The midwifery philosophy of care views physical health as one piece of the whole person. You are a unique individual with spiritual, psychological, and environmental elements influencing your physical health and well being. Midwives believe that women are powerful and central to the health and well being of families and communities.
From the American College of Nurse Midwives:
We believe every person has a right to:
Equitable, ethical, accessible quality health care that promotes healing and health
Health care that respects human dignity, individuality and diversity among groups
Complete and accurate information to make informed health care decisions
Self-determination and active participation in health care decisions
Involvement of a woman's designated family members, to the extent desired, in all health care experiences
We believe the best model of health care for a woman and her family:
Promotes a continuous and compassionate partnership
Acknowledges a person's life experiences and knowledge
Includes individualized methods of care and healing guided by the best evidence available
Involves therapeutic use of human presence and skillful communication
We honor the normalcy of women's lifecycle events. We believe in:
Watchful waiting and non-intervention in normal processes
Appropriate use of interventions and technology for current or potential health problems
Consultation, collaboration and referral with other members of the health care team as needed to provide optimal health care
We affirm that midwifery care incorporates these qualities and that women's health care needs are well-served through midwifery care.
Finally, we value formal education, lifelong individual learning, and the development and application of research to guide ethical and competent midwifery practice. These beliefs and values provide the foundation for commitment to individual and collective leadership at the community, state, national and international level to improve the health of women and their families worldwide.
To learn more about the midwifery philosophy of care, visit midwife.org
Midwifery of Austin is dedicated to providing care true to the hallmarks of traditional midwifery care. Because of this we accept a small number of health insurance policies or bill health insurance as an out-of-network provider. Most clients are able to obtain reimbursement of our fees. To schedule an appointment at your convenience or view our service fee schedule, please use our online scheduling resource.
*Midwifery of Austin believes that all women deserve access to midwifery care. Economic circumstance is not a barrier of care. Please inquire about sliding scale fees if you are over burdened by payment and unable to access adequate care.
Primary Care and Gynecology:
Integrative well woman exam
Follow up and problem focused visits for established clients
Preconception visit (without annual physical)
Midwifery care with planned hospital birth
Prenatal visits in office
One on one midwifery support in active labor
24/7 access to your midwife
Post partum visits in home for 1 week
6 weeks of post partum support in office
Please schedule an appointment at your convenience using our online scheduling resource. Please note: All new pregnancy clients must schedule an interview prior to initiating prenatal care.
Our office is located in the East West Family Health Center at 1709 Rio Grande St Austin, TX 78701 Parking is available behind the building. Enter through the front door and your midwife will greet you in the waiting room.
Our pay for service fee schedule is available for review at the online scheduling resource. To ensure you have the best care possible, we rarely engage with insurance companies (learn more about our insurance philosophy here). We currently accept BCBS-UT Select and Tricare insurance. If you have a different carrier and wish to utilize insurance for your care with Midwifery of Austin, please contact them directly to inquire about your out of network benefits and expected reimbursement rates.
What is a Midwife?
A Certified Nurse Midwife is a registered nurse who has completed a masters or doctorate degree in nurse midwifery. A CNM provides primary care, well women gynecology throughout the life span, prenatal care, intrapartum or birth services, post partum care, lactation support, and care of newborns and children. Certified Nurse Midwives work in hospitals, birth centers, doctor’s offices, and home birth practices. To learn more about Certified Nurse Midwives please visit The American College of Nurse Midwifery. To learn more about Certified Professional Midwives visit NARM.
What is the Midwifery Philosophy of Care?
The midwifery philosophy of care views physical health as one piece of the whole person. You are a unique individual with spiritual, psychological, and environmental elements influencing your physical health and well being. Midwives view pregnancy and birth as a physiologic event. Midwives believe that women are powerful and central to the health and well being of families and communities. To learn more about the midwifery philosophy of care, visit midwife.org
What is Integrative Health Care?
An integrative approach to health combines western medical knowledge with a variety of other healing modalities including: functional medicine, herbs, holistic nutrition, and lifestyle interventions. Less invasive and natural therapies that have been proven effective are chosen prior to prescribing western pharmaceuticals.
Why the Hospital?
Midwifery of Austin believes that women should have access to midwifery care whether they prefer to give birth at home or in the hospital. The community of Austin is rapidly growing while the number of in hospital midwives has remained constant. Midwifery of Austin was founded with the intention of expanding our community’s access to planned hospital births with midwives. If you prefer to birth at home, please visit Texas Midwives.
What About Insurance?
Midwifery of Austin accepts Blue Cross Blue Shield-UT Select and Tricare. Why not all insurance? Insurance policies generally offer low reimbursement rates to in network providers which leads to high volume practices. Increasing volume to cover overhead and generate income creates provider burn out reducing the quality of care you receive. In order to offer you personalized attention and positive birth outcomes that is true to the midwifery philosophy of care, we cannot accept their rates. Your care is too important to us. Midwifery of Austin offers a sliding scale payment option that accounts for debt to income ratios. Additionally women living below the poverty line who qualify for medicaid enjoy deeply discounted rates. To learn about obtaining reimbursement from your insurance carrier please contact them directly to learn about your out of network coverage.
Can I have an Epidural?
Yes! Absolutely, yes. While midwives are skilled at supporting women through un-medicated labors, the midwifery philosophy of care is to honor what you feel is right for you and your baby. Midwifery of Austin respects your preference for pain management in labor and birth.
What if I Need a Cesarean Birth?
Midwifery of Austin is supported by an amazing group of highly skilled obstetricians who are available 24/7 in the event that you or your baby need the care of a physician.
Do I Need a Doula?
Inviting additional people to your birth is a personal choice. Your midwife will be with you one on one throughout labor providing clinical support to you and your baby. A doula provides continuous emotional, spiritual, and physical support for you and your family. Research supporting the presence of a doula at your birth is overwhelmingly positive: reduction in use of pain medications, reduction in cesarean births, and greater satisfaction with birth experiences.
Dara Fields has been a Certified Nurse Midwife since graduating from Columbia University in 2008. Dara has had the honor of working with traditional parteras of the Andes mountains, serving families of Navajo Nation, and practicing western midwifery with Ob/Gyn physicians in Central Texas.
A Message From Our Founder
Midwifery of Austin is a deeply personal practice. As a client you are given your midwife’s personal cell phone number, offered 45 minute visits to address all aspects of your well being, given one on one support through labor and birth at the hospital, and your midwife is available postpartum including lactation, mood, and clinical support. The design of this practice is unique with a woman centered approach and individual attention. Midwifery of Austin was born out of a desire to offer compassionate care honoring each woman as a complex, vibrant person deserving of respectful care.
Midwifery of Austin additionally offers preventative health and well woman care with a foundation in integrative health.
Midwifery of Austin is located in the East West Family Health Center, 1709 Rio Grande St. Austin, TX 78701 . Please enter through the front entrance and your midwife will greet you in the waiting room. Both the waiting room and office are family friendly with toys and play space available.
If you’re having thoughts of harming yourself, your baby, or others please seek immediate support by dialing 911 or The National Perinatal Hotline 1-800-PPD-MOMS (1-800-773-6667)
If you are having scary thoughts, not bonding with your baby, or think you have post partum depression; you’re not alone. Many women experience changes in mood and mental health in the first year after giving birth. Seeking help is the best thing you can do for yourself and your family. There are many resources available to help you feel like yourself again. Please visit The Pregnancy and Post Partum Health Alliance of Texas for a list of health professionals that specialize in caring for post partum families.
If you are a current or past client of Midwifery of Austin, please call or text your midwife’s cell if you’re struggling. You are not alone.
Available at Austin Public Library.
Birthing From Within by Pam England
The Big Book of Birth by Erica Lyon
Ina Mae’s Guide to Childbirth by Ina Mae Gaskin
Childbirth Without Fear by Grantly Dick-Read
Nurture: A Modern Guide to Pregnancy by Erica Chidi
Fathers to Be Handbook by Patrick Houser
The Womanly Art of Breastfeeding by Diane Wiessinger
Nursing Mother, Working Mother by Gale Pryor
The No Cry Sleep Solution by Elizabeth Pantley
The Baby Book by William and Martha Sears
The Happiest Baby on the Block by Harvey Karpp
Nourishing Traditions of Baby and Child Care by Sally Morell
Baby Led Weaning by Gill Rapley
Unconditional Parenting by Alfie Kohn
The Whole Brained Child by Daniel Spiegel
4th Trimester for Partners and Family
The First 40 Days by Heng Ou
Father for Life: A Journey of Joy, Challenge and Change by Armin Brott
The New Father: A Dad’s Guide to the First Year by Armin Brott
After the Baby's Birth: A Complete Guide for Postpartum Women by Robin Lim
Midwifery of Austin believes that women are leaders in the health of communities and essential to the well being of families. We believe that every woman deserves access to food, shelter, and a life free from violence. There are several ways that Midwifery of Austin supports women in our community: 1) for every 3 women who pay our pregnancy care fees in full, one woman who is unable to access pregnancy services is cared for at reduced costs. 2) Midwifery of Austin also waives primary care provider fees for unemployed, uninsured, underinsured, or low income women each October. Everyone deserves access to preventative health care. 3) Midwifery of Austin participates in community drives and fundraisers as time and resources allow. We recently pledged matching donations for RAICES family reunification fund. We are committed to ending violence against women and children regardless of documentation status. Every holiday season Midwifery of Austin sponsors a family for the holidays through the Safe Alliance. To learn more about this community program and sponsor a family visit: SafeAustin.org