What’s Your Investment?

"At Le Creole Midwife, we want midwifery care to be accessible to everyone, which is challenging in our patchwork system of health insurance, insufficient coverage for out-of-hospital midwives, and poor insurance reimbursement for care providers. Because we value more accessible midwifery care in our communities, we offer a sliding fee scale, payment plans, are happy to submit insurance claims for possible reimbursement, and we are open to many
kinds of trade or barter for care. We also value and respect the deep level of time, energy, care, love, support, and commitment that we put into our work as midwives. For that reason, we ask that you thoughtfully and honestly consider where you and your
family are on the sliding scale below. This is a starting point for our conversation about fees so we can come to an
arrangement that will work for all of us." - Thai Iweirokwas

Le Creole Midwife Home Birth Service Package:
Standard Fee: $4,500

(Cost of care will increase in 2026)

Our comprehensive home birth package is designed to provide you and your family with safe, holistic, and personalized care throughout your pregnancy, birth, and postpartum journey.

What’s Included in the Standard Home Birth Package:

Prenatal Care

• Complete prenatal care beginning as early as your first trimester
• Regular prenatal visits (monthly, biweekly, and weekly as appropriate in pregnancy progression)
• Thorough health assessments including blood pressure, weight, fundal height, and fetal heart tones
• Nutritional and lifestyle counseling to support a healthy pregnancy
• Emotional support and education for you and your family
• 24/7 phone/text access to your midwife for urgent concerns

Labor & Birth Care

• On-call availability from 37 weeks until birth
• Attendance of your birth at home by your Certified Midwife Practitioner and trained birth assistant
• Continuous labor support, clinical monitoring, and encouragement during labor and delivery
• Use of natural comfort measures (water therapy, massage, position changes, birth ball, rebozo techniques, etc.)
• Fetal heart tone monitoring and maternal assessments throughout labor
• Immediate newborn assessment and care following birth
• Delayed cord clamping and support for physiologic third stage (placenta delivery)
• Respect for family preferences and cultural traditions surrounding birth
• The cost of your birth kits not included and must be ordered by the 30th week in pregnancy. 

Postpartum Care

• Immediate postpartum monitoring for both mother and baby for several hours after birth
• Newborn screening (as indicated by Louisiana and federal guidelines)
• Assistance with breastfeeding/chestfeeding initiation and education
• Follow-up visits at home within the first week, and in-home visits at 2 weeks and 6 weeks postpartum
• Monitoring of maternal healing, emotional health, and newborn growth and development
• Ongoing breastfeeding and newborn care support

Sliding Scale System

This system allows you to pick your payment based on your personal financial situation. If you are not sure which bracket you fall into, read the description and choose the one that best fits today.

Once you have settled on a reasonable fee, you will then choose your payment terms such as payment plan or full payment and how to pay

Hardship Fee $2,000

Consider placing yourself in this part of the sliding scale if you and your family:

• Have Medicaid, Foodstamps, or WIC
• Regularly struggle to meet basic needs - food, housing, transportation, childcare, and healthcare
• Will be less able to meet any of the basic needs above because of paying for midwifery core
• Rely on payday loans and /or credit card debt to meet basic needs
• Live paycheck to paycheck with no savings for non-essentials, extras or emergencies.
• Live in the lowest-rent options, stay with relatives/friends, and/or have unstable or inconsistent housing
• Have limited, low-wage, and /or unstable income, or are unemployed
• Don't have relatives, friends, or extended community with financial resources who could support your midwifery care with gifts, donations, or loans.

*All of the above is by necessity not by choice. For example if you have access to family money and resources in times of need, work part-time by choice, and/or have a relatively high degree of earning power due to level of education (or gender and racial privilege, class background, etc.) but choose not to access that, please look at and consider the non-discounted fees below

Standard Fee $4,500

Consider placing yourself in this part of the sliding scale if you and your family:

• Do not struggle to meet the basic needs of food, housing, transportation, childcare, and healthcare, and paying for midwifery care will not change this
• May have financial debts, but they do not prevent you from meeting the basic needs above
• Will have to cut back or budget more tightly on non-essentials and extras to pay for midwifery care, such as eating out, buying a morning coffee/tea, new clothes, or vacation
• Have some amount of savings for extras and emergencies
• Have relatives, friends, or extended community with financial.
• Own your own home or can pay for medium or higher quality rental.
• Can afford to take planned vacations, trips, and time off from work.

*Please note:

• • Precious metals must be tested for purity (99.9%) and authenticated at the time of transfer.

  • Spot value will be determined based on the day of payment using current market rates (via Kitco or a similar trusted source).

  • Barter agreements involving precious metals will require a signed acknowledgment of exchange value.

  • This option honors those who wish to pay in sovereign assets and contribute to the sustainability of our midwifery practice through alternative, culturally-rooted economics.