Frequently Asked Questions
How often are prenatal appointments?
MCNYC start prenatal appointments at 11 to 12 weeks. They are every four weeks until 28 weeks’ gestation, then every two weeks until 36 weeks’ gestation, then weekly after that until 42 weeks.
How long are visits and what do we cover?
Our appointments are 45 minutes to an hour. The midwife will take your blood pressure, measure your growing abdomen and determine the position of your baby, draw blood when indicated and make referrals when indicated. We discuss relevant topics to your pregnancy and family, nutrition, exercise, what to expect, share stories, your birth vision, your postpartum period, and the transition into parenthood.
Where are the visits held?
In your home.
What tests should I be aware of?
Typically, pregnant person’s will be screened for basic blood work including blood type and screen, STIs (sexually transmitted infection), genetics, iron and vitamin reserves, and gestational diabetes. Cultures taken include PAP, urine, GBS (Group B Streptococcus), and STIs. There are several types of tests that can be done via sonogram. We will discuss these in detail with you.
Do you both come to the birth?
One midwife attends with a birth assistant. We maintain a rotating on-call schedule.
What equipment or supplies do you bring to births?
MCNYC has medical equipment and medications standard for care of low-risk vaginal births. The midwives also carry alternative modalities such as homeopathy, tinctures, and essential oils. We also have a beautiful hardwood birthing stool made in Canada.
What supplies do I need to buy?
Our families purchase a birth kit and some basic supplies.
Should I have a doula for my birth?
MCNYC requires first time home birth families to have a doula present for their birthing journey. At subsequent births we highly recommend having a doula. Statistically doulas have been shown to improve health outcome, and enhance families experience.
Can I have a water birth?
Yes. There are potential advantages of deep water immersion during labor and/or birth. You may choose to labor and/or birth in water or on land, in a bed or an alternative setting (e.g. standing, toilet, shower etc).
Can an older sibling be at the birth?
Absolutely, however this is a very individual decision. We have attended many births with children present. We also have personal experiences as our own children have attended their siblings’ birth.
How long do you stay after the birth?
Typically, the midwife stays with an immediate postpartum family between two to four hours after birth. Our goal is to make sure you and your baby are stable, your baby has latched and fed, you’ve been up to the bathroom, and you have eaten.
When do I take my baby to the doctor?
Our recommendation is for your baby to be seen by a pediatrician (of your choosing) five to seven days postpartum.
Is there breastfeeding help if I need it?
Yes, we have many years of breastfeeding knowledge and experience. There are additional resources if needed.
Do you visit me after the baby is born?
Our standard postpartum visit schedule includes a 36-48 hour visit, a visit between days’ five to seven, and a final six week visit. We stay in close contact with our postpartum families as different needs may arise.
What if I need to go to the hospital before labor or during?
Transfer occurs approximately 12 percent of the time with the majority being first time parents. We believe in safe transfers and will accompany you throughout the process.
How do I get a birth certificate for my baby?
We will file your baby’s birth certificate with the NYC Department of Health. If desired will also apply for the Social Security card.
Does MCNYC accept insurance and what kind?
Yes, but it is more complicated than that. MCNYC is not in-network with any insurance company (neither is any home birth midwife based in NYC), although we have a dedicated staff member to assist you with getting the best possible coverage from your specific plan – often times even when your plan has no out of network benefits (exceptions can be granted). The only coverage we are not able to accept is Medicaid unless you have Health First Medicaid (at this time).