Midwifery Care

 Do you do water birth?

Yes! Many homebirth moms delivery their babies in water, and we offer birth pool rental. 

Who will be at my birth?

Sarah Burns and Brittany Threadgill will typically be at your birth together to set-up and monitor your labor. As your labor progresses, another licensed midwife and potentially a student assistant will come to be present at the birth. Birth is a private event. We strive to create calm. We also know the value of having a prepared team, and each person present has a designated role in caring for you and your baby, as needed. During your labor you will likely only see one of us at a time as we quietly set-up and monitor you and your baby. 

Who will I see at my prenatal visits?

Sarah Burns, LM, and Brittany Threadgill, LM will care for you at prenatal visits, and you will also meet one of our birth assistants at your 37 week home visit. Currently our birth assistants are Gerri Ryan, LM,  Heather LeMaster, LM and Daynea Blount, LM. Each are seasoned midwives we feel lucky to have supporting us and our families. 

How much does homebirth cost? Will my insurance pay for it?

Our package for prenatal care, birth, and postpartum visits is $4,500. This includes a visit lactation from Rachael Oeffner our lactation educator and placenta encapsulation. We have an insurance biller who can help you get reimbursed if you have a PPO insurance plan. Families with Medi-Cal are offered a reduced rate of $1,900. Ask us about sliding scale rates for families with HMOs. 

There's so many great midwives in San Diego, how do I pick the right one?

Picking the right midwife for your family is such an important decision. We encourage you to interview several midwives. Talk together with your partner or family to explore who you feel most comfortable with. Each midwife brings her own philosophy, talents, and experience. We would love to meet with you to see if we are the right match for your family, and we are happy to provide referrals to other midwives and OBs, as well. 

What makes Night & Day Midwives different?

We value the "it takes a village" approach to supporting families. On our team are doulas and a certified lactation educator. We also work alongside acupuncturists, massage therapists, counselors in the Whole Family Wellness office. We each have our area expertise, and we know that by providing you a team approach we can support you so much better than any of us on our own. 

Another unique aspect of our care is our special interest in the postpartum time. Often times most attention is spent on the birth, and for good reason. It's a big, exciting event! The birth, however, is a fairly short period time in comparison with the first few weeks with a newborn. Even if you are a seasoned parent, support is essential. We use our prenatal time together to help prepare you for parenthood. We are also available 24 hours a day with any concerns you have about breastfeeding and care of your newborn. We offer not only several visits in the early postpartum time, but also offer a 6 month postpartum follow-up.


Birth Doula Care

What is a birth doula?

A birth doula is a person trained and experienced in childbirth who provides continuous physical, emotional and informational support to the mother before, during and just after childbirth.

What is a doula monatrice?

A doula monatrice is a doula who has completed midwifery training. She is able to act as a midwife while you labor at home by listening to the baby's heart beat, taking your vitals, and performing cervical exams, as needed. This can provide reassurance to families while they labor at home before going to the hospital. 

Where does the word "doula" come from?

The word "doula" comes from ancient Greek, meaning "Woman's servant." Throughout history and in much of the world today, a cadre of women supports a woman through labor and birth, giving back rubs and providing continuous emotional support. Simply put, birth doulas know how to help a woman in labor feel better.

What effects does the presence of a doula have on birth outcomes?

Numerous clinical studies have found that a doula's presence at birth:

  • tends to result in shorter labors with fewer complications
  • reduces negative feelings about one's childbirth experience
  • reduces the need for pitocin (a labor-inducing drug), forceps or vacuum extraction
  • reduces the requests for pain medication and epidurals, as well as the incidence of cesareans

What effects does the presence of a doula have on the mother?

When a doula is present during and after childbirth, women report greater satisfaction with their birth experience, make more positive assessments of their babies, have fewer cesareans and requests for medical intervention, and less postpartum depression.

What effects do the presence of doulas have on babies?

Studies have shown that babies born with doulas present tend to have shorter hospital stays with fewer admissions to special care nurseries, breastfeed more easily and have more affectionate mothers in the postpartum period.

How can I find a doula in my area?

Night & Day San Diego offers birth doula care. We also suggest using DONA International's online doula locator www.dona.org or San Diego Birth Network www.sandiegobirthnetwork.org.

Does a doula make decisions on my behalf?

A doula does not make decisions for clients or intervene in their clinical care. She provides informational and emotional support, while respecting a woman's decisions.

Will a doula make my partner or family feel unnecessary?

No, a doula is supportive to both the mother and her partner, and plays a crucial role in helping a partner become involved in the birth to the extent he/she feels comfortable.

How much does a doula cost?

In San Diego, the range of doula fees is usually somewhere from $900-$1,500. Our services are $1,700 usually divided into 2 payments. A 50% deposit is required to reserve your due date on our calendar and the remainder is paid at 36 weeks.This normally includes prenatal time together, continuous support during labor, and a postpartum visit. Some doulas will help you to get reimbursed by insurance or flex spending plans. Brittany and Sarah work as a team to support families. Working with a team of two doulas insures having a well rested and familiar doula at your birth. Both of us are there for you during your pregnancy journey, and we are on-call for you. We are experienced doulas who have completed DONA doula training and have completed a 3 year midwifery training through Nizhoni Institute of Midwifery, a MEAC accredited school. 

I can't afford a doula, what should I do?

Many doulas are willing to work out payment plans or offer reduced fees for families who really would like to have a doula but cannot afford one. Some families can work out a trade of services (such as painting, haircuts, web design, or photography). There are also doulas working on certification who may have a reduced fee. Contact DONA international www.dona.org for a list of these doulas.


Postpartum Doula Services

What do postpartum doulas do?

What a postpartum doula does changes from day to day, as the needs of your family change. Postpartum doulas do whatever the parents need to best enjoy and care for her new baby. A large part of their role is education, including breastfeeding education and newborn care. Postpartum doulas also make sure the mother is fed, well hydrated and comfortable. We also can help with tidying your home and light cleaning, and can connect you with resources such as meal prep services, house cleaners. Doulas provide great baby concierge services!

How long does a postpartum doula spend with a family?

Doula support can last anywhere from one or two visits to more than three months.

What hours can I expect a doula to work with my family?

The hours that a doula spends with your family will largely depend on your unique needs and schedule. We are available for daytime and nighttime hours. Daytime or evening hours are scheduled with a 4 hour minimum (between the hours of 8AM and 8PM) and an 8 hour minimum for an overnight shift.

What does a postpartum doula cost?

The daytime rate is $30-$35/hour and nighttime rate is $35/hour. Your location and hours requested may affect the rate.

What is the difference between a postpartum doula and a baby nurse?

The role of a postpartum doula is to help a woman through her postpartum period and to nurture the family. Unlike a baby nurse, a doula’s focus is not solely on the baby, but on fostering independence for the entire family. The doula is as available to the partner and older children as to the mother and the baby. Treating the family as a unit that is connected and always changing enables doulas to do their job: nurture the family.

What is a postpartum doula’s goal?

The goal of a doula is to help the new parents to feel confident in their new roles. As they experience success and their knowledge and self-confidence grow, their needs for postpartum doula support should diminish.

How can I find a postpartum doula in my area?

Use DONA International’s online doula locator.

Do doulas help mothers to deal with postpartum depression?

Unlike therapists or psychiatrists, doulas do not treat postpartum depression. However, they will help by creating a safe place for the mother emotionally. The doula will provide a cushioning effect by accepting the mother within each stage that she passes through. They relieve some of the pressure on the new mother by helping her move into her new responsibilities gradually. By mothering the mother, doulas make sure that the mother feels nurtured and cared for, as well as making sure she is eating well and getting enough sleep. In addition, DONA International certified postpartum doulas are trained to help clients prepare themselves for parenthood, maximizing support and rest. These doulas will help their clients to screen themselves for PPMDs and will make referrals to appropriate clinicians or support groups as needed.

Do doulas teach a particular parenting approach?

No. DONA International doulas are educated to support a mother's parenting approach. Doulas are good listeners and encourage mothers to develop their own philosophies.

How do postpartum doulas work with a mother’s partner?

A doula respects the partner’s role and input, and teaches concrete skills that will help the partner nurture the baby and mother. The doula will share evidence-based information with the partner that shows how his or her role in the early weeks will have a dramatic positive effect on the family.

Some information taken from DONA International. See www.dona.org.