Are there different kinds of midwives?

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Yes! Utah is a great place to choose midwifery care and different types of midwives legally practice here. It is your right to choose where, when, how, and with whom you give birth. Here is a graphic about different types of midwives: LDEM- Licensed Direct Entry Midwives are also Certified Professional Midwives (CPMs) who have met the requirements for the North American Registry of Midwives (NARM). In addition to being certified by NARM, they are also licensed by the state of Utah and can carry oxygen, lidocaine, Rhogam, Vitamin K, Eye ointment, IV's, medications for hemorrhage, and antibiotics. CPM- Certified Professional Midwives have met the requirements for the North American Registry of Midwives (NARM). CPMs can carry oxygen but cannot carry or administer any other medications unless also licensed in Utah (See above). They can, however, deliver breech babies and twins. DEM- Direct Entry Midwives may or may not have met the requirements for the North American Registry of Midwives (NARM) but have not become a CPM. DEMs can carry oxygen but cannot carry or administer any other medications. They can, however, deliver breech babies and twins. CNM- Certified Nurse Midwives have become a Registered Nurse and then completed schooling to become a Certified Nurse Midwife. Most CNM's work in hospitals and are able to carry medications, write prescriptions and are under the supervision of a doctor. Thanks to our partner, Krista of Miracle Midwifery for this summary of the types of midwives practicing in Utah!

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Is there a payment plan available?

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Yes! We offer 0% interest in-house financing for balances paid in full by 36 weeks. We also accept insurance as an out-of-network provider and payment from Health Savings Accounts/Flexible Spending Accounts. Payment is typically due by 36 weeks, but we also offer up to a 12-month payment plan through Denefits.

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Are there services that aren't covered in the midwifery care package?

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Since all care is customized to your individual needs, there may be some additional expenses. These may include:

• Ultrasounds. $160 for an anatomy scan or 41-week biophysical profile and $85 for gender, dating or wellness. Those fees are payable directly to the ultrasound provider. If your insurance will cover your ultrasound at an approved facility we are happy to write an order so that you have full coverage and a lower out of pocket fee for these services.
• Rhogam for Rh- negative clients. About $155 per injection. This may also be covered by insurance.
• Newborn Screening kit. $118. If you have insurance you may be eligible for reimbursement. If you have Medicaid this is a covered expense.
• Expanded lab work.
• Consultations and/or appointments with other providers.
• Birth kit. Purchased from In His Hands. $40-$110.

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What is the difference between a midwife and a doula?

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Midwives are primary healthcare providers for low-risk clients and newborns. They are trained to provide holistic care throughout the childbearing years; particularly pregnancy, birth, and the postpartum period. They are trained to recognize complications and coordinate care with higher level providers when necessary, as well as to perform certain emergency measures if complications arrise. Doulas focus on emotional support of their clients during pregnancy. During labor and birth they provide continuous physical and emotional support and are full of tips and tricks to make your labor more comfortable. They do not perform any clinical tasks. Both midwives and doulas work to make sure you are informed, supported, and empowered in the decisions you make about your care!

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