Now partnering with St. Luke's downtown providing in hospital birth option

FAQs

Why should I choose Boise Women’s Health & Birth Center?
Is the birth center licensed and accredited?
Is it safe to labor and give birth in a freestanding birth center?
Who Provides Care at the Birth Center
?
Is care at Boise Women’s Health & Birth Center covered by insurance companies?
Who can give birth at Boise Women’s Health & Birth Center?
Can I have a water birth at the birth center?
How many staff will be at each birth?
What happens if I need to transfer to the hospital during labor?
Is there pain medication available at the birth center?
What happens after my baby is born?
Why do women usually get transferred to the hospital?
Cost of care



Why should I choose Boise Women’s Health & Birth Center
?

Atmosphere - Our beautiful birth center is a North End Boise home that was originally built in 1869 and previously owned by David Hyde (Hyde Park).  The house recently underwent extensive remodeling to provide a comfortable, safe, and home-like space for our mothers and their families.  As you walk into our birth center, you will immediately recognize that our birth center is very different than the hospital.

Philosophy - Our midwives view pregnancy and childbirth as normal and significant experiences in the life of a woman and her family.  This philosophy greatly affects the way we approach your care, especially during labor and birth.  The midwifery model of care recognizes that pregnancy is a natural part of a woman’s life.  Our midwives will work with you during pregnancy to provide extensive education about how to nourish your body’s health as you work to grow your baby.  During labor, we encourage you to labor in the way that you want without unreasonable timeframes or interventions pushed on you.  We will monitor your baby’s heart rate throughout labor periodically with a handheld Doppler.  You will not have continuous monitors attached to you so you will be free to move about and use our birth tubs as you like.  Your baby will be in your arms immediately after birth.



Is the birth center licensed and accredited?

We completed the process of accreditation by the CABC, a national accrediting body, in July 2014. Idaho unfortunately does not provide licensure for birth centers or ambulatory surgical centers at this time.

The Commission for the Accreditation of Birth Centers (CABC), using the standards of the American Association of Birth Centers (AABC), provides support, education, and accreditation to developing and existing birth centers. The standards used for birth center accreditation are reviewed and revised on a regular basis.

What does this means for our clients?

Here are a few examples of how CABC Accreditation ensures exceptional care for you and your baby.

1.) The standards require best practices in maternity care, so that CABC accredited birth centers can keep up with the latest research.

Because CABC accredited birth centers have proper training and equipment (which meets another standard), they can provide safe care in emergencies.

2.) CABC Accreditation also requires that CABC accredited birth centers use a shared decision-making process, which helps them better understand what you need as they work with you through your pregnancy, labor, birth, postpartum and new parent experiences.




Is it safe to labor and give birth in a freestanding birth center?

 Studies have shown that for healthy, low-risk women, giving birth at a freestanding birth center is as safe as giving birth in the hospital.  The American College of Obstetricians and Gynecologists agrees.  A study released in November 2011 involving over 64,000 women in England found that “for planned births in freestanding midwifery units…there were no significant differences in adverse perinatal outcomes compared with planned birth in an obstetric unit”  (https://www.npeu.ox.ac.uk/birthplace/results).

View the most recent study on birth center safety and outcomes in the US recently published in the Journal of Midwifery and Women’s Health at: http://onlinelibrary.wiley.com/doi/10.1111/jmwh.12003/full.

Healthy women giving birth in a birth center avoid the routine use of advanced technology and interventions that may not be most appropriate for normal physiologic birth.  Women giving birth at Boise Women’s Health & Birth Center receive skilled, continuous care and labor support from Certified Nurse Midwives and Registered Nurses.  Research has shown that continuous labor support decreases the need for epidural anesthesia, medical interventions, and cesarean sections.



Who Provides Care at the Birth Center?

Health care at the birth center is provided by Certified Nurse Midwives (CNMs). Our CNMs are Advanced Practice Registered Nurses licensed by the Idaho Board of Nursing and accredited by the American Midwifery Certification Board. CNMs have advanced training and graduate education in midwifery. CNMs are experts in normal pregnancy and birth. CNMs provide holistic, family centered prenatal, labor, childbirth, postpartum, breastfeeding and newborn care as well as full scope women’s health care.




Is care at Boise Women’s Health & Birth Center covered by insurance companies?

We are contracted and are preferred providers for Blue Cross/Blue Shield, Aetna, United Health Care, Cigna, TriCare and Medicaid as well as several others. Because Idaho does not offer licensing for birth centers there are several insurance companies as well as Medicaid that do not cover the facility fee and would be the clients responsibility.

For clients using insurance: If we are an in-network provider, prices are determined by contract. If we are an out-of-network provider, we may not accept your insurer’s price. The difference is the client’s responsibility. Feel free to ask up-front about our intentions regarding your insurance. 

For all insurance clients, please remember that insurance is an agreement between you and your insurance company. Ultimately, you (not your insurance company) are financially responsible for your care. If your insurance does cover care at Boise Women’s Health & Birth Center you are still likely to have some fees or portion of the fees that are yours to pay. Client responsibility is the sum of co-pays, uncovered fees, unmet deductible, and co-insurance.




Who can give birth at Boise Women’s Health & Birth Center?

Birth centers are for healthy moms and healthy babies.  A healthy mother makes the kind of wellness choices that facilitate successful birth outside the hospital.  Boise Women’s Health & Birth Center prenatal care can help a mother-to-be achieve optimum wellness and avoid unnecessary risk.  Extensive prenatal screening is in place to ensure that any potential problem is caught early.
All high risk pregnancies must be referred to delivery facilities with more extensive resources.  For low risk mothers our holistic care helps them to best prepare for a natural birth with a less restricted provider.  Based on what we learn of a mother’s health and resources, we can refer her to a provider that will best match her condition and wishes.

While this list is not exhaustive, these are conditions that cannot have a birth center birth:




Can I have a water birth at the birth center?

Yes, each birth room has a large birthing tub, which may be used during labor and birth as well as for a postpartum herbal bath for mother and baby.  Each mother and baby will be continually evaluated as to the appropriateness of giving birth in the water.




How many staff will be at each birth?

Each birth will have at least two staff persons present. There will always be a Certified Nurse Midwife and a Registered Nurse or Licensed Midwife present for continuous care and labor support.




What happens if I need to transfer to the hospital during labor?

Because our ultimate goal is a healthy mother and a healthy baby, there are times during labor and birth when a transfer to the hospital may become necessary or something you choose. Emergency medication and equipment such as IVs and oxygen are available at the birth center. Transfers from Boise Women’s Health & Birth Center will be easy and seamless. Charlotte has privileges at St Luke’s Downtown and Metta will be working on this process in the near future. If you are transferred in, Charlotte will admit you and continue your care if it is still within her scope of practice to do so. If required to transfer care, the OB Hospitalist on call will be taking care of you however we will continue to provide support.



 Is there pain medication available at the birth center?

We are also the only free standing birth center with the option of Nitrous Oxide. Nitrous may be used at any point in labor or after if suturing is necessary after birth.



What happens after my baby is born?

Your baby will be immediately in your arms after birth. Next, your midwife will assist you with breastfeeding while continually monitoring your and your baby’s health during the immediate postpartum period. Mothers will stay at the birth center for an average of 3 to 4 hours up to 12 hours after birth. If your birth at home the midwives will stay with you for a minimum of 2 hours until both you and baby are stable. During prenatal care, we will provide extensive education on how to care for your baby in our early home care class. After birth, you will be confident and comfortable in caring for your baby at home.



Why do women usually get transferred to the hospital?


Most transfers occur for non-emergent reasons such as slow labor progress or pain management.




Cost of Care


Birth Center or Home Births can be a significant savings over a hospital birth. When comparing the costs remember that hospital facility charges account for a significant amount of the overall charge. Both mother and baby are charged a facility fee per day and are computed by the time the mother is admitted to the unit. If admitted at 11:30 pm, the charge is for a full 24 hours, as they compute the charges from midnight to midnight. The average per day charge for the mother is $3000 and $2000 for baby, even though the baby is typically in the mother’s room. We do not charge a facility fee for baby nor do we charge a per day fee.

We recognize that health care costs have sky rocketed in the last several years and cause a significant amount of financial stress for our clients. We try to help with this by offering discounted prices for our self-pay families as well as a facility fee discount for families qualified for Medicaid. We monitor our pricing and have adjusted our costs to be in line with the average contracted insurance rates so those rates are available for all clients. We recently switched our lab to Interpath Laboratories, a company that we feel is very ethical charging very reasonable pricing for our clients.

Our Fees:

Global Care for mom:

Includes all normal prenatal visits, the birth and postpartum recovery, a home visit 24 to 48 hours after discharge, or if delivered at the hospital daily visits, a 1 week , 2 week and 6 week postpartum visit - $3000

Newborn Care:

For babies born at home or in the center the fee includes the initial exam for baby after birth and monitoring during a normal recovery period, a home visit at 24 to 48 hours after discharge as well as a 1-week visit, a 2 week visit and lactation consultation- $1000
For babies born at the hospital, extent of newborn care depends on time of discharge from hospital. At this time we are not able to provide care for the babies during their stay at the hospital. If early discharge from hospital will provide full newborn care listed above.

Birth Center Facility Fee including use of the facility, basic birth supplies, water birth, and discharge 3 to 4 hours after birth up to 12 hours postpartum- Fee is $1500. * Fee discounted to $850 for Medicaid clients.

Home Birth Fee includes use of a rental birth tub basic birth supplies. Fee is $1500. * Fee discounted to $850 for Medicaid clients that do not qualify for Strong Start.

*Not included in the above fees are laboratory costs, metabolic screens, hearing screen, ultrasounds, non stress tests, nitrous, additional visits to the above packages, visit with consulting physicians if needed, non basic supplies, IV, medications, hospital stays, etc.

* Not included in the above fees are laboratory costs, metabolic screens, hearing screen, ultrasounds, nonstress tests, nitrous, additional visits to the above packages, visit with consulting physicians if needed, non basic supplies, IV, medications, etc.

Self Pay - 20% off of the above professional services, lab fees, and facility fee if paid in advance by your 32 week of pregnancy.

A list of our fees for other services is available upon request.