Services and FAQs

Queen City Birth Services offers birth center and  homebirth midwifery services, as well as placenta encapsulation, and childbirth education classes located in Fishersvile, VA.
Call or email to schedule your free consultation/tour with a midwife.

FREESTANDING BIRTH CENTER 

Our midwifery service areas include Staunton, Harrisonburg, Lexington, Lynchburg, and Charlottesville. 

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Birth Center Midwifery Care

Birth in our beautiful freestanding birth center attended by Erin Murphy, CPM, LM.
Erin is a Certified Professional Midwife, Licensed Midwife, and owner of Augusta County's only freestanding birth center--Queen City Birth Services.
We are conveniently located only 1 stoplight away from the neighboring hospital, so we are close by should a transfer be necessary.
Our birth center has two spacious birth suites, equipped with luxurious deep water birthing tubs, queen sized beds, sitting area, and toilet. Each room has a different style to suit differing tastes; one room is dramatic and modern, the other light and traditional. We are equipped with a variety of birthing stools, birth balls/peanut balls, candles, aromatherapy, and comfort measures. We encourage you to give birth in the position of your choosing, to include water birth. Eat and drink as you desire during labor, and stroll the 1.5 acre property if you need to wiggle your toes in grass and breathe the fresh air.
All of your prenatal care takes place at the birth center clinic, and the first couple of postpartum visits in your home. After that you come to the clinic for additional postpartum visits on weeks 2, 4, 6.
By choosing to receive prenatal, birth, and postpartum care with Erin Murphy, you will receive top quality midwifery care at an affordable fee.

Self-pay birth center package price $4000

Care Plan includes:

• -Evidence-based, respectful care
• Prenatal, birth, and postpartum
• 60 minute appointments (plenty of time to ask all of your questions).
• Childbirth education classes (extra fee applies).
• Continuous labor support from a licensed midwife
• We offer water birth!
• Placenta encapsulation available (extra fee applies).
• In-home postpartum visit in the first week after birth
• Postpartum office visits at 2, 4, and 6 weeks.
• 24/7 breastfeeding support

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Home Birth Midwifery Care

We provide home birth midwifery services within Augusta County, VA! By choosing to receive prenatal, birth, and postpartum care with Queen City Birth Services, you will receive top quality midwifery care at an affordable fee.
Home birth is for low-risk pregnancies only, and has many benefits. Clients can give brith in the comfort of their own familiar surroundings, and avoid a car ride in labor. Families do most of the prep work--gathering supplies, providing a clean space, doing laundry--and the midwife comes to you during your labor. We even have a portable birth pool that you can borrow (with deposit). The fee for home birth is $4500, and clients need to discuss the potential with their midwife by the beginning of their 3rd trimester in order to make necessary arrangements. Homebirth candidates must be within 30 minutes of a hospital w/maternity care, and must not have any additional risk factors. Prenatal care takes place at the brith center clinic, and the postpartum follow up care is the same as clients that birth at the birth center (first visit in your home, followed by clinic visits weeks 2, 4, 6).




Midwifery Care Only Package
For clients desiring to plan a birth in the hospital instead of the brith center or home, but still wanting the benefits of personalized midwifery care prenatally, we offer the option to receive midwifery care  at our clinic in Fishersville. You will receive 1hr long prenatal visits and no long waits in the waiting room. You will have ample time to discuss all of your questions during your appointments so that you know your options and feel confident going into your birth. It is recommended that you consider hiring a doula to accompany you to the hospital for your labor, as our midwives do not have hospital privileges. 
We are self pay only, but can provide an invoice at the conclusion of your care and you are welcome to file a claim with your insurance for reimbursement. 
You also have the option to add on postpartum visits for an extra fee. 
(This fee only applies to planned hospital birth and does not apply to intrapartum transfer of care.)

Self-pay midwifery only package $2500

Childbirth Education

Queen City Birth Services offers independent childbirth education classes at our birth center. These classes are available to all birthing families, regardless of your intended place of birth.
The classes come in a 3 part series:
(1) Childbirth 101, (2) Labor Comforts, (3) Hospital Birth Your Way. The fee is $200 for the entire series. Classes are located in at the birth center. Topics covered:

• Optimizing and supporting normal. The normal physiology of birth, and how to create an environment that optimizes your body’s natural process.
• Creating a birth plan. The risks and benefits of common interventions, and making informed decisions that are right for YOU
• Shared Decision Making, and why it is important to participate in your care
• Your rights as a birthing person
• Tried and true comfort and coping measures for labor
• Supporting the postpartum period and breastfeeding

contact [email protected] to reserve your spot in the next class series.

FAQs

Q. Do you take insurance?
A. We will walk you though the insurance process so that you can have your best shot at reimbursement from the insurance company after your care is completed. We take pride in helping you to get reimbursed!

Q. How can I afford the out-of-pocket expense of a birth center/homebirth? If I go to the hospital my insurance will just pay for the cost, so why bother?
A. You will remember the way you were made to feel at your birth  for the rest of your life, and with the average hospital C-section rate of approximately 30%, you are more likely to have lasting physical effects that influence your future reproductive health. Yes, there is an extra cost, but for many people, the extra cost is worth the desired birth experience. Also, most insurance companies will not pay 100% of your maternity care. When you factor in all of your insurance copays from prenatal care, hospital, and postpartum care, plus any deductible responsibility, most of the time you would end up paying more out-of-pocket for an "insurance covered" hospital birth than our total midwifery care fees. 
In order to keep homebirth affordable, QCBS offers a highly discounted fee (includes prenatal care, birth, and postpartum care). A $500 non-refundable administrative fee is due at the initiation of care. You are welcome to make flexible payments during your prenatal care, with the full amount due by 36 weeks.

Q. Is out-of-hospital, community birth safe? 
A. Numerous studies have proven that a planned birth in the out-of-hospital setting with a midwife is as safe, if not safer than a hospital birth for low risk, healthy mothers. That is not to say that there are no risks with homebirth because every setting has its own set of risks and benefits. Even hospital birth has its risks, and there is no such thing as a 0% mortality rate with birth. It is up to the individual(s) to decide which set of risks/benefits they are most comfortable with. 

​Q. What about the mess?
A. Believe it or not, it is usually an easy, quick clean-up. Your birth team will do most of this for you. Usually there is one bag of trash, and one load of laundry, which we will gladly toss in the washer for you!

Q. What if a complication arises?
A. According to MANA statistics, the leading cause of transfer to a hospital is for non-emergent situations such as maternal exhaustion. In some of these situations midwives can intervene to get things back on track to normal. However, we pay very close attention, and should a problem start to declare itself, we will discuss with you options for transfer to a hospital. Again, most transfers take place for non-emergent complications. Should a true emergency arise--which is rare--your midwives are trained how to care for mother and baby in those situations while awaiting the help of emergency medical services. Our birth center is one stoplight away from the hospital, making transport a quick process.

Q. What about the pain? How can I get through labor without pain medications?
A. This is a very normal concern, but we see women cope with their labor discomforts quite effectively when they are supported and left undisturbed. This undisturbed environment is much easier to achieve at home than an unfamiliar hospital environment. When women are constantly stimulated, and bombarded with questions, strangers, and hospital protocols, it is quite hard to relax and let your body release its natural pain killers. In these adrenaline producing situations, women can have a harder time coping. By laboring at home, many women find that their labor is easier to cope with.
Fear also plays a role. We go to great lengths to help educate women about the birthing process to help alleviate fear because fear heightens our sense of pain. We also have a lot of experience with comfort measures to help support you during the work of labor (water, massage, TENS unit, homeopathy, herbs, and acupressure).
We have helped birthing woman after birthing woman see their way through this journey. It also helps that we have been in your shoes a time or two (between the four of us we have birthed 12 babies). You can do it!

Q. Do you offer water birth?
​A. Yes, Queen City Birth Services offers water birth! We love water birth, and will have this option available to you at your birth. Our birth center has deep soaking tubs that are specifically designed for water birth. For home births we supply the birth pool at no extra charge (w/deposit), and assist with its easy set-up. Many women find the water offers great pain relief and freedom of movement. Some women like this option for birth, and some like it just for labor. We will follow your lead! 

 Q. Can I have a doula?
A. Want a doula at your birth? Great! We love doulas. 
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Q. How is a freestanding birth center birth with a midwife different than a hospital birth with a midwife/OB?
A. Freestanding birth centers cater to low-risk women, and we are a low volume practice. Because of that we can offer full continuity of care (no strangers at your birth), we have the flexibility for more individualized care, and we are not governed by hospital policies that may not be evidence-based for low-risk mothers. 
The hospital is not a bad place, and undoubtedly they offer a needed service. For those that are high-risk, or simply feel safer in the hospital, the hospital is a good option. However. for mothers that feel that the hospital care model is not suited to their individual risk factors as a low-risk mother, and don't want to struggle with routine hospital policies that often make natural/physiologic birth more challenging, then a freestanding birth center or home brith is a safe, gentle option to consider. 
Home is not hospital, and hospital is not home--each setting comes with their own set of risks/benefits, and we offer very different models of care. Hospitals operate on a Management Model of Care (sometimes called Medical Model), and our practice has a Physiologic Model of Care (sometimes called Midwife Model).
We are here to offer an alternative for those that feel safer in the home and birth center environment, and have determined that the risk/benefit trade off of out-of-hospital birth better meets their needs. 

Queen City Birth Services LLC
1610 Goose Creek Rd
Fishersville, VA 22939
540-413-3838
[email protected]