Midwifery Services

Licensed midwives can carry medications such as Pitocin and Cytotec, unlicensed midwives cannot. Along with that, licensed midwives have certain restrictions on clients with whom they can work, whereas unlicensed midwives do not have state mandated restrictions and work within their own personal boundaries.
I am an unlicensed midwife, and use my hands and other tools, herbs, homeopathy, and traditional Chinese medicine rather than medications. I also work regularly with VBACs, including those with multiple cesareans before their VBAC, along with twins, breech, and postdates pregnancies.
Because I am unlicensed, I do not carry antibiotics or Rhogam (Anti-D), and will discuss what that means to you and offer options on how to get them if you wish.

More information is listed in the Informed Consent document but I require all clients to:
- Work hard on their nutrition, including eating enough calories and protein every day. I don’t require perfection, but I do require effort and a willingness to try
- A willingness to be vulnerable with me. This includes being honest about things that are hard and where you are in your life. I want to help you feel powerful and strong, and to do that, you need to open up and really dig deep and get gritty. Birth isn’t twinkle lights and sunshine, it’s hard work and it will bring out the darkness we try to hide.
- I want you to have a drive to learn, along with the initiative to find information, even if it means you ask me a thousand questions or have a thousand ideas about things you want to know or things you’re learning about. I want to talk about all of it with you, dive deep into anything related to your family’s health, your pregnancy, and your baby. I’m a self-glorified nerd, and love rambling with others about new and interesting topics.
- I want you to know yourself and your intuition (even if you’re just beginning that journey), and willing to live in the grey of life. Pregnancy and birth are not black and white, you have to live within the nuance of uncertainty. I am willing to do a lot of work to help someone heal and grow, but at the end of the day I can only be a guide, you have to be willing to learn how you fit into life and the world and grow accordingly.
- I am not a professional stuck behind a screen only asking you about how your body is doing, I love laughing and joking and talking about our favorite things. I want to become friendly, learning about our lives, getting to know you and your partner and kids. I don’t want anyone to wonder why I’m at your house when it comes time for your baby to be born.

If you are in Cedar City, it’s harder to get lab work. I do have an account with Labcorp in St George, and if you want insurance to cover your labs you need to go there to have them drawn and run. If you are self-pay, I can draw them, but it will have an extra fee for my travel. If you want labs in Cedar City I have a few clinics I can refer you to.
As for ultrasounds, I can send referrals for anatomy scans and other things in Cedar City through Reveal Spa. She sends me the ultrasound report after and I go over it with you. She has cash pay prices and can also run insurance. If someone is in St George and does not want to travel to Cedar City, you can order your own ultrasound from Zion Diagnostic Ultrasound or from a man that comes to St George every six weeks or so.
You will have to pay for any labs and ultrasounds.

Appointments can be as often as someone wants, but I often follow the typical obstetrical schedule - monthly until 28 weeks, every other week until 36/37 weeks, and then dependent on the person it is weekly or we continue every other week until the birth. I am available by text during daylight hours and after that through phone calls for emergencies.

Appointments are often two hours long in your home, unless we finish everything up before then. It includes a lot of education about pregnancy, birth, and postpartum, along with planning what you want and making sure you know all of your options before a decision needs to be made, often weeks before.
We also discuss what is going on in your life and your pregnancy, making sure you’re feeling well and giving recommendations to help if you are not. They include nutrition counseling, informed consent and refusal conversations, and any clinical things that need to be done or if either of us want to have done to make sure the pregnancy is continuing as a healthy and physiologically normal time.
Clinical things include feeling and listening to your baby with a fetoscope and possibly a doppler, blood pressure, urinalysis, and going over your general health together. You can choose if you want to do any of them or if you don’t want to, though I do require a hands on check-in with baby just so I know position and growth, along with your baby getting to know me.

I like to see everyone 3 times the first week, depending on what you need and how you are doing. The first visit is between 24-48 hours, and includes any official checks for the baby such as the CCHD or heart screen. It isn’t just about making sure the baby is doing well, but that you are doing okay as well. Postpartum is a tricky time and the first week things change so quickly.
After the first week, I visit at 2 weeks, 4 weeks, 6 weeks, and 12 weeks, though I have no problem coming by more often if someone needs.
Visits include checking you to make sure you are healing well, checking on breastfeeding, weighing the baby, and doing CST and stretches on the baby to make sure they are not holding lingering tightness that can interfere with sleep, breastfeeding, and their digestion.

I had two unassisted births and absolutely can understand why someone would choose that. I do offer individual appointments for unassisted birthers, whether that’s prenatally, postpartum, or both. I’ve had a few clients that choose this, including having me come after the birth to help clean up and check on everyone. If you are interested in this, make sure to schedule a Wild and Free appointment, linked near the bottom of the page.

My fee is $5000.
If someone wants postpartum doula support from me as well, it is an additional $1000.
This includes all visits, nutrition counseling, a fetoscope and instructions on how to use it, a full birth kit, a pool and all parts, teas and herbs for pregnancy, me and my team at the birth, a pelvic floor therapy appointment, and placenta encapsulation.
I do take payments, with a $500 nonrefundable deposit due at hire, and payments due monthly with payment in full due by 36 weeks.
If paid in full with cash at the first visit, a discount of $300 is given.
I can take HSA cards, or give you a receipt to submit for reimbursement. I also accept other credit and debit cards, cash, and Venmo.

If you are interested in placenta encapsulation, photography, or other services beyond midwifery, scroll to the bottom of the page.

The third Thursday of every month, Ruthe Robles of The Nursing Tree and I offer a free Community Moms circle in Cedar City. Check out my IG for more information including dates and locations.

I also offer classes and individual services, for those check out my IG or reach out to me via IG or email.