FAQs

How Much Does It Cost?

The total fee is $4500.00.  This will include basic labs and prenatal care through pregnancy, the birth, full postpartum care, newborn testing and exam, birth certificate, and assistant fee.

You are seen monthly until 28 weeks, then twice monthly until 36 weeks and weekly until birth.  You are seen several times postpartum through 6 weeks.  Contact me for full disclosure of care that is included.

Where Do I Go For Visits?

Visits are in my home in Jonesborough, TN.  The 36 week visit will be in your home as will initial postpartum care.  Postpartum weeks 2, 4 and 6 week will be back in my office.

Why Home Birth?

Home birth is associated with better outcomes for women with low risk pregnancies.   When choosing to home birth with a Certified Professional Midwife, you will have complete prenatal, birth and postpartum care.  Your provider will spend more time with you one-on-one at prenatals discussing your overall health and well-being than received under most obstetric care.  We will discuss nutrition, mental and emotional status and answer any questions or concerns you may have.  Home birth is for women who prefer less medical intervention, see birth as a non-medical event or who just do not want to leave their home for birth.

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Who Can Home Birth?

Women who are low risk and are carrying a baby that is low risk and do not desire pain medication for labor and birth are candidates for a home delivery.  Low risk typically means someone with no preexisting health conditions that elevate pregnancy risk and a baby that is growing within normal limits.  Care throughout the perinatal period will help keep things low risk and help intervene early if something arises.  If something shows abnormal, a visit to an OB for follow-up is scheduled.  Other high risks include a malpositioned baby, signs of preeclampsia, high blood pressure or other related issues.

Can I Have Pain Medication?

No pain medications are administered at home.  Instead, things used for pain management are herbs, tinctures, homeopathy, position changes, movement, relaxation, labor support and of course water!

Who Can Be At My Birth?

It is your home, it is your birth, you may have anyone you would like.  Caution: it is easier to invite than uninvite.  Also, the more 'audience' you have, you could potentially be prolonging your labor time.  Children are welcome but must have a designated care provider in place should they need care during labor and birth.  

Do I Need a Doula?

Yes!  A doula's role is very important and different than midwives.  If you are considering a home birth and this will be your first vaginal delivery, hiring a doula is top priority to help insure the birth you desire at home.

You can hire a doula you know or visit Doulas of NETN for a list!

Do You Take Insurance?

No.  Most insurances do not cover care with a CPM.  Even the few that do have a deductible higher than the total cost for midwifery care.  There are medical lenders you can Google should you need to finance the cost.  Health Share companies typically cover home birth but you must work with them directly for reimbursement.  I will happily supply invoicing.

Midwives Advantage is an independent company that works to see if they can get any of the birth covered through your insurance that is NOT medicaid (TennCare).  You may follow the link below and enter the name 'Hope' for the claims rep to apply.  Payment is still due and any reimbursement will follow the birth.

https://www.midwivesadvantage.com/verify-insurance-benefits.html

You can also check out https://www.slb-billing.com

Resources
1. 
Janssen, Patricia A et al. “Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician.” CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne vol. 181,6-7 (2009): 377-83. doi:10.1503/cmaj.081869