Our Services

Free Consultation

Each course of care begins with a free consultation in our Vancouver, WA birth center where you will meet with me and have a chance to ask all your questions. You will learn about what community birth (whether at home or a freestanding birth center) and midwifery care look like as well as the many safeguards we utilize to protect you and your baby. We firmly believe that choosing a midwife is very personal and this is a good opportunity for us to learn more about each other.

Free Consultation

Each course of care begins with a free consultation in our Vancouver, WA birth center where you will meet with me and have a chance to ask all your questions. You will learn about what community birth (whether at home or a freestanding birth center) and midwifery care look like as well as the many safeguards we utilize to protect you and your baby. We firmly believe that choosing a midwife is very personal and this is a good opportunity for us to learn more about each other.

Prenatal Care

The schedule of prenatal visits with a community midwife is very similar to classic obstetric maternity care. However, each visit is scheduled for a full hour; allowing plenty of time for us to get to know each other, share suggestions, and discuss any concerns that may arise. Partners are welcome and encouraged to participate in care. We’re here to support you and your loved ones throughout the journey.
Prenatal care with your midwife is also similar to obstetric care in that it includes lab collection, such as blood draws, and referrals for ultrasounds or other prenatal testing as necessary. You will receive information about why certain testing is recommended and what options are available. You will be encouraged to make choices that are right for you and your family.
You will have easy access to your midwife throughout your care. Non-emergent matters will be addressed through a secure health record messaging system. Urgent needs can be addressed more quickly through a HIPAA compliant pager system or office phone call.

Labor & Birth

We offer personalized care during labor and birth in our freestanding birth center, with limited availability for home deliveries. We believe every birth is a unique miracle and that the midwife’s role is to provide a nurturing space for it to unfold naturally, while also guarding the health and safety of both mom and baby. We will be in close contact in early labor and decide together when it’s time for us to meet. We will provide continuous care throughout active labor, birth, and the early postpartum. You will be encouraged to eat, drink, and move around comfortably throughout labor. You are encouraged to birth wherever and in whatever position feels right to you. Laboring and birthing in the water are wonderful options. It can significantly reduce pain and improve comfort. Shortly before the birth of your baby a second midwife or trained birth assistant will join the team to enable us to provide one-on-one support to both mom and baby if necessary. In the event that higher level care is needed, we will facilitate that transition smoothly and remain a part of your care team.

Postpartum Care

The journey has only just begun! Let The Bridge expertly guide you through the postpartum period and adjustment to parenthood. We are happy to provide comprehensive care for your new family. Your midwife will provide a home visit (or two!) in the first week, to keep you all snug in bed (and away from germs!), followed by office visits at 2 weeks, 3-4 weeks, and 6 weeks following birth. There is ample time for answering questions, helping the family adjust, monitoring growth, and healing, as well as breastfeeding support, and emotional wellness. As always, additional visits are available as needed and your midwife remains available to you 24/7 for urgent needs.

Insurance Coverage

The Bridge midwives are in-network with most insurance companies, including Apple Health programs, see the list below. The Bridge Birth Center is also in the process of credentialing with most major Washington based insurers. Discounted facility fees are available on a sliding scale during this time.

Fee Questions? Contact the birth center’s billing office.

Wondering if you qualify for free or low-cost health care? Check your eligibility for Washington Apple Health.

Apple Health Plans include:

Molina
Community Health Plan of Washington (CHPW)
Amerigroup
Coordinated Care

Private Plans include:

Meritain
Molina Marketplace
Blue Cross Blue Shield*
Cigna
First Choice Health
Pacific Source
Regence*
United Health Care
UMR

*Birth Center Pending

Ambetter
Premera*
Christian HealthShare Ministries
HMA
Regence Group Admin
Bridgespan
GEHA
Kaiser – PPO
Aetna

Apple Health Plans include:

Molina
Community Health Plan of Washington (CHPW)
Amerigroup
Coordinated Care

Private Plans include:

Ambetter
Premera*
Christian HealthShare Ministries
HMA
Regence Group Admin
Bridgespan
GEHA
Kaiser – PPO
Aetna
Meritain
Molina Marketplace
Blue Cross Blue Shield*
Cigna
First Choice Health
Pacific Source
Regence*
United Health Care
UMR

*Birth Center Pending

Learn More About Our Care

Frequently Asked Questions

Yes!
Check out some of the studies done using birth center data here:
https://www.birthcenters.org/news/strong-start-national-report
https://assets.noviams.com/novi-file-uploads/aabc/pdfs-and-
documents/PDR_Bibliography_Nov2023.pdf

Nope.
Using medications increases risk, and we’re trying to avoid risk. We do offer Nitrous
Oxide, which is an inhaled analgesic similar to what you might have used at the Dentist office. It can help with relaxation and reduce anxiety.

Probably. 95% of people are low enough risk for licensed midwifery care. Common health concerns that would make someone risk out would be things like high blood pressure, diabetes, or active cancers.

I know that having a baby is a big investment and I am committed to providing high quality, safe, and affordable maternity care. I am happy to submit claims to any insurance company, including medicaid plans. I may not be contracted with all of them and coverage is very policy specific. Once I have a copy of your insurance card, my billing service will work with your insurance provider to obtain an estimate for your out of pocket costs. Regardless of where you receive care insurance reimbursement will be subject to any deductible, co-insurance, and copays on your policy. I am able to offer cash prepay discounts and payment plans. My goal is to make midwifery care as accessible as possible. Reach out and let’s find out what coverage looks like for you!

Yes! Waterbirth is a wonderful option for families who choose it. Studies have shown many benefits to the relaxation effects of laboring in water. Often families will choose to have a Birth Tub for labor even if planning to birth on land. There is no prescribed location or position for home or birth center birth, you are generally free to choose what is most comfortable for you.

Depends a bit on the emergency. Most can be managed and resolved safely at the birth center. For those that require extra monitoring or support we transfer to the hospital. We have pretty amazing relationships with EMS as well as both local hospitals to help keep families as safe as possible, even if things don’t go as planned.

Community birth midwives have many tricks up their sleeves to help labor progress and provide comfort. I usually bring a yoga/birth ball, birthing stool, and a rebozo. Please ask if there are additional items you are specifically interested in learning more about or having at your birth.

Newborn Hearing Screening: The Department of Health recommends all newborns receive a hearing screening.

https://doh.wa.gov/you-and-your-family/infants-children-and-teens-links-and-services/childrens-health-and-safety/contact-information/families/newborn-hearing-screening

Newborn Screening: Information on newborn screening (“heel poke”), including information on what conditions are screened for.

https://doh.wa.gov/sites/default/files/legacy/Documents/Pubs//304-007-NBSbooklet-20200721.pdf

Down Syndrome: The Department of Health provides information for parents who have received a Pre- or Postnatal diagnosis of Down Syndrome.

https://doh.wa.gov/you-and-your-family/infants-children-and-teens-links-and-services/childrens-health-and-safety/genetic-services/down-syndrome

YES!
We are happy to accept transfers prior to 28 weeks. Later transfers, up to 36 weeks, can be discussed on a case by case basis.

Nope.
Your midwife offers all the same things as an OB, except surgery.

We encourage families to start the process of having a chosen pediatric provider prior to delivery. The person taking care of your baby doesn’t have to be a pediatrician, it could be a family practice doctor, ND or other provider who takes care of babies and children. Families typically schedule their first visit between 4 and 8 weeks of age.

We’ll discuss the reason(s) for transfer and make arrangements for the appropriate provider to assume care. You’re always welcome back for postpartum care, even if you have a surgical birth.

YES!
Unfortunately, current Washington State law prohibits care of someone with a scarred uterus in the birth center setting, but we can, and do offer home birth for this very reason.

Sure! Just ask and we’ll have someone reach out!

Prenatally we see people on the standard schedule – once a month until 32 weeks, every other week until 36 weeks and then weekly until baby is born. In the postpartum we see people at home at 1 day with up to 2 more home visits available as needed in the first week. Then we see you back in the birth center at 1 week, 2 weeks, 4 weeks and 6 weeks after birth.

Sometime in the first trimester, ideally by 12 weeks. Starting care late is a risk factor and requires extra monitoring/consultation. We’re happy to see you as early as the day you pee on the stick, as late as 12 weeks or anywhere in between.

We are a short stay facility. The law in Washington state allows a 4-6 hour stay and requires transfer if care is necessary beyond that. Typically, families go home around 3-4 hours after birth. We try to get you home and tucked into your own bed as soon as possible. Whether your labor is 3 hrs or 30 hours, you’re tired and will sleep best in your own space.

All of them! (Well, except circumcision, going back to the whole ‘We don’t offer surgery’ thing). Standard offerings include: Vitamin K, Erythromycin eye ointment, Hepatitis B vaccine, Newborn Metabolic Screening, Congenital Heart Defect Screening (CCHD) and hearing screening.

Yes!
We’re in network with most Washington insurance plans including Apple Health plans such as Molina, CHPW, and Amerigroup, as well as private payers such as Blue Cross Blue Shield, United, Cigna, Aetna, and First Choice. We also have agreements in place with health share plans such as Christian Healthcare Ministry and Medi-Share. That said, there are a few Oregon based plans that haven’t yet allowed us network status, but we’ll keep trying! And you may still have options to utilize your benefits.

Cash, Check, Venmo, Paypal, Zelle, pretty much all the ways. We do have to add a 3.5% credit card processing fee to credit card charges as that’s what we’re charged to run them. We will provide an estimate for your contribution at your second prenatal visit and offer a 10 month interest free payment plan if started prior to your 3rd visit. (See the Financial Agreement for details).

We have a dedicated phone line for urgent concerns. A midwife usually answers (or will call back within a few minutes) 24/7. Non-urgent concerns are addressed through the message center in your portal. See the “Contact the Midwife” form under “Forms and Records” in your portal for more details.

Yes!
There are no formal limits on the number of support people who can join you in labor or prenatal visits. As with most things, we’ll discuss the possible risks and benefits of having extra people with you and you get to decide what feels best (although the rooms
aren’t very big, so space can be a constraint). Children under the age of 13 need a dedicated supervising adult who is not the laboring person or the primary support person during labor. The Birth Center staff is not able to provide childcare or monitor children. There are medications and equipment that are potentially dangerous in the birth center environment and children are very curious. We do keep our toys generally clean but can’t promise they are sanitized prior to each visit.

We encourage people to pack similarly to what they would for the hospital. There are many lists out there to choose from. We recommend a change of clothes, snacks, and toiletries for everyone. You must have a car seat to bring your baby home!

We use intermittent auscultation by doppler throughout labor. That means we listen to your baby’s heart rate about every 30 minutes, before, during and after a contraction (or two).

Yes! We’ll talk about pictures and vides at your 36 week birth team visit!

Social security cards come automatically but you’ll need to order a birth certificate from the state. Here’s the link: https://doh.wa.gov/licenses-permits-and-certificates/vital-records/ordering-vital-record/birth-record

This is often the first question pregnant people ask and the answer is a resounding YES! Studies consistently show that for healthy people with normal pregnancies midwifery care and birth in the community setting is not only safe but significantly reduces the risk of interventions. Here are links to a few resources to get you started researching for yourself.

https://www.nacpm.org/why-choose-a-cpm 

Midwives are experts in home birth and tidying up. I will help you prepare ahead of time with a supply list and plan that will leave you feeling confidently ready to welcome your baby in the comfort of your own space. Your birth kit will include several items aimed at keeping any potential mess contained. I strive to leave your home in as good or better condition than when I arrived. Home birth usually produces a load or two of laundry and a bag of garbage. I am happy to start the laundry and take out the trash.