where to start

prenatal   |   labor + delivery   |   postnatal  



Where to Start? Prenatal Visits


step 1: initial RISK ASSESSMENT

  • Health history, physical exam, blood work and routine lab are done to ensure an all is well with mom-child.
    Homebirth is only recommended for low-risk pregnancy.

step 2: one hour prenatal visits with Kim

  • 1 visit per month until the 7th month
  • 1 visit every 2 weeks until 36 weeks
  • 1 visit weekly until delivery
    Prenatal visits include checking gestation, blood pressure, pulse, urine, blood sugar, hemoglobin, fundal height, fetal position, nutritional status, weight, general well-being and checking fetal heart tones with a hand-held doppler. Fetascope available to assess fetal heart tones upon request.

step 3: final risk assessment

  • Final risk assessment at 36 weeks making sure mom-child are ready for a safe delivery

Kim will be available for consultation 24 hours a day, seven days a week. You will also have access to a library of books, videos, and other educational materials, childbirth class information, community resources and referrals.

The Big Day

Labor and delivery 

  • Whenever labor begins (day or night!) Kim will come to your home.
    If there are unpredictable complications, Kim will transport the mother to a hospital licensed to provide maternity care within 50 miles, with a physician notified in advance.

  • Kim’s values during labor

    • Maintaining as much privacy as needed/wanted

    • Assisting parents in delivery

    • If desired, coaching significant other in “catching” their baby 

    • Allowing baby to slowly transition and remaining flexible with baby’s needs

    • Respecting baby and mother post birth

After delivery

  • Kim will remain at least 2-3 hours postpartum to assist in developing good breastfeeding techniques and evaluating newborn health.

Postnatal Care

Postnatal visits

  • Kim visits your home 3 times during the first 2 weeks after birth
  • 1 in office visit 6 weeks after birth


Total fee for prenatal, birth and postpartum care is $3,500. This applies to all prenatal services, whether you begin your care at 8 weeks or 32 weeks into your pregnancy. We recommend services as early as possible, as the more time we spend building a strong and trusting relationship, the better we can work together for a positive birth experience.


As many insurance companies reimburse for midwifery expenses, we provide an itemized bill to submit for reimbursement. Regardless of insurance coverage, $3,500 fee is due in full by 36 weeks as your “out of pocket” expense. Depending on your coverage and benefits, you may receive reimbursement for a portion of your investment once the claim has processed (approx. 3 weeks postpartum).

Midwives Model of Care™

The Midwives Model of Care™ focuses on the individual needs of each client. The midwives’ standard of care allows for flexibility of individual preferences, while also following Health Department regulations regarding prenatal care, birth attendance, and conditions which require medical consultation or transfer to a doctor’s care. Learn more at mana.org/about-midwives/midwifery-model.