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FAQs

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Most classes are taught by childbirth educators or by hospital staff. Our childbirth classes are taught by a midwife with many years of experience bedside. Lots of useful examples are brought into the sessions. Each class is designed based on the knowledge needs that Katie O’Brien has seen over the years working full scope in the hospital and office setting. Traditional childbirth classes often have a scripted approach to the information presented. Additionally, they are presented in a “crash course” manner leaving less time for individual needs. There are so many topics to be covered! Each class is dedicated to a particular topic to allow for the information presented to exhaustively cover the topic and fit the participants needs.

Absolutely! We are always interested in evolving our class topics to fit current demand! Please email us at classes@mindfulmidwifery.net to request a class topic.

Some insurances do cover part of a childbirth class. They may require you to submit a form about the class. It is best to call your insurance company and ask about childbirth class coverage. Many FSA and HSA plans cover childbirth classes. This process will normally involve you sending class information to FSA or HSA company and getting reimbursed. Please call your individual FSA/HSA plan for details. We will be happy to provide you with a paper receipt and description of the class you attended.

Midwifery as practiced by certified nurse-midwives (CNMs) and certified midwives (CMs) encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide care for all individuals who seek midwifery care, inclusive of all gender identities and sexual orientations. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. They conduct physical examinations; independently prescribe medications including but not limited to controlled substances, treatment of substance use disorder, and expedited partner therapy; admit, manage, and discharge patients; order and interpret laboratory and diagnostic tests; and order medical devices, durable medical equipment, and home health services. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. These services are provided in partnership with individuals and families in diverse settings such as ambulatory care clinics, private offices, telehealth and other methods of remote care delivery, community and public health systems, homes, hospitals, and birth centers.

This information comes from the ACNM Standard Setting Document “Definition of Midwifery and Scope of Practice of Certified Nurse-Midwives and Certified Midwives” (2021). For more information please see https://www.midwife.org/About-the-Midwifery-Profession

Please note that Delaware considers CNMs independent practioners. CNMs in the state of Delaware do not need a colloborating physician in order to run, own or operate a midwifery practice. CNMs have the same legal access to ordering patient’s labs, ultrasounds, medications and MFM and other specialty consultations as a physician does in the state of Delaware.

Mindful Midwifery is excited to collaborate with Pat Gallagher, CPM. Pat has the space and supplies needed for Katie O’Brien to begin direct patient care. Pat’s and Katie’s businesses will continue to operate as separate entities, but it is always more fun (and a great usage of resources) to have another midwife working around you!

The term “high-risk” is actually quite vague and subjective. Many women that have been told they are “high-risk” are still completely appropriate for midwife management. If you have been told or suspect you are “high-risk” you will need to speak directly to Katie about whether or not you will be appropriate for her care. There are some rare conditions that can occur during pregnancy that would warrant transfer during the pregnancy to a practice specialized in high-risk care. Mindful Midwifery would help you navigate this process to ensure you were going to a care team that you felt matched your needs.

All types of participation are accepted! One of the benefits of a group can be someone asking a question that you didn’t want to ask yourself! All are welcome and there is no requirement for verbal participation. Classes will start out with basic introductions, but you can feel free to otherwise participate as much or as little as you would like.

Due to the limited class size, not all sessions cancelled will qualify for a refund or transfer or credit for future session. Registration cancellations under 24 hours will not be credited or refunded. Registration cancellations made at least 24 hours in advance of a session will be granted a credit for a future session. The credit is valid for up to ninety days from original scheduled session. Registration cancellation made at least two weeks prior to the session will be granted a refund option if desired by client minus credit card fees.

We reserve the right to cancel sessions related to inclement weather or unforeseen staff emergencies. In these circumstances, efforts will be made to reschedule the session at an agreeable date. If not able to be rescheduled or the timing does not work a refund will be issued.

We have moved away from scheduling group classes and have instead catered to individual requests. If you are interested in scheduling an individual or a group class, please email us at classes@mindfulmidwifery.net. If there is interest in a class sooner than it is being offered, we have been known to create a session time based on demand.

Operating within insurance parameters has become increasingly difficult for medical practices. Insurance reimbursement is low in women’s health and often the efforts required to be reimbursed for services are very time intensive. Most all practices will need staff specifically devoted to insurance work. The most frustrating part of operating within this system is that to be economically viable you must limit your patient face-to-face time (meaning shorter office visits for your patients) in order to see more patients for more opportunities to be reimbursed. Couple this with the malpractice costs and it’s easy to see how providers can only spend 5-10 minutes in your prenatal visit.

Mindful Midwifery has chosen to instead, offer low membership prices to avoid this conflict with economically staying afloat while giving patient centered care. For many, these prices will not be much different than a co-pay.

Mindful Midwifery strives to give pregnant women and their families greater access to their provider for prenatal and postpartum care. Many practices have done away with the ability to speak to your provider directly outside of your appointment times. In addition to longer office visits, Mindful Midwifery will give patients better access to their midwife through patient messaging, weekly group drop-in zoom sessions and ability to speak directly with your provider for urgent matters. Increased education for pregnancy, birth and postpartum will be incorporated throughout prenatal care.

Mindful Midwifery does not offer labor and delivery care. Across the country and specifically in the Dover area, it is becoming more challenging to find providers that both offer office time and commitment to being at your delivery. Outpatient and inpatient care are becoming increasingly separated. Mindful Midwifery’s goal is to offer the best prenatal and postpartum care you can get as well as extensive preparation for labor and delivery care. We will work with the hospital you are planning on delivery at to ensure they have your records and are ready to welcome into their care for your birth. Many women seek out midwifery care during pregnancy and postpartum. We are going to be able to provide consistent midwifery care during pregnancy and postpartum when other practices in the area can’t.