Coastal Midwifery of South Florida offers one on one prenatal care, scheduled at your convenience. Home Birth is an option for women seeking a non-invasive approach to labor and birth. We view pregnancy and birth as normal, healthy life processes. Our goal is to nurture and empower you through the journey of pregnancy, birth & postpartum while maintaining a healthy low-risk status of the client and baby.
We would like to start by saying congratulations on your new or upcoming pregnancy! We are glad that you have made the educated decision to look into midwifery care & home birth and would be honored to be a part of your journey.
Choosing Midwifery Care
Midwifery care and home birth are proven to be just as safe and in some cases safer than hospital birth. The personalized, one on one care that midwives offer is crucial to recognizing complications and high risk scenarios.
Midwifery care is only provided to clients with low risk pregnancies. Please call or email if you have any questions on whether you are low risk.
Please feel free to give us a call with any questions that you may have. Regardless of where you decide to give birth, we love to answer questions and educate families.
Prenatal Care
Midwives take the place of an OB and will maintain the same schedule of prenatal visits throughout your pregnancy. Your midwife will do all of your blood work in the office and will send you to an ultrasound clinic or perinatologist for necessary ultrasounds.
Each of your prenatal visits are 45 minutes to 1 hour in length so that all of your questions are thoroughly answered, your emotional concerns are addressed and your pregnancy is on track. It is our responsibility to ensure that client and baby are healthy as a whole.
Home Birth
Your midwife will be on-call for you throughout your pregnancy but especially during and around your due date. Once active labor is assumed, your midwife will come to your house to assess and monitor you and your baby. All vitals are taken and baby is assessed, once you are in active labor your midwife will stay with you until your baby arrives.
You will be encouraged to eat and drink throughout labor to keep up your energy. A variety of different techniques may be suggested such as resting, walking, sitting on the birth ball, getting into the shower, getting into the birth tub, etc. Your midwife will set up the birth tub when she arrives and will fill it with warm water when you are ready.
A birth assistant will be called at some point during your labor as it is important for your midwife to have an extra set of hands. No routine IV’s, urine catheters or continuous fetal monitoring is performed.*These are items your midwife will have on hand only if necessary.
Rest assured once your baby is born they are never taken out of your sight. The first hour is reserved solely for bonding between the new family and initiation of breastfeeding. After the first hour the newborn exam is done, Vitamin K and erythromycin eye ointment is offered and we finally weigh your baby!
Vitals are performed on client and baby throughout the immediate postpartum period. Your midwife and birth assistant will do most of the cleaning up after the birth and again you will be encouraged to eat and drink in order to aid in your recovery. Your midwife and assistant will stay with you for 2-4 hours after the birth to ensure both client and baby are stable and healthy.
Your midwife is on-call for you during this period as well and will be back to your home for a visit when your baby is 24 hours old, this assessment will include all vitals and breastfeeding check. You will also have a 3 day, (in- home visit) a 2-3 week (in-office) visit and a 6 week (in-office) visit. These visits include assessment of client and baby ensuring that baby is gaining the correct amount of weight and is not developing jaundice. All clients will be encouraged to see a pediatrician within 72 hours of the birth. Recommendations can be made for pediatric physicians.
Pricing
Self-Pay
Full prenatal care including one ultrasound, home birth, birth assistant, water birth tub, and postpartum care: $6200
All Clients are entitled to a payment plan that is broken down based in the individual needs of the client.
Lab package= $800 this includes basic laboratory/bloodwork fees. It does not include genetic testing.
Insurance
Coastal Midwifery accepts most insurance plans including Medicaid. In order to verify your insurance benefits and determine the amount of your out of pocket expenses, you must fill out a verification of benefits form through our billing agency. All private insurance clients will need to pay the full fee by 36 weeks of pregnancy. Once we receive payment from the insurance company you will be reimbursed this deposit (excluding your deductible and co-insurance).
Medicaid
Medicaid covers most of the expenses but clients will owe $1500 out of pocket for things that medicaid does not cover, such as: Birth Assistant, Water Birth Tub (not optional), Postpartum Birth Kit, and a Concierge fee.
* Late Entry Fee (for clients entering care after 30 weeks) – $150
*Travel fee for greater than 10 miles – $300
For more information on which Medicaid plans we currently accept please call us.