Accepting clients due 2020
Midwife Model of Care
The Midwives Model of Care™ is a fundamentally different approach to pregnancy and childbirth than contemporary obstetrics. Midwifery care is uniquely nurturing, hands-on care before, during, and after birth. Midwives are health care professionals specializing in pregnancy and childbirth who develop a trusting relationship with their clients, which results in confident, supported labor and birth. While there are different types of midwives practicing in various settings, all midwives are trained to provide comprehensive prenatal care and education, guide labor and birth, address complications, and care for newborns. The Midwives Model of Care™ is based on the fact that pregnancy and birth are normal life events.
The application of this model has been proven to reduce the incidence of birth injury, trauma, and cesarean section.
Hour-long prenatal visits are held in the comfort of the client’s home. During this time, the midwife monitors the physical, psychological and social well being of the mother as well as the health of her growing baby. This includes taking the mother’s blood pressure and pulse, and listening to the baby’s heart rate using a hand-held ultrasound called a Doppler or a using a Fetoscope. Individualized education and counseling are provided regarding blood work, ultrasounds, and genetic screening.
Prenatal visits occur monthly until 28 weeks of pregnancy, then every 2 weeks until 36 weeks and then every week until the birth.
Once care is established, the client and her partner have access to the midwife 24/7 via phone, text or email. This is especially helpful in the weeks leading up to the initial appointment or in between appointments when questions or concerns can arise.
Labor and Birth
Once the mother is in active labor, the midwife will join her and her family at their home. During this time the midwife monitors the progress of labor as well as the health and well being of mother and baby. She guides the mother and her partner in labor by offering suggestions for position changes, visualizations or techniques for physical support.
Immediately postpartum, the midwife stays until both the mother and baby are medically stable (usually 3-6 hours after the birth). During that time, the midwife monitors the vital signs of both mother and baby, provides breastfeeding support, repairs lacerations, if any. She also performs a full newborn examination and provides education about the after birth healing and recovery.
Postpartum home visits take place one day, then two weeks and then six weeks after the birth. The Critical Congenital Heart Defect (CCHD) and Newborn Metabolic Screening are performed at the one-day home visit. Additional consultations and unlimited phone consults are included. We also provide you with a completed birth certificate registration form to submit to the county.
Midwives are skilled in managing low risk pregnancies and births. They are trained to identify and refer women who require obstetrical attention. During the pregnancy, this can be due to hypertension, preeclampsia, gestational diabetes, twins, or breech presentation.
During labor, about 1 in 4 first-time mothers planning an out-of-hospital birth will transfer to the hospital. Most of those transfers are non-urgent. This means the reason for leaving the home setting is usually due to maternal exhaustion, need for pain relief and/or augmentation of the labor. Both the mother and baby are stable and safe, but a higher level of interventions are needed (i.e. an epidural and Pitocin).
In the event of a transfer for medical care during labor, a midwife will accompany you to the hospital and either stay with you throughout the remainder of your labor and birth or accompany you to the hospital to ease the transition and come back for the birth of the baby. We will then continue being your care providers postpartum once you are home.
Less than 1% of transfers are true emergencies requiring an ambulance.
A baby can safely be born outside of the hospital between 37 and 42 weeks of pregnancy. If a woman enters spontaneous labor or requires a medical induction outside of this window, referral to a physician is required.
Our $6,000 fee covers all prenatal visits, care during labor & birth, the birth assistant fee, and postpartum visits, including care for your baby. We ask that you make payments throughout your care and be paid in full by 37 weeks.
Our fee does not include laboratory tests, ultrasounds, genetic screening, any post due date testing or hospitalizations. Your insurance can be billed directly by those facilities rendering this care.
If you have insurance or health care coverage, you may contract with our billing service to bill your insurance company or health carrier directly for possible reimbursement.