We work with all family types providing comprehensive care through pregnancy, labor, birth and postpartum. Your homebirth care will include:
- Hour long appointments are in the comfort of your home
- Monitoring baby’s growth at every appointment
- Provide you with information and resources for you and your family to make informed decisions
- We will discuss your questions and concerns at each appointment and we are available by phone, text or email for anything between appointments
- All routine lab work can be done during appointments, and we can give you a referral for ultrasounds or medical consultations as needed (lab and ultrasound fees are paid for through insurance separately from our fee)
- We are on-call and stay in the area for you during your due window of 37-42 weeks
- During labor, we will come to your home to support you through the process and will monitor you and baby to ensure that everyone is coping well
- In the event that you may need to transfer to the hospital for personal or medical reasons we will accompany you there and continue in a support person role
- Postpartum care then continues in your home over 6 appointments or more, as detailed below
Billing: we are passionate about providing midwifery care to anyone who is interested, including many who cannot afford the out-of-pocket costs. Please contact me for specifics of fees and payment plans.
- Homebirth Care plus Doula Services – for this level we partner with birth and postpartum doula, Ixel Chavez, to provide complete midwifery prenatal, birth and postpartum care and birth doula services. (A doula is someone who provides physical and emotional support to the laboring person, and advocates on their behalf. The presence of a doula can greatly increase satisfaction with your birth experience.) You will also have access to our birth tub if desired.
- Homebirth Care – we offer complete midwifery prenatal, birth and postpartum care as described above. For a small additional fee you may rent our birth tub.
- Sliding Scale Homebirth Care – complete midwifery prenatal, birth and postpartum care available to families for whom the regular midwifery fees are too high. I encourage everyone who can afford the regular fee to start there so we may offer reduced fee care to more clients who may be struggling to make ends meet or in dire situations. Everyone deserves access to respectful, unbiased, loving care.
I encourage clients with PPO plans to work with Cohosh Billing. Some clients receive reimbursement for midwifery fees at out-of-network rates or higher from many insurance companies. Clients have also had luck with reimbursement through HSA programs.
Words cannot express my gratitude and appreciation to your work during the whole process of my prenatal and postpartum time. You are not only a wonderful, skilled midwife but also have this gentle and healing energy which helped to ease my anxiety about birth. Because of you, my birth experience was beautiful and memorable. -RF
What’s that you ask? Hybrid care is for families who want the benefits of midwifery care as described above but want to ultimately birth in the hospital, for personal or medical reasons. For these families, I do regular prenatal appointments at home, and when labor begins we labor at home until we collectively decide when is the right time to go to the hospital for the birth. After the birth we continue with postpartum visits at home as we normally would.
What is the difference between this care and hiring a doula for the birth? The main difference is families will be getting all of the benefits of midwifery care during our appointments including monitoring your baby’s growth prenatally, discussing and giving suggestions to optimize your health and wellness during our visits, listening to your baby during labor with the Doppler, doing vaginal exams as needed during labor, baby weight checks after the birth, assessing your healing, etc.
It was an amazing experience, the whole birth. I am beyond grateful for your amazing work and dedication to my family and our whole experience. – ER
Home Postpartum Services
The first few weeks after your baby’s birth is an exciting and emotional time. You and your family will go through many changes and adjustments even if you’ve done this before. The care that we provide the birth parent and baby is designed to help ease the transition to life with a newborn. This includes, but isn’t limited to:
- Coming to your home for six visits on this schedule: day 1, day 3, day 6, 2 weeks, 4 weeks, and 6 weeks
- We are available with phone and text support between visits for every question or concern you may have
- We will weigh your baby at each visit as one data point in your baby’s health
- We will support you with breast/chest feeding, and if desired, discuss when and how to introduce the bottle
- We will assess the birth parent’s health and healing, help with sleep, nutrition, exercise, emotional health, etc.
- If there are older siblings we spend time discussing their adjustment to a new family dynamic
At-Home Insemination Services
Planning a family can be a very exciting and nerve-wracking time full of many ups and downs. As with all of midwifery care we are here to support and honor you through your journey with respectful, individualized care. We offer preconception counseling and intrauterine insemination (IUI) services for those wishing to become pregnant. This includes:
- Assistance with ovulation tracking and knowing when to inseminate
- Nutritional, sleep, stress-management, and exercise resources to enhance fertility
- Availability to inseminate anytime ovulation occurs
- Sperm washing and spinning for fresh samples
- If you do become pregnant and choose to continue working with us for prenatal care some of the cost of IUIs can be deducted from the midwifery care fee