Homebirth Midwife Services

As your midwife, I offer personalized, non-judgmental midwifery care to low-risk clients who are seeking planned out-of-hospital prenatal, labor, birth, water birth, and postpartum care. 

The relationship and trust we build are paramount to ensuring not only a safe experience (reduced trauma, interventions, birth injury, and cesarean sections) but also your social, mental, and spiritual well-being.

midwife prenatal care

PRENATAL CARE

You will be continually monitored throughout your pregnancy for any signs or symptoms that may lead to pregnancy complications which could make a home birth unadvisable. We’ll work together to establish healthy practices in nutrition, physical activity, mental well-being and access to community resources from the beginning and throughout the duration of your pregnancy.

All visits happen in the convenience of your home

Prenatal visits are scheduled:

  • Once a month until 28 weeks
  • Bi-weekly 28 weeks - 36 weeks
  • Weekly 36 weeks until birth
  • Additional visits are scheduled as needed
Certified Professional Midwife

LABOR AND BIRTH

Homebirth with a midwife in attendance is dramatically different from a hospital birth in many ways. You will have continuity of care throughout your labor, birth and postpartum period by a birth team you have built a relationship with. You have complete control over your labor and birth with shared decision making. Upon birth, your baby will stay close allowing immediate and uninterrupted bonding.

postpartum care midwife

POSTPARTUM CARE

Transitioning to parenting with a newborn can be both joyous and sometimes overwhelming for new and seasoned parents alike. My visits in the postpartum period are frequent initially during the time most demanding for new parents. During the visits, we work on caring for your newborn, breastfeeding, your physical and emotional well-being and suggestions to help adjust to your new normal.

Postpartum visits are scheduled:

  • 24hrs - 48hrs after birth
  • Day 3
  • Day 7
  • Weeks 2, 4, 6
  • Additional visits are scheduled as needed

 

Curious about homebirth, your options, or if it's a right fit for you?

Reasons for Choosing a Homebirth

Feel safe in the comfort of your own home
As little medical intervention as possible
Better outcomes for mother & baby
Higher rates of breastfeeding after 6 weeks
Build a relationship of trust with your midwife
Cheaper than a hospital birth

Frequently Asked Questions

Q: Why choose an out-of-hospital birth & midwifery care?

A: Being at home provides a sense of familiarity and comfort you won’t achieve in a hospital setting. All decisions about your care are made together with you, in detailed discussions of your needs, desires, your individual health, and the evidence regarding the options available to you. There is an emphasis on education, nutrition, evidence-based research, and informed decision making throughout your pregnancy. The trust and relationship we build are meant to ensure a safe experience reducing trauma, interventions, birth injury, and cesarean births. I hold space for the mother-father/partner-baby connection as it makes the transition from the womb to the woman's arms, to the breast, and beyond. After the birth of your baby, my care extends a full 6 weeks with multiple visits to help your transition into parenthood but also identify and manage any complications or difficulties that may arise.

When necessary, I do collaborate with providers from both the medical and holistic models of care to develop a plan which most effectively meets the individual situation.

Q: Is home birth safe?

A: Yes! Homebirth has been shown to be a safe option for healthy women and healthy babies whose normal pregnancies are full-term (37 weeks) at the start of labor, and who are monitored and attended by trained midwives. Studies continue to consistently affirm that planned midwife-attended home birth is as safe or safer than hospital birth. We believe in and practice with evidence-based guidelines & protocols in addition to the Midwifery Model of Care. 

https://evidencebasedbirth.com/what-is-home-birth/
https://onlinelibrary.wiley.com/doi/full/10.1111/jmwh.12172
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2742137/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2409129/
http://mana.org/pdfs/HomeBirthAnnotatedGuidetotheLiteratureDec5-2012FINAL.pdf

Q: What happens if there is a complication?

A: Great question! Midwives are trained professionals who are experts in normal pregnancy. We have training and experience in identifying and managing certain complications at home. We recognize when those complications would mean a hospital birth is advisable and transfer care in those circumstances. Transfers occur about 12% of the time and are usually non-emergent. Typical reasons are maternal exhaustion, prolonged labor, and pain relief.  When a circumstance arises requiring transport we have an informed discussion on what is happening and why it’s advisable to transfer. Most of these transfers still result in a vaginal birth even in the hospital. As part of my scope of practice, I carry emergency medications, equipment and hold a current certification in CPR and in neonatal resuscitation.

Q: Can I have family and friends at my birth?

A: Absolutely! I truly appreciate the presence of loved ones and siblings who bring positivity and their love for you into your birthing space. This is what makes home birth midwifery care unique. I also offer support for setting boundaries when you desire privacy.

Q: What about the mess?

A: Surprisingly, home births are not as messy as people believe! We aim to leave the house as clean as it was when we arrived. During your prenatal care, I will provide you with a link to a website where you’ll order a "birth kit" which includes all the disposable supplies for your birth. Many of these supplies are meant to keep your house clean during or after the birth. While you’re having family bonding time with your new baby, we quietly tidy up.

Q: How much does it cost?

A: Homebirth midwifery care is an affordable option. My fee is $4850, which includes all prenatal & postpartum care, attendance during labor, the birth and newborn care up to 6-weeks and the birth pool. This fee does not include your birth kit (approx $50). Lab work and ultrasounds are usually covered by your health insurance. Accepted forms of payments include cash, credit cards, checks, gift certificates, and online payment options. Payment plans are available.

Q: Does insurance cover care?

A: Currently, in Massachusetts having a home birth is an out-of-pocket expense not covered by insurance. Fees for midwifery care are paid upfront by the client by 36 weeks gestation. Realizing this may be a burden for some, payment plans are available.

Q: What about the birth certificate & social security card?

After birth, I provide all the necessary paperwork for you to obtain a birth certificate and social security card. Once the birth certificate paperwork is completed you will bring to your local city or town hall vital statistics department. Massachusetts recognizes homebirth as a valid choice for you so there should be no problem issuing this legal document. Your baby's birth certificate will be mailed directly to you.  Once received you contact the social security office for a card.

Coming soon!

Postpartum Doula Services
Homebirth Ed classes
Breastfeeding Support & Groups
THRIVE Mama & Me and THRIVE Papa & Me Groups