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Pregnancy and Home Birth

Choosing where and with whom you will give birth is a monumental decision.  Your risk of intervention, infection, and surgical birth increases profoundly when you walk into a hospital. Choosing midwifery care can decrease your risk.  Choosing a midwife and a thoughtful homebirth may be the safest option for many low-risk pregnant women.  Not only that, but homebirth provides a level of intimate care and support in the place where you are most relaxed and comfortable--your home!  We are happy to answer questions about risk and the care model in our free initial consultation.  

There are two different types of midwives that are eligible to practice at home in Colorado: Certified Nurse Midwives (CNM) and Certified Professional Midwives (CPM).  A CNM is licensed as an Advanced Practice Nurse and has a Master's Degree in Nursing and/or her specialization as well as being an RN.  She or he is in the same category of providers as a Nurse Practitioner and Certified Nurse Anesthetist.  We are able to prescribe medications and we are independent health care providers within our legal scope of practice.  CNMs can, and do, practice at home, in birth centers and in hospitals in Colorado.  A CPM is a midwife that has entered midwifery through an apprenticeship model or an Associate's or Bachelor's degree program.  They are not licensed health care providers or RNs.  In Colorado, they are able to attend births at home.  Most insurance companies credential CNMs (including Medicaid), while no insurance companies credential CPMs (but families may get reimbursement at the out-of-network rate for CPM care).  

Fees:  Origin Birth and Health utilizes a Concierge Model of Care.  Meaning, we will work with your insurance so you reap maximum benefit, but we require all of our clients to pay a birth retainer fee of $2500, due by 36 weeks of pregnancy.  This fee is discounted if you are a Medicaid or CHP+ family.  If you choose not to use insurance, our self pay fee is $4800.  Your retainer fee covers travel costs to your home, a trained birth assistant, a birth pool, newborn metabolic screening fees and longer visits with your midwife.  Please discuss financial considerations at your free initial consultation.  Labs, ultrasounds and classes are a separate expense, much of which can be billed through your insurance.  

Some conditions that are better served by hospital-based care, as listed below.  Please ask about your own individual risk factors via email or phone call. 

  • Breech birth
  • Twins
  • Any severe medical issue that is not stable 
  • Preterm labor and birth
  • Psychiatric conditions treated with medication.  Depression treated with SSRIs is appropriate for care
  • High blood pressure
  • Diabetes or uncontrolled gestational diabetes
  • TOLAC (trial of labor after cesarean) or VBAC (vaginal birth after cesarean)

What are people saying about care with Tracy Ryan, CNM?

"You were my strength, the calm and the guidance I needed birthing (my daughter). You cried with me over our shared grief with cancer loss as a friend would. I trusted you so completely and knew I was getting the best care possible." -- DAM


"When my husband and I found out we were expecting a baby one of our first big differences of perspective came up. I was born at home, and always imagined myself delivering at home - and he comes from a long line of doctors. Together, we met with Tracy Ryan and we both felt comfortable. My husband, who never imagined any birth outside of a hospital is now a huge fan of home birth. I credit Tracy for her knowledge, confidence and amazing care. I felt like I was in good hands every step of the way. She helped me have three natural, powerful, beautiful births. Tracy is a treasure for the Denver area! " --T S