Women and Infant Services
St. Mary Nurse-Midwives
The Healthy Beginnings Midwifery Service began providing care to childbearing
women in 1995. Prenatal care is provided at one of our three offices with
births occurring in the Labor and Delivery unit at St. Joseph Health, St. Mary.
Nurse-Midwives are nurses, most often with labor and delivery experience
who have received on average two years of additional education to care
for women. Our Nurse-Midwives care for women during pregnancy, during
delivery and for the first eight weeks following delivery. All of the
Nurse- Midwives at St. Joseph Health, St. Mary have a master's level
education as well as a current license from the state of California to
- Prenatal Care
- Prenatal Testing
- Nutrition Information
- Prenatal and Parenting Education
- Health Insurance Enrollment
Request an Appointment
If you are a patient with a question for a nurse-midwife please contact us
We have three offices for your convenience:
18077 Highway 18
8:30 a.m. to 5 p.m.
Hesperia 17071 Main Street
Tuesday, Thursday and Friday
8:30 a.m. to 4:30 p.m.
11424 Chamberlain Ave., Suites 8 & 9
Monday, Wednesday, Thursday and Friday
8 a.m. to 4 p.m.
The hallmarks of Nurse-Midwifery care are continuity and teaching women
to be self reliant, to trust their own bodies in delivering healthy babies
naturally. About 95% of all women in the Midwifery Service deliver vaginally.
Only 5% of our patients require a primary cesarean section for pregnancy
or birth complications.
We believe in supporting your choices regarding your health care including
your choice of pain medication during birth. On average, 25% of our mothers
choose to deliver with an epidural.
We promote, support and protect breastfeeding as the preferred method of
infant feeding for the first six months of life. Immediately after delivery,
your baby will be placed directly on your skin. This promotes an easy
transition for your baby into life and helps to regulate your baby's
temperature, heart rate and breathing. It also provides an early start
Our Physician Colleagues
If there is a complication or concern during your pregnancy, the Nurse-Midwife
will consult with one of our backup physicians. Our physicians have supported
the Nurse-Midwives for several years and have active privileges to deliver
babies at St. Mary Medical Center, if necessary. Even if you do not see
one of our distinguished physicians, they are always aware of your progress
during pregnancy and delivery.
Insurance and Eligibility
If you are pregnant, staff will review your medical history to determine
Most women qualify for care by our Nurse-Midwives. Chronic conditions such
as high blood pressure, insulin dependent diabetes or a pre-existing seizure
disorder require physician care during pregnancy. The Midwifery Service
accepts most insurances. We also care for patients without insurance and
will assist you with health insurance enrollment, if necessary.
Begin EARLY. Moms who begin prenatal care during the first 12 weeks of
pregnancy often have healthier babies. As soon as you suspect you are
pregnant, schedule an appointment to come see us. If you haven't already
started taking prenatal vitamins, begin NOW. Any over the counter prenatal
vitamin will work as long as it includes 0.4 mg Folic acid.
Once you begin your prenatal care, your appointments will be once a month
until 28 weeks of your pregnancy, twice a month from 28 to 36 weeks and
weekly from 36 weeks until delivery.
During each appointment, we will monitor your weight gain, your urine for
signs of high blood pressure, diabetes or infection, evaluate how your
baby is growing, listen to your baby's heart beat and answer any questions
you may have regarding pregnancy or delivery. For each appointment, you
should plan to be with us for at least 30 minutes, except your first appointment
will take longer.
Ultrasounds are ordered as medically indicated during your pregnancy. If
you do not have any complications during your pregnancy, one or two ultrasounds
will be completed to assess the development of the pregnancy and your baby.
Certified Nurse-Midwives (CNMs) welcome your questions and take time to
listen to you and talk with you. Please feel free to write down your questions
and bring them with you. Family members, including your other children,
are welcome to come to your appointments with you.