Services

Click the titles above to learn more about the services I offer.

Midwife Care

Midwives are specialists in natural birth. The Midwifery Model of Care is a philosophy that views pregnancy and birth as normal, physiological events, and believes that women and midwives are partners in care. To this end, we provide informed choice about benefits and risks of your options so that you can make the choices that are right for your family. Our standard of care encompasses the following:

During pregnancy, we provide:

  • A consultation to answer your questions, learn about your individual circumstances,  and cover policies and schedule of care.
  • Prenatal visits every month until 32 weeks, every two weeks until 36 weeks, then every week until your baby is born
  • Informational folder with hand-outs for pregnancy, birth and the postpartum
  • Genetic carrier testing, non-invasive prenatal testing and referrals for other prenatal tests such as ultrasound, CVS, and amniocentesis
  • Pregnancy-related lab testing, such as OB panel, gestational diabetes, urinalysis, and GBS
  • Well-woman care (such as Pap smear, breast exam, and STI testing)
  • Co-care with other care providers, such as naturopaths, obstetricians, and perinatologists
  • Post-dates testing for fetal well-being
  • Informed choice and education for special circumstances, such as twins and breech
  • Availability by phone, text and email during business hours  for general inquiries and scheduling
  • Availability by phone ’round the clock for urgent matters

In each prenatal visit we cover:

  • Maternal urinalysis
  • Blood pressure and other vitals
  • Monitoring of fetal well-being and growth
  • Time-sensitive prenatal testing, as indicated or desired
  • Nutritional, herbal, and fitness counseling
  • Pregnancy discomforts
  • Warning signs
  • Addressing fears and concerns
  • Planning for your birth

At your birth we provide:

  • Water birth, if desired
  • The standard medical equipment necessary for a planned out-of-hospital birth
  • Ongoing support from your midwife and her assistants
  • Medical monitoring of fetal and maternal well-being throughout active labor and second stage
  • Suturing and anaesthetic for vaginal lacerations
  • Cord blood banking collection, if desired
  • Maternal and newborn monitoring for a minimum of three to four hours postpartum, ensuring that both mother and baby are stable before our departure
  • A full newborn exam, including optional newborn procedures such as Erythromycin, newborn metabolic screening, and vitamin K
  • Breastfeeding support
  • Clean-up after the birth
  • Emergency measures such as IV for shock, medications for postpartum hemorrhage, and newborn resuscitation
  • Should the need to transport to the hospital arise, your midwives will accompany you and provide support in-hospital (See our FAQ section for more information about hospital transport and our relationship with area hospitals.)

During the Postpartum we provide:

  • Maternal care and well-baby care for up to 6-8 weeks after your birth. These hour-long visits happen at 24 hours,  1 week, 3 weeks, and 6-8 weeks. Visits are in the home for all clients during the first week postpartum
  • Breastfeeding support
  • Screening for postpartum mood disorders
  • Critical Congenital Heart Defect (CCHD) screening
  • Pediatrician, family practice, or lactation specialist referrals, and referrals for community resources such as newborn hearing screening, new moms groups, and postpartum fitness classes
  • Birth certificate filing

Each postpartum visit includes:

  • Assessment of maternal vitals and bleeding
  • Assessment of newborn vitals, growth, and milestones
  • Breastfeeding assessment
  • Guidance with newborn care
  • Maternal emotional well-being
  • Processing your birth experience

Pricing: 

Call GraceFull Birth at 323.379.4614. Staff will walk you through pricing and help you learn more about your insurance coverage.

 

Doula Care

A doula is a unique part of a woman’s birth team, especially given the time demands on doctors, midwives, and nurses.  The presence of a doula at a birth can significantly decrease the need for interventions, including Cesarean birth, pain medications, and vacuum-extractor or forceps. Perhaps most important, women who have doulas report having a better birth experience. Though it is true that labor support could come from a  friend of the mother or a member of the hospital staff such as a nurse,

“Continuous support from a person who is present solely to provide support, is not a member of the woman’s social network, is experienced in providing labour support, and has at least a modest amount of training, appears to be most beneficial.”

Your doula does not provide medical care. Instead, her job is to focus on the emotional and physical comfort of a laboring woman. A doula is present to help you to have your ideal birth, as you define it.

Doulas provide the following services, and more:

  • Consultation, 3 prenatal visits, your doula’s presence at your labor and birth, and 3 postpartum visits.
  • Nutritional and herbal support for pregnancy-related discomforts
  • Referrals to resources in your community, such as alternative healing modalities, lactation support, or midwives and doctors
  • Pain coping support during labor, such as hydrotherapy, movement, massage, visualization, affirmations, deep relaxation, and aromatherapy
  • Breastfeeding support
  • Help with newborn care and postpartum discomforts
  • Round-the-clock phone availability for urgent matters
  • Availability by phone, text and email during business hours  for general inquiries and scheduling
  • Back-up doula support, included in your care package. Your back-up doula will attend one of your prenatal visits

Pricing: $2400.00 covers all of your care, including prenatal and postpartum visits, your doula’s presence at your birth, and her call fee.  We ask for half of the global price at the onset of the relationship, and the remaining half is to be paid at 36 weeks.

Some FSAs, HSAs or RSAs will cover doula or monitrice care, and we can run your FSA card just as we would run a credit or debit card (plus a 3-4% service charge).

There is also a possibility that your insurance may reimburse you for your doula’s services. In fact, there is a CPT   code for doula services, and your doula can walk you through the steps needed to make a claim to your insurance company once you have paid your doula in full and your birth has taken place. A link to a helpful article and a list of insurance companies that may reimburse you can be found here. We encourage everyone to file a claim to their insurance for their doula fees but we cannot guarantee that you will receive any reimbursement.

To inquire about need-based discounts, please contact Jocelyn by email at jocelyn@jocelynbrowncpm.com.

Monitrice Care

Think of your monitrice as a doula, plus! Monitrices are certified midwives who, in addition to providing the labor support of a doula, are also able to monitor your blood pressure, do intermittent fetal monitoring, and check cervical dilation at home. Your monitrice will not deliver your baby. Instead, she offers more clinical information than a doula is able to help you make an appropriate decision about when to travel to your planned place of birth. Hiring a monitrice does not require that you are planning an un-medicated birth, though many people find a monitrice invaluable in helping them to avoid using pain medication.

Though each laboring woman has a unique set of needs, monitrices provide the following services, and more:

  • Consultation, 3 prenatal visits, your monitrice’s presence at your labor and birth, and 3 postpartum visits.
  • Each prenatal visit offers the educational materials included in doula support, as well as auscultation of fetal heart tones, maternal blood pressure, and other vitals
  • Nutritional and herbal support for pregnancy-related discomforts
  • Referrals to resources in your community, such as alternative healing modalities, lactation support, or midwives and doctors
  • Pain coping support during labor, such as hydrotherapy, movement, massage, visualization, affirmations, deep relaxation, and aromatherapy
  • All postpartum visits take place at home
  • Breastfeeding support
  • Help with newborn care and postpartum discomforts
  • Round-the-clock phone availability for urgent matters
  • Availability by phone, text and email during business hours  for general inquiries and scheduling
  • Back-up doula support, included in your care package. Your back-up doula will attend one of your prenatal visits
  • Substantial discount on placenta encapsulation

Pricing: $2400.00 covers all of your care, including prenatal and postpartum visits, your monitrice’s presence at your birth, and her call fee.  We ask for half of the global price at the onset of the relationship, and the remaining half is to be paid at 36 weeks.

Some FSAs, HSAs or RSAs will cover doula/monitrice care, and we can run your FSA card just as we would run a credit or debit card (plus a 3-4% service charge).

There is also a possibility that your insurance may reimburse you for your monitrice’s services. In fact, there is a CPT   code for doula services, and your monitrice can walk you through the steps needed to make a claim to your insurance company once you have paid your monitrice in full and your birth has taken place. A link to a helpful article and a list of insurance companies that may reimburse you can be found here. We encourage everyone to file a claim to their insurance for their doula fees but we cannot guarantee that you will receive any reimbursement.

To inquire about need-based discounts, please contact Jocelyn by email at jocelyn@jocelynbrowncpm.com.