Care Services

Your In The Vine Care

Home Visit Prenatal Care Schedule

  • Every 4 weeks through 27 weeks
  • Every 2 weeks through 36 weeks
  • 36 week birth preparation and prenatal-meet the assistant midwife and birth assitant
  • Every week through birth
  • 24-48 hours after birth (Mom and baby check)
  • 4-5 day in person visit for first time mama, or phone call for 2+ time mama’s
  • 2 week visit (Mom and baby check)
  • 6 week visit (Mom and baby check)
  • Additional visits may be added when necessary

I do not offer “packages” with other providers and services, because:
1)  I want my fees to continue to be reasonable
2) I believe clients can make the best choice about what/who they desire to see and how much they wish to pay (You may not even have a good fit with a package provider)
3) You are very likely to be able to find a provider that fits your needs (I have very good referrals!) AND be assured that my fees do not reflect package collaboration. 

I include a licensed midwife as an assistant and back up at every birth! I also include an experienced and trained Midwife Assistant for every birth.  These two professionals are a paid part of my team, and help to provide both a peaceful and safe birth environment.  My assistants are NRP and BSL Certified.  You will have the opportunity to meet the members of your care team at your 36 week visit.  I provide all prenatal and postpartum care, and remain primary provider at your birth.  My Licensed Midwife assistant is there to ensure best practice for optimal birth outcome, safety and satisfaction!

**I carry herbs, pharmaceutical anti-hemorrhagics, resuscitative oxygen and equipment, IV equipment for fluid replacement, infant Vitamin K, Rhogam, and infant antibiotic eye ointment.  I can provide antibiotics for GBS, and can provide Central Heart Defect Screening, and Newborn Screening. All testing options and choices for your baby are yours. This practice does not carry in or administer any vaccines.

Included in Midwifery Fee:

  • Initial consultation-FREE
  • Routine prenatal visits, including nutritional and supplement counseling. Flexible appointments and prenatal schedule, for individual needs.
  • Welcome to Care gift
  • Referrals to specialists, such as Chiropractors, Pelvic Floor Therapy, Massage, Iron Infusion, OB consultation/co-care, or for ultrasound imaging when indicated (see my list of non-compensated professional providers.)
  • Labor and birth at your home or choice of birth place
  • Experienced, licensed midwife as assistant/back up for birth and rare emergency situations
  • Midwife assistant at your birth
  • Newborn exam and follow up newborn appointments (between 3-4) including CCHD, breastfeeding assistance, metabolic screens and any necessary referrals
  • PPD/PPMD screening and referrals
  • Routine postpartum visits-24-48 hours, phone visit or in home at 4-5 days, 2-3 weeks and 6 week final visit, in your home, with well-woman care, fertility awareness education, extensive nutrition and supplement counseling for optimization of health, balance and recovery.
  • Lending library and extensive teaching through pregnancy
  • Each prenatal is guided by a teaching list, prenatal surveillance and individual needs of mama.  Usually, prenatal visits are 45 minutes to an hour, but this is dictated by individual needs, and low volume practice ability to meet needs.
    $5,200 for any client, regardless of whether this is your first baby or your tenth! Convenient and highly flexible payment plans.

Not Included in Midwifery Fee:

  • Nutritional or herbal supplements
  • Additional newborn / lactation visits
  • Fees for outside services (your insurance/sharing ministry may cover)
  • Costs for lab tests (your insurance/sharing ministry may cover)
  • Ultrasound fees (your insurance/sharing ministry may cover)
  • Specialist consults, referrals, transfers (your insurance/sharing ministry may cover)
  • Basic homebirth supply kit- Baby Birth And Beyond Birth supplies for free local pick up!
  • Birth pool liner purchase and pool rental
  • ANY other cost not outlined in standard practice listed above

Insurance Billing

In The Vine Midwifery does NOT contract with ANY insurance provider, and accepts ONLY cash, check or credit card payments for care. The prompt-pay package fee cap of $5,200 only applies if you pay the full package fee by 35 weeks, otherwise fees will be itemized at our standard rates (all available on request). I am happy to provide an itemized statement of services for you to submit to your insurance or your health care sharing organization. I make NO GUARANTEES that any insurance or health care sharing organization will reimburse on ANY fees that you pay for services. In my own birth experiences, and that of my clients, Health Care Sharing Ministries, such as Samaritan, generally share close to and up to 100% of midwifery care fees.

Midwives are the guardians of normal, natural birth

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