FAQ
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Do you accept insurance?
At this time we are not in network with any insurance companies and therefore do not accept insurance.
We do work with Quilted Health to help families file insurance claims for possible reimbursement AFTER the birth of your baby. Most PPOs cover some amount of our services. From what we've recently seen, HMO and Medi-Cal plans do not currently offer any reimbursements. Please consider having Quilted Health perform a Benefits Verification to clearly understand what your plan covers.
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Do you offer payment plans?
All fees for services are due in full no later than 37 weeks gestation. We do offer payment plans which are reviewed during the Community Midwifery Interest Meetings. We also work with United Credit where families can apply for a loan. We also work with Quilted Health to help families file claims for possible reimbursement AFTER the birth of your baby. Most PPOs cover some amount of our services. HMO and Medi-Cal plans do not offer any reimbursements. Please consider having Quilted Health perform a Benefits Verification to clearly understand what your plan covers. We accept Visa, MasterCard, Discover, American Express, and FSA and HSA cards.
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What does midwifery look like vs typical OB / GYN care?
We provide midwifery care that is individualized and holistic in nature. So much can affect the health of yourself and your baby and we take all of that into consideration to help you have the most optimal experience. We do a bit of a “screening” at each prenatal visit to ensure you continue to be low risk and stay low risk. Because of how we practice, we spend approximately 45-60 minutes with you during each visit, leaving time to truly get to know you and your growing family.
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Are all midwives licensed? Can they handle birth emergencies?
Our midwives are licensed by the Medical Board of California and are trained and stay current in birth emergencies including CPR and neonatal resuscitation among other situations.
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What is the average cost for home vs birth center birth? What’s included in the services?
Care with us ranges. We have a variety of options to help accommodate varying budgets. See our services page and / or register for one of our Community Midwifery Interest Meetings where we go over what each of those options are.
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Do you offer tours of your birth center?
At this time we are closed to in person tours. We do share a walking video of our space during the Community Midwifery Interest Meeting. Please join us there to see our wonderful center! In addition, we have many images on our website and online.
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How soon can I enter care? Is it ever too late to receive care?
Some people start midwifery care as soon as they know they are expecting. Others find midwifery as a desirable option later in pregnancy. We welcome clients at any time, after interviewing and confirming we are a fit to work together and we have the availability for your due month.
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Out of hospital birth is for low risk pregnancies. How do I know if I’m low risk? How do you define high risk pregnancies?
It is possible to be pregnant and be considered low risk but just don’t realize it. Age alone does not qualify you as high risk. There must be true medical concerns for your health or the health of your baby. If you are having a high risk pregnancy, likely you’ve already been told by a current provider. We also speak one on one with each potential client prior to committing to care so any doubts can be addressed at that time. If you have not yet seen a provider, we can perform lab work, order an ultrasound, and do a full health assessment at your first visit to get a clear picture of the health of yourself and your baby.
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I’ve never had a baby. I don’t know if I can handle the pain. How do I know if out of hospital birth is right for me?
Out of hospital birth is not for everyone and we understand that. However, if this is your preference and choice and you are low risk, we will absolutely support you in the best possible way which can include ~ education, helping you establish a healthy mindset, helpful support systems from family and friends, and more! If you ever change your mind and instead would feel more comfortable in a hospital setting, you always have that option available to you.
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What if an emergency arises and I have to go to the hospital? How does that work?
At any point during care – whether during pregnancy, labor and delivery, or postpartum, if any concerns arise outside of our scope of practice that require additional medical support, you will be presented with your options for additional medical support or transfer of care, depending on what is needed at the moment.
If a transfer of care becomes necessary during your labor, delivery or immediate postpartum, your midwife will reach out to the receiving provider, facilitate the transfer of care (explain why the transfer is needed), and be remotely available for continued consultation and support. Postpartum follow up visits are resumed with us once you have been discharged from the hospital. -
Do you require babies to receive vaccinations?
Vaccinations are not something that midwives handle. For any vaccine administering, questions or concerns, please contact your baby’s pediatrician. In your search for a pediatrician, we recommend discussing in advance if their practices align with your own values and choices.
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Do you require parents to be fully vaccinated and boosted?
We have no requirements for the expecting persons or other visitors / support persons to have any vaccinations.
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What if my baby is in a breech position?
Out of hospital birth can only be supported if the baby is in a confirmed head down position. Midwives are able to determine fetal positioning during pregnancy and can help suggest physical exercises to encourage a breech baby to turn its head down. If your baby remains in a breech position closer to birth, we will help you to arrange alternate birth options.
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What happens after the baby is born?
After the baby is born, our main focus is two fold ~ to help ensure that the baby is transitioning well and that your recovery is within normal range. The birth of the placenta takes place usually 5-30 minutes after the baby is born. Skin to skin is a primary goal for approximately the first hour or more after birth to help regulate baby’s temperature, heart rate, respiratory system, and blood sugar. Skin to skin also lowers stress levels and consoles both you and the baby. Approximately 1-2 hours after the birth we will usually clamp and cut the umbilical cord and perform a newborn exam which includes weighing and measuring the baby and performing a full physical examination. We ask that food and hydration be given to you around this time. We assist with cleaning you up, cleaning up the birth space and reminding you of any postpartum instructions / things to look out for. We usually return to your home 24 - 48 hours after the birth for further postpartum care and resume all other postpartum visits as outlined in your agreement.
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I have miscarried in the past. Is midwifery still a safe option?
If this pregnancy is considered healthy and low risk, any history of miscarriage does not affect your ability to now have an out of hospital birth.
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I have had a c-section in the past. Is out of hospital birth still an option?
With any previous c-sections, we require a 2 year interval to support a vaginal, out of hospital birth.