Considering a home birth? Our midwives are here to support you every step of the way!
We offer prenatal care, labor and home birth support, and full postpartum midwifery services, right here in St Augustine. We limit the number of clients we serve each month to ensure a personal experience that caters to your unique wants and needs. Whether this is your first baby or fifth, we've got you. We will work together to ensure that you have everything you need for a healthy pregnancy and empowering birth.
Birth your way, in the comfort of your home, with a team you know and trust.
Welcome your baby in the comfort and intimacy of your own home, with personalized midwifery care guiding every moment. Gentle, personalized care. The comfort of home. Your birth, your way.
Prenatal Care
Holistic prenatal care to prepare your mind, body, and tribe for birth and baby.
As midwives, we provide evidence-based information to support you in making informed decisions. Prenatal labs, ultrasounds, and childbirth education available in a family-centered approach, right at home.
Home Birth
Move freely, hydrate and nourish, follow your intuition and birth empowered.
We provide thorough monitoring of you and baby throughout labor and have the training and experience to keep you both safe. This is balanced with warm, caring support and the freedom to birth your way.
Postpartum Care
Immediate skin-to-skin, delayed cord-clamping and the golden hour are all standard care with home birth midwives.
We help you with breastfeeding and do a complete newborn exam right at the foot of your bed. We are back to check in on you throughout the first 6 weeks with your new baby.
Considering a Home Birth? Book a Free Initial Consult with our Midwives
Who’s a good fit for home birth?
From prenatal support to labor and postpartum, our Licensed Midwives provide hands-on comfort, education, and advocacy, creating a calm, empowering, and deeply personal home birth experience centered entirely on you and your family.
"We could not have asked for a better midwife experience! Tiffany was incredible to work with. She is professional, knowledgeable, warm, and fun. We loved that she provided evidence based perspectives to inform our decisions and did not pressure us. She made us feel comfortable and supported. On the day of our daughter’s arrival, Tiffany was calm and collected and ensured a smooth delivery. We are so thankful to have had her support and guidance!"
"The care that Tiffany gives you from pregnancy to postpartum is truly top tier. I always enjoyed having my check ups with her and was SO happy she was able to attend my birth. I remember in labor I instantly noticed her walk in the room and felt her calming & positive energy. The women who you choose to have around you during your birth mean a lot, and I’m so very grateful I had here."
"Tiffany is an outstanding, knowledgeable, compassionate midwife that was always supportive. Any questions or concerns, even a venting ear you could count on Tiffany. We can’t even begin to express the appreciation we have. I would recommend midwives 1,000 times to any expecting moms, especially Tiffany and her resources! From pregnancy to postpartum, you will be supported. We are forever grateful for our experience and our healthy baby boy!"
"Tiffany was amazing at preparing me for birth and made it possible for me to have the birth experience I wanted. She was always available when I needed her. During labor and birth, she stayed by my side and kept me calm and comfortable. She made sure my birth plan was followed and gave me encouragement. Tiffany is truly wonderful and absolutely amazing at her job. I would not have had the wonderful birth experience that I had without her."
"Tiffany is magic! After having two home births, briefly attended traditional midwifery school myself, once a birth assistant, certified lactation counselor, and currently a registered nurse, I had high expectations for my midwifery care. That being said, Tiffany met all of my standards in a midwife! She is personable, professional, punctual to appointments, incredibly thorough, and very trustworthy. I highly recommend her midwifery services!"
"I do not know what I would have done without Tiffany! She was so knowledgeable and helped prepare me for every step of the process. Her calming presence was just what I needed in labor. She was able to help my partner so much too. AMAZING WOMAN! I am so grateful for her!"
"Tiffany's presence during labor was priceless and balanced out tensions that came and went. She helped us with resources and eased a lot of my anxieties surrounding pregnancy and labor. Her wealth of knowledge and her personal experiences created a warm and relaxing environment. Throughout the process she was intuitive to our needs and reducing our stress. I highly recommend her to anyone!"
"Tiffany is amazing! I first met her when I was having my first son 3 years ago and it was one of the most amazing experiences ever. She’s so sweet and honest and very open and loving! I would recommend her to anyone ! She is so knowledgeable and will help you choose what’s best for you and your baby without any pressure. She was more like my support system/friend, she was so sweet ! 100/10 would recommend her to anyone!"
Frequently Asked Questions
Full Prenatal Care, Home Birth and Postpartum Support is $8,500.
There is a 5% discount for military families, first responders and anyone who pays in full by 28 weeks.
We believe every family deserves access to respectful, evidence-based maternity care. Island Birth House maintains a limited community-care fund to provide reduced-cost services to qualifying families experiencing financial barriers to care.
I offer payment plans and accept HSA/FSA and Care Credit.
We do not accept insurance, however, we can provide you with a superbill for you to file a claim for reimbursement with your insurance. The amount of reimbursement you may be eligible for will depend on your insurance provider and policy.
We do take Care Credit, HSA/FSA, and we accept health share plans.
Labs and ultrasounds can be billed directly to your insurance.
A free consultation to decide if home birth is right for you and if we are a good fit for each other.
All of your prenatal visits: Monthly through 28 weeks, biweekly through 36 weeks, and weekly through 42 weeks.
Labor and Birth Support including use of a Birth Pool
Filing of baby's Birth Certificate and Social Security Card
Postpartum Care through 6 weeks: Full Newborn Exam including measurements and footprints, breastfeeding support, family planning options including contraceptives and well-women care.
Home birth is an option for those in good health with a low-risk pregnancy. Chronic medical conditions, such as heart disease or hypertension, or pregnancy complications like preeclampsia, placenta previa, or gestational diabetes would risk you out of care. If you have questions specific to you, feel free to book a consultation with a midwife and we can discuss your options.
Most people are eligible for a Trial of Labor (TOLAC) and Vaginal Birth After Cesarean (VBAC). In the State of Florida, a consultation with a physician is required for Licensed Midwives to attend the home birth of anyone who has had a cesarean. We can provide a referral and assist you with scheduling a consultation with a physician who will review your history, your current pregnancy, and the risks and benefits of VBAC.
Licensed Midwives are experts in normal, healthy, low-risk birth. If there comes a point in your pregnancy or labor where we believe it would be safer for you to birth in the hospital we will make the decision together to move to the facility of your choice. We will facilitate the transfer in the safest, most comfortable way possible. We send your records, accompany you to the hospital, provide labor support, and follow-up with our regular postpartum care back at home. Whatever turn your pregnancy and birth take, we are here to support you.
Home Birth Midwife Fees & Payment
The Home Birth Package cost is $8,500
This includes full prenatal and postpartum care by Licensed Midwives, labor and birth support, a water birth tub rental.
We offer a 5% discount for military families, first responders, and anyone who pays in full by 28 weeks.
We offer payment plans and accept HSA/FSA, health share plans and Care Credit.