Is homebirth safe?
Homebirth has been shown to be a safe option for healthy women and healthy babies whose normal pregnancies are full-term at the start of labor, and who are monitored and attended by professional midwives. You can get more information here, and check out these studies on homebirth safety and the safety of birthing with midwives: Outcomes of planned homebirth with CPMs in North America, and Outcomes of planned homebirth after regulation in British Columbia.
What are the benefits of homebirth?
There are many benefits of having a homebirth. Some of the ones most commonly reported by families are:
- Individualized care: All decisions about your care are made together with you, in detailed discussions of your needs and desires, your individual health, and the evidence regarding the options available to you. We respect you as your own - and your baby's - primary care provider.
- Evidence-based care: We stay current on the research around pregnancy, birth, postpartum, and breastfeeding, so that we can provide the best evidence possible for your decision-making and our skills and knowledge.
- Your own environment: You choose who attends your birth and who cares for you. You choose what to eat and drink. Walk, dance or sleep uninterrupted if you want to!
- Bonding with your baby: We hold the space for the mother-baby connection as it makes the transition from the womb to the mama's arms, to the breast, and beyond.
Do I need to see a doctor for my prenatal care?
We offer comprehensive care during pregnancy, birth and the first weeks after the baby is born. Prenatal care in the midwifery model includes all the same clinical components as obstetric care, and also includes time getting to know you and your health, and addressing all your questions. Postpartum care includes two to six hour-long visits depending on your family's needs. There are some instances when mothers may need to see a physician, and our care includes recognizing clinical situations requiring the attention of an obstetrician or pediatrician and referring you to one if necessary.
What about ultrasounds and lab work?
We offer referrals to medical imaging professionals in order to obtain ultrasounds as needed or desired. We are skilled in drawing blood, have a lab account and will order the blood and urine tests that you choose as part of your care. We are also able to refer you to other professionals for additional testing if it becomes necessary. There are no tests available in obstetric care that we cannot provide you or help you access.
Where do the visits take place?
Your consultation can take place anywhere you feel comfortable, including your home! The remaining visits will happen at the office with the exception of the 36 week visit and the first week postpartum. Marinah does offer an all home-visit option for an additional affordable fee.
Who will attend my birth?
Marinah will bring at least one other qualified birth attendant, sometimes an advanced student or another licensed midwife to each birth. We value and respect your desire to know who will be at your birth and strive to make sure the entire birth team has had many chances to get to know one another over the course of your care.
Can I have friends and family at my birth?
Yes! We truly appreciate the presence of loved ones who bring positivity and their love for you into your birthing space. We also offer support for setting boundaries when you desire privacy.
What happens if something goes wrong?
Midwives are trained to handle certain complications at home, and to recognize complications that mean a hospital birth is advisable and to transport in those circumstances.
What equipment do you bring with you to births?
Midwives in Arizona are legally licensed to carry equipment and medications to safely manage normal deliveries at home.
What about the mess?
We aim to leave the house as clean as it was when we arrived! While you have family bonding time with your new baby, we quietly tidy up. As far a birth mess, you will be surprised that we are able to capture most of it and it is far less than you imagine.
Can I have a water birth?
Yes, waterbirth is a lovely option for those mothers who desire it. Many families choose to have birth tubs for comfort in labor, regardless of whether the family plans to have the baby in or out of the water.
What do you do after the baby is born?
At a typical birth we put the baby up on mama's belly, and we keep an eye on your vitals and your baby's adjustment to life outside the womb. After the placenta is born and the baby's cord is done pulsing, we ask you if you are ready to cut the cord and who is going to be the one to do it, and we help clamp and cut the cord. Then we give you some space for family time, staying close by with an ear out for your needs and checking on you periodically. Whenever your baby is interested in nursing, we offer help with positioning and latch if you would like it. When you are comfortable and ready for a nap with your baby, and we are satisfied that you and baby are healthy and stable, we leave. We then return in about 24 hours for your first postpartum visit.
How much does it cost?
Generally the fee for service is between $3,000- 4,500 and usually includes prenatal care, attendance at the birth and postpartum care. This fee does not include your birth kit, lab work or ultrasounds, or a birth tub.
Does insurance cover midwifery care?
Often, PPO insurance companies will reimburse for our services at the out-of-network rate. Our clients are responsible to know what their OUT OF NETWORK coverage is for homebirth and then can discuss it either with the midwives or the biller. Some insurance companies, such as christian based insurance, often will cover the entire amount. If you have doubts, just ask the midwives!
Is it worth the money?
The average cost of a wedding is $24,000, and like birth is a very important and emotional day. We often get to hear grandmas-to-be and sometimes even great-grandmas-to-be talk about their birth experiences, and it is very clear that birth creates a lasting impression on women that is greater than their wedding day. Women remember their births with deep feelings for their entire lives, and most clearly remember how their care providers treated them. Having been present with women when they tell us with awe how their birth changed them, we can say confidently that it is worth even the full amount out of pocket.