Meet the Midwife

Services and Fees

Our Midwifery Care Package fee is $5000 with a sliding scale to $3500

We offer a sliding scale to make midwifery more accessible to everyone. Sliding scale application available upon request.

We do not accept or bill insurance.

The Midwifery Package includes all prenatal visits at our Gentle Mama Holistic Midwifery office in Chelsea, Michigan as well as a home visit around 36-37 weeks gestation, labor and birth care as well as postpartum and newborn care from birth to 6 weeks postpartum.

We offer waterbirth, delayed cord clamping and breastfeeding support.

We also offer Newborn Vitamin K, Newborn Eye Prophylaxis and Newborn Metabolic Screening and we provide referrals for Newborn Hearing Screens.

We believe in informed choice and informed consent as a foundation of midwifery.

Belly painting is included.

Waterbirth pool included, Eco Birth Pool in a Box Mini Professional

Vaginal Birth After Cesarean (VBAC)

If you have had a previous cesarean birth and are interested in a VBAC please contact us for consultation to assess whether you are a good candidate for for this birth option.

Optional ComplementaryTherapies included in the above Midwifery Care Package:

Holistic Health Coaching

Integrative Nutrition Counseling

Herbal Remedies

Aromatherapy/Essential Oils



Breastfeeding Support

Belly Painting

Miscellaneous Midwifery Services:

In home prenatal visits are an additional $100 per visit
Well woman care including PAP’s & breast exam’s $100 (lab fees extra)
​Lab work (insurance may cover)
Fertility awareness counseling $50. (Included in birth fee)
Breastfeeding support $50. (Included in birth fee)
Belly painting $25. (Included in birth fee)
Belly casting $50. (available for current clients only)
​Placenta encapsulation $200.

photo credit Jennifer Mason Photography

Contact and Scheduling


Patricia Couch, CPM, LM

phone or text 734-433-8533

fax 734-480-8827


I live in Jackson.


Gentle Mama Holistic Midwifery

110 N Main Street #3, Chelsea, Michigan 48118
​Upstairs & located near the “Kitty Face” toy store


Midwifery appointments with us last longer than most in a clinical or hospital setting. Our in person appointments typically last 45 minutes to 1 hour with our clients. This allows plenty of time for us to get to know each other, answer any of your questions, and provide midwifery care in comfortable and enjoyable timeframe.

Benefit of Having a Midwife:

One of the benefits to having a midwife is that your care provider is that we are more available to you than most typical care providers.

You will have our direct phone numbers and can expect to hear from us in a timely manner when leaving a message.

We also offer 24/7 emergency coverage and more urgent questions by phone or text.



We are accepting clients October 2023 and beyond.

Our schedule fills up quickly, please contact us ASAP if you are desiring to have a home birth with us.

Due to limited availability, free initial consultations are offered virtually or phone currently.

Schedule Here:

You can schedule Patricia or Celeste

Above photo credit Jennifer Mason Photography


I am one of the founders and the director of MamaBaby Haiti (Mama Baby International) where I have opened two thriving birth centers with a third on the way where we provide free prenatal, birth, postpartum and newborn care as well as a midwifery school. Haiti has the highest maternal and neonatal mortality rates in the Western Hemisphere and we are working with our Haitian team to reduce that.

Haiti has captured my heart and I love my time there and the beautiful safe havens we have created at our birthing centers. 

If you would like to get involved in our work in Haiti go to the MamaBaby Haiti website for more information. 

You can also follow MamaBaby Haiti on Instagram and Facebook

Please watch the video below to learn more about our vision. 


video credit Jess Dipierro Obert

photo credit Nadia Tordes