HOME BIRTH
HOME BIRTH
Prenatal
If we decide it’s a good fit to work together for your pregnancy, we will schedule
your initial visit where we do a complete health history, physical exam and make sure you are
a good candidate for a homebirth. From there we have prenatal visits every month until you
are 28 weeks, visits every two weeks from 28 weeks to 36 weeks, visits every week or as
needed from 36 weeks to the birth of your baby. Each visit lasts about an hour (the initial visit
may take up to 2 hours). We assess the wellbeing of you and your baby, as well as build a
relationship around education and shared decision making, while getting to know your family.
Most appointments will be in my home office in Haiku. I offer one prenatal home visit around 36
weeks with your birth team. .
- Initial prenatal package blood work (CBC, blood type, antibody screen, HIV, rubella,
syphilis, Hepatitis), Pap smear, chlamydia and gonorrhea, and genetic screening - 28 weeks: CBC and follow-up antibody screen for Rh-women, Gestational Diabetes
Screen - 36 weeks: CBC, Group-B Strep culture
We can refer you for ultrasounds, and more extensive genetic screening
Birth
I am on call for you from weeks 37-42 for your birth at home. We will do labor checks as labor
progresses and stay with you when you are in active labor, through the birth and for 2-4 hours
after you are “stable”, and you are comfortable. After the birth we do a newborn exam and help
with breastfeeding. We offer Vitamin K and Erythromycin eye ointment for your baby if you so
choose, check your bottom for need for repairs and repair if needed.
In the event that you have your baby outside the window of 37-42 weeks, or if we transfer for
any other reason, one of us will accompany you in the hospital and act as a support person
through the birth of your baby.
Postpartum
- We will come to your home at 1 day, 3 days, and 1 week postpartum. After your 1 week
appointment you and your baby will come to the office at 2 weeks (this can be done at home if
desired), 4 weeks and 6 weeks postpartum. If additional care is needed we will address this as
appropriate. - Additional Newborn Screenings offered:
- Newborn Metabolic Screening
The Cost of a Home Birth
The baseline investment for your homebirth is $8000
- Insurance Coverage:
Unfortunately we are unable to bill Medicaid. We are always out of network with - private insurance and can only bill if you have “out-of-network maternity coverage.” If you choose to
bill insurance your fee is still due by 34 weeks
