Hearth and Home Midwifery

What Hearth and Home Midwifery does

Hearth and Home Midwifery is a privately held, two-midwife homebirth practice founded and operated by Sarah McClure and Charli Bernardo in Portland, Oregon, with a secondary office in Hood River, Oregon. The practice delivers end-to-end midwifery care spanning initial consultation, hour-long prenatal appointments following the standard obstetric schedule, attendance at home births (with two licensed midwives present), in-home postpartum visits through two weeks, and office follow-ups plus newborn care through six weeks. Both founders hold the Certified Professional Midwife (CPM) credential through the North American Registry of Midwives, the Oregon Licensed Direct-Entry Midwife (LDM) license, and the Washington Licensed Midwife (LM) license, enabling service across the Portland–Vancouver metro and the Columbia River Gorge. The practice reports sub-specialization in waterbirth (approximately half of attended births), VBAC/HBAC, and herbal medicine, and references MANA-cited outcome metrics such as a 5.7% cesarean rate versus a 31% national average.

The business model is a direct-to-consumer, single flat-fee midwifery care package covering prenatal through six weeks postpartum, with payment plans available and out-of-network insurance billing handled through a third-party billing partner. There is no public pricing; the practice notes its package is often less than a typical insurance deductible. The company is privately funded, with no disclosed outside investors, parent company, or institutional ownership, and is structured as a small partnership-style service business. The supporting product surface is limited to educational and brand-building assets: a bi-weekly podcast (The Homebirth Midwife Podcast), an SEO-optimized educational blog, and a paid online childbirth education course at courses.hearthandhomemidwifery.com. The customer base is individual pregnant clients and their families across roughly 25 communities in the Portland metro, SW Washington, and the Hood River/Gorge area, acquired through website consultation requests driven primarily by content marketing and word-of-mouth referrals.

Name

Hearth and Home Midwifery

Legal name

Hearth and Home Midwifery

Website

https://hearthandhomemidwifery.com

Company type

Private

Operating status

Operating

Short description

Hearth and Home Midwifery is a private two-midwife homebirth practice in Portland and Hood River, Oregon, offering flat-fee prenatal, home birth, and postpartum care to pregnant individuals across the Portland–Vancouver metro and Columbia River Gorge.

Ownership category

akta.pro rank

Product category

Home Birth Midwifery Services

NAICS

Home Health Care Services (62161)

SIC

Services-Home Health Care Services (8082)

akta.pro primary industry

Postpartum Overnight Support (Parent Rest Support) (HSAAADAF)

Keywords

• Home birth midwifery
• Prenatal care
• Postpartum care
• Waterbirth services
• Childbirth education

Headquarters

HQ city

Portland

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales

Revenue model

1. Midwifery Care Package: Single up-front flat fee covering comprehensive end-to-end midwifery services from prenatal care through 6 weeks postpartum. Includes all prenatal appointments, home birth attendance, newborn care, and postpartum visits. Payment plans available. Insurance billing handled as out-of-network provider.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

Hearth and Home Midwifery is a two-midwife homebirth midwifery practice providing complete maternity care from prenatal through 6 weeks postpartum. Services include hour-long prenatal visits following the standard obstetric schedule, homebirth attendance with two licensed midwives (including waterbirth), in-home postpartum visits, and newborn examinations and screenings. The practice also offers a free initial consultation and supplementary educational products (online childbirth course and podcast).

Product overview

Hearth and Home Midwifery is a homebirth midwifery practice offering a unified suite of services centered on natural, holistic pregnancy and birth care. The core offering consists of five interconnected service modules: Midwife Consultations (initial free consultation), Full Prenatal Care (hour-long appointments following obstetric schedule), Labor & Delivery (homebirth attendance with two licensed midwives including waterbirth options), Postpartum Care (in-home visits plus office follow-ups through 6 weeks), and Newborn Care (comprehensive newborn examinations and feeding support). Complementing the clinical services are two educational products: an Online Childbirth Course available at courses.hearthandhomemidwifery.com, and The Homebirth Midwife Podcast distributed across major podcast platforms. The practice operates in Portland OR, Vancouver WA, and Hood River OR areas.

Differentiator

Problem solved

Functional benefit

Brands

• The Homebirth Midwife Podcast: A podcast hosted by Sarah McClure and Charli Bernardo covering topics related to natural pregnancy, labor, birth, and postpartum care.
• Online Childbirth Education Course

Products and services

• Midwife Consultations Initial 30-minute (up to 60-minute) free consultation to meet the midwives, ask questions, discuss birth goals, and determine whether the practice is a good fit for the client.
• Full Prenatal Care
• Labor & Delivery
• Postpartum Care
• Newborn Care
• Online Childbirth Education Course
• The Homebirth Midwife Podcast

Quantifiable outcome

• Only 5.7% cesarean rate vs 31% national average (from MANA study referenced)
• +2 more outcomes

Named customers3 records

Segments1 record

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators5 records

Recent moves5 records

Expansion highlights5 records

Emerging players

• Bundle Birth: Online childbirth education and digital product company serving expectant parents preparing for natural birth; directly comparable to Hearth and Home's online childbirth course as a digital-scaling analog.

Broad incumbents

• OHSU Health: Oregon's academic medical center with a large maternity service and midwifery program in Portland; competes for the same regional patient pool but operates at significantly greater scale and scope.
• Legacy Health: Large Portland-area health system with multiple hospital-based maternity units; competes for the same pregnant-patient population in the Portland metro but offers a hospital/OB model rather than homebirth midwifery.
• Providence Health & Services: Major regional health system with maternity services across Oregon and Washington, including the Portland metro; a broad incumbent whose hospital-based OB care contrasts with Hearth and Home's homebirth model.

Direct peers

• Babymoon Inn: Midwife-led birth center offering a comparable relationship-based maternity care package with a flat-fee self-pay model; provides a benchmark for scaling a midwifery practice beyond a two-person team.
• Andaluz Waterbirth Center: Portland-area birth center and homebirth practice with a shared waterbirth specialization (~50% of births) and similar CPM-licensed midwife model; serves an overlapping client base in the same metro region.
• Alma Midwifery: Portland-based homebirth midwifery practice offering comparable prenatal, birth, and postpartum care with licensed midwives serving the same metro area and similar client segment.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/HearthandHomeMidwifery
• Instagraminstagram.com/hearthandhomemidwifery

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Hearth and Home Midwifery