Choosing a midwife is an important decision. The questions below are designed to help you understand a provider’s approach to care, communication style, and clinical judgment. These are not just questions to ask me, but questions you can use when speaking with any midwife you are considering.
Care Philosophy
How do you view pregnancy, as a normal life process or a medical condition?
Pregnancy is most often a normal, healthy part of life. My role is to protect normal, support the process of growing your baby, monitor for any concerns, and respond thoughtfully if something changes. I value both safety and respect for the natural course of pregnancy.
How are decisions made if plans change?
We make decisions together using three things, what you value, what the evidence shows, and what we’re seeing in real time. I will explain options in clear, straightforward language, including benefits and risks, and I will share what I recommend and why. From there, we decide together. If something becomes urgent, I will be direct so we can act quickly and safely for you and your baby.
Risk and Safety
How do you screen for risk during pregnancy and labor?
I begin screening at the first visit and continue throughout care, not just at one point in time. This includes reviewing your health history, monitoring vital signs, labs, and fetal growth, and paying attention to patterns over time. I am comfortable supporting normal pregnancy, but I also watch carefully for anything that may need additional evaluation or a higher level of care.
What happens if complications arise?
I manage what is appropriate to handle safely in the out-of-hospital setting, and I act early when something changes. I carry medications and equipment for common emergencies, and I am trained to respond to both maternal and newborn concerns. If a situation goes beyond what is appropriate for home birth, we move to a higher level of care. The goal is always a safe outcome for both you and your baby.
How is transfer of care handled if needed?
If a transfer becomes necessary, I approach it in a calm, organized, and professional way. I communicate clearly with the receiving team, provide a concise summary of your care, and help ensure a smooth transition. I remain available for support as appropriate. Transfer is not a failure, it is thoughtful decision-making to ensure the safest outcome for you and your baby.
Autonomy
How much shared decision-making is encouraged?
Shared decision-making is central to my approach. This is your pregnancy and your birth, and you deserve to understand what is happening and why. I take time to explain what I am seeing clinically, what options are available, and the risks and benefits of each choice. I will offer clear recommendations when appropriate, especially when safety is involved, but decisions are not made for you without your understanding. My role is to guide, educate, and support you so you can make informed decisions with confidence.
How are my preferences respected?
I begin by understanding what matters most to you, and I plan care around your preferences whenever it is safe to do so. I respect each family’s values and choices, and I approach care without judgment. At the same time, if a preference carries meaningful risk, I will explain that clearly and honestly. My goal is to provide care that is both respectful and safe, where your voice is heard and your wellbeing is protected.
Support
Who will be present at my birth?
I will be present, and depending on your needs and the plan for your birth, there may also be a trained birth assistant or additional support. We will discuss this in advance so you know what to expect. I also welcome doulas and supportive family members, as long as everyone is working together toward a safe and calm environment.
How is emotional and physical support provided during labor?
I bring a calm, steady presence and support you in the way that feels most helpful to you. This may include hands-on support, positioning, comfort measures, guidance with hydration and nourishment, and reassurance throughout labor. I support physiologic birth and pay close attention to both you and your baby, protecting your space while also maintaining safety
A note on birth settings:
Hospitals, birth centers, and home births each have strengths. I do not speak negatively about other settings. Instead, I help you choose what aligns best with your values and your individual situation. If home birth is appropriate and you desire it, I support it with careful preparation and attention to safety. If a different setting is more appropriate, I will be honest and help guide that transition.
Choosing A Midwife
Choosing a midwife is a meaningful decision, and you deserve care that aligns with your values, your needs, and your vision for your birth experience. These questions are a starting place, and I welcome open, honest conversations as you consider your options.