Midwife Recommendations (CNMs) for Philadelphia Area - Mothering Forums

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#1 of 24 Old 08-22-2009, 04:48 PM - Thread Starter
 
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I am posting for a friend. I'm not from PA so I really don't know the ins and outs of midwifery in the Philly area.

She is looking for a midwife in the Philadelphia Area. She does not want to have a homebirth or a birth center birth.

This is what she's looking for:

-- hospital birth
-- someone that is proactive about care and really knows their stuff (she had a miscarriage and a bad experience with a CNM who didn't catch that her baby had passed- this has almost turned her off to midwifery care b/c then she had a doctor who "had a midwife for my first birth but now that I'm an OB/GYN I know better yada yada yada"
-- kind and professional (not going to bully her)
-- smaller practice (she would prefer not to be seeing 10 midwives throughout her pregnancy)
-- has to be affiliated with an OB/GYN (mainly because her husband is not sold on midwifery)

Any suggestions that I might pass on to her? This is much appreciated.
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#2 of 24 Old 09-01-2009, 07:47 AM - Thread Starter
 
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BUMP. No one has any suggestions?
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#3 of 24 Old 09-01-2009, 09:43 AM
 
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I'm working with Penn OB/GYN at the Curtis Center, but there are 8 midwives in the practice, and I've only been there twice, so I don't know that I could unequivocally recommend them, just because of lack of information. The support staff at the practice is very nice, though, and there are doctors in the practice also (but, you don't see them if you're under midwifery care, unless you need to). They deliver at Pennsylvania Hospital.

By the way, I was under the impression that all CNMs had to work with an OB/GYN by law. Is that a state-by-state thing?

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#4 of 24 Old 09-01-2009, 02:51 PM
 
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Ronnie Rothman
http://www.womanwisemidwifery.com/about.html
She delivers at Montgomery Hospital which is in the Philly suburbs, but there's nothing that meets her wishes in the actual city...
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#5 of 24 Old 09-01-2009, 05:26 PM
 
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CNM groups around here are large. It's not the individual, personal care you'd get from a CPM servicing homebirthers in the area. I used Delco midwives with my first and in general, I think three of them are great and they have a great relationship with their hospital and the OB's there - generally speaking. Thats the positives. However, there are now 7 or 8 of them, many new, and their office is not the most wonderful atmosphere all the time, to say the least. Could say more but I don't think its what she wants anyway, so....
good luck!

 

Update: Gosh, my perspective has changed over the last 4 yrs as a doula. I'd add Ronni and the VB midwives to the list for anyone looking for smaller mw practices for hospital births currently! :) It all depends what and who you are comparing and what you are looking for specifically...everyone is different.


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#6 of 24 Old 09-01-2009, 10:16 PM
 
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Originally Posted by staceychev View Post
By the way, I was under the impression that all CNMs had to work with an OB/GYN by law. Is that a state-by-state thing?
They need to have a practice agreement with an OB/GYN. They don't need to be directly employed by one, although there aren't many independent CNMs in Pennsylvania. PA was the last state, BTW, to grant CNMs independent prescriptive authority--I wonder if this made it more difficult for midwives. They only changed it about a year ago. (I don't know if, prior to the change, CNMs who are also CRNPs could prescribe.)

There is some variation from state to state: some states only require physician collaboration, and I was told that in Tennessee, you only need a practice agreement in order to have prescription privileges.

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#7 of 24 Old 09-02-2009, 10:45 AM
 
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Originally Posted by mom2tatum View Post
I think most people would agree with me in saying that the CNM's around here are not any more preferable to an OB usually, and their practices are large.
Kathy Hindle is a CNM and she is an awesome midwife that does hospital and homebirths. She often called me when she was in the area of my house to come and do my checks here, let me make all the decisions about testing, etc. Midwifery Traditions is her practice and it is smaller- 2 midwives (although when I was birthing with her last year there was also a midwife in training )

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#8 of 24 Old 09-02-2009, 10:55 AM
 
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Originally Posted by mom2tatum View Post
I think most people would agree with me in saying that the CNM's around here are not any more preferable to an OB usually, and their practices are large. It's not the individual, personal care you'd get from a CPM servicing homebirthers in the area. I used Delco midwives with my first and in general, I think three of them are great and they have a great relationship with their hospital and the OB's there - generally speaking. Thats the positives. However, there are now 7 or 8 of them, many new, and their office is not a wonderful atmosphere to say the least. Some more negatives, but I don't think its what she wants anyway, so....
good luck! Most CNM's here are still functioning from a very Obstetrical Philosophy of care and like a large practice of OB's as well.
I would have to disagree.... there are several CNM practices around Philadelphia that are small and that practice with the philsophy of low intervention and personal care. I think that it IS possible to find a CNM practice that is able to deliver in a hospital, have a natural childbirth and an empowering experience.
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#9 of 24 Old 09-02-2009, 11:42 AM
 
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Barbara D'Amato and Melicia Escobar are also CNMs that deliver in a hospital (Montgomery), their birth center and at home.

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#10 of 24 Old 09-02-2009, 06:10 PM
 
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Originally Posted by mom2tatum View Post
I think most people would agree with me in saying that the CNM's around here are not any more preferable to an OB usually, and their practices are large. It's not the individual, personal care you'd get from a CPM servicing homebirthers in the area. I used Delco midwives with my first and in general, I think three of them are great and they have a great relationship with their hospital and the OB's there - generally speaking. Thats the positives. However, there are now 7 or 8 of them, many new, and their office is not a wonderful atmosphere to say the least. Some more negatives, but I don't think its what she wants anyway, so....
good luck! Most CNM's here are still functioning from a very Obstetrical Philosophy of care and like a large practice of OB's as well.


i disagree as well. i know of two cnm practices that are very natural minded. i know another that i used 7 yrs ago that it is possible to get what you want from, i think you may need a doula tho to get the hospital exp you'd want.

sus

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#11 of 24 Old 09-02-2009, 06:54 PM
 
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Originally Posted by KoolMom View Post
I would have to disagree.... there are several CNM practices around Philadelphia that are small and that practice with the philsophy of low intervention and personal care. I think that it IS possible to find a CNM practice that is able to deliver in a hospital, have a natural childbirth and an empowering experience.
Names? Any in Center City? (My problem is that I'm in South Jersey, so I'm not about to go to the west of the city...)

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#12 of 24 Old 09-02-2009, 07:24 PM
 
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Which hospital does Kathy Hindle use?
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#13 of 24 Old 09-02-2009, 10:47 PM
 
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Which hospital does Kathy Hindle use?
montgomery hospital in norristown.

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#14 of 24 Old 09-02-2009, 11:13 PM
 
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I did actually forget about Kathy Hindle. However, I heard that she just continues to be way too busy to take any more clients unless they are repeats...is that still the case?

Already!?!?! cold.gif  ~ Lori, doula, childbirth educator, wife to Jermaine 6/04, and mom to two happy and energetic boys - Tatum 6/06 and Keegan 3/09

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#15 of 24 Old 09-03-2009, 12:02 AM
 
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Originally Posted by KoolMom View Post
I would have to disagree.... there are several CNM practices around Philadelphia that are small and that practice with the philsophy of low intervention and personal care. I think that it IS possible to find a CNM practice that is able to deliver in a hospital, have a natural childbirth and an empowering experience.
Several?
It's something women look for a lot around here and I've never really heard much positive feedback, it is usually more negative (IRL and MDC). I've heard good things about kathy hindle hosp and home, and that's all. She is still at Montgo, though, and I was thinking more Philly hosp or closer to city...

Already!?!?! cold.gif  ~ Lori, doula, childbirth educator, wife to Jermaine 6/04, and mom to two happy and energetic boys - Tatum 6/06 and Keegan 3/09

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#16 of 24 Old 09-03-2009, 12:10 PM
 
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Some have been mentioned already...
Ronnie Rothman, Kathy Hindle, Valley Birthplace, TBC (which is a larger practice but still is seperate from a hospital), I think Pat Sunday is still praciticing too. There is Delco which you had mentioned but also the birth center in Delaware which is close for some people who live outside of the city. Ann Lynn had a practice in doylestown but she retired last year... I know her practice still is accepting patients, I'm not sure though about how many midwives are still working there.

The nice part about having CNM's, CPM's AND OB's is that everyone gets the kind of care that they are looking for. I think there is a lot that needs to be done here in Philly to raise the level of care that we recieve on everyones part (providers and patients included).

BTW what's IRL?
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#17 of 24 Old 09-03-2009, 12:12 PM
 
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I forgot about Penn's cnms too
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#18 of 24 Old 09-03-2009, 01:53 PM
 
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Originally Posted by staceychev View Post
I'm working with Penn OB/GYN at the Curtis Center, but there are 8 midwives in the practice, and I've only been there twice, so I don't know that I could unequivocally recommend them, just because of lack of information. The support staff at the practice is very nice, though, and there are doctors in the practice also (but, you don't see them if you're under midwifery care, unless you need to). They deliver at Pennsylvania Hospital.

By the way, I was under the impression that all CNMs had to work with an OB/GYN by law. Is that a state-by-state thing?
I delivered through the penn ob/gyn midwives at the curtis center (well not *at* the curtis center, I delivered at Pennsy) Yes it is a larger practice, but I had a good experience. It was convenient for me, which the Bryn Mawr Birth Center was not.
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#19 of 24 Old 09-03-2009, 05:43 PM
 
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I delivered through the penn ob/gyn midwives at the curtis center (well not *at* the curtis center, I delivered at Pennsy) Yes it is a larger practice, but I had a good experience. It was convenient for me, which the Bryn Mawr Birth Center was not.
That's really good to know! I chose the practice with not a ton of knowledge going into it!

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#20 of 24 Old 09-03-2009, 08:29 PM
 
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Originally Posted by KoolMom View Post
Some have been mentioned already...
Ronnie Rothman, Kathy Hindle, Valley Birthplace, TBC (which is a larger practice but still is seperate from a hospital), I think Pat Sunday is still praciticing too. There is Delco which you had mentioned but also the birth center in Delaware which is close for some people who live outside of the city. Ann Lynn had a practice in doylestown but she retired last year... I know her practice still is accepting patients, I'm not sure though about how many midwives are still working there.

The nice part about having CNM's, CPM's AND OB's is that everyone gets the kind of care that they are looking for. I think there is a lot that needs to be done here in Philly to raise the level of care that we recieve on everyones part (providers and patients included).

BTW what's IRL?

Oh, well, I was specifically talking about practices that fit the needs of the OP...so most of who you listed wouldn't be what she is looking for for her friend. I was referring to small practices of CNM's, to birth in a hospital, and very personal care. And, I still believe that is hard to find around here.

I agree it is helpful to have all kinds of practitioners available. But, to me, it's not about what type of practitioner as much as it is about the level of care and the philosophy of pregnancy/labor/birth. And, by just having them around, it does not in any way guarantee that patients get the care they are looking for. Many women look for a small, caring group of CNM's to deliver in a hospital and help to have a low intervention unmedicated birth, and it is unfortunately not what many find - and sometimes too late. I am sure some do. I just don't hear that happening from the ten or so doulas I know and hear from.

Again, I like the Delco MW - very much. I think 3 of them have had their own homebirths and they really really support women in trying to have natural births in a hospital setting. They are really great. They have better c section rates then TBC in Bryn Mawr, I know that for a fact. And their most recent stat on unmedicated births is near 65%. That is unheard of and fabulous, and I would guess it's close to the same as TBC, since TBC's transfer rate is near 30%. I just think Delco MW's are too big right now to truly build a relationship with all of them who may attend you at your birth, so I was responding to the specifics the OP laid out. They outnumber the OB's at Delco. (which is good for their level of respect at the hospital, I figure, but still its own issue).

I think you were misunderstanding me and thinking I was saying CNM's don't provide good care. Maybe it's my wording. I should edit that. In the Phila area, though, CNM's strictly doing hospital births do tend to follow a very obstetrical philosophy of care and tend to have large practice. Sometimes they have hospital rights on paper, but the OB's behind the scenes are dictating many things important to some women trying to avoid intervention. Not all. But most.

And, I'm speaking from not my own doula experience (because I don't actually have any yet, but soon will... ) but from hearing other doula's many experiences all over the area's hospitals and from friends.

Those other names are probably wonderful to have mentioned for other people searching MDC, though, so thanks for providing!

IRL is in real life.


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#21 of 24 Old 12-06-2010, 12:40 PM
 
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how about a mid wife who does do home births in the Williamsport, PA area? anyone know of any in that area? i feel like i keep hitting dead ends with the idea...frusterating!!!

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#22 of 24 Old 12-07-2010, 10:58 AM
 
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Maybe Jen McFarland?  www.mybirthbydesign.com is her site I believe.  Or maybe Lisa Robertson of www.woman-wise.com?  Good luck!

 

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how about a mid wife who does do home births in the Williamsport, PA area? anyone know of any in that area? i feel like i keep hitting dead ends with the idea...frusterating!!!




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#23 of 24 Old 12-10-2010, 07:43 AM
 
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thanks for the advice. unfortunately i have checked with both of them. Jen says she'll do it, but she's still 2 hours away, and Lisa says they are too far.

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#24 of 24 Old 12-20-2010, 05:55 PM
 
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Ronni Rothman is kind, smart, and professional.  She caught my VBAC babe 4 months ago.  I went to the Bryn Mawr Birth Center for my first baby, and my experience this time (prenatal care through birth) was just so wonderful.  And while in labor I had zero interventions (despite the hospital's policy for vbac mamas to have constant external fetal monitoring and a hep-lock) (maybe it's because i was ready to push when I showed up at 3 am?  maybe...but still it was nice and unexpected).

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