It is not just the making of babies, it is the making of mother that midwives view as the miracle of birth

So grateful to Confluence Midwifery and all they did to serve this area before moving on to care for more momma’s. Thanks for sharing this photo!

Our services

Prenatal Care

Everything begins at the beginning. Prenatal care is one of the hallmarks of midwifery. Visits are longer, generally around 60mins giving ample opportunity to answer questions, give informed choice and focus on how to support the health of your pregnancy

Labor, Delivery and the Immediate Postpartum

When it comes time to welcome your child into the world, the midwife you have seen throughout your pregnancy will come to your house with a birth assistant, to care for you and your baby. Yeah, it can be that simple!

  • -Visits occur in office using the schedule of every 4 weeks until 28 weeks. Every other week from 28-36 weeks. And, weekly from 36 weeks until delivery

    -At least one visit occurs at home, generally at 36 weeks

    -Labs are drawn in office

    -Ultrasounds are schedule at local centers

    -Routine monitoring of blood pressure, pulse and fetal heart tones occurs at each visit

    -Informed decision making

    -24/7/365 access to midwife, for any urgent matters

  • -Clinically monitoring the wellbeing of mother and baby through vitals (blood pressure, pulse, temperature, fetal heart tones) in active labor

    -Monitor overall well being by mother and midwife’s perception

    -Offer a birth tub and other comfort measures

    -Support the physiologic process of labor

    -Support birth of baby and placenta

    -Monitor baby’s well being including the transition to breathing after birth, using NRP skills, as indicated

    -Monitor mother’s well being after delivery via vitals, lochia and overall well being.

    -Encourages and facilitates breastfeeding

    -Preforms a full newborn assessment

    -Administers vitamin K and erythromycin, per parental decision reached prenatally

    -Sutures most tears, refers for the rare deep lacerations

    -Carries medication for heavier bleeding or suturing

    -Refer or transports if the occasion arises

Postpartum

Care continues throughout the six weeks after birth. Midwives offer increased visits knowing that this is a time of major adjustments where increased care is often beneficial.

 

  • -Home visits occur at 24-48hrs after birth, and 3-7 days after birth.

    -Office visits occur at 3 and 6 weeks after birth (additional visits may be available, as needed)

    -Continued monitoring of maternal vitals and well being occur at each visit

    -Emotional and mental check-ins happen at each visit

    -Breast feeding support continues

    -24/7/365 access to a midwife

    -Referrals or transports initiated at need

Newborn Care

Care for your newborn continues in conjunction with your postpartum check-ins for six weeks, as well.

  • -Home visits occur at 24-48hrs after birth, and 3-7 days after birth.

    -Office visits occur at 3 and 6 weeks after birth (additional visits may be available, as needed)

    -Continued monitoring of vitals and well being occur at each visit

    -Monitoring of jaundice levels, performing labs as need

    -Assessing normal newborn growth and nourishment

    -Performs CCHD, and metabolic screen

    -Facilitates transfer or referral, as indicated

Pricing

I believe in transparency. The cost for a home birth is $4,700. I would be happy to share with you the full copy of my financial contract. The bullet points are:

  • This cost covers: prenatal, labor, postpartum and newborn midwifery care. 24/7 access to a midwife for urgent matters. A second birth professional to attend your birth. The use of a birth pool for labor and a birth kit.

  • This cost does not cover: Doula, childbirth education, labs, or ultrasounds.

Labs and ultrasounds can either be billed to one’s insurance or billed to the family. I have “self-pay” discounts for labs and a variety of ultrasound options including some that are more affordable for self-paying families.

I am not in network with any insurance company including Medicaid. I am happy to make you up a super bill for you to attempt to directly submit to your insurance. I’m also happy to complete any forms or share any helpful information, if you choose attempt to go through your insurance. PPOs are most likely to reimburse families somewhat. Cost-sharing companies almost always reimburse. I would be happy to talk further on the complex topic of insurance billing during a consultation.

I believe midwifery should be affordable for everyone, if cost is the determining factor I would be happy to discuss a personalized payment plan that meets your needs.

Discounts: I offer a large family discount of $4,300 for families welcoming their 5th baby or more.