Does an actual physician need to "prescribe" the epidural (for the anesthesiologist), or can midwives do that?
2006-10-03 22:30:09 · 8 answers · asked by Ally 2 in Pregnancy & Parenting ➔ Other - Pregnancy & Parenting
There are different kinds of midwives, lay midwives or direct entry and CNMs or Certified Nurse Midwives. CNMs are midwives who have their Master's Degree and they can also prescribe drugs, assist in surgeries, deliver babies, have their own office/staff, etc. Their scope of practice is similar to a Nurse Practitioner. They usually practice in a hospital in tandem with physicians, or in a birth center situation either freestanding or connected to a hospital.
If you are delivering at a hospital with a CNM, you can have an epidural, however the CNM cannot give it to you, only a CRNA (Nurse Anesthetist) or an Anesthesiologist (MD) can do that, however, the midwife can easily get you one as they are independent providers.
If you are delivering at a freestanding birth center, or delivering with a direct entry (non RN) midwife, they have no authority to order medical procedures or practice in a hospital setting, therefore epidurals are not part of the deal.
As for Medicare, that depends on what state you're in but epidurals are pretty standard for a delivery
2006-10-03 23:54:27 · answer #1 · answered by BabyRN 5 · 1⤊ 0⤋
I'm pretty sure you need an anesthesiologist I know when I got mine (highly recommended...LOL)... they had to bring in a specialist to give it to me...
I think it also depends if you are giving birth at home or in a Hospital...many midwives work in Hospitals, so you could get the epidural, however, if you are at home, I don't think so... I think the purpose of having the baby at home is the whole notion of "natural" birth.
Finally...welfare/medicaid... you'll have to check w/your local hospital/the mid wife...usually clinics, etc...state they do or do not accept it!
2006-10-03 22:41:46 · answer #2 · answered by i_love_my_mp 5 · 0⤊ 0⤋
From my experience, i had a mid wife in the local hospital. An anesthesiologist came in and administered the epidural for the pushing phase and that was it. Child birth isn't that bad and when the child is born, you forget the pain. As for medicaid, check with the state dept of your state and find out.
2006-10-03 23:06:47 · answer #3 · answered by PAM 1 · 0⤊ 0⤋
Depending on your state You can only get an epideral in the hospital! it had to be administered by a Anistesiologist and a physcian has to order it! A midwife does not have this ability, also it most likely would be covered by the state as mine was, My health insurance wouldn't cover my daughter due to pre condition circunstances I was covered the dayafter My conception! so I was on accsess when I delivered and I recieved an epideral so..... I think if you want one you may have to change ta a DR instead of a midwife! sorry
2006-10-03 22:43:23 · answer #4 · answered by Flagstaff mama 2 · 0⤊ 0⤋
I don't believe a mid-wife can give an epidural. It has to be done in a hospital by an anaesthesiologist.
2006-10-04 01:25:50 · answer #5 · answered by Gone fishin' 7 · 1⤊ 0⤋
No if you want med you have to be in a hospital
the prupose of mid wife is to be free on med
or mabey things has change
2006-10-04 00:17:02 · answer #6 · answered by waiting for baby 6 · 0⤊ 1⤋
You'll have to check with your particular states regulations.
2006-10-03 22:35:16 · answer #7 · answered by Anonymous · 0⤊ 1⤋
yep yep and yep i did with all you said
2006-10-03 22:35:32 · answer #8 · answered by lv23smurf 3 · 0⤊ 1⤋