Missouri Midwifery provides pregnancy, labor and birth, postpartum care, breastfeeding, well-baby, and well-woman exams for low-risk women through the services of certified nurse-midwives (CNMs) and registered nurses (RNs). Centered on holistic care, we safely support each woman and her family through their unique birth journey. We encourage the active involvement of significant others and support each family’s cultural values, spiritual beliefs, and personal preferences.
Missouri Midwifery is committed to safely attending women, their births, and their babies. Therefore, we collaborate with appropriate health care providers so every family has timely access to both medical and alternative services when needed or desired. Clients are screened through a free consultation. Once a woman and her family are accepted for care with Missouri Midwifery, an initial prenatal care visit is scheduled.
What You Get with Missouri Midwifery
One global fee covers our maternity service package:
- Comprehensive prenatal care with CNMs
- Comprehensive morphology exam with Dr. Grant at approximately 20 weeks of pregnancy
- Routine prenatal, birth, and postpartum lab work
- Labor and birth at our facility
- CNM/RN birth team
- Postpartum Care for mom and baby through 6 weeks postpartum
- Breastfeeding support
- Newborn screenings
- Selected/occasional home visits
- Filing of birth certificate
- Well baby exams
- Well woman exam
- 24/7 on-call availability of CNM/RN team
Many insurance companies cover the services of a certified nurse midwife. After the birth, clients will be provided a statement of services to file with their insurance company for reimbursement.
Frequently Asked Questions
Can anyone have a birth center birth?
Most women will qualify as a Missouri Midwifery client! Your pregnancy must be classified as low-risk. We evaluate each potential client individually to ensure she and her family are the right fit for a birth at Missouri Midwifery. An ongoing risk assessment is performed at each prenatal visit to ensure mother and baby remain low-risk throughout care.
What is a Certified Nurse Midwife (CNM)?
Certified Nurse Midwives (CNMs) are advanced practice registered nurses who have graduated from a nurse-midwifery education program accredited by The American College of Nurse-Midwives (ACNM) Accreditation Commission for Midwifery Education. Once licensed, CNMs provide primary health care for women and babies at home, birthing centers, or the hospital. The state of Missouri credentials CNMs as Advance Practice Nurses in the same category as Nurse Practitioners and Nurse Anesthetists. CNMs must also have an active registered nurse (RN) license and apply for recertification once every five years.
What happens if there is a problem?
If at any time during the pregnancy a problem is identified, the CNM may manage it, through consultation or collaboration with our Medical Director, Mark Grant. The client may be able to have joint management with the CNM and MD and still qualify for a birth at the center. However, there are situations that will require the transfer of care to an OB/GYN and exclude a client from a birth center birth. In those rare cases, we aim to make the transition as smooth as possible. We’re happy to discuss any specific concerns with you!
What happens if there is an emergency during labor and birth?
Ideally, true emergencies are prevented by careful assessment of mother and infant prior to and during delivery to identify potential problems before they become emergent. Most transfers of care/transports to the hospital are non-emergent. To ensure safety, Missouri Midwifery staff participates in ongoing training to simulate potential emergency situations. In the rare event of an emergency, an ambulance will be called and the client transferred to Cox South Hospital. A staff member will accompany the client to the hospital.
Do you offer VBAC (Vaginal Birth after Cesarean) services?
Dr. Grant has a careful risk assessment process in place for mothers who have had a prior cesarean. This risk assessment helps detemine if a trial of labor after cesarean is a viable option. Our collaborating physician is a wonderful supporter of VBAC delivery and would be happy to discuss options with each patient after risk assessment and ultrasound are completed.
Can I afford it?
The cost of a birth in a hospital setting continues to rise. The total cost of a birth center birth is a fraction of the cost. We would love to talk with you about convenient and flexible payment options.
Contact Missouri Midwifery Today
If you have any other questions or concerns, contact Missouri Midwifery today.!