In our state, companies with the best reimbursement for midwifery services are usually the Christian Sharing Programs like Samaritans, Christian Health Ministries et al. These usually cover very well, depending on your deductible. Home birth midwives are usually not covered at in-network rates. Out-of-network benefits may be authorized by your company. A VOB (verification of benefits) is the best way to predetermine benefits. Most of our clients utilize a $25 service our insurance biller provides. She verifies all of your benefits, from your deductible to what you can expect them to pay. We do not accept KanCare.

Our midwifery fee is discussed in person. This includes all your prenatal care, birth, newborn care, and postpartum care up to 6 weeks post birth and is billed globally. There are some additional fees like lab costs, ultrasounds, vitamins, disposable birth supplies. We ask that the entire fee be paid by your 36th week of pregnancy as detailed in our financial agreement.

Routine ultrasound has become an expected component of prenatal care that many women desire. We will discuss with you the schedule for routine ultrasound. Though it is not a requirement, most women in our care decide to have at least one ultrasound, usually around 20 weeks. Sometimes there is a medical indication for an ultrasound exam. In this situation we will describe the concern and how ultrasound could be helpful. Again, we would refer to a local doctor where the ultrasound will be interpreted by a physician, with special attention to the issue that necessitated the referral.

While this happens rarely, it is not a problem for our practice. We have other midwives we work with for back-up. In the event that two women are laboring at the same time we will arrange to have at least one midwife you are familiar with and a trained labor assistant at your birth.

In order to give the best possible care to our birthing families, we have limited the number of births we take per month to five. It would be easy to feel rushed and unimportant if we are overbooked.

You will be offered most prenatal tests and screening currently available to pregnant women in the United States. For each test and/or screen you will be given information on the condition or disease being screened for, information about the test and/or screen itself, information to help understand the range of results and how the results may affect your care. You will then be able to make a decision about whether or not to do a particular test/screen. Tests we offer:

  • Initial OB panel which includes CBC, blood type, rH-, antibodies, rubella status, Hep B, RPR and HIV. Vitamin D3, STI (sextually transmitted infections) as indicated.
  • Ultrasounds: we have a bed-side ultrasound machine for determining fetal viability (getting a heartbeat), determining position in late pregnancy and a few other items. For extensive ultrasounds like anatomy and fetal well-being, we refer out to professional sonographers.
  • Rhogam injections can be given  at 28 weeks for prophylaxis for issoimmunization. This can be declined.  We also offer rhogam injections after delivery.
  • Gestational Diabetes screening. Yes! You can opt out of the usual glucola drink and can pick a more natural screening tool like a 2 hour post meal glucose or weekly at-home monitoring, or even grape juice.
  • Genetic screening. This is available but optional. Genetic screening is more reliable now than in the past with lower false positives. It is not offered to advise abortion, but to prepare and utilize resources available now. There are many support items available for babies with special needs. It can also be helpful in determining whether or not you want to proceed with a home or hospital birth. We have delivered at home trisomies 21, 13, 18.
  • Group B Strep screening. We provide extensive information, and a  holistic protocol for prevention, to help you do everything in your power to obtain a negative screen so that you can avoid taking antibiotics in labor.
  • Access to a naturally minded and pro life OB doctor who consults with us and our clients as needed.

Your first baby sets the stage for your future deliveries and since cesarean births are performed statistically more often in first time moms, we are passionate about including them in our care. We know that cesareans are not always unavoidable, but with the right support the chances for vaginal birth increase significantly.

Many factors contribute to a woman’s perception of pain in labor. We find that with the continual support of skilled and familiar attendants, in a relaxed environment where a woman is at ease with her surroundings, a natural birth can be accomplished. We are able to offer a variety of methods to help women cope with the discomforts of labor including massage, hydrotherapy (including waterbirth), changes of position, bodywork. Research shows that walking 4-5 miles, 3-4 times per week reduces the need for an epidural. Some women have found nitrous oxide to be especially helpful.

Anyone who has gone through pregnancy and birth has experienced the very real fear of an unexpected outcome. This fear is born out of both an intellectual and emotional awareness of the possibility of risk in birth. As families who have chosen non-conventional birthing options, we are all aware of the additional questioning and scrutiny that can accompany an unexpected outcome at home. In more than thirty years of combined experience attending home births and more than 3000 combined births, we have experienced adverse outcomes. We have attended the births of babies with downs syndrome, anencephaly, Trisomy 13, 18 and 21, cleft palate, heart defects and others. For each of these families the joy of birth was tempered by the realization that their new baby had serious medical issues, some of which were incompatible with life. We have also experienced death that occurred in the last trimester of pregnancy where there was no indication before birth. It is our desire to have complete transparency regarding our experience with birth at home. We welcome questions and discussion in order to help you decide where and with whom you would like to have your baby.