Frequently asked questions about home birth and my services:
What is your typical prenatal visit schedule?
Generally, I do visits every 4 weeks until 36 weeks gestation, then every 2 weeks until 40 weeks, then each week after that until you have the baby. Situations may arise that call for a change in the visit schedule.
What is your typical postpartum visit schedule?
I do visits at 24 hours, 4 days, 7 days, 3 weeks, and 6 weeks. Again, situations may arise that call for a change in the schedule.
What happens at a typical prenatal visit?
I will ask a series of questions that will help me assess how you are doing, discuss any concerns that you might be having. I will check your vitals, fundal height, baby's position, and listen for baby's heartbeat.
What about ultrasounds? Do I have to have one? Where can I get one?
Ultrasounds are rarely necessary. Please research the safety of them before deciding that if you are going to get one. If it is decided that you do need one, we can discuss where to get one. It will depend on where you live.
Do I need to have OB co-care or backup care?
No, you don't have to. Some people feel more comfortable having it, but it isn't necessary.
When do you come when I go into labor?
When you call me and want me to come. Most women wait until labor is well established.
Do you have a birth pool that I can rent?
Yes, I do have several birth pools that I rent to my clients only. It is $150 and includes a new liner, and the use of the pool, an air pump, a clean fill hose, a drain pump, and a dirty hose to use with the drain. I usually drop off the pool, liner, air pump and clean fill hose around 36 weeks so that you can set it up whenever you are ready to before I get there. To avoid contamination, I don't bring in the drain pump and dirty hose until after your baby is born and I am ready to take your pool down.
What if you don't make it in time?
It isn't ideal, but it happens! We will talk during your prenatals about what to do and not do if the baby arrives before I do.
Do you do coached pushing?
No, I prefer physiological pushing, gentle, following your body. If something emergent happens, I may coach you in pushing.
What happens after the baby is born?
It always depends on the situation, but I, generally, observe the baby first to make sure he or she is transitioning well and base further actions on that. I try to interfere with your bonding as little as possible.
What if the cord is around the baby's neck?
That usually isn't as big of a problem as the media likes to portray. If it is truly hindering the baby's birth, it can usually be helped by holding the baby's head toward the mother's thigh so the body can roll out.
When do you cut the cord?
Generally, whenever mom is ready to get out of the pool or get up to go to the bathroom.
What is cord burning?
This video is a really good demonstration of cord burning. I have a cord burning box, very similar to the one used in the video. I usually wait until the cord has finished it's job and is white and flat. It can take several minutes to burn through the entire cord.
What happens at a typical postpartum visit?
I will ask a series of questions about how you and your baby are doing, check your vitals and fundal height to make sure your uterus is shrinking back down, check your baby's vitals and weight.
How do we get a birth certificate for our baby?
There is a set of forms that I will bring to one of your prenatal visits, usually around 34-36 weeks. There will be parts that cannot be completed until after the baby is born. I do my best to make sure that you have all of the paperwork that you need and that it is all completed by the 24 hour visit. You will need to get it to your county's Health Department as soon as possible.
Can you do the Newborn Screen?
Yes, I am registered with the Ohio Department of Health to be able to get the Newborn Screening (NBS) from your county's health department. If you want the test done, I need to know by 38 weeks so that I have time to make sure that I can get one in time. Then, I bring it to the 1 week postpartum visit and do it after our visit. If you have a doctor that will be seeing your baby, I can have the results sent directly to them or they can be sent to me and I can forward them to you. It can take a few weeks to get the results back. This link will tell you more about the test if you aren't sure that you want to have it done or not.
Do you bill insurance?
You will have to contact your insurance company to find out if they cover home birth, most do not. However, Health Savings Accounts (HSAs) do pay! I do not bill the insurance directly, but I can give you statements with all of the information that your insurance company wants.
Do you accept payment plans?
Absolutely! There is a $200 deposit (deducted from your total) due at the first prenatal visit. We can discuss further payments arrangements. I usually suggest that people plan on paying about $100-$150 each month. If you can pay in full by 36 weeks, there is a 5% discount.