What is Midwifery Care?

The Midwives Model of Care is based on the fact that pregnancy and birth are normal life processes.

The Midwives Model of Care includes:

  • Monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle
  • Providing the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support
  • Minimizing technological interventions
  • Identifying and referring women who require obstetrical attention

 

The application of this woman-centered model of care has been proven to reduce the incidence of birth injury, trauma, and cesarean section.

Copyright (c) 1996-2008, Midwifery Task Force, Inc., All Rights Reserved.

Wellspring Midwifery Care is a family-centered birth care provider. The following questions are commonly asked when choosing a provider. 

 

About the Midwife

 

Who can be with me during labor and birth?

One of the beauties of a birth center or home birth is that you get to decide who accompanies you in your labor journey. These include father, children, family members, or friends. It may also include a doula or labor support person. We are often asked about young children attending the birth, and most families find it is best to have another adult plan to attend the birth as the primary caregiver for small children. That way, if the child needs a break or the mother needs to focus without the presence of other children, the designated caregiver can care for the child(ren) in another location. 

 

What supplies do I need to have for the birth?

Please see our birth center supplies page for a list of items to bring to the birth center or check out the homebirth supplies page for a list of supplies to gather for a home birth. 

 

What happens during a normal labor and birth?

We encourage labor and birth to happen naturally, in its own timing. We do not perform an episiotomy except in urgent situations. We also encourage VBACs in otherwise low-risk mothers. Midwives are experts in normal labor and birth. We recognize that there is a wide range of normalcy and see birth as a healthy function of a healthy woman. Mothers deliver their own babies. A midwife may "catch" the baby, but we do not "deliver" babies. They are not pizzas. We attend normal, low-risk births with healthy mothers. 

 

How do you allow for differences in culture and belief?

We are sensitive to your culture. We understand that mothers and families have differing beliefs, values, and customs. If you have specific customs or religious rituals that are important to you, please discuss them with us so we can better support you.

 

Can I walk and move around during labor? What position do you suggest for birth?

Yes! You can walk and move as you choose during labor. You can choose the positions that are most comfortable and work best for you during labor and birth. We almost never encourage a mother lay flat on her back during labor, though there may be a positional reason in labor to suggest a particular position. 

 

Will the midwife come with me if I have to be transferred to the hospital during labor? 

Yes! If a complication in labor necessitates moving your birth to the hospital, the midwife will come with you as a labor support person. She will also provide your records to the hospital staff to help smooth the transition for you. Your midwife can also provide you with postpartum care once you return home from the hospital. We also work with other providers, such as lactation consultants, chiropractors, physical therapists, and massage therapists, and can provide referrals as needed throughout pregnancy and postpartum. 

 

What things do you normally do to a woman in labor?

We make every attempt to adhere to evidence-based practices by following the midwifery model of care (outlined above). Some examples of evidence-based practices include listening intermittently to the baby's heartbeat in labor, leaving the bag of waters intact early in labor, delaying cord clamping, avoiding routine use of IV or enemas, and allowing you to eat and drink during labor. 

 

How do you help mothers stay as comfortable as they can be? How do you help mothers relieve the pain of labor?

We encourage attending a great childbirth class during pregnancy, especially one that teaches you a variety of coping techniques. The people who care about you may also be able to help you cope with your pain by suggesting position changes, a warm bath, massage, or soothing music. These are called comfort measures. Wellspring also offers essential oils and herbs during labor for a variety of reasons. 

 

What if my baby is born early or has special problems?

While we do everything we can to ensure you are healthy and carry your baby to full term, very occasionally a baby arrives early. If your labor begins before 37 weeks and cannot be stopped naturally, you will need to transfer to the hospital. Your midwife will come to the hospital with you if you wish, and you will be given referrals for any needs your baby has. 

 

Do you encourage leaving baby boys intact?

Medical research does not show a need to routinely circumcise baby boys. It is a painful and risky surgical procedure. We discourage circumcision unless it is for a true medical reason. Visit NOCIRC.org or SavingSons.org for more information.

 

How do you help mothers who want to breastfeed?

We strongly encourage breastfeeding! It is the best food for your baby, and the vast majority of mothers are able to breastfeed successfully with very little help. We encourage mothers to learn prenatally why and how to breastfeed, to initiate breastfeeding early after birth, and to feed their newborn on demand. We encourage co-sleeping when parents are healthy and not under the influence of drugs or alcohol. We also encourage you to join a support group, such as La Leche League or the Kingwood Boob Group, for encouragement and education from other mothers who breastfeed. We also provide hands-on assistance in initiating and evaluating breastfeeding efforts, as well as a referral for lactation consultation if necessary.

 

Can you help me request a breast pump through my insurance company?

Yes! We can submit a claim on your behalf for an electronic Medela or Hygeia pump. We recommend doing this a month or two before your baby is born. You can ask about this at your appointment. 

 

What are your fees for midwifery services? Do you offer any discounts?

You can view our package options and available discounts here.

 

Do you accept insurance? What about Medicaid?

While we do not accept private insurance as a payment method, we do assist our clients in requesting reimbursement from their insurance companies. Clients are expected to self-pay for services, which must be paid in full by 36 weeks gestation. We will verify your insurance benefits for you as a courtesy; however, there is a $25 charge if we need to obtain pre-authorization or a gap exception on your behalf. Maternity care insurance claims and requests for reimbursement must be filed after the baby is born. We will assist you in filing your insurance claim by providing you with insurance codes and an itemized bill if necessary. Wellspring is out-of-network for all insurance companies, so you can call your insurance company to find out what your out-of-network benefits are (to get an idea of what they will reimburse). If your out-of-network deductible is $5000 or more, you can still submit a claim, and your payments can be applied to your deductible resulting in less healthcare costs for the remainder of the plan year. 

 

Wellspring is contracted with Medicaid as a facility. However, our midwife is not a Medicaid provider, therefore Medicaid clients will be expected to pay a professional fee of $2500 for midwifery services, as well as any additional services not covered by Medicaid (examples: childbirth classes, prenatal massage, etc). You should also be aware that Medicaid does not cover homebirth, so if you would like to use your Medicaid benefits toward the facility, you must give birth at the birth center. You can also ask about our discounted homebirth fee for clients with Medicaid if you desire a homebirth. If using Medicaid, please choose Molina when enrolling for Medicaid. 

 

Can I use my FSA or HSA account?

Some people use a Flex Spending Account or Health Savings Account. We have many clients who utilize these benefits to help pay for our services with pre-tax dollars. This is also a great way to save money. 

 

What about health sharing plans?

Health sharing plans usually offer great coverage for midwifery services. We are happy to provide invoices or whatever you need to submit to your health sharing plan for reimbursement. Companies like Samaritan Ministries and Christian Medishare offer great coverage for out-of-hospital births. The only catch is that you typically need to be using their plan BEFORE you conceive. So, if you are researching your options prior to becoming pregnant, we suggest you look into this type of healthcare coverage now. If you are already pregnant and thinking about switching, you can call the companies to inquire about expected coverage. 

 

Will you offer a discount if I have prenatal care elsewhere and want to hire you for the birth only?

A large part of midwifery care is building a relationship. This relationship fosters trust between the midwife and the expecting family. In fact, this is a very critical part of the midwifery model of care. You should begin care with your midwife between 8 and 12 weeks or as soon as you know it is the right model of care for you. We do not encourage planning to hire a midwife at the very end of your pregnancy. We also do not offer a discount for this type of plan, as it increases the amount of risk to the midwife herself. We understand that some situations necessitate a late transfer in pregnancy, and we are happy to consider your situation. Discounts for late transfers are considered on a case-by-case basis. 

Wellspring Birth Center

794A Russell Palmer Rd

Kingwood, TX 77339

 

Office 832-777-0291

Urgent 832-510-6362

Fax 281-825-5575

 

Or use our contact form

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Office Hours:

Monday: Closed

Tuesday: 10-5

Wednesday: 10-5

Thursday: 10-5

Friday: Closed

Midwife is on call 24/7 for births

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