Complete Midwifery Care
Full fee: $3800
Due by 34 weeks
- Midwifery fee includes prenatal care (monthly visits until 28 weeks, biweekly visits from 28-36 weeks, weekly visits until delivery), intrapartum care (attendance from the establishment of active labor until at least 2 hours postpartum), postpartum care (2 postpartum home visits and 2 postpartum office visits
- Three-week childbirth education series
- Additional lactation consultation as needed, up until 6 weeks postpartum
- Newborn screening fees
- Insurance billing, if applicable (see section on insurance billing for more details)
- Lab work
- Birth kit from a midwifery supply company
- Supplies to gather before the home visit (you may already own many of these items)
- Birth tub and related equipment, if desired
- RhoGAM (for Rh negative mothers)
- Additional travel fee for families greater than 60 miles from my home: $200
- Physician, hospital, and ultrasound visits are not included in my fee (these are not routinely required). You must make payment arrangements with those providers separately.
Note: In some cases a portion of the fee may be reimbursable by a private insurance company, but the fee is due in full before insurance is billed. My services are usually out-of-network, though occasionally an in-network exception may be approved. I utilize an insurance biller to work with insurance claims.
As an IBCLC, I offer in-depth, skilled lactation consultation. These visits can be in your home or my office. They generally take 1.5-2 hours and include a thorough history and assessment. Follow up visits are shorter, usually about an hour, and are meant to touch base and fine tune the breastfeeding plan as needed.
Home LC Visit: $150
Office LC Visit: $125
Follow up LC Visit: $75
Note: lactation services are now covered expenses through the Affordable Care Act. I will provide a super bill upon request, which you submit on your own to your insurance company.
Home birth is not the right choice for every family. As my schedule allows, I provide doula (labor support) services for those planning hospital births. As your doula, I am in communication with you as you labor at home, and we make a plan to meet at the hospital, where I generally stay with you until baby has nursed. As well, you will receive two prenatal and two postpartum visits as part of my doula services.
Doula fee: $1000
Like a doula, a monitrice provides labor support to the mother. A monitrice, though, has additional training to perform limited clinical assessments. This is a good option for the woman who wants to labor at home as long as possible. As your monitrice, I will labor with you at home (monitoring your and the baby’s well-being), and we will move to the hospital at the appropriate time, where I will remain in a doula role. As well, you will receive two prenatal and two postpartum visits as part of my monitrice services services.
Monitrice fee: $1500
For more information about the differences between doulas and monitrices, see my article here.