Midwifery in Nevada

Midwifery is a legal profession under the Nevada Revised Statutes. In 1990, the Nevada Midwives Association began a certification process to take midwifery to a new, safe level in Nevada. Midwives certified by the NMA are required to maintain high standards of care, to be current in CPR certification, supply clients with an Informed Choice, to carry equipment to the birth that is important to the safety of the mother and baby, and to participate in Peer Review. NMA certification also requires that midwives take classes and attend seminars to help them maintain their skills and to stay aware of new advances in pregnancy care.

​                        Is Home Birth Safe?

Since the beginning of time women have been having their babies in the comfort of their own homes, surrounded by their loved ones, and attended by midwives. Pregnancy is not a disease, but a natural condition of a woman's body. Studies have proven that having a baby at home is safer for both the mother and the baby than in the hospital for low-risked women planning a home birth with an experienced midwife.  Medical science has been proven to be helpful for women who are at high risk, such as women with heart disease, kidney disease and insulin controlled diabetes, but for 96-98% of pregnant women, modern medicine has little to offer.  That is because pregnancy and birth are inherently safe. 

Some of the advantages of home birth are:

  • A nearly zero infection rate for mother and baby
  • No need of drugs for pain relief.  The ability to use relaxation tools such as water, music, low lights, etc.
  • Less need for unnecessary interventions such as: artificially rupturing the amniotic bag, IV's, forceps, cesarean section
  • The ability to move freely in labor, to eat and drink
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This is a guideline for the EASIEST way to get all the nutrients and calories you need in pregnancy, especially a high level of protein and the calories you need to use the protein as building blocks rather than for fuel. There are other ways to do it if you are vegetarian, vegan, eat low fat, or don't like/tolerate a particular food. Please see the books referenced at the end for more details on substituting foods! 

Every Day, you should have:
(examples given are one serving...Remember, each category is separate and you cannot fill two with one food - if you eat 3 oz of cheese, it can be a protein or a milk, but not both!) 

  • 1 Quart of Milk (4 8-oz Glasses) - in any form: milk, cheese, yogurt, even ice cream (although try to watch the fat!) 
  • 2 Eggs (cooked any way, in French toast, added to other foods...) 
  • 2 Servings of Protein Foods - 3 oz Meat or Fish, 1-1/2 Cup Beans, 3 oz Cheese, 1-1/2 Cup Tofu, etc 
  • 2 Servings Green Vegetables, preferably leafy (1/4-1/2 Cup) 
  • 4 Servings of Grains, preferably whole (Whole Wheat Bread -1 slice, Tortilla - 1, Brown Rice - 1 Cup, Oatmeal - 1 Cup) 
  • 1 Vitamin C Source - Citrus Fruit/Juice, Tomato, Cantaloupe, etc. 
  • 3 Fat Servings - 1 tsp. oil/butter/sour cream/mayonnaise (some reduced fat products let you use 1 Tbsp. instead...) 
  • 1 Serving Other Fruit 
  • 1 Serving Other Vegetables 

Each Week, try to include: 
  • 5 Servings Yellow or Orange Colored Fruit/Vegetables 
  • 3 Whole Baked Potatoes 

REMEMBER:  Drink plenty of water/other fluids and salt your food to taste for safe blood volume! 

If you substitute Proteins for Milk/Eggs, you must be sure your proteins are complete and that you get 80-100 grams of protein/day! You must also be sure to include all the elements of a well-balanced diet. While this plan is not the only way to get everything you need in pregnancy, it is one of the easiest ways! 

Some recent research (from the Journal of Nurse-Midwifery) suggests that eating too much protein can lead to low birth weight babies! The number to stay below for a singleton pregnancy is 150g/day. The recommended amount of protein for a twin pregnancy is 130g/day, so even moms with twins can eat the recommended amount without worry that they are getting too much! 

If you are following a vegetarian or vegan diet, please see the referenced books below for ways to substitute for meat/dairy/eggs on this diet. 
For more information, please read the following books:
"What every pregnant woman should know" By Gail Brewer with Tom Brewer, MD 

"The Brewer Medical Diet for Normal and High Risk Pregnancy" by Gail Brewer with Tom Brewer, MD 

(702) 595-5210

These Last Few Hours

It’s important to me
That I spend a part
Of the next few hours here
Alone with you in the darkness.
You and I will never be this close again.
By morning
You will be a tiny person
All your own.
No longer the kicking, demanding
Bulge in my body
That I have grown to love so well.
I pray God will safely guide you
On your journey tonight
And I ask him for the Strength
To help you all I can.
Again you signal
Your impatience to be free.
Time to wake your Daddy..
Phone: (702) 595-5210
Email: homebirth@cox.net
Margie Dacko, CM
The Midwife House
286 Merrick Way Henderson, NV 89014     
The Midwife House 
Margie Dacko, Midwife

Changing the World One Birth At A Time!