Frequently Asked Questions

What is a Licensed Midwife?

​A Florida Licensed Midwife is a graduate of a Florida mandated and regulated academic program, consisting of 9 semesters in three years. In order to graduate, a  Florida Licensed Midwife must also complete 8 semesters of clinical internships and attend 75 births,with 50 labor and delivery managements. The Licensed Midwife must pass the state board exam which is the North American Registry of Midwives national certification examination. Licensed Midwives in Florida are autonomous maternity care providers for low-risk, healthy women. Midwives also work collaboratively with physicians and offer childbirth services in the patient’s homes, birth centers, clinics and hospitals. Florida Licensed Midwives are eligible for reimbursement by private insurance and Medicaid

Do I need an OB in addition to a Licensed Midwife for my prenatal care?

No- Licensed Midwives offer complete prenatal care and laboratory testing. If you desire an ultrasound the midwife will refer you out to a recommended facility.

I am only weeks away from my due date. Can I switch care?

Yes, you can transfer into care at HolisticMaternity at any point in your pregnancy. We will request your records from your previous care provider

Who will clean up after the birth?

Your birth care team will take care of everything after your birth. When the midwife feels it’s time she will call a birth assistant in to aide her. The birth assistant and midwife will: feed you a meal, wash the laundry, disinfect the birth area, clean and disinfect the pool or bathtub, take out any garbage and do anything else that will allow you to focus on nurturing your baby over the next few days

Do you offer VBAC (Vaginal Birth After Cesarean) options for families?

For most women, VBAC is a safe choice. The National Institutes of Health and the American College of Obstetrics and Gynecology both issued position statements in 2010 recommending trials of labor after cesarean for women with one low transverse uterine incision, and in many cases, two. The Florida Agency for Health Care Administration currently prevents women from pursuing VBAC births in Florida birth centers. However, women who meet the requirements of a thorough risk assessment and physician consult and approval may choose to have a home VBAC with a licensed midwife. 

Do I need a Pediatrician?

Yes. Your baby will need to be seen by a pediatrician within 24-48 hours after birth. There is no need, however, for you or your baby to go to the hospital following the birth unless a complication arises.

How do I obtain a birth certificate and social security card for my baby?

After the birth of your baby the midwife will submit a birth certificate to the health department. Following its submission, a social security card is mailed to the parents in 6-8 weeks. You may obtain a copy of the birth certificate from the Health Department’s Vital Statistics department for an average fee of $15.00.

What if something goes wrong?

Healthy women with normal pregnancies generally stay healthy and have normal births. Most problems that develop during pregnancy or birth have clear warning signs well ahead of time, and we can calmly plan for preventing or managing a problem.

Your Midwife is highly trained, experienced, and able to quickly identify and manage any situations which are outside of normal. If a complication arises, we have emergency equipment including oxygen, IVs, medications to stop hemorrhage, and resuscitation equipment. All of our team is trained in emergency procedures, including CPR and neonatal resuscitation. If a hospital transfer becomes necessary, your Midwife has a plan in place for transfer and will accompany you to the hospital where you can receive the obstetrical care that you require

What if the cord is around the baby’s neck?

Actually, this is a rather common occurrence and not an emergency. One-third of all babies are born with the cord around their neck. Rarely, does this cause a problem. Once the head is born, the Midwife will feel around the baby’s neck to see if a cord is present. If the cord is around the neck, then the Midwife will either slip the cord over the baby’s head or will birth the baby’s body through the cord. If the cord is extremely tight, it can be clamped and cut, but that’s usually not necessary.