Becoming an independent midwife
Setting up as an independent midwife
Independent midwife equipment expenses
More expenses as an Independent Midwife
Independent Midwife Budget

Wow! It has been 9 months since I first set out in this adventure of becoming an independent midwife! And there is still “set up” work to be done even though I officially launched in the summer.

I now have all my equipment, maternity notes ready, I am up to date with training and I have been earning some money as a second midwife to my wonderful midwife colleagues @bethanyroseindependentmidwife , @the_holistic_midwife @caslakekatrina

I am so chuffed to have attended two homebirths already, done a couple of NIPE checks and quite a few antenatal appointments. Soon I will be doing some pregnancy massages and also hopefully some shifts on the NHS as bank to keep the money coming.

In regards to what I have bought in the last 4 months, I focused a month in buying equipment (full time mum!), a few weeks on sorting the maternity notes, lots more work into the website and creating content (slow!!) and other admin bits and pieces like getting an NHS email up and ready. See pictures below for expenditure and what kept me busy in the first 5 months (3 months at least were exclusively dedicated to building this website!)

If you are thinking of setting up you may find it useful to see how much I ended up spending in equipment. Depending on what you already have and how much you order I figure you would spend between £500 and £1300 (includes silly things like batteries and other non medical extras).

There are still some expenses coming up such as a birth pool, TENS machine, Goody bag, Entonox and antenatal education materials but I will purchase as more money comes in. In total I calculate I will be spending close to £5000 which is the budget I allocated myself to set up.

It is still exciting to be living the dream I always had. Becoming self employed is always slow at the beginning but I have the immeasurable support of my partner and the love of my little one that makes everything worth it as I can spend lots of time with him.

Surprisingly I really enjoy keeping my accounting books up to date and anything money related! Who would have thought. lol

And you, how much did you think it would take to set up an independent midwife business?

Becoming an independent midwife Essex 5 months
Becoming and independent midwife Suffolk
Becoming an Independent Midwife London

Leave a Reply

Your email address will not be published. Required fields are marked *

Resources For Fetal Heart Monitoring

1.When did we start monitoring babies in labour?

For more high quality evidence around fetal monitoring please visit Kirsten website here, an obstetrician with a PHD in CTGs. https://birthsmalltalk.com/

In this post she discusses intermittent auscultation: https://birthsmalltalk.com/2023/08/23/what-is-intermittent-auscultation/

Hear her talk about the lack of evidence behind CTGs in this podcast: https://open.spotify.com/episode/1eXZY973Oxbs1ducavpSAk?si=872f8c4077be4ba5

Post on the history of fetal heart monitoring: https://birthsmalltalk.com/2023/08/09/listening-to-the-fetus-the-history-of-fetal-heart-rate-monitoring/

Cochrane review comparing CTG to intermittent ausculation (CTG increases interventions
): https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006066.pub3/full

Does CTG use improve outcomes for high risk women? https://birthsmalltalk.com/2024/10/16/the-story-behind-our-paper/

2. How should we use intermittent auscultation in labour?

These are the NICE guidelines for fetal monitoring in labour: https://www.nice.org.uk/guidance/ng229/chapter/Recommendations

Midwife researcher and lecturer Rachel Reed has a brilliant article and podcast about this where she unpicks the evidence around the recommendations for intermittent auscultation protocols here https://www.rachelreed.website/blog/listening-to-baby-during-labour

and podcast here: https://open.spotify.com/episode/3sJeIR3xUOr20EBRGilHxl?si=818537594dd04457

The WHO recommendations for intrapartum care: https://iris.who.int/bitstream/handle/10665/260178/9789241550215-eng.pdf?sequence=1

3. How does intermittent auscultation detect fetal distress?

For more on normal and abnormal heart rate monitoring watch this explanatory video: https://www.youtube.com/watch?v=Ni48bbtiZgs

4. What happens if there are concerns with the fetal heart rate at a homebirth?

NICE guidelines for fetal monitoring in labour: https://www.nice.org.uk/guidance/ng229/chapter/Recommendations

5.What is better for fetal monitoring in labour: a Doppler or a Pinard/fetoscope?

To read about the research and the experiences of midwives using a fetoscope/pinard antenatally and in labour check these links out.

Short facebook comments compiled in this magazine here: https://www.midwiferytoday.com/mt-articles/wisdom-of-the-midwives-issue-131/

Midwives perceptions of fetoscope vrs Doppler Tanzania https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-018-1736-y

Midwives experiences of Pinard use Norway https://www.sciencedirect.com/science/article/pii/S0266613822000407

Defense of fetoscope article by American midwives

https://hearthandhomemidwifery.com/blog/fetoscope-a-tool-of-the-midwifery-trade#:~:text=Fetoscope%20uses%20go%20beyond%20just,birthing%20person%20and%20the%20baby.

A Cochrane review that compares Doppler and Pinard use in low income countries: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008680.pub2/full

For a compilation of research that compares the use of Doppler to Pinard check this link: https://www.cochranelibrary.com/content?templateType=related&urlTitle=%2Fcentral%2Fdoi%2F10.1002%2Fcentral%2FCN-01110791&doi=10.1002%2Fcentral%2FCN-01110791&p_p_id=scolariscontentdisplay_WAR_scolariscontentdisplay&_scolariscontentdisplay_WAR_scolariscontentdisplay_action=related-content&p_p_lifecycle=0&p_p_mode=view&type=central&contentLanguage=

6. What if you decline some or all fetal auscultations?

Is fetal monitoring essential?: https://birthsmalltalk.com/2024/11/06/myth-busting-3-fetal-monitoring-is-essential/

7. What to bear in mind about intermittent auscultation in labour?

Examples of womens experiences of fetal auscultation in labour: https://www.sciencedirect.com/science/article/pii/S1871519224002658#bib14