- 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 our practice does not attend VBACs, planned breech births, or planned multiple births.
- 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 and SOME Kentucky insurance plans. Unfortunately we are NOT able to accept Medicaid (TennCare), Medicare, or TRICARE. Each insurance company offers different plans that varies from person to person. The fastest way to know if we are in-network with your insurance plan and what your maternity benefits are is to call the number on the back of your card and ask them. We try to work with everyone’s financial situation and offer flexible interest free payment plans.
- How much do your services cost out of pocket?
If we are not in-network with your insurance company or you are uninsured we offer a sliding fee scale based on your gross monthly household income (before taxes are taken out). Because the sliding scale fee is income based, the total price will vary from family to family. The sliding scale fees range from $3000 up to $5000. Basically if you add your total household income before taxes together and it falls between $3000 and $5000 that is what you pay! If the total is less than $3000 the cost would be $3000. If the total is more than $5000 then your cost is $5000. We try to work with everyone by offering reasonable interest free payment plans upon request.
- Do you take Tricare?
Unfortunately no. As a mixed CNM/CPM team Tricare will not cover our services. We do offer a sliding scale for our self-pay military families that is based on your Base Pay plus any spousal income before taxes. If the total household income before taxes falls between $3000 and $5000 that is what you pay! If the total is less than $3000 then the cost would be $3000 . If the total is more than $5000 then your cost is $5000. 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
If you have more questions and do not see the answers here, please contact us to set up a free consultation at firstname.lastname@example.org.