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Frequently Asked Questions

  • What does it cost to have a home birth?
    Home birth is only a few hours of our journey together. The birth itself is a big exciting event for sure! It might be 3 hours or 36 hours together! AND What's so important in this model of care is that we spend many hours together ahead of the birth preparing and nurturing you as a Life-Giver, preparing to be a team, preparing you as parents-to-be for all that is to come. Then, after the birth, we spend around 10 more hours together, in your home, developing your relationship with your breastfeeding, your new body, your new baby, and helping you as a family to re-organize your systems around what an incredible change you're going through. It's truly an honor to walk with families through this once-in-a-lifetime transformation. We bring all the tools to save lives, give fluids, offer sutures, weigh babies - into your home! - along with all the tenderness, skill and grace you deserve as a birth giver giving our planet the most extraordinary gift. Everything is included. We're not going to charge you extra if you need aspirin, kleenex, or an extra visit or phone call, etc. The package is all-inclusive so you don't have to worry about any conflicts of interest. So what does it cost? Right now, my price is $8200 for the full package, $7800 if able to pay by the 3rd visit, and $6900 if you're military or have medi-cal insurance. Why does it cost so much? Well, when I did the math: This price values my work at a similar value as local hospital- based midwives (where YOU have to go to THEM, you don't have a single, dedicated on-call provider, just for you, you don't know who will be at your birth AND they don't stay with you as you labor.) The hospital systems don't provide 45 minute prenatal visits including body work, counseling, and tons of care. They don't provide in-home postpartum visits - yet it costs the same as my extraordinary care. I did not include in my salary estimate: their additional benefits like health care and employer- contributing retirement accounts. Of note: Hospital-based midwives work approximately 36 hours a week. Living in San Diego, the most expensive city in the U.S., this price presumes me working approximately 46 hours a week, to pay for average-level rent/mortgage, health care, and normal living expenses. What if I can't afford it but I really really want this!? There are multiple options. I do not believe home birth should be the right of the rich. But I also believe this work is valuable and deserves to be valued. So: options: Payment Plans - there is an option to pay as much as you are able by 36 weeks and put anything still due after 36 weeks on a payment plan. The additional service fee for this is a flat 7% added to the remaining balance at 36 weeks to cover my admin costs associated with the additional time required to follow up on these plans. We would set up a credit card payment each month until the balance is paid. Trade - if you or your partner has something you would like to offer in trade, please let me know! I am particularly interested in help with social media (posting to IG and TT) and outreach to local families.
  • When do we have to pay? Do you offer a payment plan?
    Hi! YES!! Normally, your payments should be completed by 36 weeks of pregnancy. I request an initial deposit of $1200 at your first visit. You can pay the remainder of the total fee in monthly payments (check, venmo, cash or credit card) or you can pay the balance off at the 36 week visit. If you cannot pay the complete fee by 36 weeks, then a payment plan on the remaining balance is available. The payment plan means: you would provide a monthly auto-draft, at no less than $250/ month, until the balance of the Midwifery Services Fee is paid. Adding a payment plan after 36 weeks would incur an additional 7% to the remaining balance on your account at 36 weeks. (So if you owe $2000 on your fee at 36 weeks, you would owe an additional $140 and this would be added to the amount owed.)
  • How many midwives are there in your practice?
    Kayti is a one - midwife practice, attending your prenatal visits as well as your birth and postpartum visits. You will know me well by the time you are having your baby. :)
  • How Many Births Do You Take a Month?
    As a solo practice I can comfortably attend 3-4 births a month. This means1 birth a week which is very manageable.
  • What kind of equipment and training do you bring to a birth? (How do you keep us safe?)
    All community midwives bring lifesaving equipment, training and resources with us to your home birth. All the things you would expect to find in a labor and delivery unit at a hospital or birth center - resuscitation equipment for baby, medications to stop excessive bleeding, suturing materials in case you tear - we bring it all TO YOU. For more on this, see my video: What We Bring to A Birth on YouTube.
  • If I had to be transferred to a hospital, what would be the process? Who would drive me? Which hospital would we transfer to? Would you go to the hospital with me? Would you stay with me through the birth?"
    Statistically, 15% of first time birth givers and 5% of those who have had babies vaginally will have to transfer from a planned home birth. For first time birthers, 10% of this 15% is non-emergent, for pain relief and rest. The other 5% of transfers (first time and subsequent births) are for medical necessities. This could include non urgent medical conditions, such as meconium in the amniotic fluid, small decelerations in the baby's heart rate, or lack of progress. Other medical emergencies requiring transfer would be hemorrhage uncontrolled by the 4 medications we bring, or a baby who is not breathing well on their own. For pain relief or other non urgent medical conditions, such as meconium in the amniotic fluid, we take private vehicles. Your partner will drive you. If we need to move quickly and urgently, an ambulance call is made. ​ Under normal circumstances, we anticipate that Kayti will transfer with a family into the hospital as a doula, to provide continuity between birthing environments and help you navigate the options newly available to you in a hospital environment. I generally stay with or near you through the birth, until you are nursing your baby and you're settled in well. HOWEVER, with Covid, birth support people have been significantly restricted and the restrictions make it not feasible to stay with you while also having other clients to attend and a higher level of potential for Covid exposure in a large healthcare facility. For this reason. while restrictions at hospitals are still in place, I cannot, unfortunately, accompany you into the hospital. It's always a good idea to have a doula but this new set of circumstances makes it even more so. We transfer to whichever hospital makes sense based on your home's location and insurance. San Diego hospitals are generally very inclusive and we have good relationships so we can transfer easily. We resume your postpartum care when you return home as normal.
  • Do you help with baby's position?  Do you know Spinning Babies?
    YES!! I LOVE and use Spinning Babies in office visits and throughout your birth as needed. I am a Spinning Babies Enthusiast. This technique is so valuable for its ability to help babies turn and head on out!
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