Frequently Asked Questions

What is a Licensed Direct-Entry Midwife (LDEM)?
A Licensed Direct-Entry Midwife (LDEM) is a trained and licensed healthcare professional who provides private holistic maternity care. Direct-entry midwives are educated specifically in pregnancy, birth, postpartum, and newborn care, with a focus on supporting healthy, low-risk pregnancies.
As a Certified Professional Midwife (CPM), my care is centered around evidence-informed, personalized support for families choosing out-of-hospital birth.
Are you licensed and certified?
Yes. I am a Certified Professional Midwife (CPM) through the North American Registry of Midwives (NARM) and a Licensed Direct-Entry Midwife (LDEM) in the state of Utah.
I maintain ongoing education and skills training, including CPR/BLS and Neonatal Resuscitation Program (NRP) training, to provide safe and competent care for families choosing home birth.
Do you accept insurance?
I am an out-of-network provider with most insurance plans. Some insurance companies provide reimbursement for licensed midwifery services, depending on your individual plan, benefits, deductible, and out-of-network coverage.
I recommend contacting your insurance provider directly to ask about coverage for:
- Licensed midwifery care
- Home birth services
- Out-of-network maternity benefits
I also accept HSA and FSA payments.
Is home birth safe?
For healthy individuals experiencing a low-risk pregnancy, planned home birth with a qualified, trained, and licensed midwife is a safe option.
During prenatal care, we continuously evaluate maternal and fetal wellbeing to ensure that home birth remains an appropriate choice. If concerns arise that require additional evaluation, consultation, or transfer of care, recommendations are made to support the safest outcome for both parent and baby.
Who is a good candidate for home birth?
Out of hospital care is best suited for women with low-risk pregnancies.
During your prenatal visits, we discuss your health history, pregnancy progress, personal goals, and any factors that may affect your birth options. If circumstances arise that make home birth no longer the safest option, we work together to determine the appropriate next steps.
Do I need to see an OB/GYN during pregnancy?
No. Licensed midwives provide primary maternity care for appropriate low-risk pregnancies, including prenatal care, labor and birth support, and postpartum care.
Routine prenatal screening, laboratory testing, and recommended assessments are provided as part of your care. When additional evaluation, consultation, or specialized services are needed, collaboration and referrals with physicians, specialists, or hospitals are coordinated.
Midwifery care is based on maintaining safety through ongoing assessment, informed decision-making, and appropriate consultation or transfer when indicated.
Can I receive ultrasounds during midwifery care?
Yes. When ultrasound imaging is recommended, referrals can be provided for diagnostic ultrasounds.
Ultrasounds may be used for purposes such as:
- Pregnancy dating
- Anatomy evaluation
- Growth assessment
- Additional evaluation when clinically indicated
Diagnostic imaging is coordinated as part of comprehensive prenatal care.
What happens during prenatal appointments?
Prenatal visits are designed to provide comprehensive care, education, and preparation for birth and postpartum.
Appointments may include:
- Maternal health assessments
- Fetal heart monitoring
- Pregnancy education
- Nutrition and wellness guidance
- Birth preparation
- Discussion of testing and screening options
- Questions and individualized care planning
Appointments provide time to build a trusting relationship and prepare for your unique birth experience.
What equipment and supplies does the midwife bring to a home birth?
As a Licensed Direct-Entry Midwife, I arrive prepared with the equipment, medications, and supplies necessary to support safe home birth care.
Birth supplies may include:
- Maternal and newborn monitoring equipment
- Oxygen and newborn resuscitation equipment
- Emergency medications and supplies
- IV supplies when indicated
- Newborn medications and preventive care options
- Supplies for postpartum care and perineal repair when needed
Emergency preparedness, ongoing assessment, and appropriate planning are an important part of safe home birth care.
What happens if an emergency occurs or I need to transfer to a hospital?
Although most planned home births progress normally, midwives are trained to recognize situations that require additional care.
If consultation, additional evaluation, or hospital transfer becomes appropriate, recommendations are made promptly. The goal is always to support the health and safety of both parent and baby through timely, respectful, and collaborative care.
How long do you provide postpartum care?
Postpartum care is an important part of the midwifery model and continues through the 6th week after birth.
Care may include:
- Maternal recovery assessments
- Newborn wellness evaluations
- Feeding and lactation support
- Monitoring for common postpartum concerns
- Education and guidance during the transition into parenthood
How far do you travel for home births?
Service availability depends on location, travel distance, and the ability to provide safe and timely care. Travel radius is usually 1 hour.
Please contact us to confirm whether your location is within the service area.
When should I contact a midwife?
Many families reach out early in pregnancy to learn about care options and determine whether midwifery care is the right fit.
You are welcome to contact Mountain Midwifery & Wellness to schedule a consultation and discuss your pregnancy goals, birth preferences, and questions about home birth.
