Why Home Birth?

Homebirth is an answer to the current “perinatal paradox” of doing more and accomplishing less.

Conventional maternity care in the United States spends far more per capita for maternity care than any other nation, and yet has higher rates of perinatal, neonatal, and maternal mortality.  Disproved practices are in wide use, while proven beneficial practices are underused. Although most childbearing women and newborns in the United States are healthy and at low risk for complications, essentially all women who give birth in hospitals experience high rates of interventions with risks of adverse effects.   Cesarean section is the most common operating room procedure in the country, accounting for 32% of all pregnancies even though the WHO suggests that 10% is the ideal rate since there is no evidence that the mortality rate improves when c-section rates rise above 10%. 

 Let’s do less and accomplish more!

Safe

Planned homebirth with skilled midwives is safe for low-risk pregnancies.  

  • High rate of completed home birth (89.1%) 
  • High rate of vaginal birth (93.6%) 
  • High rate of completed vaginal birth after cesarean (VBAC; 87.0%)
  • Cesarean section rate of 5.2%
MANA Stats
Legal

Women have the right to choose their maternity care provider and the location of their birth.  They have the right to informed consent - full knowledge of risks and benefits before making decisions.

Certified Professional Midwives may legally practice in South Carolina with a current state license. 

SC DHEC
Natural

Every woman's body is made to give birth.  Birth is a natural,  hormonally driven process from the onset of labor through birth of the baby and placenta, as well as the establishment of breastfeeding and the development of mother-baby attachment.  To support the natural birth process, women need informational, emotional, and physical support, as well as minimal external interference.

Milbank Report
Meet the Midwife
Angela Springer, LM, CPM

I have given birth three times and though each birth experience was vastly different, they have something in common – I will never forget them.  I would love for every woman to have a special and meaningful childbirth experience. My experiences many years ago first led me to lactation peer counseling and postpartum support.  My passion to serve and empower women led to becoming a birth doula, and eventually a midwife. I am certified through the North American Registry of Midwives as a Certified Professional Midwife and hold a Midwifery Bridge Certificate.  I am also licensed as a midwife in the state of South Carolina.  I am certified in Basic Life Support for healthcare workers (CPR for adults and children) and the Neonatal Resuscitation Program (CPR for newborns).

Before Birth
  • Holistic prenatal care
  • Nutritional counseling
  • Childbirth and breastfeeding education
  • Midwife visits in the office
  • Routine laboratory tests
  • Two physician consult visits
  • Anatomy scan ultrasound
  • Homevisit at 36 weeks
During Birth
  • Labor monitoring and support in your home
  • Water birth option
  • Trained to handle emergencies
  • Eating and drinking are encouraged
  • As many support people as you desire
  • Intermittent fetal heart rate monitoring
  • Freedom of movement
  • Birth in the position and location of your choice
  • Delayed cord clamping
After Birth
  • Newborn exam
  • Three postpartum visits in your home during the first week
  • Newborn metabolic screening
  • Newborn heart defect screening
  • Mother and baby care for 6 weeks
  • Lactation support
  • Birth certificate filing
  • 6 week postpartum office visit

FAQ

Our office is located in the historic district of downtown Conway, SC.

Appointments generally last one hour.  This time is not spent in a waiting room or sitting alone in an empty exam room waiting for a doctor.  We will spend the hour together chatting, getting to know one another, discussing any complaints or questions you may have, reviewing pregnancy and birth education, nutritional counseling, and assessing the health of you and your growing baby.

I’d like to see you around 10-12 weeks for your initial visit.  Then every 4 weeks until 30 weeks, every 2 weeks until 36 weeks, and then every week until you deliver.  

SC regulations require that you see a physician for two visits during your pregnancy.  There are several providers that we can coordinate these visits with and we will find the best fit for you based on location, insurance, and personal preference.  An anatomy scan ultrasound will be performed at one of these visits.

Midwives in South Carolina are legally licensed to carry equipment and medications to safely manage normal deliveries at home.  This includes: Monitoring equipment for you and your baby; Instruments to clamp and cut the cord; Supplies for the newborn exam and any newborn procedures that you choose; Anti-hemorrhagic drugs to stop excessive postpartum bleeding; Resuscitation equipment for baby and mother, including oxygen.

Midwives are trained to handle most complications at home and to know when a transport to the hospital may be necessary. I have had specific training in emergency skills and hold a NARM Midwifery Bridge Certificate. Through training and equipment, most complications can be handled safely at home.  The most common reason for transporting a pregnant woman to the hospital is during a very long labor; either labor is stalled, the mother nears clinical exhaustion, or has decided she desires pain relief medications. In this case, the hospital can provide IV fluids, an epidural, and/or pitocin augmentation, which are tools we do not have in a home setting.

I will help you minimize any mess with instructions on how to set up for your birth.  After the birth, I will clean up including washing the laundry and taking out the trash. Your home should feel back to normal with the exception of a new baby.

The midwifery package includes all prenatal visits, labor & delivery in your home, postpartum and newborn care in your home (3 home visits in the first week), and a six-week postpartum visit in the office for a self-pay price of $3625.  Labs, ultrasounds, and physician visits are not included and can be billed directly to your insurance.

I am considered out of network with most insurance companies.  You will pay the full fee up front and I will provide a receipt for reimbursement.  

Not at this time. Unfortunately, SC managed care plans will not cover licensed midwives.

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