Independent midwives

Independent midwives have chosen to work outside the NHS in order to practise the midwife’s role to its fullest extent. Providing continuity of care through pregnancy, labour and up to 28 days post-natally.

Though individual practises vary, the aim of our care is to work in partnership with our clients, providing information from research and experience so they are able to make an informed choice about their care. Most people approaching independent midwives want home births. Women who need to transfer to hospital have an extra problem as uninsured midwives are often not allowed to practise in NHS hospitals. Some will be issued with honorary contracts and can continue the care in hospital, but in other areas, the midwife can only accompany the woman as a ‘friend in labour’.

The cost

Fees for an independent midwife vary and each area can differ. In London, most midwives charge £2300 for maternity care, the insured midwives will charge from £4500. Some midwives will only take clients on for the whole care whereas others are prepared to provide only part care, the remainder of the care provided by the NHS. Most midwives offer a free consultation, giving potential clients the opportunity to find the midwife they feel happy with. The relationship is extremely important, and built on mutual trust and respect. The expertise of an independent midwife provides an environment for the woman and her partner to take responsibility for the birth of their own baby.

Details and further information can be found in The Register of Independent Midwives. Copies are available from Andrea Dombrowe, Secretary of the Independent Midwives Association, 1 The Great Quarry, Guildford, GU1 3XN, Tel: 01483 538615

or visit: The Independent Midwives Association website If you are interested in the work of the Independent Midwives Association and would like to be kept informed of the ongoing developments, then join as a Friend of the IMA, we would welcome your support. Friends of the IMA receive a six monthly newsletter. Subscription: £5 annually or £20 for five years. To join please contact Clare Winter, 65 Lonsdale Ave, London, E6 3JZ or e-mail c.f.winter@city.ac.uk