You’ve got questions, we’ve got the answers! 

Frequently Asked Questions

When it comes to your family, the care you receive is priceless. But with all the unknowns, how can you know if Trinity is the place for you? Here is a great start to understanding the big picture and help you find the path that is best for you and your family.

Homebirth Midwife

Is birthing at home safe?

Yes!! There are lots of studies and data that have proven homebirth is a safe option for low risk pregnancies, arguably safer than the hospital! 

Homebirth midwives are highly skilled and take the same trainings as medical professionals such as advanced CPR/First Aid, Neonatal Resuscitation Program (NRP), hemorrhage management and carry the herbs and medications needed for that, detecting fetal distress, IV fluid placement and distribution, blood draws and medicine injections, oxygen, suturing, etc. The midwives stay with you throughout your labor monitoring you and your baby and there are no shift changes so less room for mistakes and miscommunication. Having a homebirth isn’t “homebirth no matter what” it’s “homebirth as long as it makes sense to do so” and having that attitude can actually maximize your chances for a vaginal birth!

Fullerton and Severino report in a 1992 study published in the Journal of Nurse Midwifery that:

“[Low risk] women in hospital were more likely to receive an interventive style of labor and birth management. Neonatal outcomes were similar, although the incidence of sustained fetal distress, prolapsed cord, and difficulty in establishing respirations were significantly greater in the hospital sample. Hospital care did not offer any advantage for low risk women, and it was associated with increased intervention.”1


What if something goes wrong?

Midwives are trained to handle certain complications at home and to make best efforts in facilitating a transport to the hospital when it may be necessary. One of the most common complications midwives may handle at home is excessive bleeding from the uterus immediately after the baby is born. The second most common of rare complications in a homebirth is a baby who needs a reminder to take their first breaths. Every midwife at your birth is certified in neonatal resuscitation. In addition, leave baby attached to the cord when possible to help with transition as we help baby breathe.

The most common reason for transporting a pregnant person to the hospital happens during a very long labor where maternal exhaustion begins to set in and the birth parent is desiring pain relief. In this case, the hospital can provide epidural which is the best tool to support sleep and enable a weary birther to recoup in preparation for birth.

It is important to note that we do not believe in homebirth at all costs. We will only remain home when we assess it is safe to do so, and will have discussions if yellow flags arise.

Though we believe birth is a natural event and do our best to intervene to circumvent any harm, pregnancy and birth is inherently risky, and therefore cannot guarantee any outcome.

Does my insurance cover homebirth?

HMOs like Medicaid or Medicare will not cover midwifery care or homebirth. However, some PPO insurances will cover some or all midwifery care including home birth. 

We work with a third party biller to access insurance coverage for those who have PPO medical insurance. A verification of benefits can be processed for clients who believe they have a PPO insurance with out-of-network maternity coverage. 

It costs nothing to check your benefits. 

How do I pay for my midwifery care?

We work with a billing company who works hard to help you acquire coverage from your insurance company. You must have a PPO insurance with out of network coverage to be eligible. There is a 35% fee charged by the third party biller. 

We accept Cash, Check, HSA and FSA. We also accept electronic payments via Venmo and PayPal and will also accept credit cards at request. 

If you are still worried about the cost of home birth, most midwives are willing to work out a payment plan and/or bartering agreement. Some midwives collect community donations and have a fund set up for families who can’t afford the full home birth fee. There’s no shame in asking if you qualify! Don’t let the cost of home birth deter you from having one if that is what you truly want, you only get to birth this baby one time and the way you give birth affects you physically and psychologically for the rest of your life and may affect how you give birth to any future babies.

Is home birth expensive?

For most people home birth is actually your cheapest option! Your insurance may cover some or all of the cost or reimburse you. If not, the total midwifery care cost for your pregnancy, birth and postpartum may actually be less than your copay for your birthing day at the hospital or birth center. 

Our investment fee is comparable to our community. We have several options for midwifery care, averaging $6000.

For those who want the extra support and education for a hospital birth, We have doula and monitrice packages from $2800-$3600. 

Is homebirth messy?

Birth is not as messy as you may think. There is usually 1 bag of trash and 1 load of laundry. We use chux pads to protect your bed or carpet and use waterproof liners which makes it easy to clean up. We usually help with collecting the trash and the linens that need to go in the laundry. 

Is it true that home birth midwives are uneducated?

There are several types of midwives. Certified Nurse Midwives are midwives who were educated in nursing before becoming a midwife. Certified Professional Midwives are midwives who were educated and certified directly in midwifery care for normal pregnancy and childbirth. CNMs and CPMs participate in research, continuing education, workshops, and peer reviews to provide the most up-to-date evidence based maternity care.

What is midwifery care like?

Home birth care is truly family-centered care. Around 12 weeks of pregnancy we would do the initial prenatal appointment either at our cozy office or in the comfort of your own home, and your partner(s) and children are always welcome to attend! We spend approximately 1 hour with you at every appointment and go over your health history, previous pregnancies, any mental health or trauma issues you may have, and our contract and any risks vs. benefits that come along with your personal situation and home birth. We talk about your wishes, what to expect at each prenatal along the way, and answer any and all questions you and your family may have. We then take your vitals (blood pressure, temperature, pulse, oxygenation, etc.), measure your fundus (top of your uterus) to see how it is growing, palpate (feel on the outside) your uterus to see what position baby is in and estimate about how big baby is, and listen to baby’s heartbeat with the fetal doppler. We even take a CBC blood panel and send it to the lab and we can also send it out for genetic tests if you wish. We also refer you out to ultrasound at appropriate times for anatomy scans or if we have any concerns. We would see you every month until around 28 weeks, bi-weekly until 36 weeks, and weekly or more until you give birth. Every appointment will be approximately 1 hour long and will start with talking about your nutrition, how your month was, how you are feeling and coming up with solutions to any problems or concerns that you may be having. We will always take your vitals, measure your growing uterus, ask to feel you growing baby and help determine their position, and listen to your baby’s heartbeat. We keep a detailed chart of all the information taken at every visit. Around 36 weeks we have the Team Visit where anyone planning to attend your birth will meet at your house where we will go over all your wishes for your birth, make sure you have all the supplies needed, make a contact list and go over protocols for if baby comes really fast and what hospital we will go to and how if transfer is needed. We will answer any questions and do all the regular prenatal care that we normally do at appointments. Your birth team is now on call until you give birth and will come to you and support you and monitor you and your baby during your whole labor, birth, and postpartum. We watch and listen for any emergencies that could arise and safe-guard your space. After you give birth we do a full newborn exam and administer vitamin K and erythromycin if you choose to do so. We clean up as we go and clean everything up afterward so you and your family can spend time bonding and getting to know your new little one. During postpartum we come again within 24 hours of birth, day 3, 1 week, 3 weeks and 6 weeks to check on you and your baby and make sure you’re healing well physically and feeling well emotionally.

What are the advantages to having a home birth?

These are just a few:

  • You are not subject to routine hospital protocols such as hep locks/IVs, being confined to the bed, not being able to eat or drink during labor, immediate cord clamping/cutting, episiotomy, pushing on your back, etc.
  • You make your own informed choices when it comes to your care, birth, and baby, you are in charge.
  • Way less interventions and medical management of your birth, your birth is treated as a normal and physiological event that will unfold in whatever way it needs to.
  • Less complications because of fewer interventions
  • Supportive of VBAC, water birth, breech, and multiples.
  • Ability to move, eat, drink, shower, bath, walk, go outside, swim, and birth in any position as you please.
  • You are less likely to get infection at home because it’s your own bacteria that you’re around every day that you’re immune to. Hospitals can carry  dangerous bacteria such as MRSA and viruses.
  • Your partner(s) are more comfortable because of being in your own home and they can eat, shower, rest, etc. as needed. They can even catch the baby!
  • No birthing parent and baby separation, they are treated as a unit. Birth is a much more gentle experience for baby as well.
  • Higher rates of breastfeeding success.
  • You can do whatever you please with the placenta.

Remember, though there is great benefits to homebirth for low risk families, it’s important to recognize limitations such as lack of access to a doctor or an operating room.  


How does a group midwifery practice work?

In our practice, families get to know each of us equally by alternating prenatal visits. We both see clients at our office, and join you in your home together at 36 weeks so we can all prepare together for your big day. We attend most births together, but will sometimes work with another community midwife so that we each have time off-call. This ensures that our clients always have someone they’ve come to know and trust at their births. We may also switch out after 18 hours of labor support so you have a well resourced midwife supporting you in labor.

We divide postpartum care as we do prenatal care, so every client has the opportunity to process their experience with each midwife.

Am I a good candidate for a homebirth?

We believe birth is safest when birthers can participate in their care and educate themselves in order to ask questions and make wise decisions. We support families desiring a homebirth who have low-risk, healthy pregnancies.

Birth Doula Monitrice

What is a Doula?

A doula is often mistaken with a midwife or referred to as a birth coach, childbirth educator, or pregnancy concierge. This is an incomplete definition. A doula is an assistant, but there are many different types of doulas. Read more about Antepartum, Birth, and Postpartum Doulas.
There are dozens of doula training organizations. Not all doulas are created equally. 
It’s important to ask questions when determining if the doula you’d like to hire may fit your expectations and is the right fit for you!

What is a Monitrice?

A monitrice’s primary role is that of labor support. Just like a doula, a monitrice offers continuous, hands-on support during labor. Unlike a doula, whose scope of practice generally prevents her from providing any clinical services (by their certifying organizations), a monitrice will perform limited clinical assessments such as monitoring the baby’s heart rate during labor, mom’s vital signs, and assessing cervical dilation. This means that the monitrice is usually employed to labor with you at home–before going to the hospital. 

What Education Would I Receive?

We are affiliated with [M]otherboard Birth and Evidence Based Birth® for educational platforms.

How does a team practice work?

You’ll have an opportunity to connect with anyone who might attend you birth. You can request a primary doula monitrice to attend your birth, and we will do our best to have them attend when possible.

Would you replace my partner?

Doulas are a compliment to your birth team! We many know birth intimately, but your partner knows you more deeply than we can ever develop. We aim to support both parents in this transition, helping partners get rest and nourishment, but also helping them to be an active participant to the degree they desire. 

What if COVID policies restrict you from attending my birth?

Sadly, in the ever changing COVID landscape, we may not be able to attend your birth in person should a hospital have visitor restrictions. In these cases, we will provide virtual support by phone and video, answering questions, providing suggestions, and helping you in any decision making crossroads. We’ll follow up postpartum to process your birthing experience and provide initial postpartum support with recommendations for self-care and assistance with newborn care.

Still Unsure?

These documents will help you learn more about your options, beliefs, philosophies and care needs.

Happy Families


I couldn’t imagine having another baby without the team of Trinity by our side!

- Rakib Hasan

Whether you have a doula, a midwife or an OBGYN, you can still have a GREAT birth! Please do everything you can to educate yourself regarding what you should receive for care during pregnancy, birth, and postpartum. Check out our resources!

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