Certified nurse midwives are women’s health care providers who often practice alongside ob-gyns, nurse practitioners, and physician assistants in an office setting. Although midwives are best known for delivering babies, they see women of all ages for a range of health issues.
Here to answer some of the most commonly asked questions is Lydia Schmittel, CNM a certified nurse midwife with Magee-Womens Specialty Services at UPMC. Lydia holds undergraduate degrees in nursing and biology and a master’s degree in midwifery. Her nursing background includes postpartum and antepartum care, as well as labor and delivery.
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Commonly Asked Questions About Midwives
What Is a Midwife?
Midwives are women’s health care specialists who are trained to diagnose and treat a variety of issues women may encounter in their lifetimes. We can deliver babies and independently treat women’s health conditions. For more complex issues that may arise, we follow established guidelines. If something comes up in your pregnancy that isn’t quite normal, we consult with an ob-gyn or a maternal fetal medicine specialist and collaborate with them to manage your care. In rare cases, we may refer you to be cared for by physicians if we feel it is in the best interest of you or your baby.
Do Midwives Only Do Home Births?
While some midwives do offer home births, the midwives at Magee-Womens Specialty Services at UPMC Horizon deliver babies in the hospital. We also see expectant mothers in the office for their prenatal care.
Do I Need a Doctor to Deliver My Baby?
In most cases, you can choose to have a midwife deliver your baby. If something comes up during labor, midwives are trained to recognize problems and take appropriate action. While midwives are licensed, independent providers, we work as a team with our doctor colleagues to ensure our patients receive safe care. We let the doctor know when we admit you, we update them as your labor progresses, and if there is any sign of trouble, we get them involved as needed. It is a seamless process for us to invite them into your birthing space to help get your baby into the world safely.
What Kind of Training Do Midwives Receive?
Midwives come from different educational backgrounds. The midwives who practice with Magee-Womens Specialty Services at UPMC Horizon are all certified nurse midwives, which means we have degrees in nursing and midwifery. Some midwives may hold a doctorate in nursing practice or in midwifery.
Can Midwives Order the Same Tests as Doctors?
Midwives recommend and order the same prenatal testing, genetic screening, and ultrasounds as doctors do during pregnancy. We can order many common medicines including prenatal vitamins, allergy medicine, birth control, and antibiotics. Midwives perform Pap smears and place contraceptive implants, and order bone density screenings, mammograms, and colonoscopies. The main difference you’ll notice during exams is that we spend considerable time educating you about your body and any changes you’re experiencing, and we help you decide what testing or medicines are right for you. We are strong advocates for informed decision making.
If a Midwife Delivers My Baby, Can I Still Have an Epidural?
Absolutely, if that’s your choice. We can order your epidural when you are ready for it and work with the anesthesiologists at the hospital to get it placed. Midwives can also order intravenous pain medications if you need pain relief but don’t want to be completely numb.
If you want a more natural experience, midwives can provide labor support by teaching you breathing techniques, encouraging you to change positions, and recommending pain relief methods like soaking in a warm bath. Midwives also can teach your birthing partner how to help you through labor.
We recognize the privilege of being with you during some of the most powerful and memorable moments of your lives. We strive to give you the type of birth you want and will happily support and encourage you in whatever you choose. We’ll talk with you during your prenatal visits to learn the type of labor and birth experience you want, and we will work towards that goal with you.
Do Midwives Perform C-sections?
No. A midwife is not a surgeon. If it’s necessary for you to have a Caesarean section, your midwife may be in the operating room to assist as you meet your new baby.
For procedures such as a dilation and curettage, tubal ligation, or hysterectomy, your midwife will refer you to an ob-gyn to schedule the surgery.
Can I See a Midwife if I’m Not Pregnant?
Yes. The midwifery approach involves helping you make informed choices about your care and educating you on your options. Most often, women choose a midwife because it makes them feel relaxed and confident with their care. A midwife can help with:
- Understanding your menstrual cycles and the changes you note over the course of the month
- Decisions about birth control, including the pros and cons of different birth control methods
- Evaluating your personal health risks and working with you on prevention strategies
Lydia sees patients at Magee-Womens Specialty Services at UPMC Horizon in both the Farrell and Greenville offices. For more information about women’s health services at UPMC Horizon, visit UPMCHorizon.com/obgyn.
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