Frequently Asked Questions

---

For those seeking a more natural and intimate birthing experience, I provide a range of services including prenatal care, in home labor and delivery support, postpartum care, breastfeeding support, and newborn care. I also practice Arvigo Therapy, a bodywork modality that supports reproductive health and pregnancy throughout the childbearing year. 

I am a solo practitioner who values providing her clients with a personalized experience. I take on no more than 3 clients a month to ensure each client gets their needs met.  In the event of an emergency, I do maintain relationships with local midwives in the area for back up support as needed. I attend all births with a birth assistant. 

Your initial obstetric appointment (IOB) usually takes place between 10-12 weeks. For late transfers, we will keep to the standard prenatal visit schedule and strongly advise your records be uploaded to your client portal by your initial visit to ensure a smooth transition for your care.  

Unless there is a medical reason for collaborative care, a licensed midwife is trained and qualified to provide prenatal care, labor and delivery, and postpartum care for low-risk clients who desire an unmedicated, out of hospital experience. A risk assessment is performed at the IOB and again at 28 weeks to verify no changes have occurred during the pregnancy and the remainder of care can be monitored by a midwife safely and independently. If there is a need for a consultation, a referral is made to the Maternal Fetal Medicine Program at UF Health.

Our visits last from 30-60 minutes in duration where we cover topics ranging from nutrition, fetal wellbeing, mental and emotional health, and childbirth prep to name a few. Aside from the time spent during prenatal visits, any and all concerns should be addressed through a phone call for emergencies (miscarriage, preterm labor, etc) or through the client portal for non-emergent issues (appointments, financial arrangements, lab results).  Texting is not a preferred method of communication. Healthy boundaries make a healthy midwife/ client relationship. 

All labwork is performed in office with few exceptions.  A standard prenatal lab package is offered, including but not limited to urine samples, blood work, and cultures.  The complete lab package fee is $500 and due at the initial visit. If a client has insurance, the labs are billed accordingly.  If any additional labs are necessary or requested that are not included in the standard prenatal lab package (ie thyroid panel, complete metabolic panel, genetic screening, etc), the patient assumes responsibility for payment. An ultrasound script will be provided for a 2nd trimester fetal anatomy scan, a significant component of prenatal care that provides vital information regarding fetal wellbeing.  This diagnostic assessment is non-negotiable. Location recommendations will be provided for clients to obtain the sonogram, however the client is responsible for payment directly to the chosen facility. 

Possible interventions and complications are an important conversation to be had during the childbirth education/ prenatal care process.  There are protocols for both emergent and non-emergent transfers with a required emergency care plan on file that will be reviewed and signed at the 28 week visit. With over 15 years of collective experience in the birth community, I am trained to handle any situation that may arise during delivery while providing emotional support every step of the way.  

Homebirth is an option for someone who has had 2 cesarean deliveries or less. A consultation with MFM is required to review your history, discuss the risks and benefits of a TOLAC/ VBAC, and obtain a signed consent form accepting responsibility 

Kindred Holistic Midwifery is not a Medicaid or private insurance provider.* Cash, check, electronic payment (Venmo/ Zelle), and FSA/HSAs are all accepted forms of payment for services rendered. Payment plans are available. If one or both partners have vocational skills or services, barter is also a possibility for a portion of the package fee at the discretion of the midwife. 

*KHM has a collaborative relationship with Birth Professional Billing, a 3rd party insurance biller who can verify your benefits and help you navigate the reimbursement process.