Pregnancy & Birth
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
- 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.