How are Emergencies and transfers handled?

For a non-emergent transfer, I would contact the hospital of your choice and speak with the charge nurse and the OB on call to give report and explain the circumstances. I would then send over your records so the hospital team has your history and relevant information ahead of arrival. Once everything is communicated, your partner would drive you to the hospital while I follow behind. I would remain with you through the transition of care, help get you settled, and ensure communication is smooth between you and the hospital staff. Depending on the situation and your desires, I can either head home once you’re settled or remain available as labor support if you would like me present for the birth.

For an emergent transfer, I would call 911 and communicate the situation to EMS so they can respond appropriately. You would be transported to the nearest hospital. Depending on the circumstances, either I or your partner may ride in the ambulance with you while the other follows behind. My priority in those moments is ensuring timely care, clear communication, and continued support for you and your family.

I do not have formal affiliations with a specific OB or hospital, but that has never prevented my clients from receiving appropriate medical care when transfer has been needed. My role is to facilitate a safe, respectful, and collaborative transition if circumstances change.

There are also instances during pregnancy when a family has to transfer out of home birth care before labor. In those situations, I can offer a co-care model where I continue providing prenatal and postpartum support while you establish care with a hospital based provider. If desired, I can also attend your hospital birth in the role of labor support.

Our transfer rate is less than 10% but is unpredictable in nature. This is why home birth midwives are trained for the inevitable. It is a common concern amongst home birth parents, and we are always happy to discuss fears and provide facts.

What do you carry in your birth bag?

Core Medical Equipment

Handheld fetal doppler

Blood pressure cuff

Adult + newborn stethoscope

Thermometer

Pulse oximeter adult + newborn attachments

Sterile and Clinical Supplies

Sterile gloves + non-sterile gloves

Sterile lubricant/oil

Gauze

Syringes + needles

Suturing kit (needle driver, scissors, sutures)

Antiseptic solution (chlorhexidine, iodine, alcohol pads)

Umbilical cord clamps and scissors

Perineal repair instruments

Emergency Equipment and Medications

Pitocin

Misoprostol

Methergine

Yunnan bai Yao

Lidocaine (local anesthetic)

IV fluids (saline/lactated ringers)

Anti-hemorrhage supplies

Oxygen tank + mask

Neonatal resuscitation meds( epinephrine)

PPV bag-mask

Suction device (bulb syringe + delee suction)

IV setup (catheters, tubing)

Emergency transport paperwork

Catheter set up

Newborn Care Supplies

Vitamin K injection

Erythromycin eye ointment

Infant scale

Thermal blankets and warming setup

Additional Supplies

Flashlight

Hand held fan

Rebozo

Heating pad

Essential oils

Herbal tinctures

Homeopathic medicine

Birth pool, sump pump, electric air pump

Do you accept insurance?

At this time I operate as a private pay practice and do not bill insurance directly. Unfortunately, insurance support for licensed homebirth midwives is still very limited, and many companies either do not credential homebirth providers or reimburse at rates that do not sustainably support the level of comprehensive care we provide throughout pregnancy, birth, and postpartum.

That being said, I can provide superbills and supporting documentation for families who would like to pursue possible out-of-network reimbursement or use HSA/FSA funds if eligible.

My full care package is $8,000 and includes comprehensive prenatal, labor and birth, postpartum, and newborn care. My model of care is intentionally personal and relationship based, with longer prenatal visits, 24/7 on call availability, continuous labor support, postpartum home visits, and ongoing support throughout your transition into parenthood. Because of that, I keep my client load small so I can give each family the time, attention, and individualized care they deserve.

Do you adjust the homebirth package fee if i join care late in my pregnancy?

My fee reflects comprehensive, personalized midwifery care, not just scheduled prenatal visits. It includes extended, in depth prenatal appointments, 24/7 on call availability as you approach your due date, continuous labor and birth support, postpartum care, all in home care and direct access to me throughout your pregnancy. I intentionally do not itemize or break down the cost per visit because what I provide is a continuity of care model rooted in relationship, time, accessibility, and invaluable experience. You are not paying per appointment you are investing in dedicated, individualized support and medical care throughout your entire journey.

Do you offer pain management?

Yes. While I do not provide epidurals or hospital based pharmaceutical pain relief in the home setting, I offer continuous support and a variety of evidence based comfort measures to help you cope with labor naturally and feel supported throughout the process.

Pain management in homebirth often focuses on helping the body work with labor rather than against it. This may include positioning and movement, water therapy, massage, counterpressure, breathing techniques, relaxation, birth education, emotional support, dim lighting, nourishment, and creating a calm environment where you feel safe and cared for.

Every person experiences labor differently, and my role is to support you with compassionate, individualized care while helping you feel informed, empowered, and supported throughout your birth experience.

Is my space too small to have a home birth?

Usually, no. People successfully give birth in apartments, small homes, studios, and shared spaces all the time. Homebirth does not require a large or perfectly curated space; only a safe environment with running water where you feel comfortable, supported, and able to move freely during labor.

During prenatal visits, we will talk through your space together and determine what setup feels most practical for your birth. Most families are surprised by how little space is actually needed. Labor often naturally moves throughout the home, and we adapt to your environment rather than expecting your home to look a certain way.

What matters most is that you feel safe, relaxed, and supported in your space, not the size of it.