February 20, 2024 • 19 mins
Embark on a transformative adventure into the world of pregnancy and childbirth with the guidance of Tampa Bay Midwives' very own Courtney Julian and Michelle Ruffalo, two seasoned licensed midwives who bring a wealth of knowledge and compassion to our conversation. This episode promises to enlighten and reassure as we explore the empowering practice of midwifery, which offers an intimate alternative to the traditional obstetrics route. Discover the significance of making informed choices, the beauty of a carefully thought-out birth plan, and the unmatched 24/7 support midwives provide. If you're weighing the options for your pregnancy journey, our talk with these passionate professionals will illuminate the personalized care that encourages mothers-to-be to take the reins of their birthing experience.
Be assured, our chat with Courtney and Michelle is anything but conventional as we delve into the intricate dance of birth plans and their need for flexibility, considering the unpredictability of labor. The episode sheds light on the significance of establishing trust and open communication, ensuring a safe and supported birthing process. Whether it's embracing the benefits of additional prenatal care, such as chiropractic services, or understanding what happens when complications arise, this episode offers perspective and guidance. The empowering message is clear: every mother's choice is respected, and the support from Tampa Bay Midwives is unwavering, from conception through to postpartum. Tune in and join a celebration of the unique bonds and journeys that make each childbirth experience extraordinary.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
Welcome to another episode of Live a Full Life.
Speaker 2 (00:02):
We're with Tampa Bay Midwives.
This is an exciting one.
We work so much with thecommunity and labor as
chiropractors and prenatalchiropractors that we love them.
We work with many differentones, but we love them.
Speaker 1 (00:15):
It's honestly great.
We're going to go through somestuff about midwifery.
Speaker 2 (00:18):
If you've been through midwives before, then
you know, but if you haven't,why would we ever consider a
midwife to help us with ourpregnancy?
Because we're just better at it.
Speaker 3 (00:30):
No, but because we want people to know that we have
choices in this right.
We learn growing up that youget pregnant and go to the
hospital and you have a baby andyou kind of just do what you're
told to do.
But that's not really how itworks.
So when you seek out midwiferycare you're getting a completely
(00:51):
different experience where youare kind of in control and you
have your provider who'slistening but also giving you
helpful hints and informedconsent just to kind of navigate
through pregnancy andpostpartum.
Speaker 1 (01:07):
And it's a more one-on-one type of relationship.
Obviously we have the on-linenot the online, but the on-call
24-7, which is awesome.
Business hours, business thingswe like to keep it nine or five
.
And then there's the newemergencies.
They can get a full of amidwife like that and they don't
(01:28):
have that.
Someone this morning calledupset because she had some
issues.
She never would have gonethrough to her OB as someone who
just had the established careof it completely.
So it's a very one-on-one, verysymbiotic relationship, giving
all the information, lettingwomen know that they, like a
(01:48):
court, has said choices, thatyou do not have to just be like
cattle and do this, do that, youhave to do this, you do that,
you can say no.
You can say no.
Speaker 2 (02:01):
Yeah, there's a lot of freedom that comes with your
pregnancy that maybe you don'tfeel like there is, because
we've made it condition.
It's got an ICD-10 code.
I'm like why it's not a symptom, it's a thing.
So we made it this thing andpeople think that it's not a
freedom type thing.
They say, oh, I have thiscondition, literal condition,
(02:21):
that I have to follow aprognosis with, when really it's
such a innate process in itselfthat you really can't follow
any program with it.
I feel ridiculousism and youcan talk about this.
So when we go through thisfreedom and we have we're not
limited to this matter of themedical system what does a
healthy female that's going toconsider pregnancy or maybe is
(02:43):
early on pregnant right nowlistening to this?
That may be like huh, maybe Ishould look into midwives.
What are some things yousuggest?
When you were looking into theriver for a minute, maybe
listening to Seattle, they don'thave options to see you, so you
know what's going on.
Speaker 1 (02:58):
I think women, just one, knowing that they do have
choices to you know, researchingthe, what they have available
to them locally, like you know,like you said, do they have
midwives available?
You know, right out of list ofquestions, I always want people
I love the list of questions andalso have your spouse talk to
(03:21):
your spouse or your partner, oryou know, friends, family.
You know and not also know thatthey all may not feel the same
way you do about your healthcare, but that's okay.
You know it's your choice andthat it's personal to you and
yeah, so I mean there's lots ofresources out there to look at
(03:44):
for to find a midwife, yeah Idefinitely think sorry, no not
at all Doing your research onsaid providers.
Speaker 3 (03:53):
There are licensed midwives or certified
professional midwives.
There's certified nursemidwives, and then there's OBs.
So just knowing who you'regoing to, there are, and Florida
we have birth keepers who arenot train the way that we are
trained, and so just make surethat you're with someone who
(04:13):
knows how you do the things whenwe need to be safe and stay
safe in that moment yeah, let'sintroduce 10 midwives.
Speaker 2 (04:20):
Let's go through each and every one of you in your
credentials and what you bringto the table.
Speaker 3 (04:27):
So I'm Courtney Julian and I'm a licensed
midwife and certifiedprofessional midwife.
Speaker 1 (04:32):
I am Michelle LeFollow.
I'm a licensed midwife.
I've been practicing since 2010and I'm Nicole Whiting.
Speaker 3 (04:39):
I am also a licensed midwife and certified
professional midwife.
I'm fairly new I only gotlicensed last year but I train
under both of them and I feellike all together we make a
really good team.
Great, you guys are located atTampa Bay.
Speaker 2 (04:55):
Midwives here, and is it loose or?
Speaker 1 (04:58):
under legs, loose, loose, yeah, so you guys can
look them up right here ifyou're local to the Tampa Bay
area You're fantastic.
Speaker 2 (05:04):
So that's great.
So when we talk about the plan,birth plans this is a big thing
too.
Some women think about the planand some don't, but I think
they've all had a vision sincebefore even getting pregnant or
as a woman, just having a visionof what birth would be like a
dream look like how do you guyswork through birth plans?
How do you do help moms gothrough their birth plan?
(05:27):
Make sure that they thoughtabout all the checks and
balances of a birth plan?
What does that look?
Speaker 3 (05:31):
like.
So most people that come intoMidwifery Care, they kind of
have already done all of theresearch and they have their
birth plan and we just kind ofgo with it.
But then there are people Imean even me when I got pregnant
, knowing all the things that Iknow as a midwife, I was still
like what?
The like?
Oh, I really have to thinkabout this Like a human's going
(05:54):
to come out of my body.
So, just going over all of thethings that you have to think
about, like, are you doingchiropractic care in pregnancy?
If you're not, you probablyshould be, because it's going to
help with x, y and z Like whatdo you want to happen
immediately after your babycomes out?
Do you want to be the one thatputs your baby to your chest?
Do you want someone to justhold your baby while you take a
(06:16):
breather to realize, like whatjust happened, things that you
want done or not done to yourbaby.
And I'm like back in the day,washing the baby was a thing.
Now I'm just like why would wewash a baby like that?
Well, I can ask me do that?
It's kind of weird, but that'ssome things that people don't
think about.
Inviting UK injections with theeye ointment.
(06:37):
So really laying out like thisis what it's going to look like.
I remember in Midwifery schoolone of our assignments was like
draw out your ideal birth.
And mine was like, oh, I'mgoing to be making cupcakes and
then I'm going to have a baby.
And then literally I got mypicture of it, but like when I
actually went in to labor, therewere no cupcakes involved.
(07:01):
I was not smiling like therewere none of the things and it
was really helping to, becausesome people me was one of those
people that had reallyunrealistic expectations and to
have Michelle be like hey, no.
Speaker 2 (07:14):
But that's an ideal birth plan, right?
And then of course, it nevergoes that way, but by happy.
I call it the blueprint.
Sometimes you can't build thehouse without the blueprint, and
even though you start buildingthe house, sometimes you have to
change the kitchen.
You got to change your wall andit may not end up the same way.
I think that's all.
Birth is too.
So if you're overlooking abirth plan, I highly suggest not
(07:36):
to To have some type of plan,some boundaries that don't get
crossed.
Speaker 1 (07:41):
And also keeping an open mind, because birth is
unpredictable and we, just aslicensed midwives in the state
of Florida.
We undergo over-versededucational training through
years plus basically two and ahalf year internship.
So we are well versed in normaland happy.
(08:03):
So we're going to take care ofour moms and make sure
everyone's small and stayswithin that range and have a
great birth and no issues.
So, yes, yeah nice.
Speaker 2 (08:18):
What are some things that you find the wiffery?
Just kind of sales ofeverything else when Pages
actually end up using it.
That just puts them ahead orputs them in a good spot or that
you feel like aside from thenatural.
If you look natural, peoplelistening or all nodding their
heads right now, I guess greatpodcast.
The other ones were likecrossing their arms and Well
(08:38):
wait, I didn't even thoughtabout this, I didn't even know
this was an option.
What does it look like?
How do I get into this?
I'm already tied to myinsurance play or this hospital.
I did all that homework.
So just go through that littlenavigation, because I think
people who are curious might beasking those questions.
Speaker 3 (08:55):
I think it starts with a phone call and just
asking so hey, I have insurance.
What does that look like foryou?
We aren't contracting with anyInsurance's, but some insurance
is offered out of network.
So we work with the companythat will help you get that
coverage taking care of.
But yeah, the best place tostart is just with a phone call
(09:18):
to ask all of the questions.
Or it can be an Instagram DM orComment on something.
You will get a response.
It's just like hey, yeah,congratulations on your
pregnancy.
Or sometimes I just ask likeare we excited about this or how
are we feeling, just so I canaddress it appropriately.
But so we start with our phonecall and then we set up our very
(09:39):
first appointment.
We that can be at eight weeks,that can be at 32 weeks.
When you were just finding outabout me with recovery care,
you've already been in OB care.
It's just a matter of like allright, let's get some records
going to make sure that you arein that healthy, low risk
category and our can have astate of.
Speaker 2 (10:00):
Hospital bird.
So there's a qualificationprocess for all that as well.
Speaker 1 (10:03):
Yes, we have a risk assessment that we have to
follow and as long as they havethe records, and the records you
know look good and they're, youknow, normal, healthy, we will
take them.
We will take late Transfers andhave a problem with it, great,
yeah, I think the differenceyou're what you got a little bit
between the wives, I think, isthe bond and the communication,
(10:29):
but I mean our clients becomelike our families, so it's it's
more intimate, definitely, yeah.
So I think, when you're askingabout differences, I think that
is one of the big differencesbetween the OB world and the
midwifery.
Speaker 2 (10:44):
That's what we have three through midwives and three
babies and and the uniqueconnection you have with them
through the whole broad.
They see everything.
They see the ultrasound.
I see the blood work.
They sometimes draw your blood.
I mean they're doing everythingthere for you, so they're in
the whole process.
So, unlike the medical system,which we all know.
Speaker 1 (11:02):
We're not bashing it.
It's very I'm, I don't doeverything.
Speaker 2 (11:05):
They don't see everything.
This is report.
So this depends on your, yourflavor.
You know how you want, how youwant to approach this.
But the big things I wanted toask about on this podcast was
you know how to seek outmidwifery?
What are some of the red flags?
You know, any of us check that.
You do it through the history,you're your process and what
(11:25):
happens if it all seems fine andAndy the turn sideways?
Week 37, week 39 or whatever?
Whatever happens up happening?
Pre-compsia Plus, there's apreview.
We want to have a list ofmedical terminology that can
happen during, but what happenswhen those things start
happening?
Speaker 1 (11:43):
So the process is if something you know, one, if
they're in labor, the goal is toidentify it and get them to
where they need to be, you know,as soon as possible.
Our goal is to well, everyoneis still healthy and normal, to
get you to the hospital, towhere you can have we can,
successfully set you up for abachelor.
(12:05):
That's really, you know.
Sometimes, maybe you know theblood pressure is just starting
to creep up and it's justcontinuing.
It's not resolving.
That might be a reason totransfer during labor, but it
doesn't mean you have to, youknow, be taken by ambulance or
anything like that.
We'll go in our, go in your owncar.
We do have a relationship withthe midwives at TGH, and so we
(12:31):
can call them and we can one.
We can ask their opinion too.
We can also say, hey, I have amom who's been laboring.
Or hey, I have a mom, you know,maybe all of a sudden baby is
breached and you know, can welook at getting a version and
what is the best?
Speaker 2 (12:49):
way to do that.
Speaker 1 (12:49):
Sometimes they can help us with the verdict in part
.
Sometimes they can't, but theywill take transfers midwife to
midwife, which is so importantbecause you're gonna.
They understand the type ofcare that we want to give and
what the client wants.
Now they may not be able togive exactly that type of care,
because they do have someone.
(13:10):
They have two ends or two andwe practice mainly autonomously,
so they but they understand.
In our community anyways, inthe Tampa Bay area there's a lot
of relationships being made andjust to smooth that process for
women who are worried?
Speaker 2 (13:28):
what?
Speaker 1 (13:29):
happens if I, you know you run midwife, what
happens A lot of times.
You know we will go with you.
Depending on the circumstance,we'll stay with you.
Sometimes moms just want to getan epidural, go to sleep, and
you know we'll check back inwith you.
So there's just so manydifferent scenarios, right, that
could happen.
Yeah, thanks to blueprint.
Speaker 2 (13:48):
Thanks to blueprint yeah, thanks to blueprint,
because we just signed up to getup a girl near sleep who's
advocating for you how one ofthey advocated for.
Speaker 1 (13:54):
so there's things that come out with that.
Speaker 2 (13:56):
So that's what they do, they think they think about
all these things for you so thatyou have the most comfortable
experience as possible, whetherit's perfect or not right
Anything else you guys think isimportant for people to think
about?
Speaker 1 (14:11):
when considering the periphery.
Well, I think hiring a doula isvery important and a doula is.
So a doula is a professional ora support person.
Only they usually do a prenatalvisit with you.
They go there with you earlylabor, active labor,
transitional labor.
Obviously they run deliberateand then they stay with you post
(14:33):
part only for a few hours andthen they usually do a post part
of visit.
So the difference between adoula and a midwife and this is
a question we get a lot- what isthe?
difference because you're mydoula, right.
Well, at the end of the day, asyour midwife, I am responsible
for your life and your baby'slife, so I am the clinical
(14:54):
person as much as I want to youknow, give you a massage, or you
know, brush your hair.
At the end of the day, I'mlooking at this, you know, I'm
looking at what's happening andthat mom is safe, baby safe, and
we're gonna have this baby andgo like that.
A doula is the person that'sgoing to be behind you giving
you the massage, helping your.
Your partner, you know, do thethings that they need to do to
(15:18):
help you get you to the nextlevel, to the next level to have
this baby.
If you are looking for a doulaand they want to take the blood
pressure, for service, you know,do more medical, listen to the
baby.
They are not acting as a doula,they're acting as a medical
(15:40):
professional without a license,and that's kind of a problem we
have there.
Speaker 2 (15:45):
Oh wow okay, good question.
Yeah, so that kind of hits whyI'm touching on it.
Yeah, okay that's important.
I mean we all have our lanesbecause we have the credential
with the Florida Department ofHealth to do what we do here in
Florida.
But every state has that aswell and there's federal
guidelines as well.
Speaker 3 (16:02):
so don't mess with that stuff.
Anything else, that that'sworked, I think, knowing that
nothing is set in stone.
So if you are with an OVprovider and you wanna switch
over, that is an option.
But just because you come intothe Wiccarie care, you may
decide like actually I was justkidding, I want an epic girl.
We are not gonna be like, oh no, you said Like we're gonna
(16:25):
support you and make you feelempowered.
Sometimes you think you canlike oh yeah, this is not gonna
bother me, but the body keepsscore.
It's a great book if you haven'tread that and things come up in
labor where you're like, oh no,it's taking me back somewhere
else and you need to be incontrol in whatever ways that
you need that, we wanna supportthat.
(16:45):
So just know that, like, youhave options and you can change
your mind, but you want a strong, solid team that's gonna
support you in whatever decisionthat you make.
Speaker 2 (16:55):
One of the.
I've seen some clients thatwork with both OVG and midwife,
but when you dissect it it'sreally kind of a bounce back and
forth.
They're not both co-carryingfor them at the same time.
So I've seen that too.
When they start off with an OV,then they're like you know what
?
No, I'm gonna go to midwifery.
And then maybe something comesup or whatever, or their plan
changes and they go back to OVGand that's perfectly fine too.
Speaker 1 (17:18):
They're happy to help .
They're totally happy to help.
Speaker 2 (17:21):
So that's for you too .
But I think a question thatsometimes can I have both at the
same time.
The reason.
I say no is because they're notboth gonna run labs on you at
the same time.
They're gonna use each other'sthings.
So it's like bouncing betweentwo doctors for these exact same
wellness checks and they to nosense.
So I hope that through.
Speaker 3 (17:37):
Yeah, yeah, yeah, definitely.
Speaker 1 (17:40):
But again, it all comes down to a choice and we
support everyone's choice.
Like Courtney said, if you wantan epidural, let's go, girl,
first we're gonna take you tothe hospital.
We're gonna have the bestepidural ever.
And then we're also gonna helpyou, you know, avoid any other
cascade interventions that mighthappen.
But you know it doesn't matter,we're there to support you.
(18:01):
110%.
Speaker 2 (18:02):
Nice, perfect, love it.
Anything else, yeah.
So if you're thinking abouthaving a baby, you call Tampa
Bay midwives.
If you're an 8-weeks pregnant,you call Tampa Bay midwives.
If you were 31-weeks pregnant,you call Tampa Bay midwives.
Speaker 1 (18:15):
If you have a baby, call them next time.
All right, sounds like a plan.
If you have a baby next time,all right, there you go, thanks
guys Thank you, thank you.
Welcome to another episode of Live a Full Life.
Speaker 2 (00:02):
We're with Tampa Bay Midwives.
This is an exciting one.
We work so much with thecommunity and labor as
chiropractors and prenatalchiropractors that we love them.
We work with many differentones, but we love them.
Speaker 1 (00:15):
It's honestly great.
We're going to go through somestuff about midwifery.
Speaker 2 (00:18):
If you've been through midwives before, then
you know, but if you haven't,why would we ever consider a
midwife to help us with ourpregnancy?
Because we're just better at it.
Speaker 3 (00:30):
No, but because we want people to know that we have
choices in this right.
We learn growing up that youget pregnant and go to the
hospital and you have a baby andyou kind of just do what you're
told to do.
But that's not really how itworks.
So when you seek out midwiferycare you're getting a completely
(00:51):
different experience where youare kind of in control and you
have your provider who'slistening but also giving you
helpful hints and informedconsent just to kind of navigate
through pregnancy andpostpartum.
Speaker 1 (01:07):
And it's a more one-on-one type of relationship.
Obviously we have the on-linenot the online, but the on-call
24-7, which is awesome.
Business hours, business thingswe like to keep it nine or five
.
And then there's the newemergencies.
They can get a full of amidwife like that and they don't
(01:28):
have that.
Someone this morning calledupset because she had some
issues.
She never would have gonethrough to her OB as someone who
just had the established careof it completely.
So it's a very one-on-one, verysymbiotic relationship, giving
all the information, lettingwomen know that they, like a
(01:48):
court, has said choices, thatyou do not have to just be like
cattle and do this, do that, youhave to do this, you do that,
you can say no.
You can say no.
Speaker 2 (02:01):
Yeah, there's a lot of freedom that comes with your
pregnancy that maybe you don'tfeel like there is, because
we've made it condition.
It's got an ICD-10 code.
I'm like why it's not a symptom, it's a thing.
So we made it this thing andpeople think that it's not a
freedom type thing.
They say, oh, I have thiscondition, literal condition,
(02:21):
that I have to follow aprognosis with, when really it's
such a innate process in itselfthat you really can't follow
any program with it.
I feel ridiculousism and youcan talk about this.
So when we go through thisfreedom and we have we're not
limited to this matter of themedical system what does a
healthy female that's going toconsider pregnancy or maybe is
(02:43):
early on pregnant right nowlistening to this?
That may be like huh, maybe Ishould look into midwives.
What are some things yousuggest?
When you were looking into theriver for a minute, maybe
listening to Seattle, they don'thave options to see you, so you
know what's going on.
Speaker 1 (02:58):
I think women, just one, knowing that they do have
choices to you know, researchingthe, what they have available
to them locally, like you know,like you said, do they have
midwives available?
You know, right out of list ofquestions, I always want people
I love the list of questions andalso have your spouse talk to
(03:21):
your spouse or your partner, oryou know, friends, family.
You know and not also know thatthey all may not feel the same
way you do about your healthcare, but that's okay.
You know it's your choice andthat it's personal to you and
yeah, so I mean there's lots ofresources out there to look at
(03:44):
for to find a midwife, yeah Idefinitely think sorry, no not
at all Doing your research onsaid providers.
Speaker 3 (03:53):
There are licensed midwives or certified
professional midwives.
There's certified nursemidwives, and then there's OBs.
So just knowing who you'regoing to, there are, and Florida
we have birth keepers who arenot train the way that we are
trained, and so just make surethat you're with someone who
(04:13):
knows how you do the things whenwe need to be safe and stay
safe in that moment yeah, let'sintroduce 10 midwives.
Speaker 2 (04:20):
Let's go through each and every one of you in your
credentials and what you bringto the table.
Speaker 3 (04:27):
So I'm Courtney Julian and I'm a licensed
midwife and certifiedprofessional midwife.
Speaker 1 (04:32):
I am Michelle LeFollow.
I'm a licensed midwife.
I've been practicing since 2010and I'm Nicole Whiting.
Speaker 3 (04:39):
I am also a licensed midwife and certified
professional midwife.
I'm fairly new I only gotlicensed last year but I train
under both of them and I feellike all together we make a
really good team.
Great, you guys are located atTampa Bay.
Speaker 2 (04:55):
Midwives here, and is it loose or?
Speaker 1 (04:58):
under legs, loose, loose, yeah, so you guys can
look them up right here ifyou're local to the Tampa Bay
area You're fantastic.
Speaker 2 (05:04):
So that's great.
So when we talk about the plan,birth plans this is a big thing
too.
Some women think about the planand some don't, but I think
they've all had a vision sincebefore even getting pregnant or
as a woman, just having a visionof what birth would be like a
dream look like how do you guyswork through birth plans?
How do you do help moms gothrough their birth plan?
(05:27):
Make sure that they thoughtabout all the checks and
balances of a birth plan?
What does that look?
Speaker 3 (05:31):
like.
So most people that come intoMidwifery Care, they kind of
have already done all of theresearch and they have their
birth plan and we just kind ofgo with it.
But then there are people Imean even me when I got pregnant
, knowing all the things that Iknow as a midwife, I was still
like what?
The like?
Oh, I really have to thinkabout this Like a human's going
(05:54):
to come out of my body.
So, just going over all of thethings that you have to think
about, like, are you doingchiropractic care in pregnancy?
If you're not, you probablyshould be, because it's going to
help with x, y and z Like whatdo you want to happen
immediately after your babycomes out?
Do you want to be the one thatputs your baby to your chest?
Do you want someone to justhold your baby while you take a
(06:16):
breather to realize, like whatjust happened, things that you
want done or not done to yourbaby.
And I'm like back in the day,washing the baby was a thing.
Now I'm just like why would wewash a baby like that?
Well, I can ask me do that?
It's kind of weird, but that'ssome things that people don't
think about.
Inviting UK injections with theeye ointment.
(06:37):
So really laying out like thisis what it's going to look like.
I remember in Midwifery schoolone of our assignments was like
draw out your ideal birth.
And mine was like, oh, I'mgoing to be making cupcakes and
then I'm going to have a baby.
And then literally I got mypicture of it, but like when I
actually went in to labor, therewere no cupcakes involved.
(07:01):
I was not smiling like therewere none of the things and it
was really helping to, becausesome people me was one of those
people that had reallyunrealistic expectations and to
have Michelle be like hey, no.
Speaker 2 (07:14):
But that's an ideal birth plan, right?
And then of course, it nevergoes that way, but by happy.
I call it the blueprint.
Sometimes you can't build thehouse without the blueprint, and
even though you start buildingthe house, sometimes you have to
change the kitchen.
You got to change your wall andit may not end up the same way.
I think that's all.
Birth is too.
So if you're overlooking abirth plan, I highly suggest not
(07:36):
to To have some type of plan,some boundaries that don't get
crossed.
Speaker 1 (07:41):
And also keeping an open mind, because birth is
unpredictable and we, just aslicensed midwives in the state
of Florida.
We undergo over-versededucational training through
years plus basically two and ahalf year internship.
So we are well versed in normaland happy.
(08:03):
So we're going to take care ofour moms and make sure
everyone's small and stayswithin that range and have a
great birth and no issues.
So, yes, yeah nice.
Speaker 2 (08:18):
What are some things that you find the wiffery?
Just kind of sales ofeverything else when Pages
actually end up using it.
That just puts them ahead orputs them in a good spot or that
you feel like aside from thenatural.
If you look natural, peoplelistening or all nodding their
heads right now, I guess greatpodcast.
The other ones were likecrossing their arms and Well
(08:38):
wait, I didn't even thoughtabout this, I didn't even know
this was an option.
What does it look like?
How do I get into this?
I'm already tied to myinsurance play or this hospital.
I did all that homework.
So just go through that littlenavigation, because I think
people who are curious might beasking those questions.
Speaker 3 (08:55):
I think it starts with a phone call and just
asking so hey, I have insurance.
What does that look like foryou?
We aren't contracting with anyInsurance's, but some insurance
is offered out of network.
So we work with the companythat will help you get that
coverage taking care of.
But yeah, the best place tostart is just with a phone call
(09:18):
to ask all of the questions.
Or it can be an Instagram DM orComment on something.
You will get a response.
It's just like hey, yeah,congratulations on your
pregnancy.
Or sometimes I just ask likeare we excited about this or how
are we feeling, just so I canaddress it appropriately.
But so we start with our phonecall and then we set up our very
(09:39):
first appointment.
We that can be at eight weeks,that can be at 32 weeks.
When you were just finding outabout me with recovery care,
you've already been in OB care.
It's just a matter of like allright, let's get some records
going to make sure that you arein that healthy, low risk
category and our can have astate of.
Speaker 2 (10:00):
Hospital bird.
So there's a qualificationprocess for all that as well.
Speaker 1 (10:03):
Yes, we have a risk assessment that we have to
follow and as long as they havethe records, and the records you
know look good and they're, youknow, normal, healthy, we will
take them.
We will take late Transfers andhave a problem with it, great,
yeah, I think the differenceyou're what you got a little bit
between the wives, I think, isthe bond and the communication,
(10:29):
but I mean our clients becomelike our families, so it's it's
more intimate, definitely, yeah.
So I think, when you're askingabout differences, I think that
is one of the big differencesbetween the OB world and the
midwifery.
Speaker 2 (10:44):
That's what we have three through midwives and three
babies and and the uniqueconnection you have with them
through the whole broad.
They see everything.
They see the ultrasound.
I see the blood work.
They sometimes draw your blood.
I mean they're doing everythingthere for you, so they're in
the whole process.
So, unlike the medical system,which we all know.
Speaker 1 (11:02):
We're not bashing it.
It's very I'm, I don't doeverything.
Speaker 2 (11:05):
They don't see everything.
This is report.
So this depends on your, yourflavor.
You know how you want, how youwant to approach this.
But the big things I wanted toask about on this podcast was
you know how to seek outmidwifery?
What are some of the red flags?
You know, any of us check that.
You do it through the history,you're your process and what
(11:25):
happens if it all seems fine andAndy the turn sideways?
Week 37, week 39 or whatever?
Whatever happens up happening?
Pre-compsia Plus, there's apreview.
We want to have a list ofmedical terminology that can
happen during, but what happenswhen those things start
happening?
Speaker 1 (11:43):
So the process is if something you know, one, if
they're in labor, the goal is toidentify it and get them to
where they need to be, you know,as soon as possible.
Our goal is to well, everyoneis still healthy and normal, to
get you to the hospital, towhere you can have we can,
successfully set you up for abachelor.
(12:05):
That's really, you know.
Sometimes, maybe you know theblood pressure is just starting
to creep up and it's justcontinuing.
It's not resolving.
That might be a reason totransfer during labor, but it
doesn't mean you have to, youknow, be taken by ambulance or
anything like that.
We'll go in our, go in your owncar.
We do have a relationship withthe midwives at TGH, and so we
(12:31):
can call them and we can one.
We can ask their opinion too.
We can also say, hey, I have amom who's been laboring.
Or hey, I have a mom, you know,maybe all of a sudden baby is
breached and you know, can welook at getting a version and
what is the best?
Speaker 2 (12:49):
way to do that.
Speaker 1 (12:49):
Sometimes they can help us with the verdict in part
.
Sometimes they can't, but theywill take transfers midwife to
midwife, which is so importantbecause you're gonna.
They understand the type ofcare that we want to give and
what the client wants.
Now they may not be able togive exactly that type of care,
because they do have someone.
(13:10):
They have two ends or two andwe practice mainly autonomously,
so they but they understand.
In our community anyways, inthe Tampa Bay area there's a lot
of relationships being made andjust to smooth that process for
women who are worried?
Speaker 2 (13:28):
what?
Speaker 1 (13:29):
happens if I, you know you run midwife, what
happens A lot of times.
You know we will go with you.
Depending on the circumstance,we'll stay with you.
Sometimes moms just want to getan epidural, go to sleep, and
you know we'll check back inwith you.
So there's just so manydifferent scenarios, right, that
could happen.
Yeah, thanks to blueprint.
Speaker 2 (13:48):
Thanks to blueprint yeah, thanks to blueprint,
because we just signed up to getup a girl near sleep who's
advocating for you how one ofthey advocated for.
Speaker 1 (13:54):
so there's things that come out with that.
Speaker 2 (13:56):
So that's what they do, they think they think about
all these things for you so thatyou have the most comfortable
experience as possible, whetherit's perfect or not right
Anything else you guys think isimportant for people to think
about?
Speaker 1 (14:11):
when considering the periphery.
Well, I think hiring a doula isvery important and a doula is.
So a doula is a professional ora support person.
Only they usually do a prenatalvisit with you.
They go there with you earlylabor, active labor,
transitional labor.
Obviously they run deliberateand then they stay with you post
(14:33):
part only for a few hours andthen they usually do a post part
of visit.
So the difference between adoula and a midwife and this is
a question we get a lot- what isthe?
difference because you're mydoula, right.
Well, at the end of the day, asyour midwife, I am responsible
for your life and your baby'slife, so I am the clinical
(14:54):
person as much as I want to youknow, give you a massage, or you
know, brush your hair.
At the end of the day, I'mlooking at this, you know, I'm
looking at what's happening andthat mom is safe, baby safe, and
we're gonna have this baby andgo like that.
A doula is the person that'sgoing to be behind you giving
you the massage, helping your.
Your partner, you know, do thethings that they need to do to
(15:18):
help you get you to the nextlevel, to the next level to have
this baby.
If you are looking for a doulaand they want to take the blood
pressure, for service, you know,do more medical, listen to the
baby.
They are not acting as a doula,they're acting as a medical
(15:40):
professional without a license,and that's kind of a problem we
have there.
Speaker 2 (15:45):
Oh wow okay, good question.
Yeah, so that kind of hits whyI'm touching on it.
Yeah, okay that's important.
I mean we all have our lanesbecause we have the credential
with the Florida Department ofHealth to do what we do here in
Florida.
But every state has that aswell and there's federal
guidelines as well.
Speaker 3 (16:02):
so don't mess with that stuff.
Anything else, that that'sworked, I think, knowing that
nothing is set in stone.
So if you are with an OVprovider and you wanna switch
over, that is an option.
But just because you come intothe Wiccarie care, you may
decide like actually I was justkidding, I want an epic girl.
We are not gonna be like, oh no, you said Like we're gonna
(16:25):
support you and make you feelempowered.
Sometimes you think you canlike oh yeah, this is not gonna
bother me, but the body keepsscore.
It's a great book if you haven'tread that and things come up in
labor where you're like, oh no,it's taking me back somewhere
else and you need to be incontrol in whatever ways that
you need that, we wanna supportthat.
(16:45):
So just know that, like, youhave options and you can change
your mind, but you want a strong, solid team that's gonna
support you in whatever decisionthat you make.
Speaker 2 (16:55):
One of the.
I've seen some clients thatwork with both OVG and midwife,
but when you dissect it it'sreally kind of a bounce back and
forth.
They're not both co-carryingfor them at the same time.
So I've seen that too.
When they start off with an OV,then they're like you know what
?
No, I'm gonna go to midwifery.
And then maybe something comesup or whatever, or their plan
changes and they go back to OVGand that's perfectly fine too.
Speaker 1 (17:18):
They're happy to help .
They're totally happy to help.
Speaker 2 (17:21):
So that's for you too .
But I think a question thatsometimes can I have both at the
same time.
The reason.
I say no is because they're notboth gonna run labs on you at
the same time.
They're gonna use each other'sthings.
So it's like bouncing betweentwo doctors for these exact same
wellness checks and they to nosense.
So I hope that through.
Speaker 3 (17:37):
Yeah, yeah, yeah, definitely.
Speaker 1 (17:40):
But again, it all comes down to a choice and we
support everyone's choice.
Like Courtney said, if you wantan epidural, let's go, girl,
first we're gonna take you tothe hospital.
We're gonna have the bestepidural ever.
And then we're also gonna helpyou, you know, avoid any other
cascade interventions that mighthappen.
But you know it doesn't matter,we're there to support you.
(18:01):
110%.
Speaker 2 (18:02):
Nice, perfect, love it.
Anything else, yeah.
So if you're thinking abouthaving a baby, you call Tampa
Bay midwives.
If you're an 8-weeks pregnant,you call Tampa Bay midwives.
If you were 31-weeks pregnant,you call Tampa Bay midwives.
Speaker 1 (18:15):
If you have a baby, call them next time.
All right, sounds like a plan.
If you have a baby next time,all right, there you go, thanks
guys Thank you, thank you.
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