FAQ &
Fees

We’re here to answer any questions you might have!

Bring a list to each appointment at the baby birth center and we will happily customize your 45 minute appointment to answer your specific questions.

FAQS

How often do you see me prenatally?

We will see you on the same schedule an obstetrician would. We can begin care as soon as you are ready, although most mothers chose to start between 10-12 weeks. After our first visit, we will meet every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, and then every week until your child is born.

How often do you see mothers and babies after the birth?
We believe postpartum care is as important as prenatal care, particularly for first time mothers. So many changes in such a short time means most mothers need lots of support. Your midwife will come to your home 24-36 hours after the birth to check on you and your baby, as well as perform the metabolic screen, if you have chosen it. Then we will see you in the office at 1 week, 2 weeks, 3-4 weeks and finally at 6-8 weeks. During this time, we are able to make sure both you and your new baby are healthy and thriving.
What about lab work and ultrasounds?
We draw any labs that are necessary right at Embrace. We usually recommend a prenatal panel at your first visit, a glucose test at 28 weeks, and then a CBC and a Group B strep test at 37 weeks. Some mothers need a few more tests, and some choose a few less.

We usually recommend a fetal anatomy scan be be done between 18-20 weeks. The baby is fully formed by then, which minimizes any risk, and allows us to get as much information as possible (and even determine the sex of the baby, if you want).

What do midwives use at births?
Your licensed and certified midwife always bring her heart, hands and experience—and has lots of supplies! We have water proof dopplers to monitor your baby throughout labor, all the equipment to watch your vital signs, sterile tools such as scissors to cut the cord, resuscitation equipment, baby scales, herbal tinctures, homeopathy, medicines to treat hemorrhage, IVs for dehydration, oxygen…our supplies are virtually limitless
Do I need a doula?
We think everyone needs a doula! They are magical creatures who make sure you have a never ending supply of physical and emotional comfort. Some women and men feel that a doula will take the place of the partner- but a great doula supports the whole family, and encourages a partner to do what they do best – love the birthing woman!

So, we are pretty strict about doulas for first time mothers, VBAC mothers, and mothers who have never had an unmedicated birth. A doula will “mother the mother” and keep you feeling comfortable. Embrace Midwifery Care & Birth Center has list of doulas we love and have worked with, we have doulas that offer great discounts based on need, and of course, you are always welcome to bring a doula you’ve hired independently of us. No matter where you find your doula — find her! She’s an important part of the team

What if I can’t take the pain?
Only a small percentage of our mothers transfer for pain relief, and those are usually due to babies who are in troublesome positions. We encourage doulas and Hypnobirthing childbirth education classes to help you cope, and we offer TENS units, sterile water injections, heat packs, rebozos, birth swings and tubs to help!
When mothers are educated, supported and in familiar surroundings, those endorphins do their work and mothers do great.
What if there is an emergency?
Although out-of-hospital natural birth is safe for low risk mothers, emergencies can and do happen. This is one of the many reasons you want to hire a midwife with a great education and out of hospital experience. Licensed midwives are the only midwives in the USA trained in handling out of hospital emergencies.

Very few (less than 2%) of births need emergent transfers, and we are happy to say that the birth center has EMS available 24 hours a day, just across the street. Johnston Willis and Chippenham Hospitals are a little over 3 miles away and we have a very detailed transfer plan in place should we need to go to the hospital quickly.

What medicines are available at the birth center?
We have medicine to slow your bleeding after birth, antibiotics for GBS positive clients, IV therapy and Zofran if you are dehydrated or vomiting. We have oxygen, in case you or your baby needs a boost. All of our medicines are ready at every birth, but are only used if needed. For the baby, we offer erythromycin ointment to prevent eye infections and we offer Vitamin K by injection or oral drops.
Isn’t midwifery care expensive?
The average cost of an uncomplicated vaginal birth, in the hospital with a doctor, is almost $12,000 in Richmond VA. After deductibles, co-pays and items not covered by insurance, many families find midwifery care to be less expensive than filing a claim. In comparison, natural birth center and even home birth costs are a small fraction of that and is inexpensive for the amount and quality of care received.

Here’s a rough estimate of our average time spent with a client:

12-14 hours of prenatal visits. We often spend more time together during our initial interview than doctors spend during the entire pregnancy!

6-48 hours of labor and birth. Personal, complete care by midwives, doulas, and nurses you know and trust.

4-6 hours of immediate postpartum care. Comfortable, spacious queen beds, newborn exam, postpartum education and lots of smiles and TLC. You just had a baby!

4-6 hours of postpartum visits for you and your new baby, including your first visit in the comfort of your own home.
24/7/365 midwifery access for labor and emergencies from your 37th week to 2 weeks postpartum

Please refer to our fees below on this page.

Fees & Insurance

We are used to saving and paying for lots of things that are important to us. Engagement rings and weddings. Cars and down payments on houses. Vacations. That dog you’ve been dreaming of. New furniture. We spend our money on things that are important to us, things that enrich our lives, things that are once in a lifetime, things that create beautiful memories. You only will birth the baby you are carrying once. Ask any woman, even one 80 years old, what her birth was like and she will tell you her story. She will tell you the details, and tell you the victory, and yes, tell you the troubles. Your baby being born gently and with love is priceless.

If you have traditional insurance, it can be confusing…

Deductibles, co-pays, in-network, out-of-network.. and did you know that even if you go to an in-network hospital, you might receive care from an out-of-network doctor or anesthesiologist, and have to pay BOTH in-network and out-of-network deductibles?

What about items that aren’t covered under your policy?

Does your baby have a deductible, too?

Will your pregnancy cross over your policy’s year end, and will you need to pay an additional deductible?

The average cost of a vaginal birth in Richmond in 2017 was $11, 670. That didn’t include prenatal care, newborn care, or the additional costs of a cesarean birth, which is a 34% chance in RVA.

These are the problems and issues that mainstream medicine and health insurance has left us with. And here at Embrace, we can’t fix it. We totally wish we could. But we can call your insurance company, and ask the right questions to get you the most out-of-hospital coverage that is possible. We will provide all that information to you, in written form, for you to use when you file your claim. You pay us for your care, and we provide you with a full invoice after your birth. You submit that invoice , along with the information we obtained, to your insurance for consideration and reimbursement.

Health Share Plans are different — Some reimburse immediately, some reimburse after your care, and some take literally years to pay. We are happy to help you review your plans policies.

Tri-Care — We are a Tri-Care Select Provider and our professional fees are covered at 100%.

Medicaid — Sigh. Medicaid is depressing. Although we are licensed Medicaid providers, the powers and politics have removed our ability to be reimbursed for Medicaid clients. Call your representatives and holler. Many people are working at a legislative level to get it fixed, but until then, we offer sliding scale fees and payment plans that work for almost anyone.

FHA/FSA — You are welcome to use your benefits to pay for your care with us.

MediLoan and Credit Cards — We are happy to say we have a loan company that finances our care. If your credit is good, up to 18 months is interest free! If your credit is…well…troubled, they have other options that have reasonable interest rates. Some of our clients use their credit cards to finance care.

Creative Solutions — Having your baby somewhere you love is important Some people have crowd-funded. Some have asked for donations at their baby shower. Some have doubled down on their budget and cut out all extras to make it happen. Some have sold second cars or gotten second jobs.

We Finance, Too! — And finally, we take payments! A deposit for care at your initial visit, then we will divide your balance up over the remainder of your pregnancy, up to 32 weeks. Call us! We are happy to explore any and all of these choices.

Resources

Tours are every Wednesday at 1pm and every Saturday at 10am.
We encourage you to RSVP your space!

Come explore our two luxury birth suites and meet Corina and the Embrace family.

What kind of birth do you want ?

We can help make your birth dreams come true!

I want a water birth!

I want a home birth!

I want to give birth at a luxury birth center!