Free Postpartum Deression planĀ 

I recently realized that I have something that others may not have when it comes to postpartum depression. I not only have personal experience and really understand it, I have tools that can help. I’m so passionate about this issue because I know how debilitating it can be not only for the mother but for her whole family. Psychologist agree that the mother and her child set the tone for their relationship within the first couple years of life and if that first year is wrought with postpartum depression it can be challenging to come back from. I’m offering my community a free document which I have titled, ‘Get out of my life: postpartum depression plan’. It’s a plan to create with your partner and I will be happy to pass it on to anyone who requests it! Placenta encapsulation can also really help, so feel free to ask me about that as well. Here’s to beautiful postpartum periods!

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Financial difference between home birth and Hospital birth

This question of how much it will be to have a home birth versus Hospital birth is really common and can get a little bit complicated, simply because insurance is complicated. I am in no way a Insurance expert so take this information as my personal experience in my years of doing birth work.

If you don’t have insurance the difference between a hospital birth and home birth cost is huge. Home birth is so much less than a hospital birth! Hospital birth can be anywhere from $15,000 to $50,000 and homebirth is $3,500. This homebirth cost is the cash discount. Hospitals usually have cash discounts as well and some sort of financial assistance for low-income patients and would need to be looked into with the individual hospital.

If you have insurance you won’t have a cost for your birth upfront at a hospital. You would get some sort of bill after your birth and it would depend on what services you required, copay and deductible, how much that bill would be. The more services you required the higher the bill will be. For example a C-section will be much more expensive than a vaginal birth. Epidural will be much more expensive than a natural birth etcetera. Clients with Medicaid usually don’t have a bill after their birth.

If you have insurance and are having a homebirth you will need to pay the cash discount price of $3,500 during your pregnancy. Insurance can be billed after your birth and it’s possible that you may get a reimbursement but it’s not something to be counted on.

As homebirth Midwifery does not have state license in Ohio, if your insurance were to reimburse, it would be as a out-of-network provider. If you would like to call your insurance company to get more information you could ask them what your co-payment percentage would be for an out-of-network birth and how much your deductible is, as well as how much of the deductible you have met for this year. Sometimes billing insurance is worth it in homebirth just to meet your deductible for the year, so that you can go get other services that you might have been waiting on. Like going to the dentist or getting your eyes checked Etc.

Please comment below or send me an email with additional questions or your experience. I know we are all constantly learning.

Placenta

Here I’m showing a client her side of the placenta. This is the side that was attached to the wall of her uterus, connected to her blood vessels so it could constantly infuse her baby with oxygenated blood. It’s one that after showing her and her family, I later cut, dried and put into capsules. #cincinnatiplacentaencapsulation #cincinnatihomebirth

How to Prevent Tearing During Birth: A Midwives Method

Almost every client is worried about tearing during the birth of her baby. Tearing is a real and legitimate fear women have and I am glad that I have the experience to address it! When I read blog posts I want writers to GET TO THE POINT so, I’ll go ahead and bullet out a midwives approach to preventing tears during birth now.

1. Slow down drastically at the birth of your babies head.

2. Support your tissues externally as they stretch during birth.

3. Get body work at term to keep you and your baby in an ideal position for birth.

For those of you who want more information about those bullets above I will go into detail now.

1. Slow down drastically at the birth of your babies head:

The whole purpose of this is to allow the vaginal tissues to stretch instead of popping open. (I know some of you just did a involuntary kegel with that word pop! Lol.) When a client reaches term, we discuss that when she feels a burning or stinging sensation during pushing (otherwise known as ‘the ring of fire’), she should communicate that to me. This is the point where the head is crowning, or where the largest portion of the head is at the vaginal opening. Its interesting to me that slowing down at crowning isn’t something that women naturally do. Its much more common for women to feel the intensity of crowning, think to themselves that they can finish the birth real quick and just blast the baby out. This is the point when your support people come in. When I see and hear that a woman is crowning I say a couple things. First, I ask her to take a breath, then open her eyes and tell her it’s time to slow down. Then we lock eyes and take a couple big breaths together. If she can just breathe through a couple contractions, allowing her uterus to push but not putting force behind it, that is usually all the stretching that the tissues need to be tear free!

2. Support your tissues externally as they stretch during birth:

Otherwise known as perineal support. See image below.

When I’m at a birth as a midwife, I use a folded washcloth to support the anus and perinuem as much a possible during every contraction once there is active head movement with pushing. This extra exterior support not only reminds mom to slow down but also holds the skin together to keep tearing from happening. Perineal Support is even more beneficial if the mom is providing it for herself because she can feel exactly where the support is needed, but alas, it’s difficult for her to reach! Providing perineal support can be discussed with your care provider to see what their practice is.

3. Get body work at term to keep you and your baby in an ideal position for birth:

An ideal baby position at birth will keep the diameter of the head the smallest it can be to lessen the likelihood or tearing. This means your babies chin will be well tucked and the babies back is towards your belly, on the left hand side. Body work can align YOU, so the baby is free to move to the best position. I always recommend a deep tissue massage therapist who is comfortable working on pregnant moms for body work.

Notes to know:

There are degrees of tear depth, that go anywhere from just a scratch all the way to through the anus. See the image below:

Questions? Feel free to contact me or comment below.