Where are my appointments?

Most of your appointments will be at Monarch Midwifery 594 Longwood Dr Fayetteville, NC. We will do one home visit in your home around 36-38 weeks. And 4 post partum visits at your home.

2.

How often will I have appointments?   

You will have appointments monthly until 32 weeks, every 2 weeks until 36 weeks then weekly until you deliver.

3.

How long are my appointments?

Most of your appointments will be from 30-45 min in length.

4.

Do you offer water birth as an option?

Yes, we have a birth pool that you will need to purchase a liner for it costs $35. Or you can birth in your tub.

5.

Can I have a home birth if I have had a previous c-section?        

Yes, you can do a HBAC (Home Birth After Caesarean) as long as you are low risk, healthy and meet the criteria.

6.

When do you come to my home during labor?

We will come to your home when you feel the need for support. We will labor with you and deliever with you. We will stay 2-3 hours after delivery when both mom and baby are stable and breastfeeding is established.

7.

What about post-partum care?

We will return to your home at 24 hours, 3 days, 1 week and 2 week to check on both mom and baby. Then you will return to the office for a 6-week post-partum visit.

8.

How many clients do you have that will deliver each month?

We only take 4-6 clients per month.

9.

Do you offer GYN Care?

Yes, the cost is $75 per visit or if you have insurance you will pay just your copay.

10.

How much does a home birth cost?       

The out of pocket cost for a home birth is $4000. A $500 nonrefundable deposit is due once you decide to home birth with us. This holds your date as we only take 4-6 clients per month. The remaining $3500 is due prior to 36 weeks when we go on call for you.

11.

When will you bill my insurance?           

After your delivery and post-partum care is complete we will bill your insurance.

12.

How much will my insurance pay?

Most insurances will reimburse from $1500-$2500. This includes Tricare Prime and Standard, Blue Cross Blue Shield, United and others as well.  Your reimbursement will be up to the amount of your out of pocket fees and will be determined by your insurance coverage.

13.

Is homebirth safe?         

Medical researchers and statisticians have studied the safety of homebirth for almost 35 years. It is thoroughly documented in studies conducted throughout the United States, Great Britain and the Netherlands that homebirth is safe for well-screened, carefully attended women. Homebirths result in lower rates of surgical intervention, fewer complications in both mother and baby, and lower morbidity (birth injuries) and mortality (death) rates.

14.

What are the benefits of homebirth?

* Familiar surroundings help the mother feel comfortable and safe during labor and birth, minimizing stress and fear.

* The mother determines the birth atmosphere.

* Birth attendants are considered invited guests.

* No encounters with strangers or unfamiliar places.

* Less chance of illness due to exposure to hospital-borne infection.

* No awkward moves from room to room.

* Few or no routine interventions.

* No separations from the people and setting that empower her.

* No arbitrary separations of mother and baby.

15.

What will I need to get ready for the birth?

Your main responsibility is to have a clean place to birth. I will provide a list of supplies which you will need to obtain for your birth. We will provide you with a birth kit and if you are using the birth pool you will need to purchase a liner for $35.

16.

What about special equipment and sterile supplies?

We will bring all the medical equipment such as oxygen and medications used in case of a hemorrhage to the birth, as well as sterile instruments. Your birth kit will also contain sterile supplies, such as gloves, etc.

17.

What about the mess? 

We will do everything to keep the mess to a minimum. Plastic drop cloths or shower curtains are placed on the bed and floor around the birthing area. You are not required to clean up after yourself. We will clean up everything. Your home will be just as clean if not cleaner than when we arrived.

18.

What position will I be in for the birth?                               

The choice is up to you. You may prefer to sit on the bed or on the floor, to stand up or squat down, to kneel or lay on your side. You can get in and out of the tub, or sit on the birthing stool. You can adopt the position of your choice. Of course we will suggest different positions to help enhance the delivery if necessary. 

19.

What about medical backup?

My collaborating physician is Dr. Henry Dorn III in Highpoint NC. If there are times during your pregnancy when I need a medical consult I will confer with him.

If we need to transport to the hospital we will go to the hospital of your choice and I, Donna, will go with you as a support person. I will not leave until the baby has delivered and you have breastfed.

20.

What about newborn care?       

Donna’s license allows her to provide care for your baby for the first 30 days of life. We will do the hearing screening and the PKU or metabolic screen in your home at the 2 week visit.

21.

What do we do about a birth certificate?                            

We will provide you with the proper forms and then we will complete them and send them off to be processed. This form will also apply for the social security card if so desired.

22.

What happens if there are two women in labor at the same time?         

We serve on average of 4-6 women per month, so two births at the same time is an unlikely scenario. However, we are prepared in the event it does happen. Throughout your prenatal care you will also get to know my assistants; if two women need us at once, we will split up and call in another team of midwives from the area to assist at each birth.

23.

What happens if there is an emergency?

True birth emergencies are rare.  Many urgent situations can be anticipated with careful monitoring of the infant and mother during labor.  We have the same neonatal emergency resuscitation certifications as hospital personnel. We are BLS and NRP certified.