Frequently Asked Questions
What kind of Midwife are you and is it legal in NC?
Certified Nurse Midwife
Yes, we are legal in North Carolina
We have obtained the Master’s Degree in Nursing with a concentration in Nurse Midwifery. We hold national certification from the American Midwifery Certification Board. We hold a CNM license from the NC Midwifery Joint Committee and a RN license from the NC Board of Nursing
How often are prenatal visits?
Our routine visit schedule is:
Every 4 weeks until 28 weeks
Every 2 weeks from 28-36 weeks
Every 1 week until birth
Do you provide care to the baby?
CNMs scope of practice is to provide routine care for baby for the first month of life
How often are visits after the baby is born?
Our routine postpartum visit schedule for client and baby is:
24-48 hours - CNM, routine assessment of both client and baby; also included is
newborn metabolic screen, newborn hearing screen, and the critical congenital heart disease (CCHD) screen
72-96 hours – Birth Assistant (BA), virtual check in visit for client and baby
5 day-1 week postpartum – BA, routine assessment of client vital signs, newborn weight, feeding and diapering, vital signs. Lactation support as needed.
10 day-2 week postpartum – BA, same as above
4-6 week postpartum – CNM, routine client postpartum visit and exam as indicated
Do I need to also have visits with an ob/gyn?
No, we provide prenatal, birth, postpartum, and newborn care to low risk clients and healthy babies
You may wish to have parallel care (care from both us and your OB/GYN) to maintain a relationship with your OB/GYN. We do not require this care. This expense will likely be out of pocket as insurance companies cover care only from one licensed provider for the same service.
Who attends the birth?
Minimum - 1 Certified Nurse Midwife and 1 Birth Assistant
What equipment do you bring to the birth?
Included but not limited to:
Vital sign equipment including fetal doppler
General supplies needed for birth including some cleaning supplies
IV supplies
Neonatal resuscitation supplies including oxygen tank
Medications in case of postpartum hemorrhage
We do NOT offer any pain medications or narcotics
Do you offer ultrasounds?
We do not offer ultrasound in our office. We offer referral for ultrasound. This can be done in a general diagnostic center or a specific OB/GYN office that is familiar with home birth.
How much does it cost?
(please see our Homebirth Package Information Sheet for details and
what is included)
Our cost for routine prenatal care, birth, postpartum, and newborn care starts is $7,600
Do you accept health savings account payments?
Yes
What insurance companies do you work with?
Please call for specific information.
We are out of network with insurance companies but we can provide you with a superbill after services have been rendered so that you may work with your insurance company for reimbursement directly to you.
• TriCare – non-network Tricare certified provider
What if we have care but don’t have a homebirth due to transfer?
If you transfer care during the prenatal period we charge for what services are rendered (you may be due a reimbursement)
If you transfer during labor we charge for services rendered (labor support and travel) but it is likely there is no reimbursement available
What trainings have been attended by your team?
At least one team member has attended; this is a list of the most important trainings:
Neonatal Resuscitation program
Basic Life Support
Breech Without Borders
Birth Emergency Skills Training
Spinning Babies
Spinning Babies: Resolving Shoulder Dystocia
Doula Training
Lactation Counselor Training
Tummy Time Method
What about the “mess”?
We offer suggestions of how to set up the birth space to minimize “mess”
We help clean up birth related items and “mess”
We start a load of birth laundry and take out the birth trash before we leave
Our goal is to return your home to its previous state before we leave