Offerings
Prenatal Care
Pregnancy care takes place in the comfort of your home (or at the park, beach, or nature trail if you wish) on an evidence based schedule—every 4 weeks until 28 weeks, then every 2 weeks until 36 weeks, and then weekly until birth. Home visits are 30-60 minutes each and include wellness counseling, vital signs and pregnancy growth assessment, routine diagnostic lab tests, access to lending library and resources, and planning for birth. I utilize nutrition and herbal remedies whenever possible, and have access to collaborative providers for consult and pharmaceutical treatments as needed.
Home Birth
Continuous labor and birth support has been studied to improve outcomes in every birth setting. The comfort of home allows for unlimited movement, food & drink in labor, the use of hydrotherapy through shower, bath, and water birth tubs, and limited interventions that support the physiological process of birth. Intermittent fetal heart rate and maternal vital signs monitoring, as well as progress and risk assessment help keep home birth safe. I carry sterile birth instruments, neonatal and adult resuscitation equipment, IV fluids and supplies, suturing kit, medications as needed (antibiotics, anti-hemorrhagics, vitamin K and erythromycin eye ointment) as well as herbal tinctures for support. While Licensed Midwives are trained to manage common complications, transfers are sometimes needed for a variety of reasons, most non-emergent. When transfer for medical assistance is appropriate, we are thankful to be supported by local hospitalist teams.
Postpartum & Newborn Care
Postpartum support is one of the biggest differences between community midwifery and conventional clinical care. After your homebirth, you and your baby are observed and supported while you bond. I assist with feeding, observe and monitor vital signs, await your placenta, and cut the umbilical cord when you are ready. Initial newborn assessments are done in your arms. I make sure you are comfortable, assess for any lacerations, repair with sutures and local anesthetic if needed, and get your family/support team to work preparing you a meal. I do a complete newborn exam which is sent to your pediatrician, and you will follow up with them in the first days of life to begin care for your baby. I continue to be on call for you during the postpartum period, following up with a home visit in the first 24-48 hours for newborn screening and continued maternal assessment. I remain available by phone or visit in the first week for lactation support, and we have full postpartum visits scheduled at 2 and 6 weeks. I file your birth certificate, and can help connect you to resources like Healthy Start, postpartum doulas, or lactation specialists.
Fees & Insurance
The fee for complete prenatal, homebirth, and postpartum care is $8000. I am not currently in network with Medicaid or private insurance companies, but depending on availability am sometimes able to offer a family income based sliding scale to increase access to care. When my schedule & capacity allows, I am open to payment plans, bartering, and other creative compensation solutions for dedicated families when possible, or will help you find a provider whose practice is able to best support your situation. I can assist you in submitting an itemized bill to your health insurance for reimbursement if your plan has verified out of network benefits.
Fee of $8000 includes
Concierge style home visits
Prenatal visits on a regular schedule
Wellness & birth preparation counseling
Direct contact with care provider via phone/email
All routine lab testing collected in the comfort of your own home
Use of inflatable birth tub and accessories
Minimum 3 postpartum visits
Lactation support
Routine newborn screening
Costs not included
Anatomy Scan Ultrasound and any necessary physician consultations
Prescriptions for additional medications or abnormal lab testing, as needed
Birth kit (approximately $50) and household supply list
Concierge Consultations, Maternal Mentoring & Lactation Support
For families who decide or determine that a birth with other providers best fits their needs, I am now also offering a la carte prenatal and postpartum visits as a holistic complement to your chosen plan of care. In these visits I can:
answer questions/provide counseling that time doesn’t always allow for in conventional maternity care
offer additional education that is personalized to your specific health, birth, and parenting goals
make referrals to recommended resources and access to lending library
be a touchstone for your journey that is more accessible, balanced, and connected to/for your family
Zoom Consultations, Home Visits, and bundled care options are also available. Let’s talk about how I can best serve your family through pregnancy and postpartum YOUR WAY.