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COVID-19 + HOMEBIRTH

community-based, guerilla homebirth midwifery during the COVID-19 pandemic

"Homebirth is not a good option for individuals who have preexisting health conditions or complications affecting the health of their pregnancy, folks that want pain management, and people that don't feel safe birthing at home. The fear of COVID-19 and new hospital restrictions alone are not good reasons to birth at home." - Refuge Midwifery
HOMEBIRTH MIDWIFERY + COVID-19 PANDEMIC

With the evolution of healthcare and safety concerns regarding the COVID-19 pandemic, many more pregnant people and their families are becoming more hesitant to give birth in hospital.

As hospital beds and supplies are exhausted for the care of those needing treatment for COVID-19, it may become necessary for low-risk (and some moderate-risk) pregnant people to give birth at home.

Midwife Michele is committed to providing community based midwifery care to the best of their ability, while their supplies last, and while practicing in ways to minimise their risk of exposure to and transmission of COVID-19 to themself, their family, and their clients. This does mean that Midwife Michele's accessibility will be very limited, both financially and with regards to time, at present.

Outlined below are the parameters for accepting homebirth clients, fees for services, and services provided.

To be accepted into care, pregnant people must:
- be within 30 minutes of 15212-2069 (no exceptions)
- be 35+ weeks gestation.
- have been receiving regular prenatal care since at least week 20 of pregnancy.
- be willing to continue care with existing provider to ensure smoother transport to hospital in an emergency or if risked out of homebirth as an option.
- have access to prenatal records and be willing to share them freely, including all labs & ultrasounds.
- be COVID-19 symptom free for past 14 days PLUS:

  • does not live with anyone who has had symptoms in the last 14 days,

  • has not tested positive for COVID-19 or live with anyone who has tested positive/been exposed in last 14 days,

  • and has not been exposed to someone who has tested positive in the last 14 days.

- have access to automatic blood pressure cuff or live with someone who can accurately and reliability take a manual reading.
- be willing to receive most care virtually, including prenatally, early labour, and postpartum and be willing to NOT have a waterbirth.
- be able to pay for care with CashApp, Venmo, or PayPal.
- have access to computer, tablet, or cellphone that can use doxy.com, ZOOM, or Skype for virtual appointments.

Reasons to be risked out of prenatal care, homebirth, or postpartum care:
- presenting with any COVID-19 symptoms in the last 14 days, living with someone who has, or had first or second hand exposure to some who has had symptoms in the last 14 days.
- testing positive for COVID-19, living with someone who has tested positive, or had first or second hand exposure to some who has tested positive.
- present in pregnancy or labour with signs or diagnosis of preeclampsia, placenta previa, gestational diabetes, hypertension, intrauterine growth restriction (IGR), transverse foetal position, twins with twin B in breech or transverse position, unidentified vaginal bleeding, onset of labour before 37 complete weeks gestation (both singleton & twin pregnancies), rupture of membranes 96+ hours without contractions (regardless if lack of fever), labour does not spontaneously begin by 42 weeks gestation, or any other issue a client's OB or midwife deem contraindicated for homebirth.
- client expressing unwillingness to receive additional support and care from EMS or hospital in the case of emergency.
- if receiving care from TMC or the midwife group at Jefferson Hospital -- these are small practices using the strictest of policies to ensure your safety; please stay with them unless they reach out to Midwife Michele personally on your behalf.

Birth support:
- only two support people (partner, friend, doula, parent, whomever) who do not have and have not had symptoms of COVID-19 in the last 14 days, have not tested positive for COVID-19, and have not had first or second hand exposure or live with someone who has had first or second hand exposure to someone exhibiting symptoms of COVID-19/tested positive for COVID-19.
- if other children live in the home, recognise that one of your support people will be needed to support them as necessary.
- Midwife Michele will bring with them one assistant (two or one & a second midwife if twins or breech birth) who is screened the same as clients in regards to COVID-19.

Limited schedule of visits:
- 35/36 weeks: virtual intake visit + faxed or emailed prenatal records
- 37 weeks: in-person visit
- 38 weeks: virtual visit
- 39 weeks: virtual visit
- 40 weeks: in-person or virtual visit
- 41 weeks: virtual visit
- Early Labour: available via phone/virtually
- Birth: in-person
- 24-48hr postpartum: in-person visit
- 1 week PP: virtual visit
- 3 weeks PP: virtual visit

Fees:
- Global Care Package: $2800
- $1400 due immediately
- $1400 balance due no later than at onset of 24-48hr postpartum visit
- No refunds. No exceptions.

- Additional appointments:
- Virtual Prenatal/Postpartum: $50
- In-Person Prenatal/Postpartum: $100
- Payment due at onset of appointment

- Virtual Prenatal/Postpartum appointments for non-birth clients: $100 due at onset of appointment.


If you have made it this far, you understand the parameters for eligibility for homebirth services, you recognise the limitations for care during this pandemic, you are willing to accept the task of self-monitoring, and you are committed to doing what is necessary to keep yourself and family from being exposed to the coronavirus, please fill out the contact form below or send an email to Midwife Michele at amethystmidwitchery@gmail.com and they will get back to you as soon as possible.

 

DONATIONS

Due to economic uncertainties and the increased need for homebirth services at this time, Midwife Michele and associate community midwives need your donations to continue being able to provide homebirth as an option for healthy families, source supplies needed for safe births, and pay their assistants for their dedicated and much needed support in providing the best community-based midwifery care possible for homebirthing families in the midst of a global pandemic.

Please consider porch dropping any clean, unused birth and postpartum supplies at Midwife Michele's home or donating monetarily via:

cash.me/midwitchery

venmo.com/amethystmidwitchery

paypal.me/midwitchery