Include the following
- complimentary confirmation of pregnancy by ultrasound, if desired
- all routine prenatal labs including group b culture and baby’s blood typing after delivery by cord blood sample
- 30 minute – 1 hour prenatal care appts, early evening and weekends available (36 week appt and 2/3 day pp appt are in client’s home)
- genetic screening, if desired at an additional cost
- childbirth education
- free use of my portable birth pool for the birth, if desired (liner must be purchased for approx $38)
- labor support by a secondary Houston midwife or birth assistant current in CPR and NRP
- home birth services (home birth kit to be ordered from InHisHands.com by pt for approx $60)
- postpartum services for mom/baby up until 6 weeks postpartum, including 1st and 2nd newborn screens(pku)
- placental encapsulation at a discounted rate of $100, if desired
- referral/release forms will be given, as needed, for anatomy ultrasounds, chiropractic care, massage and certain prescriptions
Additional lab work, ultrasounds, and childbirth education classes are not included. Lab fees and medically necessary ultrasounds are covered by health insurance. Cash price for additional labs is approximately $75, ultrascreen $225, gender check (after 14weeks )$60.00 and a full anatomy scan $190.00
Initial consultations are always free. Early contact with a midwife provides you with valuable information in order to choose the midwife you feel will best suited for you during pregnancy.
My global midwifery care fee varies for clientele based upon their birth history and proximity to the office. Considerable discounts are offered for patients paying in full prior to 20, 24 and 28 weeks and for those hiring an experienced doula for their delivery.
Throughout your care with In Bloom Midwifery, you will be given opportunities to discuss options for the wide variety of prenatal screenings that are currently available through the standard medical maternity model of care. Most tests or procedures that are available to pregnant women today carry with them likelihoods for further testing, treatments, or interventions that I will encourage you to consider prior to making your decisions. Risks and benefits usually exist for the choice to test or treat a condition, as well as the choice to decline testing or treatment. My goal as your midwife is to provide you with all the information you need to make a decision that makes sense for you and your baby.
Some Prenatal Informed choice discussions include:
- Prenatal Lab Work
- Genetic Screening
- Gestational Diabetes
- Group B Strep
- Prenatal Rhogam (Rh Immunoglobulin) for Rh negative women
As new parents, you will soon become familiar with this process of interpreting outside information and combining it with your internal “parental knowing” as you make decisions about every aspect of your child’s life. Some important informed choice discussions in the postpartum include:
- Postpartum RhoGam (Rh Immunoglobulin) for Rh negative women
- Newborn eye prophylaxis
- Newborn Vitamin K
- Hepatitis B Vaccine
- Metabolic Screening
- Hearing Screening
If it becomes necessary to transfer to the hospital in labour due to prolonged or a situation that becomes unsafe in the home environment, I will accompany you to the hospital. Most midwives in Houston have a collaborative, usually seamless transport situation to a local Houston area hospital. I will call the hospital’s labour and delivery unit beforehand so they will anticipate our arrival, and there is usually no need to go through the emergency room. At the hospital I help liaise between the hospital staff and clients, staying with my families until after the birth of the baby. If desired, I will continue postpartum care as usual, assisting with breastfeeding and transitioning to parenthood.
Transporting to the hospital is usually not a “scary” or “dramatic” event in an emergency situation. Often we just need more help for the baby to come out. Transporting for additional birth assistance with a first time labour does not make it necessary for second babies to be born in the hospital.