FAQs

If you have questions after reading the FAQs feel free to email us at clarksvillemidwifery@gmail.com to set up a free in person consultation.

  • Do you attend births in Kentucky?

    Yes, if you live within an hour’s drive of Clarksville, TN, and do NOT live on Fort Campbell, KY we can attend your birth.

  • Do you take insurance?

    YES! We are in-network for most TENNESSEE insurance plans. We are NOT able to accept Medicaid (TennCare), Medicare, or TRICARE. Please email us with questions about specific insurance plans. We try to work with everyone’s financial situation and offer flexible payment plans.

  • How much do your services cost out of pocket?

We offer a sliding fee scale based on your gross monthly household income. Because the sliding scale fee is income based, the total price will vary from family to family. The sliding scale fees range from $2500 up to $5000. We try to work with everyone by offering reasonable payment plans upon request.

  • Do you take Tricare?
    Unfortunately no. As a mixed CNM/CPM team Tricare will not cover our services at this time. We do offer a sliding scale ($2500-$5000) based on your household monthly income minus BAH for self-pay military families. We offer payment plans so that you can make regular payments up to 36 weeks of pregnancy. If you would like to see Tricare coverage for all midwifery services, please contact Tricare and your local Congress person to ask for changes to Tricare policy.
  • Am I a good candidate for a homebirth with midwives?
    Homebirth and midwifery care are for low-risk pregnancy and birth. Pregnancy is a normal physiologic process and most pregnant people can have a healthy pregnancy without complications. Midwives use prenatal care to continually assess and evaluate risk status. Many risks can be lowered or avoided by good nutrition and healthy lifestyle choices.

High-risk conditions that are not appropriate for homebirth:

  • Insulin dependent diabetes
  • Severe preeclampsia
  • Chronic high blood pressure
  • Gestational diabetes that requires medication to control
  • Preterm birth

Services that are high-risk/not offered at a homebirth

  • Pitocin induction/augmentation
  • Vacuum or forceps
  • Cesarean section
  • Blood transfusion
  • Anesthesia-epidural or IV pain medications that can cause respiratory depression in the baby
  • Continuous fetal monitoring. (Evidence has shown that in low risk pregnancies continuous fetal monitoring increases the cesarean section rate without improving fetal outcomes).

Complications that can be managed at a homebirth

  • Neonatal resuscitation
  • Management of hemorrhage
  • Repair of tears-lidocaine is used for pain control with stitches
  • Dehydration-IV fluids can be given if needed
  • Do you attend Vaginal Birth After Cesareans (VBAC), planned breech births, or planned twin/multiples births?
    We support families’ choice to birth the way they think best, but at this time we do not attend VBACs, planned breech births, or planned multiple births.

If you have more questions and do not see the answers here, please contact us to set up a free consultation.