Midwives are trained to recognize complications early and respond appropriately. We carry emergency medications, oxygen, and newborn resuscitation equipment.

If care moves outside the scope of homebirth, we initiate a timely hospital transfer. Most transfers are calm and non-emergent, often for prolonged labor or pain management rather than emergencies.

Midwifery care is relationship-based and education-focused. Appointments are longer and centered on informed decision-making, not routine intervention.

Midwives support physiologic birth, emotional well-being, and continuity of care through pregnancy, birth, and postpartum. Clients are actively involved in decisions about their care.

You are never locked into one option. If you choose hospital care at any point, your midwife supports a respectful transfer and helps ensure continuity of care.

Midwifery care prioritizes autonomy. Your preferences are always honored.

Homebirth is typically recommended for healthy individuals with low-risk pregnancies and no significant medical complications.

Risk is continually assessed throughout pregnancy to ensure home birth remains a safe option.

The cost of out-of-hospital midwifery care & home birth is actually significantly less than in-hospital fees. Our fees reflect comprehensive care, not just the birth day. This includes prenatal visits, 24/7 on-call availability, labor and birth attendance, postpartum visits, newborn care, supplies, and ongoing access to your midwife.

Many families find the total cost comparable to hospital deductibles, with significantly more personalized care.

For comparison, the average cost for a in-hospital vaginal birth in Massachusetts:

• $19,201: Average total spending for a vaginal birth episode (pregnancy, delivery, postpartum) in Massachusetts, according to a 2022 Health Policy Commission (HPC) report (using 2018 data).
• $17,669: Median cost for vaginal delivery in Massachusetts from a Becker's Hospital Review analysis (July 2025).

VS.

• Average total cost for homebirth - $5,000 - $10,000. (Fees vary by state)

**Our services are also not covered by most insurances in Massachusetts. The exception may be PPOs insurances who may reimburse clients after care is completed with us.

Homebirth uses evidence-based comfort measures such as water immersion, movement, positioning, breathing techniques, massage, and continuous emotional support.

Many clients report feeling more in control and supported. If medical pain relief is desired, hospital transfer remains an option.

Midwifery care continues well after birth. Postpartum care includes newborn exams, feeding support, mental health screening, and multiple follow-up visits.

Care focuses on healing, recovery, bonding, and long-term wellness.

Absolutely! Partners and support people are encouraged to participate throughout pregnancy, labor, and postpartum. Education and guidance help them feel confident and prepared.

A qualified homebirth midwife is educated via a MEAC accredited program and apprenticeship (me!) or PEP apprenticeship model, or traditional apprenticeship. They carry emergency equipment, specific medications for emergency management (this may be limited due to state regulations), maintains continuing education, and practices within a clearly defined scope of care.

A trustworthy midwife welcomes questions and prioritizes transparency and safety.

A midwife is a trained, licensed clinical provider who is responsible for the medical care and safety of you and your baby during pregnancy, birth, and the postpartum period. Midwives provide prenatal care, monitor maternal and fetal health, attend the birth, manage normal labor and birth, identify complications, and provide newborn and postpartum care.

A doula is a non-clinical support professional who provides education, physical comfort, and emotional support during pregnancy, labor, birth, and postpartum. Doulas do not perform medical assessments, make clinical decisions, or provide medical care.

Midwives and doulas play complementary roles. Your midwife focuses on clinical care, safety, and medical decision-making, while a doula focuses exclusively on comfort, emotional support, and advocacy. Many families choose to work with both for a well-supported and balanced birth experience.

No. Homebirth is far less messy than most people expect. We use a birth kit with disposable supplies designed to protect your space. After the birth, while you bond with your baby, we quietly clean up and leave your home as we found it.

Your midwife provides and completes the required paperwork after the birth. In Massachusetts, homebirth is legally recognized. You submit the birth certificate paperwork to your local city or town hall, and the certificate is mailed to you. Once received, you apply for your baby’s Social Security card.