Certified nurse-midwives are providers of primary health care of women and newborns. Care by nurse-midwives incorporates all of the essential factors of primary care and case management that include evaluation, assessment, treatment and referral as appropriate. The model of health care practiced by CNMs is focused on the ambulatory care of women and newborns and emphasizes health promotion, education and disease prevention and sees the woman as central to the process of providing such care.

 

An annual exam or well-woman exam would include:

 

​  review of health history

​  review of life-style habits

​  review and discussion of any specific problems or concerns

​  complete physical exam

​  laboratory testing

​  prescription needs

​  additional specialty testing as indicated

​  referrals to specialists as indicated

​  education and counseling as indicated

 

If this is the first time visiting Women’s View Midwifery, please arrive 10 minutes early to complete necessary medical history. In effort to ensure you get the most accurate Pap smear results, please do not use vaginal douches or creams for at least three days prior to your appointment, refrain from sexual intercourse for at least 48 hours prior to your appointment, and do not use tampons, birth control foams, cream, douches, or lubricants for at least 48 hours prior to your appointment. These things make it difficult to collect an adequate cellular sample.

 

We encourage our clients to schedule their appointment about one or two weeks after you expect your period. If your period starts, and you know you are due for your Pap smear, call our office to reschedule.

 

Laboratory Testing can include:

​  Cholesterol/Lipid Screening

​  Complete Blood Count

​  Thyroid Testing

​  Blood sugar evaluation

​  Fecal Occult Blood Test

​  Menopausal and perimenopausal hormone levels

​  Vitamin D levels

​  Lead levels or screening for toxic metals

​  Screening for immunity to common childhood diseases

 

Other Health Screening Services include:

​  Colonoscopy Referral

​  Bone Density, Osteoporosis Evaluation

​  Mammogram screening

​  Cervical Cancer Screening

​  Treatment for PMS and/or abnormal menstrual periods

​  Family planning, Contraceptive management including IUD placement

​  Thyroid evaluations

​  Anemia

​  Diabetes

​  Sexually transmitted disease testing and treatment

​  Genetic screening/counseling, ie: BRAC analysis for Breast and Ovarian cancer gene mutations

​  Teen Care

​  Pelvic floor evaluation and referral to specialists as indicated

 

 

Affordable Care Act & Clinical Preventive Services for Women

 

One key set of provisions under 'Title IV: Prevention of Chronic Disease and Improving Public Health, Subtitle B: Increasing Access to Clinical Preventive Services' requires insurance coverage without cost sharing for proven clinical preventive services, including important services for women such as immunizations, cancer screenings including Papanicolaou tests and mammograms, bone density tests, iron deficiency and anemia screening, hypertension and lipid screening, depression screening, folic acid supplements and behavioral counseling regarding obesity, alcohol use and smoking cessation. This provision means that the majority of insurance plans in the USA must cover evidence-based clinical preventive services without copays, deductibles or other economic burdens to the consumer.