Magic
& Science
Warmly lit, thoughtfully-designed birth rooms work in harmony with evidence-based medical tools to support safe, physiologic birth.
Built to provide safe, integrated birth services outside of the hospital.
Book a consultationAccess to information
Evidence-based options
Feeling truly seen
Holistic wellbeing
On your terms
Access to information
Evidence-based options
Feeling truly seen
Holistic wellbeing
Warmly lit, thoughtfully-designed birth rooms work in harmony with evidence-based medical tools to support safe, physiologic birth.
Your midwife and obstetrician partner seamlessly throughout your pregnancy, birth, and postpartum to deliver the best of both care models.
Our inviting space is designed to welcome families and support people, with concierge access to our network of experts.
Undisturbed skin-to-skin, delayed cord clamping, and gentle newborn exams at bedside promote bonding and support baby's transition.
Birth in a freestanding birth center with serene suites and deep tubs
Continuous care from your trusted team
A warm environment welcoming of partners, families, and support people
Ease of transfer to hospital as needed, with continuous care from your team
Personalized, 30-minute prenatal appointments alternating between midwife and obstetrician
6 weeks of postpartum care & support, including a home visit (vs. one in-office visit in the conventional model)
In-home lactation support
Concierge access to an expansive network of specialists
Annual exams with midwives & OBs
Long and short-term birth control including IUDs
Screenings for sexually transmitted infections in non-judgemental environment
Support for the natural process of aging, intimacy, and changes that occur
Preconception consultation and basic fertility workup for all families
Conception planning and IUI for LGBTQ+ couples
Gender-affirming care from an experienced team
Evidence-based options
Feeling truly seen
Holistic wellbeing
On your terms
Evidence-based options
Feeling truly seen
Holistic wellbeing
On your terms
Evidence-based options
The majority of people are good candidates for an out-of-hospital birth. Things that might deem you as higher risk include high blood pressure, uncontrolled diabetes, or being pregnant with twins. For more information about the safety of birthing out of the hospital, check out the landmark study conducted by the Midwives Alliance of North America, which confirms the safety for low-risk families who choose to birth outside of the hospital.
We monitor our clients throughout their care to make sure you and your baby remain good candidates for birth at the birth center. One of the benefits of our care model is that if you or your baby need a higher level of care, you can remain with your Moxie Birth providers and pivot to birthing in the hospital.
The most common reason clients transfer to the hospital from the birth center is for rest. Labor can be long and unpredictable, and sometimes pain medication can be a good tool to help a laboring person get a break and regain strength for the remainder of their labor. In the event that this becomes a good choice for you, your Moxie Birth team will continue your care and help you birth your baby in the hospital.
In rare cases, there will be an emergency transfer from the birth center to the hospital. This could happen in the event that the birthing person was bleeding too much after the birth of the baby, or the baby needs additional help transitioning after birth beyond what we provide at the birth center. Emergent transfers are rare, as the Moxie Birth providers are trained and certified to help assess you and your baby along the way and ensure everything is remaining low-risk. In the unlikely event of a true emergency, our team will accompany you and/or your baby to the hospital.
We are not contracted with insurance for birth services. Our clients pay a cash fee for their care, and we will provide you with a superbill and information for a trusted third party biller who can help you submit to your insurance for reimbursement. Most people with a PPO plan will receive some amount of refund from their insurance, depending on their deductible and out-of-pocket maximums. HMO insurance does not typically refund for out-of-network services (such as the birth center care).
For well-person care, we are contracted with several insurance plans. Check with our office staff about doing your annual exams, birth control, and gynecological services at our office.
Your Moxie Birth providers will join you at the birth center when you’re in active labor. This is when labor becomes a workout for you and your baby, and medical monitoring is recommended. We will stay with you at the birth center throughout the remainder of your labor and the birth of your baby. Postpartum, you and your family stay about four hours, which is how long it takes for us to be sure that you and your baby are stable and thriving. We’ll do a head-to-toe exam on your baby before you leave, and follow-up with a home visit check-up for you and the baby 24-48 hours after the birth.
Some of our pain reduction tools include the laboring person being free to move as they like, change positions, eat and drink in labor, and have continuous support with a team that you trust. In addition, our birth suites have deep birth tubs that let you submerge fully in warm water, which is proven to greatly reduce pain in labor and provide a soothing environment for birth. We do not have epidurals or narcotic pain management options at the birth center.
The “due date” is the 40 week mark, but it is well documented that people may birth full term babies as early as 37 weeks and as late as 42 weeks. After 40 weeks, we may recommend additional non-invasive monitoring to ensure that your placenta (a temporary organ that is nourishing and oxygenating your baby) is still doing well. This may look like a few longer appointments twice a week after 40 weeks.
The option to induce your labor would be discussed if any medical indications present themselves. Induction approaches could include natural methods, such as acupuncture or certain exercises. In the event that a medical induction of labor was recommended, a hospital birth with your Moxie Birth team would be necessary.
"I'm not even sure how to write this post because there is no adequate way to describe the profound care that Sara provides. She supported me through the birth of my daughter and it was the best experience of my life. It was hard and painful, yes, but I would do it over and over again for the chance to get to feel as supported, and safe, and STRONG as Sara helped me feel."
"Moxie Birth represents what's possible when medical professionals and birth professionals work together to create beautiful birth experiences. There's a sense of security in knowing that your team believes in your innate ability to give birth, and has the knowledge to address any medical issues that arise. I'm so grateful for my experience with this team. The memory of my birth here will be one I talk about and reflect on with pride - what a gift."
"Sara Howard was my midwife for my second pregnancy, and the care I received was absolutely life-changing. Not being weighed, doing my own group b strep swab, and my older son being a part of my prenatals were just a few of the highlights. I ended up birthing with Sara and Bente in the hospital, and though hospital was not the original plan, I had an amazing empowered experience and the unmedicated vaginal birth I’d hoped for. I was encouraged to help catch my own baby and had awesome hands-on breastfeeding support which helped my daughter latch within the first few minutes of being born."
Jane H, out-of-hospital to hospital transferWe honor your expertise in yourself while giving you evidence-based information and support along the way.
Together, we build lasting relationships with our clients and families, so that you can birth with peace of mind and body.
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