First Memory Midwifery
Home Birth & Well Woman Care in Duluth, MN
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Home Birth

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Home Birth Services & Fees

Initial Consultation. A free, no-obligation, one-hour long interview. This is your opportunity to ask me anything about home birth and my midwifery practice, and for me to share with you how I work in concert with you. In most cases, it is best if your partner or main birth support person also attends. My practice is inclusive and supportive of ALL families. Connect with me!

My comprehensive package fee is $3600.00. A $500.00 deposit is required to begin care with the balance due and paid by 36 weeks of pregnancy.   I accept cash, PayPal or credit card payments; offer flexible monthly payment plans; a 15% discount for payment in full at the onset of care, and I do offer a few discounted births for clients with demonstrated financial need/Medicaid-MN Medical Assistance eligibility, or other special financial circumstances, each year, so please talk to me about payment options. Midwives work long hours and do deserve to be well paid for their skilled work, but we can often work something out that makes home birth possible.  I am also open to discussing equitable barter for goods and services.

First Memory Midwifery is not in-network with any insurance companies, but can provide a superbill for you to submit to your insurance company after the birth and postpartum care is completed, and it is possible that you will be reimbursed, by your insurance company, in part or full, on an out-of-network basis,(results dependent upon your individual deductibles and insurance plan). At this time, I am exploring working with an insurance biller specializing in out-of-hospital midwifery care, in order to maximize possible reimbursements. There are no discounts for late entry into care, as this often requires MORE work, and more in-depth prenatal visits, in a shorter period of time, in order to provide safe and healthy home birth care. All labs, tests, and midwifery care recommendations are offered on the basis of informed choice or refusal, but declining included care does not reduce the global cash fee for midwifery care, unless expressly stated. More information is located in my services contract & financial agreement.   I offer a full spectrum of prenatal, birth, postpartum and newborn care that encourages and supports the whole family.

The fee INCLUDES:

  • Complete Prenatal Care: Prenatal visits help build a foundation for healthy pregnancy and birth, provide opportunity for shared decision making, and are also a lot of fun!  Siblings are always welcome and often get great joy from "helping" the midwife. Visits typically last 45-60 minutes and include prenatal physical assessment to assess the health of your pregnancy and growth of your baby as well as nutritional, educational and emotional support that is tailored to your personal needs. Visits occur monthly until 28 weeks, every 2 weeks until 36 weeks and weekly until birth, with a home visit scheduled around 36 weeks.
  • The Initial Prenatal: Our first prenatal appointment is a longer appointment which allows us to review your pregnancy, birth, and health history; complete necessary paperwork & finalize financial arrangements; discuss expectations for care; assess your nutrition status, as well as addressing any concerns or questions you may have. 
  • "Routine" pregnancy labs; Including a standard obstetric panel, glucose testing & Group B Strep (GBS) cultures. 
  • Phone, text, and email support during your pregnancy, early labor, and postpartum. Ask me anything and I'll help you find answers, resources or just lend an ear. I do maintain office hours for non-labor and non-emergent inquiries, Monday-Friday 9am-5 pm. 
  • The Home Visit. An exciting time! The home visit occurs around 36 weeks of pregnancy and is a chance for us all to talk more about logistics, and setting up your home for birth We combine our normal prenatal appointment alongside a review of your birth desires (& you have the reassurance of knowing that your midwife knows how to get to your house!) This is a great appointment to include anyone whom you plan to have in attendance during labor or birth, including family members and friends or a birth doula or photographer. 
  • 24-hr On-call from 36 weeks. In labor at 3 am? Or on a holiday? No problem! 
  • Continuous labor and birth support and midwifery care from active labor through the birth of your baby. Early labor support may include intermittent home visits and phone consultation. Should a transport to the hospital become necessary; the midwife will accompany you and provide emotional and physical support, and guidance, as well as making sure that your hospital provider has all the information needed for a seamless transfer of care. Postpartum, lactation support. and well-newborn care, continue on our normal schedule, or as close to it, as possible.
  • A paid birth assistant or second midwife, who will typically be called to come during active labor, when at all possible. 
  • Back-up midwife. In the event of illness or emergency; a trusted colleague and assistants will provide care at no extra cost to you.
  • Non-disposable birth supplies,  emergency herbs, homeopathy, &/or medications, and emergency equipment (as needed & allowed by state law)
  • Use (if so desired) of a waterbirth tub for active labor and birth. 
  • Immediate postpartum support from birth until you and your baby are stable and settled, including watchful patience with placental birth; initial bonding and breastfeeding support; an herbal bath (if desired); and full clean-up, (typically 2-3 hours after your birth).
  • Basic Placenta Encapsulation services, as desired. 
  • Postpartum care for you and well-newborn care for your baby for the first 6 weeks after birth. Postpartum home visits and well-baby and breastfeeding check-ups are routinely done at 24-36 hours; 1 week, and 2 weeks. A final office visit is offered at 6 weeks. Additional visits will be provided as necessary. 
  • For baby: Vitamin K prophylaxis (injection or initial oral dosing); Antibiotic eye ointment application; and MN Health Department screenings for Critical Congenital Heart Defect screening, Newborn Metabolic Screening, & Newborn Hearing Screening. 
  • Filing of your baby's birth certificate
  • Access to my extensive lending library of pregnancy and childbirth books, magazines, and DVD's.
  • Tuition free access to any group educational classes or workshops offered by my practice.

What is NOT included: 

  • Non-routine labs, testing, and ultrasounds/Biophysical Profile may be offered, requested or referred out but will generally incur additional costs. Your medical insurance may cover these directly. 
  • Non-invasive prenatal genetic screening, such as the Panorama or Harmony tests, although I can facilitate ordering these tests & performing the necessary blood draws or specimen collection. 
  • Nutritional & herbal supplements (although I do recommend some herbs and supplements & may occasionally provide these or offer discounted pricing on my favorite brands, as a part of your care)
  • Doula support (although I love doulas and highly recommend them!)
  • Childbirth Education Classes outside of any group classes offered by my practice 
  • Bodywork such as pregnancy massage, yoga or chiropractic care (highly recommended, but not required)
  • A Birth Kit (consisting of disposable birth supplies) specific to my practice, ordered by you, in the last 4-6 weeks of pregnancy
  • Waterbirth tub LINER, new potable water hose, and any special hose connections specific to your location. (required for use of a First Memory Midwifery waterbirth tub)
  • Rhogam (for Rh- mothers only) and postpartum neonatal blood typing/Eldon card for baby's of Rh- mothers or pregnant people).
  • Antibiotics for GBS infection 
  • Vaccinations for pregnant person or newborn (referrals as desired)
  • Circumcision (you will need to speak to a pediatrician for referrals, if you plan to circumcise)


 

All images on this page are credited to www.birthbecomesher.com