birth support designed for you

You’re welcome to reach out as soon as you know you’re pregnant. Many families begin care in the first trimester, allowing time to build a trusting relationship, explore options, and move through pregnancy with continuity and support. That said, starting care later in pregnancy is also possible, and we’re happy to talk through what support might look like based on your individual circumstances.

Co-care is available and thoughtfully supported. Some families choose to receive midwifery care alongside an obstetric provider for added collaboration or specific medical needs. Others transition into or out of co-care as pregnancy evolves. We respect that care needs can change, and our goal is to support you in a way that feels both peaceful and appropriate for your situation.

All care decisions are guided by informed consent, open communication, and mutual respect between providers. Whether you are seeking full midwifery care or a collaborative co-care arrangement, we work to ensure you feel supported, heard, and confident in your care every step of the way.

Labs and ultrasounds are offered at specific points throughout pregnancy and are typically billed to, and covered by, insurance. All testing is discussed using informed consent, and not every test is required. These are the standard labs/scans offered in OB-GYN Care.

Initial Visit
Prenatal lab panel, optional genetic screening, and urinalysis

11–13 Weeks
Nuchal translucency ultrasound referral

20 Weeks
Anatomy ultrasound referral
(full evaluation of baby and placenta)

24–28 Weeks
Gestational diabetes screening
Anemia screening

36–37 Weeks
Group B strep (GBS) screening
Follow-up labs if needed

41 Weeks
In-home non-stress test (NST)
Biophysical profile ultrasound referral

Additional labs may be recommended based on your individual pregnancy & health needs. Not all testing is required or mandatory. 

Equipment and supplies include tools to monitor fetal heart tones and assess vital signs, medications to manage postpartum bleeding such as pitocin, misoprostol, and tranexamic acid (TXA), IV fluids and antibiotics for GBS prophylaxis when indicated/desired, and oxygen.

I also carry equipment for neonatal resuscitation, supplies for perineal repair including lidocaine and sutures, and newborn medications such as vitamin K and erythromycin eye ointment. In addition, I bring herbs and homeopathic remedies to support comfort and postpartum recovery, as well as options like sterile water injections for pain relief during labor.

This is not an exhaustive list, but it reflects my commitment to combining preparedness with respect for your space, your choices, and the dignity of the birth process. 

If a hospital transfer becomes necessary, I will go with you whenever possible to provide continuity of care, support, and advocacy. I help communicate your care history to the hospital team and support you in understanding what’s happening, while honoring your preferences and informed consent. Through five years of experience as a local birth doula, I have built strong, respectful relationships with hospital providers, helping facilitate collaborative and compassionate transitions of care.

A transfer is simply a change in setting to support safety, not a failure. Once you are discharged home, postpartum and newborn care resumes in your home, continuing with the same presence, support, and commitment to your peace and dignity.

24–48 Hour Visit
During the first visit after birth, care includes screening for critical congenital heart defects (CCHD) using a simple pulse oximetry measurement, metabolic screening (also known as the heel poke or PKU), and a comprehensive newborn physical exam. This exam includes weight check, vital signs, feeding assessment, output, and evaluation for jaundice and skin health. Additional newborn testing, such as bilirubin, glucose, or blood typing, is performed as needed. A hearing screen is also offered and completed before six weeks of age.

Routine Newborn Visits
Ongoing visits include continued newborn physical assessments, lactation and feeding support, and postpartum education for parents. As needed, referrals are provided to trusted local resources such as lactation consultants, pediatric providers, pediatric dentists, chiropractic care, and craniosacral therapists.

The midwife completes the appropriate section of the birth certificate and provides a notarized record of birth. Families are responsible for completing the remaining birth certificate paperwork and submitting it to their town hall within six weeks of birth.

All care is offered with calm presence, clear communication, and a commitment to supporting your baby’s health while preserving the dignity and peace of the postpartum season.

The investment for comprehensive home birth midwifery care ranges from $5,000–$6,500 and is offered on a sliding scale. This range reflects the depth of care provided, including extended prenatal visits in your home, on-call availability for birth, continuous labor and birth support, postpartum and newborn care, and ongoing guidance rooted in informed consent and relationship-based care.

The sliding scale is designed to honor the diverse financial realities of families while preserving the sustainability of this work. During your initial consultation, we’ll openly discuss where you may fall within the range and create a plan that feels respectful, clear, and aligned.

Payment plans are available, and details are reviewed together so that finances feel transparent and manageable, not stressful.