At this time, we are not taking insurance. Cash, credit, or check will be accepted. You can try to turn in your bill after services are rendered to see if insurance will give some form of refund.

Having an out of hospital birth requires trust in physiologic birth, “that is that birth is

1) characterized by spontaneous onset and progression of labor,

2) includes biological and psychological conditions that promote effective labor,

3) results in a vaginal birth of infant and the placenta and

4) results in physiologic blood loss.

5) facilitates optimal newborn transition through skin-to-skin contact and keeping the mother and infant together during the postpartum period and

6) supports early initiation of breastfeeding.”

(C.E. Neerland, MD Avery and M.A. Safter et al. Midwifery 77 (2019) 110-116)

As long as the mother continues to be deemed “low risk,” then a mom can stay under the care of the midwife at Streams of Life. Please discuss this criteria at your consult.

We are working on a new process for accepting TOLACs (Trial of labor after cesarean) or VBACs (Vaginal Birth After Cesarean). This will be on a case by case basis, so please reach out for a consult to see if you are a good candidate.

The plan will be for there always to be two providers, the midwife and a birth assistant at each birth. Both are certified in NRP (Neonatal Resuscitation Program) and CPR as well as other obstetrical emergencies.

If a mom or baby need help beyond the scope of the provider, EMS will be called and mother will be transported by ambulance to the closest hospital, which is Bristol Regional Medical Center, 12 min away.

No, epidurals are not an option in out-of-hospital birth settings.

It is expected that the mother and support person to plan ahead and prepare for how to manage labor pains prior to the onset of labor. This could be through virtual classes, in person classes, on-going reading and discussion during prenatal visits.