Licensed Traditional Midwives (LTMs) are experts in normal pregnancy, birth, postpartum, and the well newborn; therefore, we are attuned to increasing levels of risk and/or deviations from a normal state of health.  In many cases, we have knowledge and skills to manage complications and maintain optimal health and safety in the home setting.  If, however, at any point over the course of care, a higher level of care is indicated, Lifestyles Midwifery consults and/or refers appropriately, and strives to facilitate a comfortable, professional transfer of care as each situation requires with regard to clients' desires and safety. If an intrapartum transfer is required, your midwife will likely stay with you and support you in the new setting.  Lifestyles Midwifery is happy to provide comprehensive information on the LTM's guidelines for consultation and referral.