Hospital Birth Support

Licensed Midwives are licensed by the Medical Board of California to provide full-scope, primary maternity care.  A Licensed Midwife’s expertise in supporting natural pregnancy, birth, and lactation can be a tremendous asset to your birth experience even if you want or need to give birth in the hospital.       

A Licensed Midwife is qualified to provide three levels of hospital birth support which can be tailored to you and your family’s specific needs: Doula, Monitrice and Hybrid Midwifery Care.  Each seeks to fill gaps in standard obstetric care and help you have the healthiest and most satisfying birth experience possible, whatever that means for you.  

Doula

The role of a Birth Doula is to provide short term, physical, emotional, and informational support during pregnancy, labor, birth, and the immediate postpartum.  A Doula is skilled with hands-on comfort measures, breathing and relaxation techniques, position ideas, emotional support and encouragement, partner support, and promoting informed choice and self-advocacy, but does not provide any clinical (medical) care.  Studies have shown that simply having the continuous support of a trained Doula (who is not a member of hospital staff or the birthing person’s family or social network) can significantly decrease the length of labor and the rate of obstetric intervention, as well as the likelihood of a c-section.  

Monitrice 

A Monitrice is a next-level doula.  Like a birth doula, a Monitrice is an educator, an advocate, and an expert in providing continuous labor support.  Different than a doula, a Monitrice is also qualified to provide clinical care in the home environment, including monitoring the fetal heart rate and maternal vital signs, assessing fetal position, checking dilation, etc.  This additional expertise can give you greater peace of mind while you labor at home, help guide labor support and make it more effective, and aid in deciding when it is time to move to your planned place of birth.  

Hybrid Midwifery Care 

Hybrid Midwifery Care combines comprehensive, holistic midwifery care with hospital birth.  With Hybrid Care you get the same prenatal and postpartum midwifery care, on the same schedule, as if you were planning a homebirth (see homebirth page for complete details), but the birth itself takes place in the hospital with your Licensed Midwife accompanying you as labor support.  Hybrid Midwifery Care is an ideal option for people who want the one-on-one continuity of care, expertise in natural health, emphasis on knowledge and empowerment, and respect for individual autonomy that a midwife provides, in addition to and concurrent with the standard care of their obstetrician.  

Fees in 2018

Birth Doula & Monitrice Services- $1800

Includes:

  • 2 to 3 prenatal visits to get to know each other, create a birth plan, and provide childbirth education 
  • Unlimited email and phone support
  • On-call availability 24/7  beginning at 37 weeks of pregnancy
  • Regular monitoring of your and your baby’s vital signs and labor progress while you labor at home (*with Monitrice)  
  • Continuous labor support at home and in the hospital
  • Support with lactation, recovery, and family bonding in the first hours after your baby is born
  • 1 postpartum visit to check on you and baby and discuss the birth
Hybrid Midwifery Care- $3200

Includes:

  • Complete prenatal care on a schedule of once per month until 28 weeks of pregnancy, every other week from 28 to 36 weeks gestation, and then weekly until birth
  • Hour-long, in-home appointments which allow ample time for discussion and answering all your questions
  • Help creating a hospital birth plan
  • Unlimited email and phone support
  • On-call availability 24/7 for urgent matters and from 37 weeks of pregnancy for labor and birth
  • Regular monitoring of your and your baby’s vital signs and labor progress while you labor at home
  • Continuous hands-on labor support at home and in the hospital
  • Support with lactation, recovery, and family bonding in the first hours after your baby is born
  • Comprehensive postpartum care, with hour-long home visits at 1-2 days after your birth, and then again at 3 days, 1 week, 2 weeks, and 6 weeks— more frequently as needed
  • Referrals to local providers as needed

Many PPO health insurance plans will reimburse for midwifery services.  I work with an excellent insurance biller who can verify your benefit coverage and help you get the maximum reimbursement.  Payment plans are available.  Cash, check, credit card, or PayPal are all accepted.

Get in touch for a free consultation