Comprehensive Home Birth Care

Home Birth Midwifery Care in San Antonio

At Journey Midwifery, care is centered on the belief that pregnancy and birth are normal physiologic processes that deserve time, attention, and individualized support.

Because midwifery care is deeply relationship-based, I intentionally take a limited number of families each month. This allows time for longer prenatal visits, individualized education, and being fully present during your birth and postpartum care.

As a Certified Nurse Midwife, I provide comprehensive prenatal, birth, and postpartum care for families who desire a safe and supported home birth experience.

My goal is to build a trusting relationship with each family and walk alongside you through every stage of your pregnancy and birth journey.

Comprehensive Home Birth Care includes

Comprehensive midwifery care includes support throughout pregnancy, birth, and the postpartum period.

Your care includes:

• Regular prenatal visits throughout pregnancy
• 24/7 on-call midwife for labor from 38-42 weeks
• Home birth or water birth support
• Monitoring of mother and baby during labor
• Immediate newborn assessment and care
• 3 postpartum visits after birth
• Newborn screenings and testing
• 24/7 phone access for urgent concerns

Care is designed to support both the physical and emotional aspects of pregnancy and birth.

WHY FAMILIES CHOOSE HOMEBIRTH

Many families choose home birth because it allows them to experience labor and birth in the comfort and privacy of their own home.

Benefits of home birth often include:

• freedom to move, eat, and labor naturally
• a calm and familiar environment
• personalized, unrushed prenatal visits
• fewer unnecessary medical interventions

Home birth allows families to welcome their baby in a peaceful space surrounded by the people they love.

Your Partner in Pregnancy Care

PRENATAL CARE

Prenatal visits are an important time to build a relationship and ensure that both mother and baby remain healthy throughout pregnancy.

Appointments are typically about 45-60 minutes, allowing time for:

• monitoring maternal and fetal health
• answering questions and discussing concerns
• education about pregnancy, birth, and postpartum care
• preparation for labor and newborn care

Visits become more frequent as pregnancy progresses to ensure that both mother and baby continue to do well.

LABOR & BIRTH

When active labor begins, I come to your home and remain with you to provide continuous support throughout the birth.

During labor I monitor the well-being of both mother and baby, offer guidance and encouragement, and support the natural progression of labor.

Families may choose to labor in many ways including walking, resting, using water for comfort, or changing positions as labor progresses.

Birth unfolds naturally with the goal of supporting physiologic birth in a safe and calm environment.

AFTER YOUR BABY IS BORN

After birth, I remain with your family for 2-3 hours to ensure both mother and baby are stable and adjusting well.

During this time we:

• monitor maternal recovery
• perform the newborn exam
• assist with the first breastfeeding
• assess bonding and adjustment
• ensure both mother and baby are stable

Follow-up visits are scheduled in the days and weeks after birth to support recovery and newborn care.

Your Partner in Pregnancy Care

SAFETY & HOSPITAL TRANSFER

Home birth is appropriate for healthy, low-risk pregnancies.

Throughout your prenatal care we continually assess the health of both mother and baby to ensure that home birth remains a safe option.

If concerns arise during pregnancy or labor, we discuss them together and transfer to the hospital when necessary. Hospital transfer is a normal part of responsible midwifery care when additional medical support is needed.

Emergency medications, oxygen, IV supplies, and neonatal resuscitation equipment are always present at home births to address urgent situations if they arise.

The safety of both mother and baby is always the highest priority.

HOMEBIRTH INVESTMENT

The fee for comprehensive home birth midwifery care is $6,100.

This fee includes:

• regular prenatal visits throughout pregnancy
• labor and birth support at home
• postpartum care
• most newborn assessment and screenings (hearing screen not included)

Payment plans are available and the balance is completed by 36 weeks of pregnancy.

SCHEDULE A CONSULTATION

Choosing a birth provider is an important decision.
A consultation is an opportunity for us to meet, discuss your pregnancy and birth goals, and determine whether home birth care is the right fit for your family.
If you are considering home birth or simply want to learn more, I would be happy to speak with you.
Schedule a consultation to begin the conversation.

Schedule your consultation

Frequently Asked Questions

Please reach us at info@JourneyMidwiferySA.com if you cannot find an answer to your question.

Is homebirth safe?

Yes! Homebirth is safe for healthy low risk women without certain pre-existing conditions. Most women-including women over 35 and those with one previous cesarean birth- are considered low risk for home birth.

Women seeking homebirth are intuitively choosing to take control of their pregnancy and birth experience; and are committing to a lifestyle of healthy nutrition and positive physical activity to stay low risk.

What does the midwife bring to the birth?

The midwife brings an assistant to the birth. Supplies brought to the birth are emergency medications such as Pitocin and cytotec (for post-partum bleeding), handheld Doppler to monitor baby, sterile instruments for cutting the cord, Vitamin K and eye ointment for the infant, suction device to remove mucus from the infant’s nose or mouth, oxygen tank, IV supplies, and adult and infant resuscitation equipment.

What about the....... mess?

We do a pretty good job of keeping mess to a minimum. At your home visit we go over ways to prepare your house for labor. When the birth is over, we put away the birth supplies, start the wash from the laundry we used during the birth, take out any trash that accumulated during the birth and postpartum period. The house typically does not look like there has just been a birth there when the birth team leaves your house!

What interventions can a midwife do at a homebirth?

Midwives do have a host of other clinical skills that they can use; this depends on their scope of practice, training and licensure but can include:

Monitor baby's heart rate intermittently with a handheld doppler.
Monitor labor progress, vital signs, maternal well being
Provide physical and emotional support during labor
Recognize complications and transfer to a hospital before (most of the time complications are recognized and transfer happens before there is an emergency).
Can suture tears
Can administer emergency medications and oxygen
Start IV's & administer fluids
Perform resuscitation (adult and neonatal)

Who can attend the prenatal appointments and the birth?

Spouses, children, family, friends, and doulas are always welcome to attend your prenatal visits and your homebirth.

When do I have my first prenatal, and how often do you see me?

The first prenatal appointment is typically between 10-12 weeks of pregnancy, but you are welcome to come in earlier if you'd like, or if you are having complications/discomforts.

After the first prenatal visit we typically see you:

Every 4-5 weeks until 28 weeks
Every 2-4 weeks until 36 weeks
Week 38, then weekly appointments until birth.

Isn't it expensive? Do you take insurance?

The cost of care with Journey Midwifery is $6100.00. Your fee will be divided into equal monthly payments to be paid in full by 36 weeks of pregnancy.

While this fee may seem expensive, homebirth is significantly less than hospital based care (between OB fees and hospital fees). Many people will pay this fee as they're out of pocket cost after insurance when having a hospital based birth. We also offer super personalized care based on the individual client's needs and desires.

At this time, we are not in network with any insurance companies. We do not bill insurance, which means clients with Journey Midwifery pay their bill as self pay clients. Upon request, clients will be given a superbI’ll which they can submit to their insurance for possible reimbursement.

What about hospital transfers?

There may be times that a client transfers to the hospital in labor or during the postpartum period. Your midwife is always aware of the closest birthing hospital to your house.

The main reason clients typically transfer to a hospital in labor is exhaustion/and or pain relief measures. If a client transports to the hospital for a non emergent reason, a client can choose to transport to the hospital of their choice. Your midwife would help you decide which hospital is a good fit for you.

If there is an emergent need to transport to a hospital where EMS is activated, the paramedics transport a client to the nearest hospital with birthing services due to a time sensitive nature.

In either situation, your midwife would call and give report to the OBGYN hospitalist, faxes your records to the hospital, and accompany you to the hospital for the birthing process.

How do I get my baby's birth certificate?

After the baby is born, I file the birth certificate with the state of Texas. Once I submit the birth certificate information; it kicks off your baby's social security number. Within weeks, your baby's SS card will be mailed to your house. Between 3-4 weeks after your baby's birth you can get a copy of the birth certificate two ways: Visiting your local birth registrar in person OR ordering one online from the Texas Bureau of Vital Statistics