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Home Birth Midwifery Service

We Bring the Birth Center to YOU!!

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FAQs ~ Frequently Asked Questions
  

I have a question ...


It is quite common for prospective clients to ask the

same questions and seek the same type of information!


We know you have LOTS of questions as do some

of your family and friends. Read through this

helpful page to find some of the answers. 

 

Here are the most Frequently Asked Questions (FAQs)

and the answers that will help you on your quest for comprehensive, personalized, quality maternity care:





How much does your service cost?


      Home birth midwifery maternity care fees, generally speaking, are markedly lower, as much as one third the cost, than hospital services for similar services. Our professional package fee for self-pay home birth clients includes all your care: prenatal, labor, birth, postpartum & newborn. Because there are no "facility fees" involved, clients save considerably on the cost associated with having their baby and save on all the related facility fees for both mother and baby.


      Please contact us to discuss our fee schedule. We have discounts and programs for just about every family!


      Fees are fully outlined is our:

  • Informed Choice Agreement Booklet   (a link to this doc is coming soon)
  • Financial Agreement    (a link to this doc is coming soon!)


      See our Services page to learn more about all our services; what is and is not included in our fees. Helpful financial information, PayPal payment options, and financing links are placed within the Services page for you.

 


Will insurance cover the cost of your services?


     We are encouraged by the number of insurance companies that DO cover care by a licensed midwife and home birth services! Sadly, not all companies do. With the advent of the Affordable Care Act, and restrictions to in-network providers, we have no idea how such policies will affect reimbursement.


     We bill based on credentials, not place of birth. We use a billing service that enables us to file insurance at the beginning of, during, and after your final course of care visit. We will provide you with both: Insurance Registration &  Verification of Benefits forms to make the proper inquiry to your insurance company regarding your specific Schedule of Benefits. When inquiring regarding coverage with your insurance, these questions include if they cover licensed midwives, what your out-of-network benefits are, what are the deductible, co-pay, and co-insurance (%) amounts, and other pertinent questions.


      We choose to practice Out-of-Network at this time. Although entering into insurance network contracts is not out of the question, the rules and "red tape" involved to do so, is an area of medical business that we are cautious to respond to; we do not like the idea of being told by insurance companies what we can or cannot do or HOW to practice.


An In-Network Exception or Authorization may be obtained from some insurance companies.

ASK for one! You have the right to be cared for by the practitioner of your choice!!


**  We are NOT Texas Medicaid Providers at this time.


      We encourage ALL uninsured clients to apply for Texas Medicaid, as a financial resource to cover the cost of labwork, diagnostic tests (i.e. ultrasound), visits to a physician, and in the event that a transfer of care to a hospital is required.




What will my prenatal appointments be like? How long are they? And where will we meet for appointments?


We offer ALL your care in the comfort and convenience of YOUR home! No need for you to get out and about!


      Prenatal visits occur on a similar schedule as most physician care, although midwives encourage beginning care as soon as possible, rather than waiting until after 12+ weeks. Visits occur every four weeks until the 28th week, then every two weeks until the 36th week, then visits occur every week until the birth. A special birth-prep-home-visit is done about 35-36 weeks.


      A typical prenatal lasts about an hour and encompasses the following: discussions about nutrition, discomforts, family relationships, desires for the labor/birth (birth plan discussion), parenting issues, emotional readiness, questions about pregnancy and/or birth, prenatal testing options and drawing of labs, dipstick urinalysis, blood pressure check, edema (swelling) check, maternal weight, measurement of baby's growth (fundal height), abdominal palpation to determine baby's position, and listening to baby's heartbeat.


      Postpartum appointments: occur at 24-48 hours, day 3, day 5 to 7, then 2 weeks, 4 weeks (optional) and 6 weeks.


      In addition to appointments, we are available to clients via phone and email to answer any questions or concerns. There are no such things as “silly or stupid” questions & we encourage any concerns about you or your baby's well-being to be brought to us between appointments via phone and/or email. You are not “bothering” us… that’s why you are hiring midwives, we are with woman throughout their pregnancy & postpartum.

 


How many births do you do per month and what happens if you have two women in labor at the same time?


      We limit our calendar schedule to no more than four clients/month to minimize the possibility of births overlapping. Two to three births per month is more the average. In 21+ years of home birth practice, simultaneous births have occurred only twice (yes, really... that few!) More often, we will be attending a client at her birth, when another mom calls to report early or other signs of labor. In response, someone from our midwifery team will visit this second client to evaluate her labor progress, report by phone, and may stay with her or return to the first client’s home. Should the rare instance occur where two women are birthing closely or at the same time (very, very rare!), we will split into two teams with an assistant and a midwife at each home.
 

What supplies do you bring to a birth?


Our motto is:  We Bring the Birth Center to YOU!!©

      The following equipment, medications, and supplies are carried to all births, including s
tandard of care midwifery equipment such as: Fetal heart tone doppler, blood pressure cuff, stethoscopes, pulse oxymeter, sterile instruments, suturing materials, sterile disposable supplies (gloves, gauze, underpads, etc.), respiratory & resuscitation equipment, anti-hemorrhagic herbs, homeopathic remedies, Chinese medicinals, and other evidence-based therapeutics. Tape measure and scale for baby exam.

      Appropriate medications include, but not limited to: Oxygen, Oxytocin (Pitocin), Methergin, Misoprostol, Lidocaine, Antibiotics, I.V. solutions, Vitamin K (oral and injection), Erythromycin Ointment, etc... These medications are specific to care for the mother and her baby and to manage complications, such as: postpartum hemorrhage, dehydration, fever, shock, fetal stress/distress, newborn resuscitation. Doula/Labor support items are also available such as massage oils, aromatherapy, birth balls, rice socks, TENS unit, etc.

      We have an amazingly comfortable & AWESOME birth stool! We bring it to EVERY birth and set it up for Mom's use.


Do you attend at water births?


      OF COURSE!   "Hydrotherapy" for labor and birth has so many benefits and advantages. Water is soothing, relaxing, and can ease the pain of contractions, backache, and the tension which creates more pain. Water helps facilitate various positions that might be cumbersome "on land."  We encourage women to consider having a large tub available. Whether or not a mom actually gives birth in the water is entirely up to her & the course of birth at the time. Our Water Birth page has TONS of helpful information on the benefits & preparations for a water labor and/or water birth.

 


What happens if there is a COMPLICATION during my labor, birth, or postpartum, or a problem with / concern about my baby?


      While there is a wide range of situations, complications, and emergencies that we may encounter during a home birth, we strive to be as non-interventive as possible, thereby reducing the risk of complications. Most intrapartum (during labor, birth & immediate postpartum) complications occur as a result of iatrogenic effects, meaning “caused by medical interruption or intervention”. Complications are rare when the pregnancy, mother, and baby are healthy, and normal; and when the process of labor/birth/postpartum progresses without interference; nevertheless we acknowledge that there are risks and complications that are inherent to birth.


      Transport to a hospital due to complications is not inevitable, but because we practice safety first, the probability of a transport due to complication is high. Should a complication arise, there is usually ample time to transport to the hospital; whether by car or ambulance depends on the specific needs at the time or transport. Hospital transport choices are discussed prenatally, taking into consideration insurance coverage, physician relationships, and general support/respect for homebirth families. Of course, priority is given to the closest hospital for more emergent transports. Once we transport a client to the hospital, we stay by her side helping her and her partner with decisions, support, encouragement, and continuity of care until her baby is safely delivered and both mother and baby are stable. We can not provide clinical/medical care once you have been transferred to the care of physician and hospital. Your 6 weeks of Postpartum/Newborn Care then continues as normal, as well as breastfeeding and parenting support.


      Birth is a beautiful, normal event in the lives of most people, yet emergencies can and do happen. An unexpected outcome of a complication or emergency during labor, birth, postpartum, or of the newborn can be difficult to cope with and oft’ times the outcome would have not been any different had the setting of the birth occurred in the hospital. The mysteries of birth, life, and death cannot be controlled or can they be avoided. And because there is no such thing as a "perfect birth," even in the most ideal of circumstances, we acknowledge the hand of a greater, divine power over which the balance of life and death is not ours to control.

 


What about the MESS? Who cleans up the MESS?


      This is such a frequent and common question, one that many people worry about and most interestingly enough, dads or partners are most concerned about this matter! We suppose that this is due to the concern that we might leave it for others to clean up! Not so... Within just 30-45 minutes after your birth, one cannot tell a baby has just been born there (except for the obvious presence of a new baby!)


      When we arrive at your home, we protect your mattress, carpeting, and other furnishings/fabrics, so they stay clean and dry; underpads are included in the Birth Kit to help absorb fluids during the birth process. As part of the clean-up during and after the birth, we wash all used linens, prepare a meal for mom, and clean the bathroom and kitchen. If a water birth pool is used, we drain the pool and clean up all areas associated with it (we certainly appreciate any help from friends/family with these chores, if they are present and willing to help.


      While there are body fluids such as amniotic fluid and blood involved in birth, the mess is often less than people think. Your midwifery team takes care of and cleans up ALL THE MESS.”Instructions are given in your Informed Choice/Consent Agreement Booklet and we discuss the preparations and supplies needed, as well as how to prepare your birthing supplies.  

 


Who can be there? Can family, friends and our children attend the birth?


           YES, most certainly your loved ones, children and friends can attend! It's YOUR BIRTH ... YOUR WAY!


      Those who a couple chooses to have witness their birth is a personal choice. Prenatally, we will discuss your plans, hopes, and concerns regarding your birth, the atmosphere, and what is important to your family. The top priority is to include people at your birth who are not only supportive of your choice to home birth, but are comfortable witnessing it.


      Siblings are encouraged to be present for the birth, and we like for each of them less than 13 years old to be supported by another adult. Very young children (under four years old) need special attention and consideration. Planning for siblings must be made in advance, with toddlers and younger children needing support by another adult at all times. This means that support-adults must remain with the children at all times,  whether or not the child(ren) participate at the birth, are in another room in the home, or are removed from the home to be attended in another location.


      We prefer to have those who will be at the birth, to attend the "home visit" (done ~ 36 wks). This is so that we can all meet, become familiar with each other, and any concerns, questions, and expectations can be voiced. All those whom you invite must understand that they may be asked to leave the room or even to leave your home if you or we, together, decide it is best for

your birth experience. All those invited to your birth may also join you at prenatal visits.



What happens after the birth?


      We generally stay for about 3 hours after the birth of the baby. We ensure mother and baby are stable, clean up and pack our vehicles, provide breastfeeding support, we perform a thorough newborn exam (right next to the mother and only after nursing has been well established), we check mom for tears and repair if necessary, complete documentation in the chart regarding

the details of the labor, birth and newborn exam, and make sure the new family is fed and are "tucked in" for their postpartum nap. Specific instructions are given to both the parents and any other adults in the home, regarding the monitoring of mother & baby in the first 24 hours.


      We return for postpartum, in-home visits at 24-48 hours, 3 days and 5-7 days. Mother and baby visits in our home at 2 wks, 4 wks (optional ~ Sometimes you need a "midwife fix" and sometimes we need a"baby fix," too!!), and 6 wks postpartum.
      We are completely available 
24/7 for questions/concerns any time during the postpartum period (and beyond!) including breastfeeding support.


      We encourage our clients to stay in touch, as it is often a hard   "separation" for mom and midwife, after the baby comes!


Do you offer a consultation to learn more about your services?


      Certainly! This is the BEST way for prospective clients to learn about us and the services which we offer. The consult visit is scheduled after we've discussed preliminary matter on the phone. The consult visit is held in the comfort of your own home.


The Consult Visit is an HOUR in duration and is FREE!


Please email Kim or call to schedule an appointment:

(832) 942-8324