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 or on Fort Campbell? 
    Not at this time. Once licensure for Certified Professional Midwives (CPMs) is available in Kentucky we will revisit this option.
  • How much do your services cost out of pocket?

We are now offering 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 offer payment plans so that you can make regular payments up to 36 weeks of pregnancy.

    • Our fees include:
    • Regular prenatal visits that last approximately 30-45 minutes
    • Ordering of labs and ultrasounds (if you have insurance, it should cover a portion of these) 
    • 24/7 access to us via pager for urgent needs
    • Professional birth tub use is included (a value of $350)
    • A home visit at 36 weeks to confirm your home is ready for a homebirth
    • We are on-call for you from 37-42 weeks 
    • A trained birth assistant in labor (a value of $500)
    • Cost of the birth for you and the baby
    • A home visit 24-72 hours postpartum
    • Breastfeeding assistance
    • 3-4 postpartum visits for follow up after the birth
    • The following items are not included in our fees, as they vary, due to individual needs and preferences:
    • The cost of any labs and ultrasounds (if you have insurance, it should cover a portion of these)
    • Non-stress tests
    • The cost of any medications that are used prenatally, in labor, postpartum, or for your newborn
    • The cost of newborn screening, hearing screening, and CCHD screening
    • The cost of a childbirth class that we require for all first-time parents or first-time home birthers
    • Birth kit and various other supplies for the birth (tub liner, if you are using our waterbirth tub)
    • Additional home visits when requested by the client
  • Do you take insurance?
    We are not in-network with any insurance plans at this time. We can bill out-of-network for most insurance plans, except for Medicaid, Medicare, and TRICARE. We offer flexible payment plans to be paid off by 36 weeks of pregnancy. For more information you can contact our biller.
  • 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.