Midwives and Obstetricians (OB) both play important roles in perinatal care, but they have different training and approaches. Midwives specialize in childbirth, focusing on natural, low-risk pregnancies and emphasizing holistic care with minimal interventions. OB’s are trained to manage medical complications and high-risk pregnancies, skilled in medical interventions and clinical procedures.

OB’s provide referrals for medical procedures such as sonograms and lab work, and they manage MAM participants if they are deemed high-risk and require more intensive care.

You will have prenatal appointments with both the midwives and the OB at MAM.

You will deliver at your preferred location. If you are interested in labor support services, you will deliver at the hospital of your choice.

You will be accompanied by a midwife, a midwife assistant/nurse, a student midwife and any individuals you choose to have with you during the process.

Every case is evaluated individually. You will find out if your pregnancy is low-risk after your first appointment with the midwives. 

We do not accept insurance for midwifery services; however, some mainland insurance companies may reimburse midwifery services.

Midwifery services for out-of-hospital births vary based on a sliding scale, ranging from $2,500 to $5,000.

We recommend that first-time birthing individuals hire a doula. The doula is not included in the out-of-hospital birth services. MAM has dedicated doulas available for additional support during pregnancy or postpartum for an extra cost.

 The first two postpartum appointments will be in homes around the metropolitan area (San Juan and nearby), while the other appointments up to twelve weeks postpartum,  will take place at our clinic in San Juan.

Once you are part of our program, you will have the midwives’  emergency numbers for any questions outside of office hours.