwives (CMs®) encompasses a full range of primary health care services for women from adolescence beyond menopause. These services include the independent provision of primary care, gynecologic and family planning services, preconception care, care during pregnancy, childbirth and the postpartum period, care of the normal newborn during the first 28 days of life, and treatment of male partners for sexually transmitted infections. Midwives provide initial and ongoing comprehensive assessment, diagnosis and treatment. They conduct physical examinations; prescribe medications including controlled substances and contraceptive methods; admit, manage and discharge patients; order and interpret laboratory and diagnostic tests and order the use of medical devices. Midwifery care also includes health promotion, disease prevention, and individualized wellness education and counseling. These services are provided in partnership with women and families in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers." to read more about the scope of practice of a certified nurse midwife please read the position paper from the American College of Nurse Midwives at ACNM.org.
Can I Have My Baby at Gifford? Midwifery Services at Art of Birth Midwifery include both home and hospital birth. Meghan is credentialed through Gifford Medical Center with admitting privileges and Ali will be soon. Feel free to contact us for more information on working with our small group of midwives.
Is Insurance Accepted at Art of Birth Midwifery and Art of Wellness? Yes. the insurances we accept are found under the insurance section. For detailed information please contact us ahead of time. We collect copays at the time of visits.
What do the Fees for Homebirth Look Like? Full Midwifery Care: Includes full prenatal care, being on-call for labor from 36 weeks, labor, birth, suturing, 3 home postpartum visits, breastfeeding help & newborn care through 28 days. Insurance dependent for client portion. Things that are not included in my fees above: Labs, diagnostic and screening ultrasounds; genetic screenings tests or fees from other providers that you choose to see, problem visits in pregnancy, home birth supplies, birthing tub rental if you desire. Full details on what your insurance will cover will be provided to you after you complete an intake form and send a $35 fee for insurance analysis to my billing specialists, Birth Billing Specialists. From here, we make a personalized contract with the specifics of your insurance. For Clients with Medicaid: The services that are not covered by, nor billed to Medicaid that you will be billed for include the non billable items. Again this fee is in line with most other home birth nurse midwifery services in Vermont. A detailed list of what these services are will be given to you at the start of care after benefits analysis is completed. For Clients with Private Insurance: Please note that each policy is different. We have you get a personalized insurance breakdown and we work out a plan specific for you. Your insurance may cover all or some of the cost of your midwifery care, labs, and ultrasound fees. We work hard with clients from all walks of life. We try to work out specialized payment plans and we are open to barter. If you have a financial need, please feel free to contact us and discuss this with me. Our first priority is in the care of our clients.
Who Might Want a Home birth or Free Standing Birth Center birh? The type of care each person receives for the pregnancy and birth is very different and specialized. At Art of Birth Midwifery, we strive to work with you and address your personalized birth plans and ideas. We work together to have a trusting relationship. People choose home birth when they strive to have care that is safe, affordable, and personalized. They choose home birth so that they can have a trusting relationship with the person catching their baby and so they have access to more than just a phone number. They want a set person to answer their questions and know them.
Is Out of Hospital Birth Considered Safe? There are many studies that speak to the fact that homebirth is considered a safe option for childbirth for low risk women. There is also no additional risk to the mother and the baby when the client is low risk. For more information please click this link from MANA.
What Type of Home Do I Need to Have for a Home birth? A home is a home. At Art of Birth Midwifery we accept clients from any home type. This can be an apartment, condo, house, flat, etc. We work with people from a country farm to a downtown apartment. We work to develop safety plans as well as to concur any barriers to your personalized care. See our Home Birth Supplies list here. How are we Prepared for Emergencies? Art of Birth Midwifery is a Mobile Birthing Center, that has all the equipment needed to assist you in having a safe birth experience. We come prepared with resuscitation equipment, oxygen, and medications needed in case of hemorrhage or other obstetric emergency. We work with the local hospital to assure a smooth transition in the case of an emergency. Sometimes we use an ambulance and other times a private car. We believe in open communication with the facility we are working with for transfer of care. We do our best to continue in your care after transfer is completed. We work hard to screen each client. We serve low risk clients; if a client rules out for home birth, a discussion about the risk is completed and we discuss how Art of Birth can continue in your care in the hospital setting. This varies depending on the reason for transfer and place of transfer.
How is the Care I Receive From Art of Birth Midwifery Different? Here at Art of Birth we strive to know you. We provide individualized visits that are longer and full of education and wellness. We work on your personalized health goals for you and if your pregnant, your growing baby. We work to guide you about local resources and provide care in a variety of settings; from my office in Randolph to your home if you need a home visit. I believe that your comfort is part of the care you should receive. The visits are based on your needs and are often longer and more individualized to meet your personal needs. We are providers that are always available to follow you through all your care. You know who will be there when you have your baby!
Art of Birth & Art of Wellness 17 Central Street, Unit 1 Randolph, VT 05060 Phone: 802-431-6030 Fax: 802-735-1664