FAQs & Glossary | Beginnings Birth Center Colorado Springs

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FAQs & Glossary

Everything you've ever wanted to know about birth center care, midwifery, and what to expect at Beginnings — answered.

Frequently Asked Questions

Yes! We welcome anyone to come learn about and visit our birth center during business hours. It's important that clients feel our model of care is a good fit for them. People considering coming to Beginnings for pregnancy care are required to watch an orientation video before scheduling their first appointment.

We like to start seeing clients for their first prenatal visit around 8–12 weeks of pregnancy. We will accept clients transferring care from another provider up to 32 weeks. Beyond 32 weeks, transfers are considered on a case-by-case basis.

Some conditions that may make a client an inappropriate candidate for birth center care include (this is not an exclusive list):

  • Heavy vaginal bleeding
  • Multiple gestation (twins, triplets, etc.)
  • Preterm labor prior to 36.4 weeks with cervical change
  • Post-term pregnancy beyond 42.0 weeks
  • Intrauterine growth restriction (IUGR)
  • Polyhydramnios or oligohydramnios
  • Intrauterine fetal demise (IUFD)
  • Placental complications including placenta previa or abruption
  • Preterm premature rupture of membranes (PPROM)
  • Gestational diabetes requiring oral medication or insulin
  • Anemia unresponsive to treatment (hemoglobin below 9 in 3rd trimester)
  • HIV positive
  • Preeclampsia with or without severe features
  • Gestational hypertension
  • Conditions requiring blood thinning medication throughout pregnancy

Research consistently shows that doula support makes a significant difference in birth outcomes. In births where a trained professional doula was present:

  • 31% decrease in pitocin use
  • 28% decrease in risk of cesarean birth
  • 12% increase in likelihood of spontaneous vaginal birth
  • 9% decrease in use of pain medications
  • 14% decrease in risk of newborn being admitted to special care nursery
  • 34% decrease in risk of being dissatisfied with the birth experience

This is why we require doulas for first-time parents and first-time VBAC clients, and strongly encourage doula support for all clients.

We cannot guarantee a specific midwife will be present at your birth. We practice as a team with a rotating call schedule, so the on-call midwife will meet you at the birth center. Our goal is that you build a relationship with every midwife on our team throughout your prenatal care — so whoever is on call at your birth is someone you already know and trust.

You'll experience nurse-midwifery care in the Wellness Model — relationship-based care where you get to know your midwives and they get to know you. Every prenatal appointment is at least 20 minutes long. We believe you are in charge — it's your body, your pregnancy, your family, your birth. We provide you with information and you decide what to do with it.

We are also the only local facility offering water birth!

Yes! We have a sonographer on staff and offer ultrasounds right here at the birth center. A 20-week anatomy ultrasound and a 36-week position ultrasound are required. We also offer early ultrasounds, growth ultrasounds, and Biophysical Profile (BPP) ultrasounds.

An early ultrasound appointment is offered at 8–10 weeks. First prenatal appointments are typically around 10–12 weeks. We see clients every 3–4 weeks until 30–32 weeks, then every 2 weeks until 36 weeks, then weekly until birth.

Postpartum visits are scheduled at 24–48 hours after birth, then at 4–6 days, 10–14 days (for you and baby), and 6 weeks postpartum for you. Additional appointments can be scheduled as needed.

We promote healthy bodies and well-positioned babies which helps decrease labor intensity. Freedom of movement allows you to work with your body uninhibited, and hydrotherapy (shower or tub) is a proven pain relief method. We also offer nitrous oxide (laughing gas) for additional comfort when needed. Epidurals are not available at the birth center — clients who choose an epidural transfer to the hospital.

We are equipped with medication and equipment to manage most complications right here at the birth center. If hospital care is needed, UCHealth Memorial North is just two miles away. A birth center midwife or nurse will accompany you to help get you settled and ensure a smooth handoff of care. We can resume postpartum care as appropriate after your discharge from the hospital.

Most clients have insurance to help cover costs, so the amount due depends on your specific plan. Our billing staff is happy to help you estimate out-of-pocket costs. We suggest calling the number on the back of your insurance card to find out if your plan covers birth center and CNM care, then contact us to request a Verification of Benefits.

We work with sharing plans and offer a pre-paid discount package for clients without insurance. All clients are set up on a payment plan with costs paid in full by 36 weeks.

We accept most major insurance plans including: TriWest Health Alliance, Tricare Select, Kaiser, UMR, MediShare, Claritev (formerly MultiPlan), ChampVA, CHP+, Colorado Medicaid, United Healthcare, Cigna, Anthem BCBS, and Christian Care Medishare.

We have also worked with sharing plans including Liberty HealthShare, Samaritan Ministries, Christian Care Ministries, and Altrua HealthShare.

Aetna and Humana remain out-of-network, though out-of-network benefits with Aetna still result in lower out-of-pocket costs than in-network hospital care.

Yes! We accept VBAC clients who have had one previous cesarean with a low transverse incision and are otherwise candidates for birth center care. We require a signed VBAC consent form and an ultrasound confirming the placenta is not anterior and low-lying.

The birth center is fully equipped for medication-free birth. You'll have access to birthing tubs, birth balls, support slings, birth stools, private bathroom with shower, adjustable beds, Bluetooth speaker, heated towel racks, and essential oil diffuser.

Items to bring from home include: swim top for mom and swimsuit for partner, nursing bra or tank, hair ties and headband, toiletry bag, change of clothes for going home, healthy snacks and drinks, your favorite playlist, preferred essential oils, phone and charger, baby's coming home outfit, swaddle blanket, newborn scratch mittens, and your installed infant car seat.

We file all necessary paperwork to register your baby's birth with the State of Colorado. The Social Security card will be automatically mailed to you. You can pay for and pick up your baby's official birth certificate at your county's vital records office approximately 3 weeks after birth.

Certified Nurse Midwives (CNM) are licensed Registered Nurses with a Master's Degree in Nursing and Midwifery. CNMs can practice in all states, prescribe medications, attend births in all settings, and provide care from puberty through menopause. All midwives at Beginnings are CNMs.

Certified Professional Midwives (CPM) are trained in midwifery only — the minimum education is a high school diploma or GED. In Colorado, CPMs are not licensed, don't carry malpractice insurance, and can attend home births only. They cannot write prescriptions or administer certain medications.

Yes! Beginnings Birth Center offers circumcision performed by our certified nurse-midwives using the Mogan clamp method. For babies born here, your midwife will assess anatomy at birth. For families who birthed elsewhere, we schedule a consultation first. All families are welcome. Learn more about our circumcision services →

Yes! We do recommend bringing something to keep them happy and occupied, as visits can range from 25–90 minutes.

Birth Center & Midwifery Glossary

Common terms and concepts you'll encounter during your pregnancy, birth, and postpartum journey — so you always feel informed and confident.

B
Birth Center
A healthcare facility designed specifically for low-risk pregnancy and birth. Birth centers provide family-centered care in a homelike environment while maintaining proximity to a hospital for emergencies. See the Birth Center Difference →
Birth Center Difference
The unique approach to care emphasizing relationship-based, individualized support; trust in physiologic birth; minimal unnecessary intervention; and family involvement throughout pregnancy, labor, and postpartum. Learn more →
Breastfeeding
Feeding a newborn or infant with milk produced by the mother's breasts. Beginnings Birth Center offers breastfeeding education, group visits, and lactation support to help families establish healthy feeding relationships. Explore lactation support →
C
Certified Nurse Midwife (CNM)
A registered nurse with advanced education and certification in midwifery. CNMs are licensed healthcare providers trained to care for women during pregnancy, labor, birth, and postpartum. All midwives at Beginnings are CNMs. Learn more about CNMs →
Childbirth Education
Classes designed to prepare pregnant individuals and their partners for labor, birth, and early parenthood. Beginnings recommends childbirth education as part of birth preparation. See approved classes →
Client Portal
A secure online platform where clients can access appointments, forms, medical records, and communicate with their care team. Access the portal →
D
Delayed Cord Clamping
The umbilical cord is not clamped immediately after birth, allowing blood to continue flowing from the placenta to the baby for several minutes. Beginnings practices 100% delayed cord clamping (minimum 3 minutes).
Doula
A trained birth support person who provides continuous emotional, physical, and informational support during labor and birth. Doulas are not medical providers but complement the care team. Beginnings maintains an approved doula list.
E
Epidural
Pain medication administered through a catheter in the lower back to numb the lower body during labor. Epidurals are not offered at birth centers — clients who choose an epidural transfer to a hospital.
Episiotomy
A surgical cut to enlarge the vaginal opening during birth. Research shows they are not routinely necessary. Beginnings uses episiotomy only when medically indicated.
F
Family-Centered Care
An approach to healthcare that recognizes the importance of family involvement and respects the values, preferences, and needs of the individual and their family. All care at Beginnings is family-centered.
G
Gynecological Care
Medical care related to the female reproductive system, including annual exams, contraception counseling, and treatment of gynecological conditions. Our nurse-midwives provide well-woman gynecological care from adolescence through menopause. See our well woman services →
Group Breastfeeding Visits
Postpartum group sessions where new mothers gather to discuss breastfeeding challenges and receive lactation support. Beginnings offers group breastfeeding visits for the first 6 weeks postpartum.
I
Induction
Artificially starting labor using medication or other medical techniques. The birth center setting supports spontaneous labor onset and minimizes unnecessary induction.
Intervention
Medical procedures used during pregnancy, labor, or birth. Beginnings uses evidence-based practice to minimize unnecessary intervention while maintaining safety.
L
Labor
The process of uterine contractions and cervical dilation leading to birth. Labor progresses through early labor, active labor, and transition, followed by birth and delivery of the placenta.
Lactation Support
Professional guidance with breastfeeding including latch, positioning, and milk supply. Beginnings offers lactation classes, group visits, and individual support. Explore lactation support →
M
Medicaid
A government health insurance program for low-income individuals and families. Beginnings accepts Medicaid and participates in Colorado's program.
Midwife / Midwifery
A healthcare professional trained in assisting with pregnancy, childbirth, and postpartum care. Midwives view pregnancy and birth as normal physiologic processes and provide individualized, relationship-based care. Meet our midwife team →
Midwifery Model of Care
An evidence-based approach to maternity care emphasizing the normality of pregnancy and birth, respecting individual preferences, and using medical intervention only when indicated. Learn more about what a nurse midwife is →
Miscarriage
Loss of pregnancy before 20 weeks. Beginnings provides compassionate care and support for individuals experiencing miscarriage.
N
Newborn Care
Medical care provided to babies immediately after birth and during the first 28 days of life. Beginnings provides comprehensive newborn care including routine examinations, newborn screening, and well-baby visits.
Newborn Transfer
When a newborn requires hospital care due to complications needing specialized pediatric services. Beginnings maintains a 5% newborn transfer rate.
Nitrous Oxide
A self-administered pain relief gas ("laughing gas") that reduces pain perception and anxiety during labor without completely numbing sensation. Used by approximately 11% of Beginnings clients.
Nurse-Midwife
A Registered Nurse who has completed additional education and certification in midwifery (CNM), combining nursing and midwifery expertise to provide comprehensive healthcare.
P
Perineal Support
Care provided to the perineum during labor and birth using warm compresses, massage, and positioning to reduce tearing. At Beginnings, 27.8% of clients require no perineal repair.
Postpartum Care
Medical and emotional support provided after birth, including visits to monitor recovery, address breastfeeding, and support adjustment to parenthood.
Postpartum Transfer
When a person requires hospital care after birth due to complications such as hemorrhage or infection. Beginnings has a 3.8% postpartum transfer rate.
Preconception Counseling
Health guidance provided before pregnancy to optimize fertility and prepare for a healthy pregnancy, covering nutrition, lifestyle, medical history, and genetic screening. Learn about preconception counseling →
V
Vaginal Birth
Birth through the vagina, as opposed to cesarean delivery. Beginnings achieves a 95.12% vaginal birth rate compared to the national average of 61.1%.
VBAC (Vaginal Birth After Cesarean)
A successful vaginal delivery for someone who has had a previous cesarean. Beginnings specializes in VBAC support with a 93.75% success rate, compared to the national average of 15.5%. See requirements for VBAC care →
W
Water Birth
Laboring and/or birthing in a tub of warm water. Beginnings is the only facility in Southern Colorado offering water birth, with 75% of clients choosing this option. Learn about water birth →
Well-Woman Care
Preventive healthcare for women throughout their lifespan, including annual exams, contraception counseling, and gynecological health management. Beginnings provides well-woman care from adolescence through menopause. Explore well woman care →

Still have questions?

We'd love to talk. Give us a call or take our free quiz to find out if Beginnings is the right fit for your family.