Frequently Asked Questions

Our midwives are CPMs (Certified Professional Midwives) and licensed to practice in Virginia. Each midwife is as individual and unique. We all bring our personal experiences and training to our practices. As midwives that practice exclusively out of the hospital, our training and expertise varies from those that practice in that environment. We are able to offer longer prenatal appointments, individualized care during pregnancy, one on one support in labor & multiple postpartum visits with breastfeeding support.

Unfortunately, many insurance companies do not cover out of hospital birth with a CPM. We do work with the Christian Healthshare and health savings accounts. We also work with a biller that can help you seek reimbursement for care. As midwives, we choose to spend our time providing care for families and not fighting with insurance companies. Our biller is excellent at her job and is a fantastic resource for clients with traditional health insurance plans.

We love water birth and are happy to offer this option for families. Babies born in water tend to transition really well. Many don’t cry, but look around wide eyed. They have gone from one warm, water environment to another, which can be a little less startling.

Each of our birth suites includes a large inflatable pool that can be used for labor support and birth. Laboring in water often aids in relaxation and offers some pain relief. The water also makes it easier for clients to change position as they tend to feel lighter in the pool. The pools have high sides that surround the mom allowing her some additional privacy. Additionally, the bottom of each pool inflates for extra comfort.

VBAC has always been a special interest of Nichole's and she spent many years involved with the Atlanta chapter of ICAN. They were an invaluable resource to her as a doula and student midwife, as well as parents all over the world. She has supported clients planning a VBAC and VBAmC in a variety of settings. The Nest team is happy to meet with you and discuss your specific concerns and birth history to help determine the safest option for your family.

We can order ultrasounds for diagnostic purposes (establishing an accurate due date, anatomy scan, biophysical profiles, etc). We also have a handheld ultrasound that we can use for a quick heartbeat check on baby or to confirm baby's position. Labs can be drawn in office, or we can give you orders to have them drawn at whichever LabCorp is most convenient.