A Gestational Year of Care

Midwifery care & home birth covers complete prenatal, birth and postpartum care in your home or my office. This includes:

  • 24/7 access to your midwife by phone, text and email throughout your entire pregnancy & postpartum
  • Approximately 10-14 prenatal appointments (depending on when you begin care)
  • On-call midwife coverage for your birth starting at 37 weeks
  • Disposable supplies for the birth 
  • A second assisting midwife to attend your delivery
  • Delivery at home, any medications needed, perineal repair (if needed), clean up
  • Support in the hospital if transfer becomes necessary
  • Immediate postpartum care for at least 3 hours after the delivery, and until both mom and baby are stable
  • Newborn exam
  • Postpartum home visits at 24-48 hours, 1 week, 2 weeks 4 weeks  and 6 weeks
  • Breastfeeding support & education
  • Birth certificate filing
  • Referrals to a team of collaborative care  providers as needed

The fee does not include:

  • Lab tests
  • Ultrasounds
  • Fees for outside specialists
  • Water birth tub liner, if water birth desired
  • Rhogam, if needed

Sliding scale available, please ask about it at your initial consultation. 
Most insurance plans will reimburse a large portion of midwifery fees. I work with a biller who is very experienced in getting insurance reimbursements for midwifery clients.  Payment due in full by 36 weeks. 

Postpartum Care - After The Birth 

Postpartum Care may include:

  • Support in healing your body after birth, including discussion about sitz baths, salves, how and when to stay in bed, bleeding and uterine cramping, swelling, etc. Belly binding, and masage
  • Discussing various tests, procedures and choices that will be coming up in your baby's care, including tracking and/or supplementing Vitamin D levels, vaccinations, the newborn screen, bottles, pacifiers, appropriate weight loss and gain, etc.
  • Processing your birth story, discussing challenges in co-parenting and changes in your relationship, how to differentiate between normal baby blues and a more concerning postpartum depression, and more.
  • Clinical monitoring of birth parent, including blood pressure, pulse, uterine height, bleeding, and healing of perineum or incision.
  • Clinical monitoring of newborn, including tracking baby's heart rate, breathing rate and ease, lung clarity, weight loss & gain, and evaluation and treatment of jaundice.