Birthing With Gnomie
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In person around San Antonio, farther with a travel fee, and virtual anywhere

Support for every stage

Birth doula support, virtual prenatal sessions, and help at home or in the hospital after birth. Virtual wherever you are, in person around San Antonio and farther with a travel fee.

Birth support packages

Three packages. You choose the one that fits your household.

  • Supported Birth

    $550

    For families facing financial hardship, single-income households with many dependents, or anyone who couldn’t otherwise afford doula support.

    • 1 prenatal visit
    • Continuous labor and birth support
    • 1 postpartum visit

    $250 retainer holds your date

    Book a consultation
  • Standard Birth Support

    $850

    The true baseline cost of my services, for households with steady income and some flexibility in the budget.

    • 2 prenatal visits
    • Continuous labor and birth support
    • 1 postpartum visit

    $300 retainer holds your date

    Book a consultation
  • Pay-It-Forward Birth

    $1,200

    For families with financial security who want to help keep lower-cost support available to other families in our community.

    • 2 prenatal visits
    • Continuous labor and birth support
    • 2 postpartum visits
    • A childbirth series, or extra prenatal or postpartum support instead, chosen together when you pick this rate

    $500 retainer holds your date

    Book a consultation

Every birth package includes

  • Prenatal visits
  • On call as your due date nears
  • Continuous labor and birth support
  • Postpartum visits

You choose the package that fits your household. The balance is due in the payment window in your agreement.

Compare packages, payments, and add-on visits

Service area and travel

In-home visits and hospital support cover San Antonio and about 50 miles around, including Boerne and New Braunfels. Beyond that, a round-trip travel fee applies, or we can meet virtually.

San Antonio, Boerne, New Braunfels

Service areas and travel details
Flat round-trip travel fee by distance from San Antonio
Distance from San AntonioFlat round-trip fee
Up to about 50 miles, including Boerne and New Braunfels No charge
51 to 65 miles $35 to $50
66 to 80 miles $55 to $75
81 miles or more Custom quote or $100 or more per visit, or virtual support instead

Prefer to learn at your own pace?

Birthing With Confidence is a 10-module childbirth course you can read on any device, for $147.

See what’s inside

Questions about services

How does the pricing work?

Birth support comes in three packages: $550, $850, and $1,200. You choose the package that fits your household. The Pay-It-Forward rate helps keep lower-cost support available for another family.

What’s the difference between the three birth packages?

Supported Birth ($550) includes 1 prenatal visit and 1 postpartum visit. Standard Birth Support ($850) includes 2 prenatal visits and 1 postpartum visit. Pay-It-Forward Birth ($1,200) includes 2 prenatal visits and 2 postpartum visits, plus a childbirth series or extra support we choose together. Every package includes continuous labor and birth support.

How do payments work?

A retainer holds your date on my calendar. The balance is due in the payment window in your agreement, around 37 to 39 weeks for Standard Birth Support. If you cancel before birth, the retainer is kept and everything else is refunded.

Do you offer virtual sessions?

Yes. Virtual prenatal sessions happen on Google Meet for $50 per hour. Cancel 24 hours or more ahead for a full refund. Cancellations with less notice aren’t refunded, and you can reschedule up to two times.

Do you do overnight postpartum visits?

No. Postpartum visits happen during the day. Labor support can run overnight because it is continuous.

What area do you serve?

I’m based in San Antonio. In-home and hospital support has no travel fee within about 50 miles, which includes Boerne and New Braunfels, and I travel farther for a flat round-trip fee. Virtual prenatal sessions happen on Google Meet, wherever you are.

More answers

Not sure what you need yet?

Tell me a little about your due date and what’s on your mind. We’ll figure out the right support together.