Homebirth Services
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Comprehensive Prenatal Care
Initial visit starting at 12 weeks (or sooner depending on need)
Physical assessment, OB panel, medical and psychological history, risk assessment, fetal heart tones and a general plan for delivery
Monthly prenatal visits at the Roots office (Goodlettsville) until 32 weeks.
Bi-monthly prenatal visits from 32-36 weeks
Weekly visits from 36 weeks until delivery.
The 37 week visit is typically a home visit.
CBC and GDM screening at 28 weeks
CBC and GBS screening at 36 weeks
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Delivery
WE BRING THE BIRTH CENTER TO YOU!!
FREE birth tub for waterbirth option
Attendance at the onset of active labor by a licensed midwife and an assistant until 2-3 hours after delivery (or until everyone is stable). Our licensed midwives practice a shared call schedule model to ensure that you always have someone who is rested and fresh to attend to your birthing needs. The midwife assistant fee is included in the global fee.
We will bring all supplies, medications, equipment and tools needed to manage various complications and common birth emergencies. Everything you’d expect to find at a free-standing birth center will be brought to your home. We also have relationships with many local hospitals making our transfer process seamless if necessary.
Neonatal Resuscitation (if necessary). Our entire team is NRP certified by the American Academy of Pediatrics. We will bring all neonatal resuscitation equipment including oxygen and CPAP.
Maternal hemorrhagic assessment and treatment if necessary. As licensed midwives, we carry IV fluids, oxygen, all standard hemorrhagic medications, antibiotics, lidocaine and suturing supplies to be used if indicated.
Administration of Vitamin K (injection or oral) and erythromycin to baby if you choose these newborn interventions
Clean up of birth setting.
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Post-Partum & Newborn Care
FREE placenta encapsulation if desired
Birth certificate and social security card registration, Tennessee Newborn screening (PKU and CCHD), hearing screen, maternal assessment & newborn weight check between 24-48 hours post-partum. Referrals for lactation mental health and/or PT given if appropriate.
1 week post-partum checkup to asses healing and recovery
3 week post-partum checkup to assess baby’s weight and maternal well being
*6 week post-partum assessment and discharge if appropriate. PT and mental health referrals given if indicated. Pap smear and lab work offered if indicated (included in global fee).
*The 6 week appointment is performed at the Roots office.
The details on this page apply to 2025 due dates. We are currently full for 2024. If you are a current client and have any questions about your fee schedule, prenatal schedule, services or anything else, please refer to your contract or contact your provider directly. Happy birthing!
INVESTMENT
Below details your investment for the above services:
$6000 global fee when auto-draft is selected.
$6500 without auto-draft.
*Twin delivery requires a bigger team and an extra licensed midwife in attendance, therefore it is an additional $1000.*
This is a $2500 discount vs. itemized services for all of the above. We see you inflation! But birth should be recession proof. We want to help with that.
If you have any financial hardships or barriers to this type of care, please reach out and let us know. We can work with a variety of payment options and can be flexible with scheduling to make this model of care more accessible for everyone.
LOOK AT ALL THESE FREEBIES! A $2000 VALUE IN FREE STUFF:
Your investment includes a FREE birth tub “rental” (a $350 value- no need to rent one somewhere else) for those wishing to deliver in the water. Our professional birth tubs are available to our clients at no additional charge, on a first come first serve basis. You can also choose to purchase your own, we can provide details.
Your investment includes FREE Roots Childbirth group classes (a $300 value). We ask that all first time parents and/or first time homebirthers to please take a class.
Your investment includes FREE or reduced cost doula services (a $500 value). Roots now offers doula vouchers to assist with the cost of doula services. Ask your midwife for more details. We recommend that EVERYONE hire a doula!
Your investment includes FREE placenta encapsulation if you choose this option (a $250 value), otherwise we will properly dispose of your placenta.
Your investment now includes a FREE custom birth kit (a $100 value- you can view the contents here: Birth Kit) which includes all of the disposable supplies needed for your birth. Everything you need will be in this kit (excluding waterbirth accesories), no long lists to worry about or supplies to buy. We got you!
Your investment includes FREE post-partum support (a $500 value) that revolves around the traditional practice of “40 days of Rest, Recovery and Renewal.” This post-partum care focuses on nourishment, herbal supplementation, rest, bonding, physical healing and mental well-being. Your team of midwives are uniquely equipped to provide traditional and conventional care during this sacred and vulnerable time. Unlike with hospital or birth center delivery, we wont ask you to leave your home during the most sensitive time of healing and recovery. We will visit you (in your home) to provide you care, support and resources that are appropriate for your unique needs and situation. We also have great collaborating relationships with many providers in our community, therefore, OB, nurse practitioner, physical therapy, lactation and mental health referrals can be added to your post-partum care plan quickly, when needed.
We accept cash, check, credit/debit and HSA cards. We are not in network with any insurance provider and do NOT file insurance claims but strongly encourage you to file on your own behalf after delivery to obtain reimbursement. Although we do not have the availability or the staff to communicate with your insurance company directly, we are happy to supply you with any notes, statements or documents you need for reimbursement.
A non-refundable retainer of $700 is required to get set up in our system and secure your due date on our practice calendar, due before the initial visit. The balance is due before 36 weeks and can be made via weekly auto draft payments for a global fee discount. Ask your midwife for more details.
OPTIONAL SERVICES WITH ADDITIONAL FEES:
Ultrasound* (anatomy scan is recommended between 18-20 weeks): We will fax the order to one of our collaborating OB imaging centers and you can set up your appointment and file with your insurance if applicable. Early (dating) ultrasounds are recommended if you are unsure about your last menstrual cycle or would like to confirm fetal viability. Please discuss this with your midwife prior to your fist visit. Our practice guidelines allow us to attend births after 37 weeks and before 42 weeks in the home setting. So if you are unsure of your due date, an early ultrasound (before 12 weeks) is HIGHLY recommended so that you don’t risk out of our care unnecessarily due to incorrect dating.
*If you are a VBAC client, an ultrasound is REQUIRED to determine placenta placement for proper risk assessment.
*We also recommend a BPP (Biophysical Profile) at 41 weeks and/or for any client with presentations outside of normal and expected findings.
Rhogam injection: If you have a negative blood type and your baby has a positive blood type Rhogam is recommended. Baby’s blood type will be obtained through cord blood at delivery. Rhogam is an additional $175.00
GBS treatment during labor (IV antibiotics): Prices vary based on treatment
Additional labs or testing will be itemized individually
Labor Doula services: Have a skilled labor professional join you early in your labor to assist with relaxation, position changes and pain management during labor. Your doula will stay with you throughout the birth (including if transfer is needed) and immediate postpartum period and can also help answer questions prenatally and help with post-partum and breastfeeding issues. We can provide a Roots doula for a free or discounted rate (as described above) or you can hire an outside doula of your choice. Either way, we HIGHLY recommend a doula!
Comprehensive Childbirth Classes: We HIGHLY recommend that every family take a comprehensive, out of hospital childbirth class, ESPECIALLY if this is your first pregnancy or first planned homebirth. We recommend the Roots Childbirth curriculum because it is a non-method, evidence-based class, appropriate for any birth plan and any delivery setting, written by Gaylea McDougal, CPM. Group classes are free for Roots clients. However, we would be happy to coordinate private or virtual class for you based on preference and need. Ask your midwife about class options!
RISK ASSESSMENT:
The Midwifery Model of Care™ is based on the fact that pregnancy and birth are normal, physiological events. The Midwifery Model of Care includes:
monitoring the physical, psychological/social well-being of the pregnant person
consistently monitoring for fetal growth
providing the parent(s) with individualized education, counseling, and prenatal care
continuous hands-on assistance during labor, delivery and postpartum support
minimizing technological interventions
identifying and referring out patients who require a higher level of obstetrical attention
The responsible application of this model has been proven to reduce the incidence of birth injury, trauma, and cesarean section. In order for this model to continue having above average satisfactory outcomes, it is important that the midwife is diligent in properly assessing criteria to ensure each client is an appropriate candidate for homebirth. We will discuss your history and any possible risk factors with you in detail at your first visit and we will check in periodically during your prenatal period to ensure your risk category has not changed.
Our complete Protocols and Practice Guidelines are available for each client for review.
We travel a 30 mile radius from Goodlettsville, TN.
