Everything You Need to Know About a Midwife

Embarking on a career path often involves inspirations drawn from influential mentors. In the case of Jessica Tischler, CNM, her trajectory toward becoming a midwife was shaped during her time as a labor and delivery nurse, working alongside the esteemed Liz Malecha CNM. What began as an observation of the transformative impact of midwifery care led to a partnership that spanned 21 years, defining Jess's commitment to providing holistic and compassionate care during the birthing process.

Having witnessed firsthand the difference midwifery care made under the guidance of Liz Malecha, Jess made the pivotal decision to follow in her mentor's footsteps. Transitioning from a labor and delivery nurse to a certified nurse midwife (CNM), she found fulfillment in offering a blend of holistic and medical approaches to childbirth, which she describes as "the best of both worlds."

Jess emphasizes that midwives, true to their name, advocate for being "with women" throughout the birthing process. Unlike obstetrician-gynecologists (OBGYNs), midwives do not have surgical training and do not handle high-risk cases or perform solo cesarean sections. However, they play an active role as surgical first assists during cesarean sections, ensuring continuity of care for their patients.

In prenatal appointments with a midwife, expectant mothers can anticipate a more personalized and extended approach. Midwives dedicate more time to each patient, providing comprehensive information on various options and empowering mothers to make informed decisions about their pregnancy and birthing plans.

As a CNM, Jess has the authority to order labs, ultrasound imaging, and prescribe medications, offering a complete spectrum of care throughout the pregnancy journey. This distinguishes CNMs from Certified Professional Midwives (CPMs), who may not have the same level of authority in all states.

Midwives, including CNMs, are equipped to handle deliveries at all stages, including preterm births. In the event of a necessary cesarean section, Jess collaborates with her partners to ensure a smooth and supportive experience for the mother.

Post-partum care is a crucial aspect of midwifery, with midwives seeing patients at 2-weeks and 6-weeks post-delivery. This follow-up care ensures the well-being of both mother and baby, addressing any concerns and connecting families with necessary resources.

Jess's favorite aspect of being a midwife is the opportunity to build lasting connections with whole families, becoming a part of their healthcare journey for generations. Witnessing the circle of life unfold, she now delivers patients she once brought into the world—an experience she describes as truly rewarding.

The journey from labor and delivery nurse to certified nurse midwife reflects a commitment to providing compassionate, holistic care. Jess's story exemplifies the impact of mentors, the importance of personalized care, and the joy found in being a part of families' healthcare stories for generations.

In my personal experience, Jess is thee best! From day one of meeting her, she listened to my requests as a patient and as a mother. She was always in-tune with baby, myself and my support system, making sure I felt we had developed the right individualized approach to each birth. I am forever grateful for our beautiful births with her!