Home Birth Midwifery Care
Lux Midwifery provides comprehensive, relationship-centered care throughout pregnancy, birth, and the postpartum period. Care is provided by Sapphire Garcia in partnership with Melinda Lavon, PhD, CPM of Bloom Midwifery, meaning families are supported by two midwives throughout their care.
This model allows for attentive, personalized care that prioritizes both safety and experience.
What’s Included
Care at Lux Midwifery is offered as a global fee of $5,500.
This fee reflects comprehensive, relationship-based care throughout your pregnancy, birth, and postpartum period, including extended time, availability, and continuity of care.
What is Included
Your global fee includes:
Prenatal Care
- Approximately 18–21 prenatal visits, totaling around 20 hours of face-to-face prenatal care
- A 2-hour initial intake visit
- Ongoing visits (typically 60–90 minutes each)
- Review and interpretation of all labs and imaging
- Care coordination, including referrals and communication with other providers when needed
- Ongoing clinical assessment, education, and support throughout pregnancy
Labor & Birth Care
- On-call availability 24/7 beginning at 37 weeks gestation
- Continuous presence during active labor and birth
- In-home evaluation during onset of active labor, as indicated
- Full clinical monitoring and support throughout labor
- Immediate postpartum care following birth (typically several hours in your home)
Postpartum Care
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Multiple postpartum visits, 60 to 90 minutes each, including at:
- 24 hours (in-home)
- 48 hours (in-home)
- 1 week (in-home)
- 2 weeks (in-home or office)
- 1 month (office)
- 6–8 weeks (office)
- Ongoing assessment of both maternal recovery and newborn well-being
- Feeding and lactation support
- Continued access to care and guidance during the postpartum period
Additional Support
- Access to wellness spaces (meditation and art therapy rooms) through one year postpartum
- Communication access for questions, concerns, and guidance throughout care
- I file your baby’s birth certificate with the state of Kansas, send in a c
What is Not Included
The following are not included in the global fee:
- Laboratory processing fees (billed separately through Path Group)
- Ultrasound and imaging costs (billed through Cypress Imaging)
- Medications and prescriptions, including items such as Rhogam, if indicated
- Any hospital-based care or services outside the midwifery scope
- Primary medical care for your general, non-pregnancy related health needs
- Well newborn checks outside of general screenings offered at birth, 24 hours, and 48 hours of life.
New Patient Fee
A $200 non-refundable New Patient Fee is required prior to your first visit in order to reserve your place in care.
This fee is separate from the global care fee and is not applied toward your balance.
The New Patient Fee covers one-time expenses associated with initiating your care, including:
- Creation and setup of your medical chart and records
- Lab draw supplies used throughout your pregnancy
- Disposable clinical materials specific to your care
Because Lux Midwifery accepts a limited number of clients per month, this fee secures your place in care.
This fee is non-refundable, as these resources are allocated specifically to you once your care is initiated.
Payment Plans
Payment plans are available and may be structured in increments of your choosing, as long as the full balance is paid within the required timeframe.
If you choose to use a payment plan, you will be required to complete and sign a payment plan agreement form outlining your payment schedule.
Payment Timeline
The remaining balance must be paid in full by 36 weeks gestation.
This ensures that I am able to be on call for your birth beginning at 37 weeks (full term).
If your balance is not paid in full by this time:
- I may, at my discretion, continue to provide prenatal care through the end of your pregnancy, or I may refer you to another local prenatal care provider who is available to see you.
- I will assist with coordination of transfer of your records to a hospital-based clinician.
- A hospital-based clinician will assume care and attend your birth.
If you anticipate difficulty meeting this timeline, please reach out early so we can discuss options.
Late Entry to Care
Lux Midwifery is designed for clients who begin care early in pregnancy, allowing time to build a relationship, review your health history, and provide comprehensive prenatal support.
I do not often accept clients late in pregnancy. However, when space allows and I am able to take a late transfer:
- The full global fee still applies
- You will be required to attend multiple prenatal visits prior to your birth
- All prenatal records from previous providers must be transferred and reviewed prior to acceptance into care
Late entry into care requires additional time to:
- Review your medical and prenatal history
- Assess current health status and risk factors
- Establish a safe and appropriate plan for your care
Because of this, acceptance into care later in pregnancy is limited and not guaranteed.
Transfer of Care & Refunds
If your care moves outside the scope of midwifery and transfer to hospital-based care is required during pregnancy, a partial refund, determined at the discretion of your midwife, will be issued based on the portion of care already completed.
If transfer occurs during labor or birth, postpartum care with Lux Midwifery will resume once you are discharged home.
A Note on Value
This model of care is built on time, availability, and continuity.
You are not paying for isolated visits—you are investing in a model of care that supports you across the full course of pregnancy, birth, and postpartum.
This includes:
- Consistent, extended time at each visit to ensure your concerns are addressed and your questions are answered
- Individualized guidance on nutrition and lifestyle, supporting you in taking an active role in your health and reducing the risk of complications
- Direct access to your midwife, with ongoing communication and support throughout your care
- Continuous clinical monitoring at every visit, allowing for early identification of changes in your health or your baby’s well-being
These ongoing assessments act as clinical guardrails, helping to identify early physiological changes that may indicate developing complications.
If additional care is needed, this model allows for timely referral and coordination with specialists, including obstetricians, maternal-fetal medicine providers, or other appropriate clinicians.
The goal is to support a pregnancy that remains within safe parameters for home birth, while ensuring that any changes are recognized early and addressed appropriately.