Midwifery Care | Homebirth
$5000
This package includes all prenatal care, birth, and postpartum care.
$500 deposit is due at the first visit, $3000 is due by 28 weeks, and the remaining $2000 by 36 weeks (when we go on-call for your birth). Should you transfer care prior to 28 weeks in the pregnancy you will be billed for each prenatal visit individually. Any transfers of care after 28 weeks are non-refundable (if you become too high risk for home birth, we will still happily attend your birth in the hospital as supportive advocates, and will resume your postpartum care normally). We are able to work with most private insurance plans through our insurance biller, Birth Professional Billing and also accept Oregon Health Plan (all CCOs). It is important to us that we are as transparent as possible about costs, so please don’t hesitate to send us any questions!
This package includes the following care and schedule:
Prenatal Care
We can start your care as soon as you decide you want us to be your midwife! Our prenatal care is personalized for your needs, and we welcome partners and children to participate in all appointments! We typically recommend your first prenatal visit around 10-12 weeks, but this varies widely from family to family. We are also able to accommodate late transfers of care - we know that plans can change throughout a pregnancy! Want to find out if we have availability for your due window? Contact us!
Care Schedule
+ 8-27 weeks (every 4 weeks)
+ 28-36 weeks (every 2 weeks)
+ 37-41 (weekly)
+ 41+ weeks (bi-weekly)
Initial Visit (90 minutes)
+ Review of family, health, social, and obstetrical history
+ Physical exam
+ Obstetrical exam (listening to baby’s heartbeat, and fetal growth check)
+ How to maintain a low-risk pregnancy (nutritional, exercise, and self-care counseling)
+ Initial lab work
+ Review resources
Routine Visit
+ Weight check
+ Fetal growth check
+ Listen to baby’s heartbeat
+ Nutrition and exercise counseling
+ Discuss all questions, or concerns in depth
+ Review labwork & ultrasound results
28 Week Visit
+ All components of routine visit
+ 28 week labs (including gestational diabetes screen)
36 Week Home Visit
+ All components of routine visit
+ Group Beta Strep testing (GBS)
+ Tour of your home + provide birth kit
+ Planning for the big day, review of your birth plan and preferences, review of transport procedures
+ Set up weekly prenatal visits until birth
Labor + Birth
We come to you when you go into labor! This means you can focus on coping with contractions in your own environment while your midwife sets up for the birth, monitors the birth process, and supports your natural labor. No car rides needed!
+ Physical and emotional support for you and your partner throughout labor
+ Non-disruptive monitoring of you and your baby’s safety, including intermittent monitoring of the fetal heart rate with a Doppler
+ Emergency medications & supplies
+ IV antibiotics available for GBS positive parents
+ Inflatable birth pool + supplies (no additional cost)
+ Immediate skin to skin contact for parents and baby, delayed cord clamping
+ Immediate postpartum care for birthing parent and baby, up to 6 hours postpartum, or until family is stable and comfortable
+ Feeding initiation and lactation support
Postpartum Care
We stay with you for 4-6 hours after the birth, and continue to care for you and baby for the first 6 weeks postpartum.
+ Routine newborn medications are available with parental consent, (i.e. erythromycin eye ointment, and vitamin K)
+ Herbal healing bath for parent and baby
+ Breastfeeding/chestfeeding assistance
+ Newborn physical exam, including standard newborn screening tests (CCHD, Metabolic Screening, etc)
+ 24-48 hour, 3-5 day, & 7 day in-home postpartum visits
+ 2, 4, and 6-8 week office postpartum visits, including newborn care, postpartum care, and well-person/family planning counseling at the final visit