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.

From Midwives Alliance of North America

Prenatal Care

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.



Photo by Shoots & Giggles

Photo by Shoots & Giggles

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.


Hayley delivered my son in January 2016. I have not stopped singing her praises since. My labor was quite long (37 hours). By the time I was in Hayley’s direct care, I was exhausted with still a long road ahead of me. My labor went on so long that Hayley had to send my whole support team to get some rest. It was just me and her for some of those critical, long, blurry hours. And there is no one I could imagine trusting more at that time. Hayley somehow gave me the perfect combination of assurance and reality (“You’re making progress. You’re doing it. But you have a ways to go.”). She conducts herself with incredible competence, empathy, professionalism and unwavering presence when she is with you. I had moments of fear and doubt in labor, as I believe many women do. But never did I doubt the level of care I was receiving. I trusted Hayley to guide one of - if not the most- critical moments of my entire life. And I would do it again in a heartbeat. I want Hayley there for the delivery of any future children I may have. Any expecting parents would be incredibly lucky to be in her expert, wise care.
— Sarah R.A.
Hayley made my first delivery experience be the birth I envisioned. She completely respected everything I asked for and said the right words of encouragement and empowerment at the right times, while making me feel relaxed through the whole process. Even when unexpected things happened, she knew how to handle them professionally, and in a calm manner. I particularly loved that she knew exactly how to guide me when pushing, so I wouldn’t tear. I can’t wait to have her deliver my second baby.
— Laura G.
As I sit here thinking about the gratitude for the woman whose hands brought my son, Revel, into this world as he catapulted out of me, I find myself getting emotional. Hayley Oakes will forever be engrained into the memory of the most profoundly transformative experiences of my life. She showed up for me! Her empowering presence in the room as I labored was visceral and she earned every ounce of trust I had in her during the process. My labor was known as “atypical” for a first-time mother. It was 9 days early and after only 5 hours of labor with my first child, my son shot down my birth canal while still at home in bed and my body proceeded to go into physical auto pilot with the intent to push my child out whether I was ready or not. Hayley took hold of my attention with such grace and guided me through how to work WITH my primal urges. Hayley owns her role in the partnership between herself and birthing goddess, and is the representation of everything I believe is a right for every single Mama on this planet.

Ms. Oakes, my fellow sister Mama, we all would be so fortunate to have you in the room with us. It is only you I would want by my side as I birth my next child at home! Thank you for your passion, your wisdom, and your skills at sewing up vaginas! I am so proud of you woman!
— Renee M.
Hayley treats every patient, question or situation as a special gift to be opened with loving care. As a midwife, she worked with supreme professionalism to ensure that my baby and I were safe and cared for. As a human being, she engendered a sense of deep calm and gentle confidence that permeated our entire experience with her.
— Sarah K.
After our first meeting with Hayley we knew we wanted her to be the midwife to deliver our son. Her calm presence, expertise and wisdom made us feel reassured and empowered throughout our entire journey. Even when I felt out of control during my labor, Hayley kept me grounded and made me feel safe. Her expert coaching and support got me through some very challenging moments when I felt as though I couldn’t go on. She gave me the tools I needed to get myself through and for that I am so grateful. Hayley makes you feel as though you are in complete control but that she is right there to guide and support you. She encouraged me to listen to my body and have my baby in a way that felt right for me. Hayley was everything I could have ever wanted as a midwife and look forward to using her services again in the future!
— Kate H.
Hayley was there to support me the night I became a mother, and I am so very grateful. Her calm confidence in me and my birthing body as I labored and pushed in the water gave me the confidence to bring little G here to meet us all. As time passes, I find myself forgetting little details of the whole labor, but I will never forget searching for Hayley’s eyes after every push, and getting exactly the support I needed to keep going. She’s a part of us forever.

She worked her magic again 6 weeks later. I had been having a rough time with breastfeeding, and had resorted to using all sorts of contraptions and crazy schedules to ensure G was getting enough to eat. I had consulted so many people and thought this was how it would be forever. I was at my wits end. After one appointment with Hayley and hearing her words, I had the confidence in my baby and my body to relax and breastfeed without additional pumping and breastmilk supplementing (I had been doing out of fear he wasnt getting enough). It was a game changer for me. Feeding my baby became so easy from that day forward...and 2.5 years and another baby later, he’s still breastfeeding.
— Morgan P.