Packages and Costs
Angie offers a free initial consultation to any person or family who needs help. This is usually by phone or video conferencing. The aim is to understand and explore your current concerns and questions, and to explore what support, information and care you may want. You can then decide if you would like Angie to walk with you.
Angie can be contacted by phone or email to arrange a suitable time to talk. This includes evenings, seven days a week.
One off consultations (preconception, before or after birth)
A initial one hour visit is £75, a long consultation (up to 3 hours) is £150
Do you have questions about pregnancy and birth, perhaps about your options? Not sure who to ask? Would you like evidence based information? Do you want things explained in plain and practical terms?
Angie offers one-off consultations in your home, at a time to suit you, in which she will answer your questions, offer information and help you to make sense of the information and often conflicting advice that you may have been offered.
Each antenatal or postnatal consultation will include a regular antenatal check up for your piece of mind, during which Angie will be happy to explain what she is looking and feeling for and why it is important. A longer consultation is a great opportunity to talk deeply about hopes and fears, exploring choices and preparing for pregnancy or for birth.
Midwifery care package (home or hospital birth)
Fees are based on your particular circumstances and needs.
A full midwifery care package can include:
- Continuity of midwifery care from pre-conception until 6 weeks after birth.
- Appointments with Angie, in your home, at a time to suit you.
- Routine antenatal appointments, generally every 4 weeks up to 28 weeks, then more frequently as birth approaches. Most appointments are 1-2 hours long.
- Care commences as soon as you know you are pregnant (usually around 4-8 weeks).
- You decide if others are involved in these consultations. Angie is happy to meet those who are important to you.
- Evidence based advice and information at every stage.
- Loan of books and equipment including TENS machine, birth ball etc.
- Full programme of discussion and information to enable you to make the decisions that are right for you, helping you to prepare for birth and life with your baby.
- Liaison with NHS services as needed.
- Contact by phone, text or email throughout your care, for any questions or concerns between appointments.
- 24hr on-call for you from 37 weeks until your baby is born.
- Personal attendance for labour and birth.
- Postnatal care.
Average package cost is £7,000 including insurance.
Test results, options and choices
If you have received uncertain or frightening news, or need to talk to Angie to explore options & choices
- Initial in-depth consultation (approx. 1.5-2.5 hours)
- Discussion of test results/choices and their implications
- Information about options for care
- Written summary of consultation and options discussed
- follow up phone call the day after consultation to answer any additional questions
- Attendance with you at one hospital appointment (eg scan or consultant clinic)
- Follow up consultation (approx. 1.5-2hrs) to review and plan future care
Non-invasive prenatal test (NIPT)
A home visit (in Surrey or Sussex) and the test, including the initial consultation and a follow up to share and discuss the results with you
What is NIPT and is it right for you?
In the NHS, women in England are offered an initial screening test for Downs syndrome (trisomy 21), Edwards syndrome (trisomy 18) and Patau’s syndrome (trisomy 13).The test is the “combined test” (sometimes the quad test) but this has a high false positive rate (worrying people unnecessarily) whilst also missing a significant number of affected babies.
Those who get a result suggesting a chance of 1 in 150 or greater will be offered an invasive test. In some hospitals NIPT is available in this situation, but it is not yet a standard part of NHS care. NIPT stands for Non Invasive Prenatal Testing. This is an area of major development in pregnancy care, but it is generally used to refer to a test for these three conditions which are the most common chromosomal issues to affect live-born babies.
Life is not always straightforward. Angie can walk with you during a complex pregnancy and has wide experience with many issues and concerns and is skilled at working in collaboration with other health care professionals to get the best outcome for you.
Having continuity of care when dealing with complex issues can really help as you navigate a complex path.
Angie’s experience includes:
- Issues affecting the pregnant person (organ transplant, paraplegia, extreme tocophobia, fertility issues, gender issues and many more)
- Multiple pregnancy (including quads)
- When baby is expected to have difference and/or major surgery is needed (Downs syndrome, spina bifida, cleft lip, congenital heart issues and more)
- When baby’s life is expected to be short (anencephaly, renal agenesis, chromosomal or genetic issues)
In addition to usual midwifery care, Angie’s involvement offers:
- Attendance at specialist consultations with you
- Liaison with specialist teams and co-ordination of services
- Professional advocacy
- Counselling support
- Detailed birth planning
- Perinatal hospice care
Reduced rates are sometimes available in cases of particular need.
Group B strep (GBS) testing
*in addition to standard consultation fee
GBS can occasionally cause serious infection in newborn babies. Many women carry the GBS bacteria at time sin the life and it is not harmful to them. It can however be harmful to a baby if it is active in the mother at the time of birth.
Routine screening is not yet a standard practice in the NHS, although it may be picked up as a chance finding.
If this could be relevant for you Angie can discuss this with you during any standard consultation.
She uses ECM swabs which are considered to be the most reliable method of testing. If you choose to have testing, Angie can arrange the necessary samples and subsequently discuss the results with you. Swabs are usually done from 35 weeks gestation. Please see www.gbss.org.uk for further information.