Frequently Asked Questions


Is home birth the right fit for me?

Certified Professional Midwives provide home birth care for healthy, low risk women.  Unfortunately, not all women who would like to have a home birth are considered candidates because of their individual risk factors. Examples of risk factors that would exclude someone from home birth include, but are not limited to:

  • Twins
  • Breech presentation at term
  • High blood pressure
  • Diabetes
  • Premature birth

To learn if you are an appropriate candidate for a home birth, schedule a no-cost consultation visit with Tiffany.

Can I have a doula if I am working with a midwife?

Yes! Doulas provide continuous, hands-on physical and emotional support during labor and have been shown to decrease the rates of epidural use and cesarean section.  

Doulas and midwives work well together as a team and can have strong partnerships.  The midwife provides your hands-on clinical care, making maternal and fetal/neonatal assessments, charting and more.  The doula provides comfort measures during labor.

Do you bill insurance?

At this time, I am out-of-network with all insurance plans and my services are not covered by Mainecare or Medicare.

As a courtesy for lactation clients, I can submit claims to your insurance company on her behalf to seek reimbursement to Two Rivers. 

Most insurance plans that are compliant with the Affordable Care Act (ACA) cover lactation services at 100% with no cost to the client even if you have not met your deductible yet.

If you have a grandfathered or ACA non-compliant plan, you are encouraged to call your insurance to learn more about your benefits for lactation services before your appointment.

For midwifery clients, you are expected to pay for care upfront; after your care is concluded, I can provide you with a superbill (type of claim form) that you can send to your insurance company. Payment from the insurance company is sent to you directly.

What forms of payment do you accept?

I accept cash, check, credit card/debit card, HSA cards and FSA cards.