Roots Birth & Women’s Health
How is a midwife different from an Ob/Gyn?
Certified Nurse-Midwives are independent healthcare providers who care for women through all stages of life, just like an Ob/Gyn. However, we differ in philosophy and scope of practice. As midwives, we view pregnancy and women’s health as normal, physiologic processes. Our care is holistic and focuses on the unique needs of each individual and their family. We tend to spend more time with our patients and have a deeper emphasis on education and shared decision-making. During labor and birth, we provide hands-on support to our patients, using many different comfort measures. Unlike Ob/Gyns, we do not do surgery. So, we will refer you to a physician if you need a cesarean birth or other surgery.
Will I also see a Doctor during my pregnancy or birth?
- Certified Nurse-Midwives are independent practitioners, which means that our patients do not need to see a physician during their pregnancies. However, when variations and complications arise, we can easily schedule consultations for our patients with our partners at Origin Health. Most of our patients will also have an MFM (Maternal Fetal Medicine) consultation as part of their 20-week ultrasound.
- If significant complications arise during your pregnancy, we will work together to make a plan that feels right to everyone. Because of our integration with Origin Health, most women whose pregnancies become high risk can still have midwives as part of their care.
Can I have a birth doula?
Absolutely! We love birth doulas and welcome them to our birth team. They provide essential care to families throughout the pregnancy, birthing, and postpartum periods. We have a list of birth doulas on our website to get you started!
How long are my visits with you?
- The first visit for your pregnancy will be 60-90 minutes. The appointment will include a dating ultrasound (if desired or indicated), a physical exam, an extensive review of your health history, time to get to know you and your family, and some education. The rest of your prenatal visits will last 20-30 minutes.
- Annuals typically take about 60 minutes and most other visits such as contraceptive counseling or primary care concerns are 30 minutes.
Who can come to my appointments?
Partners and children are welcome to come to appointments! We love to involve family members and welcome their questions and participation.
Can a midwife order labs, ultrasounds, and medications?
Absolutely. Certified Nurse-Midwives have full prescriptive authority in the state of Montana.
Will I have a midwife with me during labor?
Yes. When your labor progresses to where you need support, call us, and we will meet you at the hospital. While we love providing hands-on support, we sometimes get pulled away to see other patients or manage clinical concerns. So, if you know that you will want continuous labor support, you may want to consider adding a birth doula to your team.
If I have a midwife, can I still get an epidural or other pain medications in labor?
Of course. This is your birth, and we will support you with whatever you decide for pain management. We can talk through your options during your prenatal visits, discuss your preferences, and then adapt as your labor progresses. There is no right way to have a baby!
What will happen if I need a cesarean section or if there's an emergency?
As Certified Nurse-Midwives, we are not surgical providers, which means that we cannot perform cesarean surgeries. If it becomes clear that you will need a belly birth, we will call in one of our physician partners to perform the surgery. We will still provide our regular postpartum care for you.
I'm already seeing another provider. Can I transfer my care?
Absolutely. Just give us a call, and we can plan to transfer your records and get you established with Roots.
What types of birth control can you prescribe?
We love talking through contraceptive options with our patients. We can prescribe and place all forms of birth control, including the pill, the patch, the ring, the implant (Nexplanon), the copper IUD (ParaGard), and the hormonal IUD (Liletta, Mirena, Kyleena, & Skyla). We can also fit people for the Caya diaphragm, prescribe Phexxi (vaginal contraceptive gel), and discuss fertility awareness methods.
Can I see you for general primary care concerns?
Yes, you can. Our scope of practice includes primary care. Feel free to call and make an appointment for general health concerns such as UTIs, sinus infections, depression, etc. If we think you should see a family practice provider or a specialist, we will provide a referral.
What about menopause?
We love supporting women through the menopause transition. We can talk through your symptoms and discuss various treatment options. We are happy to prescribe hormonal therapy and often work with the pharmacists at Missoula Pharmacy to tailor treatments to your unique concerns.
LOGISTICS & BILLING
How can I get in touch with my midwife?
During week day office hours, you can reach us by phone or through your patient portal account. We offer same-day appointments as well if you would like to be seen in person. For our pregnant clients, we provide a separate phone where you can reach us 24/7 for any urgent concern or question.
I need a form filled out; what should I do?
Please reach out for a form request by calling our office during business hours or reaching us through your patient portal account. You may also bring the form to your scheduled office visit.
How do I request a prescription refill?
The best way to get your prescriptions refilled is to make that request through your pharmacy. They will contact us directly with the request, which will allow us to approve the refill quickly. Please remember the following limitations:
- It may take up to 72 hours to send the refill information to your pharmacy, and we do not approve refill requests on the weekends or holidays.
- We will not refill narcotics or certain mood-altering drugs—including stimulants—without an office visit.
- We will only refill medications for problems that we have been managing and only if you have been seeing us for regular office visits.
Will my insurance cover midwives?
Yes, we accept most insurances, including Medicaid. We are also happy to work with self-pay clients. If you have questions about billing and insurance coverage, give us a call!