As a doula, I often get asked about home birth here in Evansville, IN. There are plenty of myths and misconceptions about home birth, midwives, and doulas, and plenty has been written on these. My purpose with this post is to give you Evansville area specific resources and a little bit of advice too. As always, I am happy to chat with anyone who has questions about home birth here, and about my experiences as a doula at home births as well.
Choosing Home Birth
There are plenty of reasons that people choose to birth at home. Currently, I am fielding concerned messages about the safety of the hospital and visitor policies. We haven’t seen a restriction of zero visitors here yet, but it could come in the future. One important fact: only low risk parents are able to choose home birth. That means if you have any risk factors such as insulin controlled diabetes or placenta previa, then you are not a candidate for home birth. The good news is that 85% of pregnant people are considered low risk!
Finding a Provider
There are currently 2 home birth midwives that serve the Evansville area: Michelle Sanders, CPM & Jennifer Williams, CPM. They are both Certified Professional Midwives who carry emergency supplies such as oxygen & medicine to stop bleeding. Both are newborn CPR trained, very experienced, and have local assistants in Evansville. They both hold prenatal meetings at their office spaces around 2 hours away. I believe they are both doing virtual visits currently because of the concerns about COVID-19.
Both midwives also require you to have a parallel care provider. That means if you hire a home birth midwife, you will still need to have another provider with hospital privileges such as an OB or family doctor. There are not many providers locally who are able to openly support home birth. That may be changing, but I am also happy to talk to you about which providers we have found to be supportive. It is important that you have an open and honest conversation with all of your healthcare providers about your wishes and plans for your birth.
Cost
Home birth is not cheap. It is also not covered by most insurance companies. You can ask your insurance about a “gap exception” for covering the cost of your midwife. The midwives are not able to bill your insurance, and you should expect to pay your midwife out of pocket and then to perhaps be reimbursed from your insurance company. Some people may be able to use their HSA or FSA for these costs, but again you should consult your individual company.
In addition to the cost of the midwife, you also need to factor in the cost of either renting or purchasing a birth tub and supplies for it if you want one. You will also need to purchase other supplies; your midwife will give you a list. I always recommend getting more towels than you think you would ever need and that you don’t mind throwing away if necessary.
Other Considerations
- If you are thinking about a home birth, call early! Both of the midwives who travel here get busy very quickly, so don’t wait to contact them.
- Study up on childbirth and coping techniques! You will want to know what to expect even more at a home birth. I will have a blog post up soon about online childbirth education options.
- Unassisted Birth or Free Birth is not an option you should choose lightly. If this is something you are thinking about, please reach out to us so we can talk to you about some of the things you might want to consider. Home birth with a midwife and free/unassisted birth are NOT the same thing.
Home Birth Doula
I love being a doula at home births. I have worked with both of the above mentioned midwives. My job as a doula is very different than their job as a midwife. I have balanced on the end of a bed while holding my client in a supported squat position as she pushed her baby out. One client gave birth sitting on my lap. I’ve poured warm water over one clients back as a she labored in a birth pool for hours. As a doula at a home birth, my job remains to help my client ask good questions, move around, be more comfortable, & be emotionally supported. We doulas always try to fill in where we are needed, no matter the location. I often arrive before the midwife and their assistant. I am there to help you.
Reach Out
If you are thinking about home birth in the Evansville area and want to talk about your options, please reach out to us! I love talking about my home birth experiences. Birthing at home might not be the right choice for everyone, but it is an option here. I have spent the last 6 years gathering resources, making professional connections, and learning all I can to help support families in all kinds of birthing situations. I would be happy to talk to you about all of your options.