Homebirth

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Dear Community,

We want to share important updates with you about our practice. There are some big changes coming! 

Starting in March 1st 2025, we will be transitioning to a birth center only model and will no longer be providing homebirth services or traveling for prenatal appointments. 

We will still be traveling within our service area for the 24 hour postpartum and 3-5 day postpartum appointments. 

This change has been made with careful consideration and is primarily driven by our desire to provide the safest and most consistent care possible. Traveling long distances is unfortunately no longer sustainable while our team is still raising small children of our own. Remaining centrally located also ensures we won’t be further away than necessary.
We also know that having well-rested providers is incredibly important. 

We understand this may be a significant shift for some of you, and we are here to assist with any questions or concerns you may have during this transition. Our commitment to your care and well-being remains unwavering, and we believe our birth center will offer a wonderful, supportive, and home-like environment for your birthing experience. We love homebirth, and we want to maintain a warm,  cozy, clean, and beautiful environment for you and your baby.

Children are welcome at appointments and births and we will have space for them to sleep and play. We ask that during births someone else is available to attend to the children if needed (your spouse, a family member, a friend, a sibling doula, etc)

While we are shifting away from homebirth, we are also adding to your care. We are welcoming a wonderful IBCLC to the team who will be available to see all moms prenatally to discuss breastfeeding goals and past difficulties, and of course postpartum to ensure your best possible chance at a successful breastfeeding journey. Whatever that may look like for you.
We will also be hosting childbirth classes from local educators. You can have your appointment, chat with the IBCLC, and attend your child birthing class in one day.

Those currently planning homebirth may continue to birth at home, but will now have the option to birth at our birthing center. 

Thank you for understanding and your continued trust in us. We look forward to supporting you at our birth center and being part of your incredible journey. 

-Midwife Kate

For those with estimated due dates prior to March 1st, 2025: 

• We will typically meet monthly through 28 weeks of pregnancy, every two weeks from 28 through 36 weeks, and then weekly until you give birth. Appointments may happen more often depending on circumstances.
• Our prenatal appointments will be about an hour long each time, with plenty of time to discuss your full experience of pregnancy and the many physical, emotional, mental, spiritual, relationship, and identity changes that make up your family’s experience. 
• Each prenatal appointment is a mixture of assessing you and your baby’s health and wellbeing, discussing any concerns or questions, reviewing and deciding on upcoming screening or testing options, discussing any health education information that you want, and building our midwifery relationship together. 
• I offer holistic care recommendations for sleep, nutrition, pregnancy aches and pains, and other common issues that arise in pregnancy. I may also offer over-the-counter remedies if that is your preference.
• Partners, friends, relatives, older siblings, and family of all kinds are always welcome at your appointments whenever you want to include them. 
• I provide basic labwork and genetic screening. Ultrasounds are referred to New Mexico Sonographics and I will facilitate the scheduling for those appointments.
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• I am on call for your labor and birth from 36 weeks of pregnancy until you give birth. 
• I come to your home at whatever point in labor you are ready for my support. I am part of your birth team providing emotional and physical support during labor, holding space for how you move through labor, as well as my role in assessing the ongoing health and wellbeing of you and your baby laboring at home. 
• When the birth is close, I call in a birth assistant (most often another midwife) who stays with us through the birth and the immediate postpartum time. 
• In homebirth, people choose to give birth in nearly every position you can think of, including waterbirth, so we are prepared for wherever and however you choose to have your baby! 
• My goal is to follow your birthing instincts, while also offering my experience and skills to support you in your labor, birth, and postpartum journey.
• I typically stay for 4 hours after the birth until everyone is well and stable, both you and your baby have eaten well, and I have done a full head-to-toe newborn exam. At that point everyone is usually ready to wind down for some sleep!
• Not every planned homebirth ends up happening at home, so if we decide to transport to the hospital, I will facilitate this transfer of care as well as continue to be by your side offering support throughout your birth at the hospital. 

• I will see you for your first postpartum appointment at home in the first 24-36 hours after birth, and then at 3-5 days, 2 weeks, and 6 weeks. Additional postpartum visits are common if any concerns arise that need closer support or more frequent contact.
• I am still available on call for your postpartum questions and concerns, and I am your full postpartum care provider for 6 weeks after the birth. 
• I am also your newborn’s primary care provider for the first 6 weeks, though some families choose to start pediatric care during this time in addition to midwifery care, as decided with your pediatrician. 
• All of our postpartum visits will include support and advice as needed for lactation/nursing/feeding. 
• Our postpartum visits will be a mix of: assessing you and your baby’s health and wellbeing, including physical, emotional, and mental health; discussing how your family is doing with the early postpartum time; strategizing for sleep, nutrition, and support; and reviewing and processing the labor and birth experience as you want and are ready.
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• You will have a direct line to reach me for questions and concerns at any time during your care with me. If I am out of town or unavailable, I will have another midwife covering for me who can talk over any questions or concerns. 
• Throughout your care I can also connect you with community resources for any needs that may arise such as food access, chiropractic, acupuncture, and mental health care, or lactation support. 
• I also have a growing lending library of books that I am happy to share with you and your family. 
• If mutually desired, I can connect you with current or previous families in my care to support you in building relationships with other pregnant and/or parenting families.

An initial 1 hour consultation is free* to all families as a place to ask questions, get to know one another, and decide if it is a good fit for us to work together. Contact me to set up your first consultation.

My cash-pay fee for homebirth midwifery care starts at $3,300, which includes all prenatal, labor, birth, and postpartum care, as well as lab work. Ultrasounds are not covered under my fee, but these can typically be billed directly to your insurance.

Ask about our flexible payment plans and available discounts. Clients outside of Roswell are charged a $700 traveling fee. Those who choose to split visits 1/2 in-home and 1/2 in-office will receive 50% off their travel fee. Repeat clients receive a $500 discount. I currently accept Medicaid, however I do require a $400 Booking Fee. For private insurance, cash pay is required. However, our biller will help you with reimbursement after the birth.