Frequently Asked Questions (FAQs)

What is a birth center?

Birth centers provide family-centered care for healthy women before, during, and after normal pregnancy, labor, and birth. A birth center is a home-like facility, existing within a healthcare system, with a program of care designed in the wellness model of pregnancy and birth. Birth centers are guided by principles of prevention, sensitivity, safety, appropriate medical intervention, and cost effectiveness.

How do I know a birth center is right for me?

The majority of women are good candidates for a birth center birth. Women who choose birth center care are committed to maintaining optimum health and well-being during their pregnancies and birthing naturally. These women desire shared decision making with their provider.

Women choosing a birth center birth understand that in most cases, minimal medical intervention is safest for both mother and baby, and in fact support and patience are often all that are needed as she births her baby. Sometimes, however, pregnancy and birth are unpredictable and intervention may be necessary to ensure the best possible healthy outcome. In such a situation, since a trusting and respectful relationship has been established between the family and the midwives, a discussion of risks, benefits and alternatives occurs with ample time for questions. Then, even if the birth doesn’t go as expected, the family feels comfortable with the plan of care, and the midwife continues to be present and supportive during the entire process.

How does midwifery care differ?

Midwifery care is provided by professionally trained nurse-midwives who practice a wellness and holistic approach to pregnancy, birth, and women’s health care. Midwifery care focuses on the promotion of health, development of individual responsibility in health care, and shared decision making.

When you decide to visit a nurse-midwife, you will receive a special level of care that is not always present in other health care settings. Midwives believe that childbearing is normal and that you and your family should create the birth experience that will be meaningful to you. Midwifery honors and respects the wisdom and dignity of all women and the sacredness of pregnancy and birth. Midwives often spend extra time with you during your appointment, listening to your concerns, addressing (or treating) problems. They may provide education, suggest resources, or refer you to additional health care providers if needed. Your midwife strives to be your partner in care, not just your provider of care. Midwifery is a collaborative practice that involves women, families, midwives, nurses, obstetricians, pediatricians, and other specialists as needed.

What services do you provide?

We see women throughout the life cycle, from the onset of menstruation through and beyond menopause. We provide maternity care, preconception counseling, infertility care, contraceptive counseling, well woman care, menopause care, and more! Read more here.

Do you accept insurance?

Yes! Sacred Roots is an in-network provider with Anthem Blue Cross Blue Shield. We work with other commercial insurance companies on an out-of-network basis. Navigating insurance benefits and reimbursements can be challenging because each insurance company has its own requirements and regulations. Let us help you navigate! At your initial prenatal visit, we will collect your insurance information so that we can determine your insurance eligibility.

How does billing and payment work?

Once we collect your insurance information at the initial prenatal visit, we will create an Explanation of Benefits based upon the anticipated coverage by your plan. This will determine your anticipated out of pocket expenses. Billing and payment options based upon your estimated expenses will be reviewed at your second visit. Pregnancy is billed globally – this means that rather than billing your insurance company for each office visit, your insurance company will be billed once on the date of service (the date that you give birth!). This global fee covers your prenatal care, labor and birth care, as well as your postpartum care.

How much does the birth center cost?

Birth center care is very affordable. Unlike hospital-based care where you have no idea what you will owe until your bill arrives in the mail, the birth center model of care insists upon transparent pricing. Just as you would have both a bill from your physician’s office (global professional fee) and the hospital (facility fee), our pricing is also split between professional fees and the facility fee. At Sacred Roots, our professional fee AND facility fee are approximately half of the average Indiana hospital facility fee alone (according to

Professional fee: This fee covers your professional nurse-midwifery care including all of your prenatal visits (90 minute first visit, two 60 minute visits, and the remainder 30 minute visits), labor and birth attendance, and two in-office postpartum visits (60 minute visits).

Facility fee: Fees for Sacred Roots Birth Center range from ¼ to 1/6 the cost of local hospitals for normal vaginal birth and care of a normal newborn. Our fees include use of the birth center, Registered Nurse birth assistants, phone call on the day following discharge, home visit 1-3 days following birth, childbirth education classes.

Can I come to Sacred Roots even though I have started care with another provider?

Absolutely! Many clients transfer care to Sacred Roots during their pregnancy. Many clients discover through the course of prenatal care that their current provider or anticipated hospital is not a good fit for their desired pregnancy and birth experience. Generally, we accept transfers until 32-34 weeks of pregnancy. We will ask you to fill out a records request so that we can receive records from your previous provider.

If I choose nurse-midwifery and birth center care, can I still get an ultrasound?

Of course! Nurse-midwives are integrated providers in the health care system. We can order labs (including prenatal genetic testing/screening), ultrasounds, medications, and provide for any needs that you may have during your pregnancy. We are able to send referrals to Maternal Fetal Medicine, neurology, cardiology, obstetricians, or any other discipline that you may require during your pregnancy.

How many people can be at my birth?

There are no restrictions on how many people you invite to your birth. This is your story. Family and friends are welcome to use our inviting family room and kitchenette while they wait. Siblings, of course, are always welcome with a supervising adult. A nurse-midwife will be present throughout your labor, birth, and early postpartum period. A registered nurse birth assistant will be present for your birth and until your discharge from the birth center.

Can I eat during labor?

Of course! Labor and birth require much energy! We will encourage you to maintain hydration during your labor and eat as you are able. We also ask that you bring a meal to eat during the postpartum period. You will be hungry!

Do you offer waterbirth?

Absolutely! Each of our three birthing suites offers a jetted, whirlpool tub for labor hydrotherapy and waterbirth. Our nurse-midwives are well-trained and experienced in offering waterbirth for our clients.

Does Sacred Roots Midwifery attend Vaginal Birth After Cesarean (VBAC) births?

We are huge supporters of VBAC. Unfortunately, Indiana state regulations do not allow licensed birth centers to attend VBAC births.

Are you licensed?

Certified Nurse-Midwives are board certified by the American Midwifery Certification Board and licensed by their state of practice. Our nurse-midwives hold Indiana Registered Nurse licenses, Nurse-Midwife licenses, prescriptive authority licensing, as well as controlled substance licensing. Sacred Roots Midwifery Birth Center, Inc is licensed to operate by the Indiana State Department of Health.

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