INVESTMENT

Your investment for the above services: (was) $6000. New updated pricing for 2024 is $5500 global fee when auto-draft is selected. $5700 without auto-draft. *Twin delivery requires a bigger team and an extra licensed midwife in attendance, therefore it is an additional $1000.*

This is a $2500 discount vs. itemized services for all of the above. We see you inflation! But birth should be recession proof. We want to help with that.

• If you have any financial hardships or barriers to this type of care, please reach out and let us know. We can work with a variety of payment options and can be flexible with scheduling to make this model of care more accessible for everyone.

• Your investment includes a FREE birth tub “rental” (a $250 value- no need to rent one somewhere else) for those wishing to deliver in the water. Our birth tubs are available to our clients at no additional charge, on a first come first serve basis. You can also choose to purchase your own, we can provide details.

• Your investment includes FREE placenta encapsulation if you choose this option (a $200 value), otherwise we will properly dispose of your placenta.

• Your investment includes FREE comprehensive post-partum support (a $300-$800 value) focusing on the sacred time of “Cuarentena” (a tradition of post-partum quarantine that revolves around 40 days of Rest, Recovery and Renewal). This post-partum care focuses on nourishment, herbal supplementation, rest, bonding, physical healing and mental well-being. Your team of midwives are uniquely equipped to provide traditional and conventional care during this sacred and vulnerable time. We will visit you (in your home) on day 1, week 1, week 2, week 4 and week 6 to provide you care, support and resources that are appropriate for your unique needs and situation. We also have great collaborating relationships with many providers in our community, therefore, OB, nurse practitioner, physical therapy, lactation and mental health referrals can be added to your post-partum care plan quickly, when needed.

We accept cash, check, credit/debit and HSA cards. We are not in network with any insurance provider and do NOT file insurance claims but strongly encourage you to file on your own behalf after delivery to obtain reimbursement. Although we do not have the availability or the staff to communicate with your insurance company directly, we are happy to supply you with any notes, statements or documents you need for reimbursement.

A non-refundable retainer of $700.00 is required to get set up in our system and secure your due date on our practice calendar, due before the initial visit. The balance is due before 36 weeks and can be made via weekly auto draft payments between gestation weeks 12-36 (as described above) for a global fee discount. All balances must be paid in full BEFORE 36 weeks to ensure adequate coverage, supplies and availability for your delivery. 

You will purchase a custom Birth Kit prior to 37 weeks which includes all of the disposable supplies needed for your birth. You may purchase any additional supplies you wish to have on hand as well.

OPTIONAL SERVICES (additional fees):

• Ultrasound* (anatomy scan is recommended between 18-20 weeks): We will fax the order to one of our collaborating OB imaging centers and you can set up your appointment and file with your insurance if applicable. Early (dating) ultrasounds are recommended if you are unsure about your last menstrual cycle or would like to confirm fetal viability. Please discuss this with your midwife prior to your fist visit. Our practice guidelines allow us to attend births after 37 weeks and before 42 weeks in the home setting. So if you are unsure of your due date, an early ultrasound (before 12 weeks) is HIGHLY recommended so that you don’t risk out of our care unnecessarily due to incorrect dating.

  • *If you are a VBAC client, an ultrasound is REQUIRED to determine placenta placement for proper risk assessment.

  • *We also recommend a BPP (Biophysical Profile) at 41 weeks and/or for any client with presentations outside of normal and expected findings.

• Rhogam injection: If you have a negative blood type and your baby has a positive blood type Rhogam is recommended. Baby’s blood type will be obtained through cord blood at delivery. Rhogam is an additional $150.00

• GBS treatment during labor (IV antibiotics): Prices vary based on treatment

• Additional labs or testing will be itemized individually

• Labor Doula services: Have a skilled labor professional join you early in your labor to assist with relaxation, position changes and pain management during labor. Your doula will stay with you throughout the birth and immediate postpartum period and can also help answer questions prenatally and help with post-partum and breastfeeding issues. We can provide a Roots doula for a discounted rate or you can hire an outside doula of your choice. Either way, we HIGHLY recommend a doula!

• Comprehensive Childbirth Classes: We HIGHLY recommend that every family invest in comprehensive, out of hospital childbirth classes, ESPECIALLY if this is your first pregnancy or first planned homebirth. We recommend the Roots Childbirth curriculum because it is a non-method, evidence-based class, appropriate for any birth plan and any delivery setting, written by Gaylea McDougal, CPM. We would be happy to coordinate a group, private or virtual class for you. Ask your midwife about class options!

RISK ASSESSMENT:

The Midwifery Model of Care™ is based on the fact that pregnancy and birth are normal, physiological events. The Midwifery Model of Care includes:

• monitoring the physical, psychological/social well-being of the pregnant person

• consistently monitoring for fetal growth

• providing the parent(s) with individualized education, counseling, and prenatal care

• continuous hands-on assistance during labor, delivery and postpartum support

• minimizing technological interventions

• identifying and referring out patients who require a higher level of obstetrical attention

The responsible application of this model has been proven to reduce the incidence of birth injury, trauma, and cesarean section. In order for this model to continue having above average satisfactory outcomes, it is important that the midwife is diligent in properly assessing criteria to ensure each client is an appropriate candidate for homebirth. We will discuss your history and any possible risk factors with you in detail at your first visit and we will check in periodically during your prenatal period to ensure your risk category has not changed.

Our complete Protocols and Practice Guidelines are available for each client for review.

We travel a 30 mile radius from Goodlettsville, TN.