Washington members have several options when choosing a health care provider to take care of you during your pregnancy and childbirth. You also have a choice of where to deliver your baby, in a hospital or at home.
If you want to have your baby in a hospital, you can usually choose to receive care from a certified nurse-midwife, an obstetrician, or your primary care doctor (if he or she delivers babies).
If you want to have your baby at home, a licensed midwife will take care of you during your pregnancy and labor. Licensed midwives care for healthy women with normal pregnancies. They are licensed by the state and have passed both written and oral exams. They receive their training in a midwifery school and in apprenticeship programs with experienced midwives.
Licensed midwives are specially trained for home births. They provide excellent care and preparation for having your baby at home.
No. You can make an appointment directly with a licensed midwife who has a contract with Kaiser Permanente. Contact our Member Services for names and phone numbers of licensed midwives in your area.
Most women can consider having a baby at home if they are healthy and their pregnancy is uncomplicated. You would plan to have your baby without any pain medicine.
If you have certain conditions such as high blood pressure, heart disease, diabetes, or kidney disease, you don't qualify for home birth.
There are other conditions that might exclude you from home birth, such as a previous cesarean section. Your licensed midwife is trained to identify these conditions.
When you make an appointment with a licensed midwife, she will go over your medical history and decide whether home birth is a good choice for you. If you decide you would like to have a home birth, you will sign an informed consent for prenatal care and home birth with the licensed midwife.
You will receive counseling and information about labor, delivery, and newborn care. You will also learn about breastfeeding and family relationships. Your midwife may refer you to a childbirth class or suggest books to read. She will also suggest that you arrange for someone to be at home to help you after the birth of your baby.
If you develop any problems during your pregnancy, your midwife will consult a Kaiser Permanente doctor. You need to give a written informed consent for having your baby at home.
Your home birth will be a natural birth. Your midwife will teach you ways to increase your comfort during labor and delivery so you can have your baby without medicine. (If you do need pain medicine, you will have to go to the hospital.)
You'll need to agree to go to a hospital if the birth doesn't go as planned or if your midwife decides it's best for you or the baby. Your hospital care would usually be provided by a Kaiser Permanente doctor or certified nurse-midwife.
Your prenatal checkup schedule will be the same as with any other provider.
After the birth your midwife will:
Your doctor or pediatrician will take over your baby's care at the 7- to 14-day visit.