Compare 3 certified nurse midwives in Pukalani, HI. Check ratings, insurance, and availability.
Prenatal visits with a midwife are longer than typical OB visits, usually 30 to 60 minutes. The midwife will monitor your pregnancy, check blood pressure, measure your belly, listen to the baby's heartbeat, and spend time discussing nutrition, exercise, birth preferences, and any concerns. During labor, the midwife provides continuous support, encourages movement and positioning, and manages pain with non-pharmacological methods (water immersion, breathing techniques) or orders an epidural if requested. Postpartum visits typically include a check at one to two weeks and again at six weeks, with support for breastfeeding and recovery.
See a midwife for pregnancy care if you have a low-risk pregnancy and want a provider who emphasizes natural birth, patient education, and longer appointments. Midwives also provide well-woman care throughout your life: annual exams, Pap smears, breast exams, contraception counseling, fertility support, and menopause management. You might choose a midwife if you want a home birth or birth center birth, want to minimize medical interventions during labor, or simply prefer the midwifery model of care. If your pregnancy becomes high-risk, your midwife will collaborate with an OB/GYN.
Prenatal visit copay: $20-50 · Hospital birth (midwife fee): $2,000-5,000 · Birth center birth: $2,000-6,000 · Home birth: $3,000-8,000 (may be out of pocket) · Well-woman visit: $0-50 copay
All insurance plans are legally required to cover certified nurse-midwife (CNM) services. Medicaid covers CNM care in all states and is the payer for about 50% of births nationally. Hospital births with a CNM are covered at the same level as physician births. Birth center births are covered by most plans. Home birth coverage varies by insurer and state. Verify your plan covers the specific birth setting you prefer. Midwife-attended births tend to cost less than physician-attended births due to fewer interventions.