Frequently Asked Questions

As a soon-to-be-parent, there’s a lot of information to wade through. We know the feeling of overwhelm. Take a deep breath—we’ll guide you from here. Colorado Midwifery provides all the resources you need to feel educated and prepared for your delivery.

GENERAL

How does midwifery or monitrice care differ from going to an OB?
There are two main differences between working with an OB/GYN and a midwife or monitrice: level of risk and amount of individual attention.

Midwives are experts in the normal course of pregnancy, labor, and the immediate postpartum period. We provide expertise and encouragement during the childbearing year, helping you to navigate complicated decisions and advocate for you when you’re unsure how to proceed. We provide continuous, individualized support ideal for low-risk parents.

Medical OB/GYNs provide full service care and are equipped to deal with higher risk situations such as irregular bleeding, cervical cancer, or menopausal symptoms. Because hospital staff are serving many people at once, they often can’t offer constant support and attention. We have nothing against doctors and nurses—in fact, we work with them all the time to bring healthy babies into the world. We are so grateful for their contribution to healthy outcomes for new families.

For families wanting to be given time, space, and thorough education on their pregnancy journey, and for those who wish to have a natural birth outside of a clinical setting as their first choice for their birth experience, Midwifery care is a very appropriate option.

What’s the difference between a midwife, doula, and monitrice doula?

We know this is confusing.

A doula provides resources and physical/emotional support during pregnancy, birth and/or post partum.
A midwife has clinical training and is the primary care provider during pregnancy, birth, and postpartum.
A monitrice doula has clinical training (often as a midwife) and is acting as a doula.

A monitrice doula has the training of a midwife but is not acting as the primary care provider. If she were the one delivering your child, she’d be acting as a midwife. If someone else is delivering your child, she’s acting as a monitrice.

Many women choose a monitrice doula over a typical doula because they want emotional support from someone who has the training and knowledge to perform exams and keep them informed. Our monitrice doulas support women during hospital births and home births. Whatever the setting, she is there to guide you through your birthing experience with knowledge and experience.

If you want more clarification, please reach out to us. We’re happy to talk about your options and see what’s best for you and your family.

Do you take insurance?
While we don’t take insurance directly (we can’t be an “in network” provider), this doesn’t mean your insurance won’t cover our services. We’ll help you clarify what your insurance company will provide and facilitate billing.

CHILDBIRTH EDUCATION

What kind of childbirth education do you recommend?
We think education is the number one way to overcome fear or anxiety over giving birth. As part of our midwifery care, you’ll receive a great deal of education during our visits. We generally recommend even more on top of this, especially if this is your first child.

View all of our childbirth education offerings here and additional resources here.

PRENATAL

What do you provide for prenatal care?
Our midwives conduct visits according to the standard obstetrical schedule, including monitoring and screens and referrals for additional testing. One visit monthly until about 26 weeks, then every two weeks until your home visit around 36 weeks, then weekly until delivery. In total most clients starting with us in the first trimester see us 10-12 times during the prenatal period.
When should I start prenatal care?
The earlier in your pregnancy, the better: when we are hired by you we are your midwife, no matter how pregnant you are. At the beginning stages of your pregnancy, we’ll counsel you about options for genetic screening, assess the certainty of your Estimated Due Date, and plan your initial visit, which can be anywhere in the first trimester (hopefully by about 12 weeks). This is an intimate relationship, so we want to dive in as soon as we can.
Do you help couples with infertility?
We pride ourselves on our knowledge of ways to support the preconception period in order to increase the chances of the body to conceive in its time. For our part, we can support you with education and resources that you may use independently or in addition to medical infertility treatment. This might include guidance on lifestyle, herbal treatments, or fertility counseling.
We have wonderful medical providers that we refer couples to when they are experiencing infertility.

LABOR & DELIVERY

Do your midwives facilitate births at a birth center?
Our credentials in Colorado don’t allow us to work in birth centers, so the births our midwives facilitate take place in the parent’s home. When supporting your birth as a monitrice doula, however, we can provide support at hospitals and birth centers as well as homes.
What kind of care and support do you provide during labor?
Our midwives act as your primary practitioner during labor and delivery. We closely monitor you and your baby, coach you through labor, offer recommendations and advice, and deliver your child. Then we care for you and the newborn in the initial post partum, and are your on-call provider for six weeks post partum for the new family.

As midwives, our first obligation is to the provision of care for you and the baby. While we are capable of providing emotional and sometimes physical support, there are some circumstances where we would not be available for this level of support due to our clinical obligations. Doulas do not have this same obligation and are an added layer of support and resourcing for the family and the care team. We highly recommend hiring a doula for your birth, regardless of the location you are birthing.

When acting as a monitrice doula, we provide emotional support and make sure you understand the clinical language. We call on previous conversations to help you make the best decisions for you and your family, whether at home, a birth center, or a hospital.

This is my first child. What can I do to prepare myself emotionally and mentally for labor?
The best thing you can do is arm yourself with education. We recommend several books and online resources on our resources page to help you feel prepared and educated. We also offer childbirth education if you’d like something more comprehensive and personal.
What do you do in case of an emergency?
We’re always prepared to transport you to a hospital if an emergency arises. We’ll discuss this possibility with you before labor so you’re not taken by surprise. As part of our preparation, we’ll make a contingency plan that includes which hospital we’ll go to if necessary.
What is your opinion on delayed cord clamping?
We absolutely support delayed cord clamping, but the decision is ultimately up to you.

At the time of birth, one third of the baby’s blood is inside of the placenta. The placenta naturally pumps that blood into the baby right after birth—within 3 minutes, 80 to 90% of that blood has been pumped into the baby. Some parents choose to delay clamping of the cord to allow that blood time to reenter the baby’s body.

The controversy arises because of the possibility for jaundice. When the baby receives too many red blood cells, their liver can’t metabolize them so they dissolve in the bloodstream, creating a byproduct called bilirubin. This causes the yellowish tint of jaundice. Most of the time for healthy babies, their bodies regulate this process as their liver develops and matures, and there are no lasting health implications.

What if I am not available on the day of your birth?
This is a great question! Thankfully, it is a rare occurrence, however we do sometimes find ourselves unable to attend a client in labor. In this case, we are connected with a network of wonderful colleagues in the area that serve as backup for us. They are paid and arranged for by us, and are the highest quality providers.

POSTPARTUM

Do you offer postpartum care?
Absolutely. We think the postpartum period is often overlooked and catches many new parents by surprise. We’ve found it very helpful to have thorough discussion of the postpartum period so you know what to expect.
Parent Facebook Groups
Boulder Babies
Boulder Area Moms
Boulder Area Working Moms
Avista Moms and Babies
Denver Mommas
Lafayette CO Mamas
Moms Matter Most @ Gaia Health
Westminster CO Area Moms
Boulder Rockn Moms
Twins and Multiple Pregnancy Support Network and Beyond
Moms of Twins Support Group
Pregnancy and Infant Loss Support Group
Moxie Moms

MORE RESOURCES

Educating yourself is the best way to prepare for your pregnancy and delivery. We’ve gathered all of our favorite resources to make it easy.

Let’s Connect

Schedule a call to see if we can provide the support you and your family needs.