Providing leading midwifery care for women throughout their lifetime

Midwives-group-Feb-2019_forweb

When you choose midwifery care at The Ohio State University Wexner Medical Center, you’ll receive natural, holistic care from our team of Certified Nurse Midwives (CNM). Our advanced practice nurses are specially trained in gynecology and obstetrics, providing leading midwifery care for women during pregnancy and other life stages.

When it comes to pregnancy and delivery, studies show that women who choose a midwife for care may experience fewer hospitalizations during pregnancy, fewer episiotomies, and feel more in control during childbirth.

In addition to supporting you throughout pregnancy and delivery, our midwives care for women during other phases of life, providing well woman exams, pap smears, contraception and preventative care.

All babies are delivered at the Ohio State Maternity Center with access to the latest equipment and resources for every kind of pregnancy and delivery. 


Why Choose Ohio State?

Ohio State’s Wexner Medical Center’s comprehensive midwifery program provides the care you want, when you want it. Here are some reasons expectant mothers choose our midwives:

  • We focus on providing personalized, hands on care throughout labor and birth.
  • We are committed to your birth choices and incorporating your individual needs into your care plan.
  • We offer hydrotherapy during labor and water birth.
  • Our state-of-the-art facility includes private rooms and the latest equipment and resources for every kind of pregnancy and delivery.
  • We are experts at empowering women to take an active role in their health care.

Our Services

Ohio State’s Midwifery Program offers comprehensive care in obstetrics and gynecology for women of all ages. Our midwives provide a compassionate approach to all aspects of women’s health care. We currently offer midwifery care at three office locations - Upper Arlington, Worthington and Gahanna while performing deliveries at Ohio State's Maternity Center. 

Ohio State's midwives offer a variety of care including:

  • Annual well-woman exams
  • Methods of contraception
  • Pregnancy care and delivery
  • Prescriptions
  • Treatment for common infections

In addition, if you develop a medical condition that requires more specialized treatment, our midwives refer you to an obstetrician or other specialist.

Frequently Asked Questions

Is a midwife right for you?

It’s natural to have questions about your health care, especially when it comes to choosing a provider. Here, our midwives answer some of the most frequently asked questions about midwives and midwifery. For questions not answered here, please contact us or schedule a complimentary, no-obligation midwife appointment.

What is a certified nurse-midwife (CNM)?

CNMs are advanced practice registered nurses who also completed graduate education and training specializing in midwifery. CNMs are certified by the state to provide a lifetime of care for women, including routine gynecologic care, birth control options, as well as pregnancy, delivery and postpartum care. In Ohio, CNMs work with physicians in a collaborative agreement. Visit www.mymidwife.org for more information.

Why should I choose a midwife?

Women who choose a midwife are generally looking for a provider who will offer them choice in their healthcare options, and a partner in helping them make important decisions regarding their health. As midwives, we are experts in normal pregnancy and birth. 

You can expect a special kind of care when you choose a midwife. We are present during the labor and birth process. We see ourselves as your partners and want to make sure you have an active voice in your care and birth experience. 

Our philosophy is that life events such as puberty, birth and menopause are normal experiences in a woman's life--not something that needs to be treated like an emergency. Our goal is to educate you and provide support so you can make the best choices for you and your family. 

At Ohio State, we have access to Ob/Gyn physicians in our offices and on the labor and delivery unit. We collaborate with perinatologists, anesthesiologists and NICU when needed. 

Do you attend deliveries at home?

No. While we support a woman's right to give birth where and with whom she chooses but we do not attend home births. All of our births are attended at Ohio State Wexner Medical Center.

Are you anti-pain medication/anti-epidural?

No. We believe in informed choice. If, given accurate information, a woman believes an epidural or pain medication is the correct choice for her, we will support her in that decision. Our patients have access to IV pain medications, nitrous oxide gas and epidurals, if they desire. 

Where do you attend deliveries?

We attend deliveries exclusively at The Ohio State University Wexner Medical Center.

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Will my insurance cover a midwife?

We accept OSU Health Plan, BCBS, United, Caresource, Molina, Medicaid and some Tricare plans. Please call the office to inquire about insurance coverage. Billing is the same for midwifery care as obstetrical care. 

Can I just see the CNMs? When would I see the obstetrician?

If you are experiencing an uncomplicated pregnancy, then most likely you will only have visits with the midwives. If complications arise during your pregnancy, you may have a visit with one of the physicians in our practice. During labor, if an emergency arises, one of the staff physicians will be immediately available.

Do you have experience with the Bradley Method? Hypnobirthing? Hypnobabies?

Yes. We are familiar with each option and have worked successfully with women who are using them in their childbirth. This is another decision we will support you in when you decide what is best for you.

Can I have a doula?

We welcome doulas at your birth.

Can I labor/give birth in any position?

Absolutely. Not only are we fine with changing position, we strongly encourage it. We find that keeping mothers moving throughout labor is helpful for pain relief, as well as for correctly positioning baby. We are familiar with the majority of birthing positions and will help find the one that feels best for you at that moment.

Do I have to be hooked up to monitors the whole time?

If the pregnancy is normal and full term, most women are generally not on the monitor the entire time. Upon arrival to labor and delivery, you’ll be placed on the monitor for 20 minutes to evaluate baby, and ensure that baby is handling labor just fine. If all is well and you fit the criteria, we follow the intermittent monitoring guidelines established by Ohio State’s Wexner Medical Center. This entails listening to baby every 30 minutes before, during and after a contraction during active labor, and every 15 minutes during the pushing stage. We’re happy to discuss this policy with you further.

Do I have to have an IV?

No, although we prefer our patients to have an IV port placed in case of emergency. This would not be attached to anything and you would still have the freedom to move around.

Can I have hydrotherapy?

Yes. Both water for labor (hydrotherapy) and water birth are options for midwifery patients. There are many benefits including pain relief. We have Aquadoula tubs which are available in all of our labor and delivery rooms. Water birth is an option for low-risk patients. If you are interested in water birth, we recommend that you discuss this with your midwife. 

What if I'm Group Beta Strep (GBS) positive?

The recommendation for women who are GBS positive is to be treated with IV antibiotics while in labor. This generally does not restrict your freedom to move around or labor and/or birth in the water if you choose.

Do you do routine episiotomies?

We do not cut episiotomies routinely. If a baby is intolerant of labor and needs to be born immediately, the decision to cut an episiotomy might be made, though this rarely happens. Our current rate of episiotomy is approximately 1.7 percent.

Do you practice delayed cord clamping?

Waiting for the cord to stop pulsating before clamping and cutting is a practice we are very familiar with and routinely engage in.

Can my husband/boyfriend/partner cut the cord?

Absolutely. If all is well with your birth and baby, we are happy to allow your partner to cut the cord. We understand that the birth of a baby means the birth of an entire family, so partner involvement is very important.

I want to breastfeed right away. Is that OK?

Yes!

What if I want to decline the Vitamin K injectin or erythromycin eye ointment for my baby?

In deciding to decline medication or treatment, we ask, as in everything else, that you are educated in your decision. For this reason, we recommend discussing this option with your pediatrician. If you decide that declining one or the other is the best option for your family, you’ll be asked by the nursing staff to sign a waiver at admission.

How soon after delivery can I leave?

Mothers generally do great after childbirth. An early discharge at 24 hours is something we support as long as the mother is stable. More concerning is how baby is doing in the first 24 hours. We recommend speaking with your pediatrician about his/her policy on early discharge.

Do you attend VBACs (Vaginal Birth after Cesarean)?

Yes. We are happy to offer this option to women who are delivering their babies at the The Ohio State University Wexner Medical Center.

What is your Cesarean section rate?

We understand that C-section is major surgery. Because of that, we work very hard to ensure that when it is needed, it is absolutely medically necessary. Our current rate of Cesarean section is 13 percent.

Will medical students or residents be involved in my birth?

Although Ohio State is a major medical center and teaching hospital, resident and medical student involvement in your birth process should be minimal, if at all. If you are sent for evaluation for possible labor or a problem, you may receive care from a resident at that time. However, please know that they are simply evaluating you, and notifying the midwife on call of their findings. The midwife or collaborating physician is in charge of your care at all times. On a side note, if you are willing to have a resident or medical student observe your birth, it is a great experience for them to witness natural childbirth and learn from it. Of course, allowing their presence is always your choice.

Which midwife will deliver my baby?

We work as a team here at Ohio State, and because of that we like each woman to have several prenatal appointments with each midwife. We split call evenly because we want you to feel comfortable with whomever is on call when you go into labor.

Tips From Our Midwives

Tips From Our Experts

Choosing a trained certified midwife

Misconceptions about midwifery at Ohio State

The advantages of choosing Ohio State for your pregnancy

What to expect with midwifery care

How midwives approach patient care

Labor and delivery choices with a midwife

High touch, low tech delivery with Ohio State Midwifery

Creating your birth plan

When to call your midwife

When to call your midwife


How midwives deal with complications during labor and delivery

The differences between a physician and midwife for pregnancy care

The differences between a doula and midwife

Is midwifery care covered by health insurance?

How partners can help during labor and delivery

Can I have an epidural if I use a midwife

Hydrotherapy and water delivery options at Ohio State

Our Experts

RebeccaWagner

Rebecca Wagner, CNM

Rebecca graduated from the University of Pittsburgh with a nursing degree in 1997. She then proudly served her country as an Army Nurse for 4 ½ years in a variety of locations. Her nursing experience is varied and includes labor and delivery and a visiting nurse to pregnant and new mothers. She then returned to school and graduated with her master's degree and a certificate in nurse-midwifery. She is excited about working with women in all stages of their lives and feels especially privileged to work with women through pregnancy and birth.


Care Philosophy

LaurieMacLeod

Laurie MacLeod, CNM

Laurie completed her bachelor's degree at the University of Cincinnati and then worked as a labor and delivery nurse. She graduated with a Master of Science in Nursing in 2006. She worked in Albuquerque in private practice for several years. She is excited to be back in her hometown and to be a part of the growth of midwifery at Ohio State. Laurie partners with patients to educate them about their health and empowers them to become active participants in their health care. Laurie enjoys the relationship that develops through caring for women and their families during pregnancy and beyond.


Care Philosophy

ElizabethAustin

Elizabeth Austin, CNM

Beth received a bachelor’s degree from Duke University, where she discovered her passion for women's health care and midwifery. In 2007, she earned her Master of Science in Nursing degree, specializing in Nurse-Midwifery, from Vanderbilt University. Before moving to Columbus in 2013, she practiced in Cleveland and attended births at Lakewood Hospital, a "baby friendly" hospital. Beth is excited to expand midwifery services at Ohio State. She has special interests in contraception, water birth and empowering women to be active decision makers in their healthcare choices.


Care Philosophy

Emily Neiman

Emily Neiman, CNM

Emily pursued nurse-midwifery beginning in 2005 and graduated from The Ohio State University in 2009 with a master’s degree in science and a certificate in nurse-midwifery. Emily has experience with both in-hospital and out-of-hospital births and is committed to offering women options in the hospital setting. She is passionate about working with women throughout their lives, and particularly during pregnancy and birth. She believes strongly that pregnancy and birth are normal, natural life events and works to partner with women in their care.


Care Philosophy

CassandraSampsell

Cassandra Sampsell, CNM

Cassandra graduated from The Ohio State University with a Bachelor of Science in Nursing in 2005. She then worked at The Ohio State University Medical Center as an RN in a variety of areas including labor and delivery. It was there she discovered her true calling, serving the women of our area throughout their lifespan. She attended graduate school at The Ohio State University and graduated with her master's degree and certificate in Nurse-Midwifery.

LilyZimmerman

Lily Zimmermann, CNM

Lily received her BS in Allied Medicine in 2009 from The Ohio State University. During that time, she was exposed to midwifery and her passion for women’s health grew. Lily pursued a career in nursing at Vanderbilt University, where she completed her MSN specializing in Nurse-Midwifery in 2013. After returning from Nashville, Lily worked for a FQHC providing comprehensive prenatal, postpartum & gynecological services to women. Lily focuses on serving women with competent, compassionate & patient centered care and empowering women to be active facilitators in their healthcare.

WardMichaela_724x840

Michaela Ward, MS, APRN-CNM

Michaela received her BA in psychology from The Ohio State University. She then moved to New York City where she attended Columbia University, earning a BS and MS in nursing with a specialty in midwifery. She worked with the Midwives at Magee in Pittsburgh and as a laborist at Mt. Carmel St. Ann's prior to joining the midwifery team at Ohio State. She enjoys taking care of women across their lifespan and empowering them to make the best healthcare decisions for themselves and their families. Her special interests include family planning and equitable healthcare.

 

 Care Philosophy

Jessica Hill_WEB

Jessica Hill, APRN-CNM

A native of central Ohio, Jessica attended The Ohio State University and received a BA in international studies with a minor in women’s studies. She then moved to New York City and attended Columbia University, earning a BS and MS in nursing with a specialty in midwifery in 2011. After midwifery school, Jessica completed a fellowship at Special Beginnings Birth & Women’s Center outside of Annapolis, Maryland. She then returned to New York and has been in practice with the Mount Sinai Health System for the past several years. Jessica is excited to return to her hometown and join the midwifery practice at Ohio State. She enjoys partnering with women to stay healthy, make informed choices, and have positive birth experiences.

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