I am delighted to see you for your first visit between 6-12 weeks, followed by visits at 14 weeks, 20 weeks, 24 weeks, 28 weeks, 32 weeks, 35 weeks and then weekly visits from 37 weeks until birth. A home visit will be planned for either 35 weeks of 37 weeks at which everyone who plans to be at the birth should attend. If you are pregnant at 41 weeks we will see each other every 3-4 days until you birth. Postpartum care is offered in your home and includes visits at 24-48 hours, 3-5 days, 1-2 weeks, and 3-4 weeks and 6 weeks.

Please note that for clients due in July 2025-September 2025, 1-2 of your earlier visits will be virtual as I am in the process of moving to Maine.

This fee covers prenatal homevisits, labor and delivery, newborn exam, and at least three postpartum home visits. The fee also includes payment for a second midwife, nurse or birth assistant to attend your birth. It includes most routine lab work, emergency medications you may need at your birth, Newborn Metabolic Screening, and CCHD screening and the use of a birth pool. It includes routine newborn medications, if desired. It includes access to an excellent childbirth education program: Intentional Birth ,

This fee does not include ultrasounds or services needed from other providers or the purchase of a few basic supplies and a birth kit.

At this time, I am not able to offer any need-based reduction in my fee, and full payment of my global fee is required at no later than 34 weeks of pregnancy. In the future I hope to offer an equity program for folks in need, but at this time I cannot afford to subsidize care.

I am contracted with an insurance biller who works on commission and is highly motivated to get you the best reimbursement possible. Unfortunately, the best case scenario is often in the ball park of $1000-$2000 and months after the conclusion of your care. I like to encourage folks not to “bank” on reimbursement as a deciding factor to choosing this care. However, on principle alone, I am very interested in you getting the most out of your insurance as you possibly can. This is why I am willing to work with a premium billing service to give you a fighting chance! You can submit the form to assess insurance reimbursement here.

For health sharing ministries, such as Samaritan, the reimbursement has historically been excellent. In some cases they will pay 90% of my fee upfront, which leaves only 10% as cash you are responsible to furnish. Such arrangements are ideal for midwifery care.

Although I don’t love the idea of folks having to go into debt for care, I understand that sometimes options are limited. I am able to accept all major credit cards.

It is important that you understand that you are not paying for a guaranteed birth at home, but rather high-quality, high-touch, individualized care wherever your birth story may unfold. Sometimes the hospital is exactly where we want to be- and in such cases, you will benefit from my continuous support throughout your birth process and all of the education and preparation you will have walked through to help you navigate decisions that may come up.

It is always my goal to pay close attention to you and your baby throughout your prenatal and birthing process, so as to avoid emergencies. If it becomes clear that you or your baby are at a particularly high risk of developing a complication, I will recommend we transfer to the hospital. However, sometimes emergencies do develop without much warning. I am trained to manage complications including shoulder dystocia, a needed resuscitation of a newborn and postpartum hemorrhage. Furthermore, I am trained to help stabilize complications that cannot be safely managed at home and facilitate safe and timely transport to the hospital. I carry several medications to births that are designed to stop bleeding and am skilled in using them. I also carry IV fluids, oxygen, and resuscitation equipment.

Research shows us that 80% of first-time moms have a first or second-degree tear. No one wants to tear, but truly, your body was designed to heal! For tears that do include the muscle, suturing is highly advised. I am able to do this for you at home, after your birth, and of course numbing will be provided first. For severe tears ( 3rd and 4th degree) transfer to the hospital for surgical repair would be necessary. Such situations are extremely rare.

This is a very rare situation, and even rarer would it be for both clients to be at the same point in labor at the same time. I am connected to a\network of midwives, and one would be called upon as needed. Every effort is made for you to have a familiar face at your birth if I cannot be there. Continuity of care is so important, however the most important ingredient to your birth team is YOU. There are certain rare emergencies that would prevent me attending your birth such as the death of a loved one, hospitalization of an immediate family member, or if I personally had an illness with a current fever. Events such as my child’s birthday party or my family sick with a mild illness would not be reasons I would miss your birth. For non-emergencies, for which I plan to be away, every effort will be made to inform you as soon as possible, and to leave you in the temporary care of a midwife you are comfortable with. In most cases, these arrangements are made well in advance so that you can decide before working with me if you are comfortable with being cared for by a back-up for a portion of your care.

Additionally, I am taking a very limited number of clients. Even with only 1-2 clients per month, sometimes there can still be overlap. But as a solo practice midwife, it is very important to me that I keep my commitments in line with my capacity and in this season I am taking a very limited number of clients.

Students are such a rich part of care, and I am very discerning about who I work to ensure it is a good fit and that they add value to your care. Often students come to this work with rich backgrounds including doula work and are truly an asset to your team. Students playing some role in your pregnancy and birth is in most cases non-negotiable as the best and most committed birth assistants are often also students.

I have attended many birth center and home VBACs and it is work that is near to my heart. Our state rules in Maine do require certain criteria including: the due date must be at least 18 months after the C-section; the incision must have been a low-transverse incision; you must have had only one previous c-section and you must be willing to have an ultrasound to determine the position of the placenta in relation to your uterine scar. I also have certain protocols for monitoring VBACs that we can discuss in detail. Not all midwives have the same requirements, and it is not my place to tell you that you should or should not pursue out of hospital birth- but this is what I personally need to feel comfortable about attending out-of-hospital VBAC. Should you not meet my or the state’s criteria, but want to work with me, I would be delighted to offer co-care and to help advocate with you for a vaginal birth in the hospital.

My experience is limited in breech and twin birth, though I have training in both. Since twin births are most often discoverable early-to-mid pregnancy, I would refer you to a setting that is more experienced than I in supporting twin pregnancies for either a transfer of care or co-care. Since some babies seem to choose to be breech and are not interested in turning despite our best efforts, it is important that you understand that our Maine law prohibits my attendance at a breech homebirth , though I have training, a small amount of experience and a philosophical willingness to do so. I would support you in every effort to have a vaginal breech birth which might involve travel to providers that can offer you this care. In these cases, I offer generous partial refunds of my fees to help support you in getting the care that you need, unless you would like me to travel with you and I am able to do so. It’s only fair!

If this is going to be your first birth or first labor (such as with a planned c-section for your first birth), I HIGHLY recommend you hire a doula. Although I can provide some labor support, my primary role is ensuring the safety of you and your birth process, and I’m only able to fully wear a doula hat if we end up at the hospital.

My experience with clients attempting a VBAC are that IF they actually went through the labor process the first time, they are some of the most committed and prepared to labor naturally and have their VBAC at home. A doula is still an asset for these clients as it can be for folks who have already had a vaginal birth, but the doula recommendation is very strongly encouraged for those clients that are planning their first birth of their first labor.

Although there are several practices that may be able to help you, depending on where you live, I would like to personally recommend you consider Holly No.7.

Their model is a little different than mine, as it is a group practice, but allow me to tell you with confidence you can expect excellent, individualized care from the midwives who trained yours truly!

More choice=more freedom=more satisfaction. I recommend you interview with as many midwives as are available so that you are sure to find the right fit for YOU.

I do indeed get this question a lot!

The answer is YES.

It is my desire to welcome Jesus into every facet of my life, and that includes my work. If you are looking for a midwife that will pray with you, will share scripture that may apply to your experience, and rejoice with you for the gifts God is revealing in this process with you- I am that midwife.

I am also honored to work with folks of all backgrounds, and if Christianity isn’t a part of your story, please know that I will never proselytize. You deserve care that is tailored to you and respectful of your beliefs and that is what you will get.

For this reason, I am careful not to assume- so please share with me if you desire care that includes a sharing of experience around faith.