What Does a Midwife Do? Interview with Risa Klein.

Risa Klein is a certified nurse midwife with an office on Manhattan’s Upper East Side. She was the “birth consultant” for the feature films Baby Mama and Maze. 

Are there any misconceptions about midwives you want to set straight? Midwives are very smart. We go through very rigorous academic accredited midwifery schools. Sometimes people think midwives only do home-births for impoverished, poverty-stricken people around the world, and that’s really not true. Midwives serve women of all socio-economic backgrounds and what we do is we pride ourselves on understanding what is normal for each woman we see. We also do GYN-care, conscious conception planning, and contraceptive planning. Basically, midwives have a holistic view of the process of birth and childbirth is just an organic, natural process. Midwives see it as normal, it’s not a disease; it’s nothing to be afraid of.

Can any woman see a midwife during her pregnancy? We take care of healthy, low-risk women. We don’t take care of women with pre-existing conditions, such as diabetes, liver disease, or other metabolic diseases. We could co-manage women, but for the most part we take care of healthy women, but we are educated and experienced to screen for other risk factors. So many women think, “Oh, I’ll be safer with an OB,” but if there’s a true medical issue, then we will refer, consult, and collaborate with an obstetrician, with a perinatologist, or with a genetic counselor. So what I could share is that a lot of people don’t understand the magnitude of experience midwives have in terms of understanding the medical piece of it, and knowing when to and how to recognize if there is a challenge, and when to consult and co-manage.