What is a DEM, CPM, LM, and CNM?
The simple answer is that we are all midwives. Midwives have different styles of practicing, but should all be practicing similarly with the Midwifery Model of Care™.
All midwives do some kind of apprenticeship training. That is the traditional way of learning and the only way to learn hands-on skills. The main difference is in the academic training and where they did their apprenticeship training. A midwife that only trained in the hospital may not be comfortable with out-of-hospital settings and vice versa.
DEM stands for Direct-Entry Midwife. This is someone who may or may not of had a formal or structured academic training, but likely did self-study along with an apprenticeship. This midwife is trained for out-of-hospital settings.
CPM stands for Certified Professional Midwife. This is given to midwives that pass the North American Registry of Midwives (NARM) national exam. The midwife may or may not have had formal education, but the exam requires academic education. This can be acquired through an accredited school, non-accredited school or through self-study. Many states are requiring that new midwives take this exam before practicing as a midwife. In Colorado, new midwives are required to pass the NARM exam to apply as a Registered Midwife (RM) in Colorado. RMs and LMs (licensed midwives) are a midwife that can practice in the state that she is registered, under certain regulations. Every state has different regulations around midwifery. Please go to MANA to find out more about your state. These midwives are out-of-hospital.
Finally, a CNM stands for Certified Nurse Midwife. A CNM goes through standard nursing school: undergraduate and Registered Nurse. Then, a graduate program for midwifery. CNMs have trained in hospital settings, and may or may not have trained out-of-hospital. Depending on the state regulations, CNMs can run birth centers and might be able to do home births. Regulations are often different for CNMs than for DEMs, CPMs, LMs, or RMs.
Cheryl Furer is a Registered Midwife in Colorado and also a CPM.
Are your services covered by insurance?
I am contracted with Humana Health Insurance. You are responsible for any co-pays and deductibles, but this is an easy option for those insured with Humana.
Unfortunately, Medicaid does not cover Registered Midwives in Colorado.
For other private insurance carriers, we can file GAP exceptions or out-of-network claims, if the insurance allows it.
For private insurance companies, you will need to contact your insurance company directly to find out what your policy covers. You can call the insurance company yourself to verify your benefits. I have a template that you can use.
The two options of working with insurance are to apply for a gap exception or adequate network exception in order to receive benefits. The other option is to request that insurance pay out-of-network benefits.
Insurance is billed after the birth. If your insurance company reimburses for your care, then you will be refunded the amount that you have paid, minus the registration fee, co-pays, and deductibles.
What are the benefits of using water during labor and/or birth?
Many women find the entering the water during labor greatly reduces the intensity of labor and birth. Women find it calming and comforting to be in a bath of warm water. Water birth/labor also increasing a woman’s sense of privacy and encourages a sense of control. Water birth has been shown to reduce the amount of interventions and can reduce the length of labor. Water can help the mother move into positions that are optimal for her and her baby and reduce perineal tears.
How long does the midwife stay after the birth?
Typically a midwife will stay with the parents between 3-6 hours after the birth. In the immediate postpartum, the midwife monitors the newborn’s transition, the placenta’s birth, and how the mother is doing. Then after everyone is stable, the midwife will start to clean up and work on charting. She will monitor you and your baby’s vitals without interfering with bonding, meeting your baby, and breastfeeding. When the timing is right she will do the newborn exam, help you freshen up, and give you the postpartum instructions. Once you and your baby are comfortable, and cleaning is finished, we will depart your home.
What about the birth certificate? Social Security Number?
The primary midwife will file your birth certificate. This must be completed within 10 days after the birth. It’s okay if you don’t have a name picked out right away. You have a few days available to figure it out. A social security number will be given automatically and sent to you about 14 days after the birth is filed. To order official copies of your birth certificate visit: https://www.colorado.gov/pacific/cdphe/birth-certificates
How do I find out more about a midwife in Colorado?
The Colorado Midwives Association has lots of great information about midwifery in Colorado. The Find a Midwife section has an almost complete list of practicing homebirth midwives in the state.
Nurse-Midwives is Colorado can operate birth centers and some work in hospital settings. Please visit Colorado Nurse Midwives website for more information.
What is Dancing for Birth™?
Dancing For Birth™ prenatal/postpartum dance classes incorporate dance moves from around the world that best prepare you to give birth. Birth can be like a marathon, and Dancing for Birth™ classes prepare you for the challenge. You’ll become stronger, more agile, more at ease with your body and both mentally and physically ready to embrace your unique birth experience. Dancing for Birth™ prenatal/postpartum dance class participants report experiencing low levels of discomfort, few or no interventions, brief labors and high levels of satisfaction during their births. It’s a feel-good workout that challenges, yet relaxes, and uplifts you. No experience necessary! Birth can be active, ecstatic, orgasmic, transformative, empowering!
Founded in 2001, Dancing For Birth™ is the leading global class for pregnant and new moms. We are the “trifecta” of birth preparation: feel-good prenatal fitness, essential birth wisdom, and celebration of pregnancy, birth and mothering, all rolled into a weekly 90 minute class that support you from preconception to postpartum! This childbirth education and pre/post natal fitness fusion was created by USA’s National Birth Hero, Founder, Stephanie Larson. The classes are currently offered on four continents. Birth professionals and moms alike swear by our signature moves like “Dilation Gyration” and use them during labor to make birth shorter, easier and safer.
Dancing for Birth classes are offered in Longmont by Debbie Lane.