Frequently Asked Questions

 
 

Do you do home birth?

No, we don’t offer home birth. California is one of only six states to require Physician supervision of Nurse Midwives and Nurse Practitioners. Home birth being explicitly excluded from Physicians’ malpractice coverage makes it impossible to “supervise” a Nurse Midwife doing home birth, therefore making it impossible for us unless we chose to work without supervision and without malpractice and liability insurance. Working without this coverage would prevent us from being in-network with any health insurance plan as well as put us at personal and professional risk. The current law in California poses restraint of trade on Nurse Midwives and prevents women’s access to care. Please support our ongoing lobbying efforts to increase access to care by changing the language regarding Physician supervision.

What is a birth center?

A birth center is a home-like facility that provides prenatal, birth, postpartum, newborn care and women’s health to healthy women with uncomplicated pregnancies using the midwifery model of care. Birth centers are an integrated part of the healthcare system, guided by principals of prevention, sensitivity, safety, appropriate medical intervention and cost effectiveness.

Is it safe to have a baby at an out-of-hospital birth center? What happens in an emergency?

Absolutely! There is LOTS of quality research to show the safety of freestanding birth centers run by nurse midwives caring for low risk women. Nurse midwives are experts of normal pregnancy and the natural birth process, and are trained to recognize the early signs of complications. If risk factors do develop, the closest hospital is less than 1 mile away.

Do you deliver in the hospital?


No, if a hospital delivery is required you will be transferred to one of our OB colleagues.

Can I come to Midtown Nurse Midwives if I already started care with another provider?

Of course! We welcome clients transferring during their pregnancy. We accept transfers until 32 weeks of pregnancy. We will ask that either you bring your pregnancy records in with you or we will have you fill out a form so that we can receive them from your previous provider.

Is the Birth Center the right place for me?

Some conditions can increase the risk of your pregnancy, and therefore, may require care at a place with more resources than the birth center. The below list includes these conditions that we will not be able to care for at the birth center. However, every pregnancy is unique, so talking to your midwife about your specific circumstances may be necessary. Please note, this list if for pregnancy and birth only and does not affect our availability to care for you in other services.

  1. Hypertension (BP greater than 140/90)

  2. Diabetes

  3. Gestational age of 24 weeks without previous prenatal care

  4. Transfer of care after 36 weeks

  5. Current multiples pregnancy (ie. twins)

  6. Heart disease

  7. History of embolus or clotting disorders with pregnancy

  8. Symptomatic congenital heart defects

  9. Renal disease

  10. Current drug or alcohol addiction (NO smoking after 12 weeks)

  11. Sickle cell anemia

  12. HIV

  13. Marfan’s Syndrome (including family history of first degree relative)

  14. Previous Rh sensitization (Rh negative blood type OK)

  15. Pap smear CIN III confirmed (within the last year)

  16. Active tuberculosis

  17. Paraplegia or quadriplegia

  18. Active anorexia or bulimia within the last year

  19. Malabsorptive Bariatric Surgeries

Can I get a pap or GYN care if I’m not pregnant?


Yes! Call for an appointment: 916-936-2229.

My teenage daughter needs to get on birth control, and I want her to have a good experience.


We can do that!  Seeing a Nurse Midwife is a wonderful way for an adolescent to have a good first experience. Did you know that pap smears are unnecessary under the age of 21? Contact us to find out more.

Can you prescribe drugs?

Yes! Birth control, antibiotics and Domperidone, among others.

Do you take insurance?


Yes, we are contracted with Aetna, United, TriCare, Western Health Advantage, and CIGNA. We can bill Blue Cross, Blue Shield and HealthNet plans directly. Our in-house billers will fight on your behalf to get your claim paid. Details are plan-specific, please call us to discuss your specific plan. We also have reasonable self-pay rates.

Do you come to my house for lactation visits? What if I live in Roseville / Folsom / Elk Grove?

Yes, we can send our lactation consultants to see mothers and babies in their own home for lactation care. A travel fee will apply. No, we don't care if its messy, we have kids too! Visiting the MiLC Clinic is often faster and clinic visits can be billed to insurance, please call to talk about the options.

I had problems breastfeeding my first child. Is there a way to make it work this time?

Yes! Call us to schedule a prenatal consult. We can explore your previous experience to pinpoint what went wrong and why. Many breastfeeding issues stem from circumstances surrounding birth and the early postpartum period, and many could have been avoided.

I took a breastfeeding class, and saw a lactation consultant in the hospital but my baby just won't latch on right!

Sometimes babies are not ready to feed well before you are discharged from the hospital.  We can help you and your baby get back to your instincts and bond again to achieve relaxed, easy feedings.