Frequently Asked Questions

Is homebirth safe?
Yes, homebirth is a safe option for low-risk pregnancies when attended by a trained midwife. Studies show that planned homebirth with a qualified midwife results in similar or better outcomes for low-risk pregnancies compared to hospital births, with lower rates of unnecessary interventions. We carefully screen clients to ensure they are good candidates and continuously monitor both mother and baby throughout pregnancy, labor, birth, and postpartum.

What are the risks of homebirth, and how do you handle emergencies?
Like all births, homebirth carries some risks, including complications such as prolonged labor, postpartum hemorrhage, or neonatal distress. However, we are trained to recognize and manage these situations early. We carry emergency equipment such as oxygen, anti-hemorrhagic medications, IV fluids, and neonatal resuscitation equipment. If a hospital transfer is needed, we have protocols in place to ensure a smooth transition.

What are the criteria for being a good candidate for homebirth?
A good candidate for homebirth is a healthy individual with a low-risk pregnancy. This generally means:
•    No significant medical conditions (e.g., uncontrolled diabetes, hypertension, heart disease)
•    A single baby in a head-down position at term
•    No history of serious pregnancy complications
•    No placenta previa or other conditions requiring a hospital setting
We assess each client individually to ensure homebirth is a safe and suitable option.

What do you do if there’s an emergency?
We are trained to handle a variety of complications, and we take proactive steps to prevent emergencies. If a situation arises, we use medical interventions within our scope, such as medications for bleeding or neonatal resuscitation, and initiate a hospital transfer if needed. We work closely with local hospitals to ensure a timely and smooth transfer when necessary.
 

Do you bring medications or equipment for complications?
Yes, we carry a full set of emergency supplies, including:
•    Oxygen and neonatal resuscitation equipment
•    IV fluids for dehydration or blood loss
•    Anti-hemorrhagic medications (such as Pitocin, Misoprostol, Methergine, and TXA)
•    Suturing supplies for minor perineal tears
•    A Doppler for fetal heart rate monitoring
•    A pulse oximeter and blood pressure cuff for maternal monitoring
 

What are your credentials and experience?
I am a Licensed Midwife (LM) and Certified Professional Midwife (CPM), which means I have met national and state requirements for midwifery practice. My training includes clinical experience, coursework, and licensing exams. I have attended over 200 births and stay current on continuing education and emergency training.
 

How many births have you attended?
As of January 2025 I have attended 206 births as a primary midwife and assisted at many more. My experience includes a wide variety of birth scenarios, from first-time parents to VBACs and water births.
 

Do you work with other midwives or have an assistant?
Yes, I always bring a birth assistant or another midwife to ensure that both you and your baby receive the best possible care during your labor and birth. Having an extra set of trained hands allows us to focus on both maternal and newborn needs simultaneously. I am committed to the future of midwifery which means I welcome students into my practice and they are a valuable assets and attend prenatal visits and births with me. Several other homebirth midwives and I provide backup for each other if needed. 
 

Are you licensed?
Yes, I am licensed by the state of Washington as a Licensed Midwife (LM) and the state of Oregon as a Licensed Direct Entry Midwife (DEM-LD). I am also nationally licensed by the North American Registry of Midwives (NARM) as a Certified Professional Midwife (CPM).
 

What type of postpartum care do you provide?
I provide comprehensive postpartum care, including:
•    Immediate care and monitoring for you and your baby for several hours after birth
•    Follow-up visits at your home in the first few days postpartum
•    Office visits at 1, 2, and 6 weeks postpartum (or as needed)
•    Newborn exams, breastfeeding support, and emotional support during the transition into parenthood
 

Do you support VBAC (Vaginal Birth After Cesarean) at home?
Yes, I offer homebirth for clients seeking a VBAC, provided they meet safety criteria. A successful VBAC at home is possible for many individuals with proper monitoring and preparation. 
 

How do you involve partners and family in the birth process?
I encourage partners and family members to be as involved as they feel comfortable. We discuss your birth preferences ahead of time so everyone is clear on their roles. Whether your partner wants to catch the baby, assist in comfort measures, or simply provide emotional support, we work together to create a supportive birth environment.
 

Do you accept insurance?
I am not contracted with any insurance providers. A "superbill" and appropriate paperwork for clients seeking reimbursement from their personal insurance companies will be provided after the birth by request. 
 

Do you provide birth tubs for water birth?
Yes, I offer the option of a water birth. I have birth tubs available for rent, or I can provide recommendations on where to purchase one. Water birth is a great option for pain relief and a gentle transition for the baby.

How do you handle birth certificates and legal paperwork?
I handle all necessary paperwork for registering your baby’s birth with the state. This includes filing the birth certificate and social security card, and providing any additional documentation required. I ensure all legal requirements are met so you can focus on your newborn.