What does midwifery care look like in oklahoma?
Investment for Holistic Care with Oklahoma Licensed Midwife: $5000
Free Consultations, book here! (All prices and inclusions effective April 1, 2024 and are subject to change without notice.)
A $750.00 non-refundable retainer fee is required at booking, with the balance due in full by 36 weeks. Clients seeking a late transfer into care are expected to pay the full midwife fee. Failure to pay in full before 36 weeks may result in interest charges and/or termination of care. Monthly payment plans are available. Your payment plan will be decided at your first visit. Clients that qualify for SoonerCare may be eligible for a sliding scale, on a case by case basis. Late fees on unpaid balances will be billed monthly, with interest. I have a very small barter list that I am willing to discuss with potential clients. I will not barter for anything that is not already on my list.
This investment includes:
Second Licensed CPM with the potential for a fully-trained/certified birth assistant at your birth, no additional fees required for birth support team.
Complete prenatal care from the onset of services, attendance of your birth and immediate postpartum period, and 12 weeks postpartum care.
Prenatal visits every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, weekly until birth (30-60 mins each)
Home Postpartum visits at 24 to 48 hours, between days 5 & 7, and at 2 weeks
Office Postpartum visits resume at 4 weeks, 6 weeks, 8 weeks, 10 weeks, and 12 weeks (Additional visits as needed)
Nutritional and herbal counseling for holistic support and prenatal well-being
Home birth kit provided for you at no additional fee.
Use of birth pool at no additional fee. *must purchase accessories
Access to lending library at no additional fee
Metabolic newborn screen (PKU heel stick), Critical Congenital Heart Defect (CCHD) screen, birth certificate, and social security card filing done at your 24-36 hour home postpartum visit
In home or office Lactation support. Referral to advanced lactation support as indicated.
In home or office postpartum mood disorder screening
Contraception education available at 6-12 weeks postpartum
All lab work done in office*
Ultrasound referral network.*
Referral to additional care providers, second opinions, and support professionals as needed
Additional fees can include any childbirth classes, medications, other provider fees, supplements, chiropractor, consultation fees, etc.
* Lab work and ultrasound are not currently included in midwife fee. Client is responsible for all fees incurred with all lab work and ultrasounds. Low cash-pay pricing available for lab work and ultrasounds. Insurance should cover labs and ultrasounds, where applicable. SoonerCare will not cover any labs or ultrasound ordered by a midwife, currently. Pool liner, hose, adapter, tarp, etc will be purchased by clients wanting a waterbirth.
In the unlikely event of a home birth transfer, one member of the birth team will accompany you to the hospital whenever possible. The midwife will share all needed medical history and charts including lab work with the receiving physician. Every attempt will be made to remain and support you during the remainder of your birth experience. The midwife will do her best to stay with transferred clients but could need to leave due to fatigue, health reasons, family emergencies, or other laboring clientele. With new COVID-19 visitor limitations, the midwife might not be able to fulfill this promise at no fault of her own.
Midwifery Care in Oklahoma can include the following
Prenatal care:
24-hour emergency access to Licensed Midwife throughout the course of care
Initial exam can include review of Midwife Informed Consent, review of Informed Consent for VBAC, Breech, and Twin births, answering questions pertinent to Midwifery Care, counseling on suggested dietary changes, supplements, or other holistic modalities to potentially improve pregnancy, referrals to other health care practitioners (Chiropractor, Nutritionist, Counselor, Ultrasound, OBGYN, CNM, APRN, Pediatrician, etc), any needed/suggested lab work, physical exam, attempt to listen to fetal heart tones and palpate abdomen for fetal position (when possible based on gestation), maternal vitals including blood pressure, pulse, temperature, urine dip, verbal review of all symptoms in pregnancy, and review of your personal health information. Please allow 90 minutes for this visit.
Each prenatal visit can include attempt to listen to fetal heart tones and palpate abdomen for fetal position (when possible based on gestation), maternal vitals including blood pressure, pulse, temperature, urine dip, verbal review of all symptoms in pregnancy, answering questions pertinent to Midwifery Care, counseling on suggested dietary changes, supplements, or other holistic modalities to potentially improve pregnancy, review of Informed Consent and Refusal for all labs, newborn screens, or variations of care, referrals to other health care practitioners (Chiropractor, Nutritionist, Counselor, Ultrasound, OBGYN, CNM, APRN, Pediatrician, etc), any needed/suggested lab work. Please allow 30-60 minutes for this visit. Additional time can be arranged as needed.
Prenatal appointments are monthly until 28 weeks, bimonthly until 36 weeks, and weekly until birth. All visits are held in my office near 15th and Bryant in Edmond, OK. Please arrive no more than 5 minutes before your scheduled time, and text me when you are there to ensure the client before you has left my office. No show appointments are subject to $25 rescheduling fee. (schedule may be adjusted based on client needs, at no additional charge with appropriate notice)
One home visit (either virtually or in-person) to assess living space for home birth logistics.
Evidence based research provided regarding available prenatal screenings for informed consent or refusal.
Individualized education for your specific pregnancy and postpartum needs.
Additional lab work could include Gestational Diabetes screen, Group Beta Strep test, CBC (iron checks), Urinalysis as needed, and any pertinent lab work based off presenting symptoms.
Whole food based nutritional education, herbal support, recommended supplementation, and food aversion assistance.
Referral to other providers, as needed.
Expert monitoring of your health and baby’s well-being by evaluating maternal vital signs, urine dip, weight gain, fundal height, and prenatal nutrition, as well as discussing the emotional and physical side of pregnancy, monitoring fetal growth, activity, and position, ordering standard prenatal lab work, additional lab work as needed, & ultrasounds (could include dating ultrasound, mid-pregnancy ultrasound, additional ultrasounds based on fetal growth and development).
Labor and Immediately Postpartum:
The birth team includes myself and a second Licensed Midwife (Certified Professional Midwife or Certified Nurse Midwife). This ensures one provider is available for you and one for your newborn baby, while the team members expertly chart all stages of labor and birth, as well as providing hands-on support where possible. (Students or assistants in training might accompany birth team for needed training)
Birth team is available at onset of labor, bringing all the equipment needed to care for you and your newborn safely in a home birth setting.
Birth team will monitor fetal well-being, maternal health, and labor progress in the comfort of your home.
Support for water birth or land birth.
Labor support techniques, including natural pain relief, pain management, rebozo, TENS unit, and optimal fetal positioning to ensure a calm birthing environment.
Use of holistic comfort measures, as desired, including hydrotherapy, homeopathy, acupressure, and essential oils.
Immediate skin to skin bonding with your newborn, delayed cord clamping, physiologic birth of the placenta, and expert breastfeeding support for a peaceful and successful postpartum.
Complete, respectful newborn exam for baby done right next to you. Newborn exam records are available for your pediatrician, as requested.
Herbal bath for mom, if desired
Clean-up from labor and birth by birth team, including water birth pool and supplies.
In the rare case of a hospital transfer, at least one member of the birth team will accompany you and continue to provide holistic birth support throughout your birth as allowed by the transferring first responders or hospital.
Postpartum Care:
Initial Home visit at 24-48 hours postpartum by the midwife to check on the well-being of you and your infant, provide breastfeeding assistance, as well completion of the metabolic screen, CCHD screen, infant weight assessment, and addressing any questions or concerns you have at that point.
Subsequent home visits by the midwife for you and baby are done at 5-7 days and 2 weeks
Postpartum visits resume in the office at 4 weeks, 6 weeks, 8 weeks, 10 weeks, and 12 weeks. More visits available as needed for continued support after 12 weeks postpartum. Client can discontinue visits as they wish.
Breastfeeding support from myself, my team, or referrals to other providers as needed.
Monitoring of baby’s growth and maternal recovery.
Birth certificate and social security paperwork filed within the first week postpartum.
Provide information and resources for newborn testing, such as metabolic screen (PKU), PulseOx (CCHD) screen, & hearing screening, including refusal forms.
Share all pertinent birth and immediate postpartum information regarding your baby with your pediatrician upon request.
Review of your birth experience, answering questions and filling in time-lines of events. Review includes any needed referrals for postpartum mood disorders, or traumatic events related to your birthing experience.
Education on holistic family planning methods, as desired.
Infant weight checks and lactation support available outside of scheduled postpartum appointments. (may be an additional fee)
Referrals for other providers, such as pediatricians, lactation support, mental health support, pelvic floor therapy.
I look forward to working with you!
