Midwifery in Colorado 


Birth at home with a midwife has been legal in Colorado since 1993. There are currently 3 Types of Midwives legally available in Colorado. All of them are legally able to practice in the home and the birth center setting.

CPM: Certified Professional Midwives (called "Registered Midwives/RM's" in Colorado)
Certified Professional Midwives train exclusively in out of hospital settings (at home and in birth centers).  Through the North American Registry of Midwives (NARM) they verify their apprenticeship birth experiences and take an extensive test to verify their academic training.  A CPM is not required to train as a nurse first (although there are some nurses who choose to train as CPM's). A CPM trains specifically for out of hospital birth in birth centers and in homes. CPM’s are not trained in the hospital setting or allowed to practice as midwives in the hospital (due to hospital policies). If a home birth client is transported to the hospital for care, her midwife can act as her doula once there, but not as her midwife. CPM's in Colorado are known as RM's (Registered Midwives).  
CPM's are primarily trained to handle low risk births and the range of possible complications and emergencies in a home birth setting. The CPM scope of practice is generally limited to childbirth related women's health. If you develop complications in your pregnancy, your care is escalated to a CNM or an Obstetrician. 

CNM: Certified Nurse Midwives 
CNM's are trained first as nurses in a hospital setting. They then go on to earn a Masters degree in Midwifery so that they can serve as a woman's sole maternity provider. Nearly all CNM's in Colorado practice in the hospital setting. There is currently one local birth center run by CNM's (Bloomin Babies in Grand Junction). CNM's also perform Well Woman care, offer birth control, and are able to accept Medicaid.  They are able to offer care for the lifespan of women's health, not just the childbearing years. They provide a wonderful service for those women who prefer to give birth in the hospital or birth center. 

CM: Certified Midwives

Certified Midwives obtain a Bachleor's degree in a health science related field and then earn a Masters Degree in Midwifery without having to go through the nursing experience first.  Only recently recognized in Colorado State as of 2023, this type of midwife training and practice looks much like a CNM.  

HOME BIRTH

MIDWIFERY CARE FEE IS $7100.00

 

Global Midwifery Fee Covers

  • A full schedule of prenatal visits including 1 chiropractic/wellness visit and 2 lifeline coaching sessions if desired 
  • Routine Lab Fees (OB panel, GDM testing, CBC checks, GBS testing, etc.) 
  • Home visit at 36-37 weeks 
  • Home Prenatal Care Kit 
  • A registered midwife & at least one trained assistant at your labor and birth
  • Emergency birth kit 
  • Delivery pack/birth kit
  • Water birth tub and drain set-up
  • Postpartum Care 
  • 1-2 home postpartum visits 
  • Newborn care for first 6 weeks
  • Postpartum office visits at 2 weeks, 4 weeks and 6 weeks 
  • Newborn exam and newborn screenings (blood spot, CCHD) 
  • Keepsake footprints/commemorative birth certificate 
  • Basic Breastfeeding assistance for 6 weeks
  • State birth certificate submission including Social Security request

 

Global Midwifery Fee DOES NOT Cover: 

  • Any additional labs you want or need (DNA testing, etc.) 
  • Ultrasound fees 
  • Ambulance, hospital or physician fees in case of transport 
  • Vitamins, supplements, herbs you purchase through Grand Valley Holistic Homebirth

What to Expect:

 

We offer several options for payment, including a $100 discount for paying in full by 34 weeks.  Download our Financial Policies document for more information on policies, insurance questions, payment plans, and a look at our payment contract. We do our best to be affordable for anyone who wants midwifery care.  We greatly appreciate clients who are able to pay the full fee so that we can also afford to serve those who can't.  

 

 

 

 

 

 

 

 

 

 

Prefer to have a payment plan and stretch payments out?  We are happy to refer you to United Credit, who specialize in Medical Financing.  They've been very easy for our clients to work with in the past, and are often able to help people even when their credit is bad. 

 

 

MATERNITY CARE

An Abbreviated History of Home Birth in America:

Midwives have served birthing women for all of the world's known history, and they continue to do so in most countries around the world today. Around the turn of the 19th century in the United States, Midwives were vilified, persecuted and driven out of the profession by medical doctors working in hospitals. 

By 1921, 30-50% of women now gave birth in hospitals. Midwifery care continued only in very rural and poor communities where doctors tended not to go. Women inclined towards the healing services mostly became nurses, serving under doctors.

By 1950, 80% of births in the United States took place in hospitals. By 1960, 97% of births took place in the hospital. Native Americans were forced into hospital care and routinely sterilized in Reservation hospitals without their consent. African American “granny midwives” continued to practice in smaller numbers, quietly serving in rural communities, but they were unfairly looked upon and seen as only fit to serve the rural poor. 

Skip ahead 1/2 a century to the 2020's!  Today the midwifery movement is well and alive, striving to educate more midwives and provide safer, affordable options for low risk women (which is most women) desiring home birth. Maternal mortality (pregnancy related deaths) in the U.S.A is well above the numbers of simlarly developed nations, with Black women  3-4 times more likely to die of childbirth related causes.  These women of color are our "canary in the coal mine" to warn us of the dangers of the modern technocratic model of childbirth. Midwifery model care needs to be more available to women of color in our nation, and MEAC schools are actively striving now to make this model of care more accessible by improving educational access and training to BIPOC communities.  The intent is to increase access to the Midwifery Model of Care to ALL women in the United States who desire respectful care.  We aren't there yet, but we're working on it.

 



 

Maternity Care with Grand Valley Holistic Homebirth

PRENATAL CARE

Our role during your prenatal care is to empower you to learn about your options, let you make the decisions that are best for your family, and then support you. ​​

Be prepared for relaxed appointments in our cozy Grand Junction office, plenty of time to ask all your questions, and sound nutritional advice!  Coaching you on how to eat during pregnancy is how we help you to nourish your baby and prepare your body for the rigors of childbirth.  Traditional lab work gives us feedback on how you are doing and what to do next.​​

At GVHH we consider You to be the first primary healthcare provider for your own family. We provide you with prenatal kit tools and emphasize teaching you how to listen to your baby's heartbeat, how to analyze your own body's signs and symptoms and how to make adjustments to your health accordingly!  We want to empower you to take charge of your family's health with knowledge and useful tools.  Who knows?  Maybe you'll go on to be a midwife someday!

POSTPARTUM CARE

We provide home visits during the first week after your baby is born.  Instead of getting into a car to drive home, you can stay tucked in bed with your new baby, while we come to you!​

We provide newborn care for the first 6 weeks and we offer vitamin k and eye ointment. We refer you to your pediatrician for circumcision or vaccinations.​​

We offer all of the standard newborn screenings that are done by the hospital including:

​CCHD (to check their heart), Hearing screen, Metabolic screen

​We visit you in your home on day 2, and again on day 7.  You can call a midwife to consult as often as needed  for up to 6 weeks postpartum. You may schedule as many office visits as you like for up to 6 weeks.​

We support your feeding goals for your baby, and refer you to solid community resources (such as WIC) and lactation consultant support as needed.  

LABOR & BIRTH

We have 2 intentions during your labor and birth. 

​1: Support and empower you  

2: Guard the safety of you and your child

To guard your safety, there are two-three of us present.  We don't hesitate to escalate to higher levels of care when appropriate.  If transport is needed we usually see it coming ahead of time, enabling us to take you in for a complication instead of an emergency.  ​

To support and empower you we coach your partner and/or your doula on how to support you physically during labor. During your prenatal care we will discuss your birth preferences so that you can make the choices that are meaningful for you.  You choose who will be there.  You choose to labor on land or in water.  You choose who catches. You choose when and who cuts the cord.  You choose who gets to weigh your new baby. You choose what  you want done with your placenta.  You choose what procedures are performed on yourself and on your child.  Our job is to support you in your choices within the confines of safety.

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