Have you considered giving birth at home?
This is the one and only birth of your baby. A time of great transformation and joy. It is my deepest honor to safeguard and guide you through this process in the comfort of your own home. It is my desire as your care provider to bring forth a combination of expertise and reverence to your birth space. I trust your ability to give birth and your baby's ability to be born.
Birth is more than the event of your baby leaving your body. Birth is a process. Pregnancy is the time of expansion, labor is the time of letting go, and postpartum is the time of reconnection - to yourself as a parent, to your baby, now on the outside of you, and to your family as plus one more. Birth happens to us on a physical, mental, emotional and spiritual level. We don't just give birth to our baby, but also to the mother and/or father within us! Midwifery care honors the entirety of this transformation, all while helping to keep you and your baby safe and healthy through this process.
Course of Care
The time we spend together prenatally is important to me, because I know it's important to you! You will leave each visit with all of your questions answered, fully informed and feeling empowered. Our prenatal visits cover the standard midwifery course of care, with visits once per month until 28 weeks, twice per month until 36 wks and then weekly thereafter until birth. Additional appointments are made as needed, and we typically spend an average of 45-60 minutes together during each visit. Around 35-37 wks, we will schedule an in-home visit with the entire birth team. If you live in Ocean Beach / Point Loma, check out Community Care and have all of your care done in the comfort of your own home!
Labor & Birth:
When your labor begins, we are in close communication until it is time for me to arrive at your home to monitor you and your baby. How you labor is your choice - I work around you and your comfort! When it gets closer to your birthing time, an assistant (also a licensed midwife) will join us and assist me in caring for you. Once your baby is born, I will provide you with immediate postpartum care until both you and your baby are stable. I will remain on-call for you through the first six weeks postpartum.
There is so much we can do to influence birth, but at the end of the day, we cannot control birth, and sometimes situations arise that make it safer to give birth in the hospital rather than at home. Although this is much less common for low-risk folks, it does happen from time to time - and that doesn't mean you are left without care and support from your midwife! If I have a client who needs to transfer to the hospital to start their labor or while in labor, I transfer with them and remain throughout the entire course of labor as their birth doula and advocate. All of their postpartum care with me remains the same.
It is my goal to provide postpartum care that minimizes the number of appointments you have to leave your house for in those early weeks postpartum, and also to provide you with extended postpartum care. Six weeks is still so fresh! And there's so much that comes up over the first year postpartum. You will receive in-home postpartum visits at 24-48 hours, 72 hours, 1 week, 2 weeks and 4 weeks postpartum. Your 6 week postpartum visit will be in-office. You will also have access to in-office postpartum visits at 3, 6, 9 and 12 months postpartum.
Easily Accessible Care Provider
Monitoring of you and your baby's health and wellbeing throughout the course of the pregnancy
Herbal & Supplemental Recommendations
Unbiased Education & Care
Informed Choice with all decisions
Complementary Modality Referrals (chiropractor, acupuncture, naturopath, etc)
Labor & Birth
Your Birth, Your Way!
Monitoring of your vitals and baby's vitals
Safeguarding of your birth
Herbs & medications to control postpartum bleeding, oxygen and neonatal resuscitation equipment brought to your birth.
Birth Assistant (also a licensed midwife) to assist me in caring for you and your baby
Head to toe newborn neurological and physical exam
Breastfeeding support & guidance
Immediate postpartum care until you and your baby are stable
Easily Accessible Care Provider
Monitoring of you and your baby's vitals
Newborn Metabolic Screen
Newborn Congenital Heart Disease (CCHD) Screening
Tracking baby's weight gain
Monitoring of proper healing after birth
Postpartum belly binding, vaginal steam herbs and discount on placenta encapsulation available
Pelvic floor recovery
Gentle PAP exam (if needed)
Postpartum Labs (if needed)
Pediatrician & Preferred Provider Referrals
Midwifery Care Global Fee
Prenatal Care described above
Labor & Birth Attendance described above
Postpartum Care described above
$500 deposit at the start of care, payments made at each visit, fee paid in full by 36th week of pregnancy.
I work directly with a medical biller to verify insurance coverage before you start care. Schedule a consultation to see if your insurance will cover or reimburse you for homebirth services - you might be surprised!
*Please visit the Community Give Back page for affordable financial options if this fee is out of your budget*
With Courtney's support I was able to have the birth I had hoped for, laboring at home and delivering my daughter without intervention. Throughout all stages of the pregnancy, birth and afterwards, Courtney never forced her opinion on us but rather helped us process information and consider the options so that we could come to our own decision. I highly recommend Courtney. The support of this wonderful woman was essential to achieving the positive birth experience I had with my child.
Truthfully I don't think words can articulate how much of an impact she had on me and how grateful I am to have had her during our journey. Above all she constantly reminded me to TRUST my body. I ended up having the birth I manifested. I don't know if I would have been able to do it without her! If you're looking for someone to help with your pregnancy, I couldn't recommend Courtney enough!!!
Courtney changed my life and opened my eyes to what birth can really be! A powerful and life changing/transformative experience and I will forever be grateful to her. Her wisdom, patience, and love for what she does shines through and is inspiring.
My care under Courtney was exceptional. She was my midwife, doula, encapsulated my placenta and even became a friend. I couldn't be happier with my birth experience!
Who is eligible for midwifery care & homebirth?
Midwifery prenatal and postpartum care are available to anyone!
What can I expect during my prenatal care?
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What can I expect during my postparum care?
The postpartum care provided to you and your baby is extensive and comprehensive. The course of care includes:
What's included in the global midwifery fee?
All of your prenatal care, attendance during your labor & birth, full postpartum care through six weeks, and four additional postpartum visits over the first year postpartum. Also included in the global fee is the cost of your birth kit (disposable supplies for birth), birth tub rental (includes birth tub, tub liner and hose), and assistant midwife's fee.
What about the mess?
This question gets asked more than you'd think - it's an important question! One of the great things about birthing at home is that we leave your house just as clean as it was when we arrived. As your birth team, we are responsible for keeping your space as free of splashes and drips as possible in labor. In the event that something like a little blood finds its way to a surface (occasionally it happens), hydrogen peroxide typically does the trick. Birth also requires the use of several linens - towels, sheets, etc. Right before we leave your home, we will start a load of birth linen laundry and contain all of the used disposable birth supplies in a trash bag for you to add to your can. Oh - and you're responsible for your placenta, which is double bagged and placed in your freezer, unless we're encapsulating it for you, then it comes home with us. We take pride in taking care of you and your space during the course of your labor and birth!
Does my insurance cover the midwifery fee?
As an autonomous Licensed Midwife, I am considered an out of network provider. This means many insurance plans do not cover my services automatically. However, with some plans you may be able to get reimbursed a portion of the fee after your care is complete. I work directly with a medical biller who can verify benefits before you start care so you know exactly what you're getting into financially, and who also advocates for reimbursement on your behlaf, so the process is as stress free as possible. While it's not a guarantee how much you'll get reimbursed, or if you'll get reimbursed at all, it's worth a shot to try! The medical biller doesn't get paid unless you get reimbursed, and her fee is 10% of your reimbursement. The most success with reimbirsement is through PPO and POS plans, and some success with HMO plans. Unfortunately Medi-Cal will not cover my service. If you qualify for and have Medi-Cal coverage, I offer a generous discount. Please get in touch so we can discuss.
What are the benefits of midwifery care?
"One of the main reasons women decide to use a midwife is to experience childbirth as naturally as possible. An additional benefit of having a midwife is their various payment options. Midwives often offer payment plans and sliding fees.
Is homebirth safe?
In a recent study on midwifery care and out-of-hospital birth, "results show that among low risk women who intend to give birth at home when labor starts there is no increase in perinatal and neonatal mortality or morbidity compared to similarly low risk women who intend to give birth in a hospital" .
Can I have a water birth?
Water birth is definitely an option! While I cannot guarantee that your baby will come out under the water (raise your hand if you found out in labor that you actually prefer to be a land-birther 🙋🏻♀️), we can prepare for the opportunity to have a water birth. The birth tub is also an excellent comfort measure for labor, even if you don't want to give birth to your baby in the water. If you have a roomy/comfortable bathtub at home, we can use that for a water birth. Or I also provide an inflatable birth tub for clients to labor and birth in. The inflatable birth tub can fit in nearly any living space and comes with a brand new liner (to keep it sanitary) and hose. All you have to provide is your own adaptor to connect the hose to your preferred water source (we can talk more about this in-person).
Can I have a VBAC at home?
VBACs are my favorite and I'm a huge advocate and supporter of vaginal birth after cesarean! Current research says that VBAC is safest for those who have one or two low-transverse incisions on their uterus (VBAC or VBA2C). All other types of incisions or having had more than two cesareans are taken on a case by case basis after thorough review of medical records and surgical reports. If you'd like to have a VBAC at home, let's get in touch and discuss the options!
What equipment, medications and support does the midwife bring to my birth?
When I arrive at your home for your labor and birth, I bring with me everything needed to safely care for mom and baby throughout labor, birth and immediate postpartum at home:
Will there be students involved in my care?
One of the tenants of midwifery care is that the skills and art of midwifery are passed down through generations by way of the apprenticeship model. Senior midwives are responsible for helping to raise the next generation of midwives. At this time, there are not currently students in this practice. However, there may be a student introduced in the future, if it's the right fit for this practice. You will always be asked for consent before a student joins your care.
What happens if something goes wrong?
Midwives are trained and certified emergency responders. This means we have the ability to preform NRP (neonatal resuscitation) and BLS (basic life support). The two most common complications that arise in birth are a baby who becomes distressed in labor and excessive maternal bleeding after the birth. We also expect that around 10% of babies need some assistance in learning how to breathe after they're born. We carry all of the tools and medications necessary to help a baby breathe after birth (compressed room air, oxygen, bag & mask for PPV) and to help prevent and stop excessive maternal bleeding after birth (herbs, pitocin, methergine, cytotec, TRX).
What can I expect during my birth?
You can expect to have your vitals and your baby's heartbeat monitored at regular intervals throughout labor. As you get closer to delivery, we will listen more closely to baby's heart rate to make sure that baby is handeling labor well. You can expect to be able to move freely throughout this time - we work around you and your comforts. There may be times when we ask you to change position if we are not able to listen closely enough to your baby - this is always discussed with you as the situation arises. In between times that we are caring for you from a medical standpoint, we can also provide you with comfort measures, encouragement and emotional support. This is your birth - we want you to birth your way! We discuss all of your preferences prenatally, so the team can do our absolute best to support you in birthing the way you desire.
What if I really want midwifery care, but I can't afford it?
There are lots of options to make midwifery care affordable and accessible to you!
What is not included in the global midwifery fee?
Labs andultrasounds over the course of your care are not included in the global fee, though they may be covered by your insurance. The California Newborn Screen and RhoGAM shot (if your bloodtype is Rh negative) are also not included in the global fee. I will provide you with a price sheet for all labs and ultrasounds, so you know how much you will need to spend. If you are doing concurrent care with an OBGYN provider throughout your pregnancy, you can also choose to have labs and ultrasounds done with them if that is more cost effective (under insurance coverage), and then have your results sent to me.