Considering a homebirth?
Wondering if it’s safe?
Find out if you are a good candidate.
Here is an ARTICLE that reveals some exciting evidence from the largest homebirth study ever performed.
GAYLEA MCDOUGAL, CPM-TN
I am currently taking healthy, low-risk women within a 30 mile radius of Gallatin (37066). I am currently booked through December 2017 so please contact me ASAP for 2018 due dates. The calendars of homebirth midwives tend to fill up fast. I would be happy to sit down with you and answer your questions, discuss your options, dispel any myths and help you figure out if you are a good candidate for delivery in the home setting.
YOUR INVESTMENT INCLUDES:
- Initial visit between 10-12 weeks (head to toe physical assessment, labs including a complete OB panel and blood typing, detailed medical and psychological history, urinalysis, vital sign assessment, auscultation of fetal heart rate and a general plan for delivery)
- Monthly *prenatal visits until 28/30 weeks (each visit includes, at minimum, urinalysis, assessment of fetal movement, maternal physical and psychosocial well-being, diet/exercise consultation, maternal weight assessment, Blood Pressure assessment, fetal heart rate auscultation with doppler, fundal height measurement and Leopold’s maneuver to assess fetal position
- Bi-monthly prenatal visits from 28-36 weeks
- Weekly prenatal visits from 36 weeks until delivery
- CBC and Glucose testing at 28/30weeks
- GBS testing at 36 weeks
- Attendance at the onset of active labor until 2-3 hours after delivery by me and an assistant (the assistant’s fee is already included in this price)
- Newborn assessment (weight, height, head & chest measurements and head to toe physical assessment)
- Neonatal Resuscitation if necessary (I am NRP certified by the American Academy of Pediatrics and will have all neonatal resuscitation equipment including oxygen available if necessary)
- Maternal hemorrhagic assessment and treatment if necessary
- Administration of Vitamin K and erythromycin to baby if you choose to have these newborn interventions
- Clean up of birth setting and laundry
- Prepare your first meal if necessary after you deliver
- Tennessee PKU screening, maternal assessment & newborn weight check between 48-72 hours post-partum
- 6 week post-partum assessment of mother and baby and discharge if appropriate
My fee for the above services: $3600
I accept cash, check or credit/debit card (including HSA cards). I do NOT file with insurance but strongly encourage you to file on your own behalf after delivery to obtain reimbursement. Many insurance companies will tell you that they cover homebirth. However, you should ask specifically about the CPM credential. Many only cover the CNM credential which is typically a hospital/birth center midwife; not a homebirth midwife.
A non-refundable deposit of $500.00 is required to secure your EDD on my calendar and due before the initial prenatal visit.
Balances must be paid before 36 weeks to ensure adequate coverage and availability for your delivery.
OPTIONAL SERVICES (additional fees):
- Ultrasound* (anatomy scan is recommended at 20 weeks): I will give you an order for Premier Radiology and you can choose your location, set up your appointment and file with your insurance if applicable. *If you are a VBAC client, an ultrasound is required to determine placenta placement for proper risk assessment.
- Rhogam injection: If you have a negative blood type and your baby has a positive blood type. Typing of baby will be done at delivery. Rhogam is an additional $150.00
- GBS treatment during labor (IV or PO antibiotics): Prices vary based on treatment.
- IV therapy during labor for dehydration, bleeding or infection
- Additional labs or testing will be itemized individually
- Newborn medications (Vitamin K and Erythromycin). If you desire to have these medications administered to your baby you will need to purchase them before the time of delivery. I can give you resources for where to purchase these items.
- Placenta encapsulation: Performed by a Roots provider. $200 (capsules only), $225 (Capsules and tincture)
- Doula services: Have a skilled labor professional join you early in your labor to assist with relaxation, position changes and advisement on how to manage pain and anxiety during labor. She 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. Prices usually range between $300-800. See our Doula tab to find out more about hiring a doula. I am also happy to coordinate this service for you.
The Midwifery Model of Care™ is based on the fact that pregnancy and birth are normal life events. The Midwifery Model of Care includes:
- monitoring the physical, psychological/social well-being of the mother
- consistently monitoring of fetal growth
- providing the mother with individualized education, counseling, and prenatal care
- continuous hands-on assistance during labor and delivery and postpartum support
- minimizing technological interventions
- identifying and referring out women who require 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. I 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. In the event that you risk out in 3 or more areas (based on a risk assessment that you will review), I will (in most cases) recommend a transfer of care to a higher level obstetrical practitioner or delivery facility.
(Midwifery Model of Care definition is Copyrighted © by the Midwifery Task Force, all rights reserved)
Contact me at: Gaylea@RootsChildBirth.com or 615-243-4830 to schedule an interview today!