The services provided for the midwifery fee are as follows:
- Nutritional counseling
- Accurate dating of pregnancy via fertility charts, conception dates.....
- Email, texting, phone, and postal communication throughout pregnancy
- Prenatal care to include antenatal care as follows: once monthly until 28 weeks, then bi-weekly until 36 weeks; and then weekly until delivery-all visits in office.
- glucose and hemoglobin testing
- ultrasound referral
- urine testing
- GBS testing
- Ordering of clinical laboratory testing
- 24/7 on call availability of me from 36 weeks until delivery
- Labor support and homebirth
- Midwife and birth team for homebirth delivery
- Birth tub for laboring and birth if desired
- fetal heart tone assessment with doppler
- birth stool, birth ball, rebozo, & birth ropes
- three types of medications to stop heavy bleeding after birthing
- herbal tinctures
- oxygen for newborn if necessary
- assessment of blood sugar of newborn if necessary
- ability to give mom intravenous fluids if she needs them
- Newborn examination (it is your responsibility to make arrangements for long term pediatric/physician care for your infant).
- Breastfeeding education and support
- Vitamin K prophylaxis
- Eye ointment prophylaxis
- Suturing, if needed for 1st & 2nd & partial 3rd degree tears
- Postpartum visits in your home for mom and baby within 24-72 hours after delivery. Referral to pediatrician for PKU testing, hearing screen, and circumcision. Additional office visits are optional at 1 week, 2 weeks, & 6 weeks
- Filling out of any needed forms, as allowed/required by your employer
- Filing birth certificate/social security card with TN state
- Any referrals or transfer of care
- Rh Antibody Testing & RhoGAM Treatment: In the case of an Rh-negative mother. RhoGAM administration/shot is an extra charge and is determined by the cost of the medication at the time of use.
Clients must pay separately for the following/ or use their insurance:
- Birth supplies, such as towels (see supply list)
- Laboratory blood testing (insurance will pay; or approximately $100)
- GBS screening (insurance will pay; or approximately $60)
- Initial Newborn Metabolic Screen (PKU test at pediatrician office)
- Ultrasounds at the clients’ chosen facility
- Newborn Hearing Screen (at pediatrician office)
- Prescriptions & Non-Prescription medications or herbal supplements needed for the mother and/or infant related to the present pregnancy and postpartum care
- Emergency expenses that may include transportation, emergency room and physician expenses, surgery and medications; or any standard hospital, clinical, physician, nursing, or doula expenses related to the present pregnancy & postpartum care; or referrals to any other providers should complications and/or transport arises
- Placenta encapsulation (optional)
| Payment of Services: If payment is made after 35 weeks (only with permission from Tori) an additional fee of $100.00 per month late fee will apply. Tori reserves right to terminate your care for failure to pay. Total fee: $3500. Below is a breakdown of suggested payment schedule. |
| First prenatal: Retainer fee/deposit | $500.00 |
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| 12 week | $100.00 |
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| 16 week | $100.00 |
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| 20 week | $500.00 |
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| 24 week | $100.00 |
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| 28 week | $100.00 |
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| 30 week | $100.00 |
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| 32 week | $100.00 |
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| 34 week | $100.00 |
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| Remaining balanace, paid in full by 36 week | $1800.00 |
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| cancellation fee | $250.00 (if client cancels contract) |
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breech/twin birth VBAC birth | $1000.00 extra (breech and/or twin) $500.00 extra (VBAC) |
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| insurance filing | $100.00 extra |
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Birth With Hope Midwifery DOES NOT provide the following services but will refer to appropriate care provider:
- Prescribing pain med drugs or narcotics before, during or after the birth
- Delivery by forceps or vacuum
- epidurals
- cesarean deliveries
- Suturing of a severe laceration
- Newborn Hearing Screening
- newborn Immunizations
- PKU testing
- Flu Vaccinations
- circumcision
- placenta encapsulation