Prenatal Care

Your prenatal care is where we nurture the meaningful relationships and trust with your birth team that makes your home birth a safe and intimate experience. Your prenatal appointments are usually 45+ minutes long, allowing ample time for connection, education, and individualized care.

Visits are typically scheduled every four weeks until 28 weeks, every two weeks from 28–40 weeks, and every 3-7 days from 40 weeks until birth.

Our standard care package includes concierge in-home visits or a blend of office and home visits, depending on your preference and location. Families outside of our in-home visit radius may also choose all in-home prenatal care for an additional fee.

Midwife Elizabeth taking pregnant woman's blood pressure in her Frederick, MD office. Elizabeth is standing and client is sitting, they are smiling at one another.

Homebirth Care

Birth unfolds most smoothly when the birthing person feels deeply safe, supported and respected. If you are exploring home birth, you probably feel safest in the comfort of your own home where your autonomy is respected, you are in control of your health, and you are surrounded by a loving team who believes in you.

Pregnant woman's son is helping put aloe gel onto the Doppler so that midwife Elizabeth can listen to his mom's belly. Pregnant mom is laying down on the comfort of her own sofa in her Montgomery County, MD home.

What to Expect During Prenatal Care:

  • In-home blood draws and cultures for laboratory work you choose, which may include:

    • Initial & follow up prenatal labs

    • Gestational diabetes screening with Fresh Test or glucometer options

    • Group B Strep (GBS) testing—you can swab yourself

    • NIPT genetic screening

  • Holistic nutrition, wellness, and lifestyle guidance tailored to your family

  • Referrals for ultrasound

  • Comprehensive assessment of both mother and baby at each visit, including:

    • Hands-on assessment of fetal growth & position

    • Fetal heart rate monitoring with Doppler or fetoscope

    • Blood pressure and overall wellness checks

  • Ongoing prenatal, birth, postpartum and lactation education and preparation, along with referrals, as needed

  • Emotional support, with intentional space held for processing the beautiful (and sometimes challenging) physical, emotional, and relationship shifts that accompany the transformative time of pregnancy, birth, and postpartum

  • Direct contact to your midwife Elizabeth and your birth team by phone, text, email as well as through chat on your online portal

Midwife Elizabeth is kneeling on the floor next to pregnant client on her sofa at a prenatal home visit in Frederick County, MD. She is using a fetoscope to listen to the baby's heart beat and looking at her watch to count the heart rate.

What clients are saying

“Receiving prenatal care in my own home was luxurious! A few highlights from in-home prenatal care included: having blood drawn for labs from the comfort of my own couch, doing my own swab for GBS testing, not having to schedule childcare for my older daughter, and always the centering meditations and unhurried conversations with Elizabeth.”

— Maddie

“What makes Elizabeth standout to me is that she truly cares about each woman's right to have the birth she desires. I personally felt that she was genuinely concerned and committed to my person, my pregnancy and the birth of my daughter.”

— Rachel

More Testimonials