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Choosing a Nurse-Midwife

A woman’s choice of maternity care provider makes a vital difference in her pregnancy and childbirth experience. Certified Nurse-Midwives (CNMs) are one of those options available to the women of Connecticut. In fact, CNMs deliver approximately 10% of all of the babies born in Connecticut each year.

What is a CNM?
Certified Nurse-Midwives are skilled professionals whose goal is to provide comprehensive, personalized care to women. While CNMs specialize in the care of women throughout their pregnancy, labor and birth, and into the postpartum period, CNMs may also provide care for adolescents, women of childbearing age, and menopausal women. Nurse-midwifery care includes annual well-woman care, family planning, menopausal management, and primary care.

Why would I choose a CNM?
Nurse-midwifery care is known to have exceptional safety outcomes and to be highly satisfying for the families who choose it. Pregnancy and childbirth is a joyful and exciting time for most women and their families – but it can also have anxious or scary elements. CNMs are focused on the specific needs of each woman, educating the women they care for and creating a partnership with those women. This relationship allows women and their families to actively participate in their pregnancy and childbirth while also providing women with a greater sense of trust and safety. If you have a serious complication of your pregnancy, CNMs work within the healthcare team to provide for consultation, collaboration or referral for specialized services as needed.

How do I choose the right CNM for me?
All CNMs are different – they are different individuals, and they may practice in different types of settings. CNMs may attend births in hospitals, birth centers or even at home. A woman should seek out not just a CNM, but the right CNM for herself. When meeting with a CNM, you should ask at least the following questions:

  • What is your philosophy of care?
  • How does your practice setting function? (ie, some CNMs work in CNM-only practices, some work in a group with physicians, etc)
  • What types of birth settings are available in your practice?
  • What are your cesarean section/episiotomy/epidural rates?
  • May I continue to receive my gyn care from you after my child is born?