About Birth by Design

Kim Pekin, CPM & Peggy Franklin, CPMBirth by Design provides Midwifery Model of Care to all of the Northern Virginia area. Peggy Franklin is a Certified Professional Midwife, an RN, and a Naturopathic Doctor. She has been helping childbirthing families for over 30 years, has birthed eight children of her own and is enjoying her eleven grandchildren (so far).  Kim Pekin is a Certified Professional Midwife and mother of seven children.  Kim is a former La Leche League Leader and Coordinator of Leader Accreditation for La Leche League of Virginia and West Virginia.  She is passionate about homebirth, breastfeeding, and about the importance of good parenting.

Peggy and Kim love helping families in this special transitioning time in their lives. They believe that a woman’s body was designed to birth children and with the support and caring relationship that develops with a midwife, a woman can birth without the fear that leads to unnecessary interventions. They believe childbirth is a miracle and that birth is by design.

Peggy and Kim are currently offering homebirths, waterbirths, VBAC births and hope to offer birth center births some day. Please take a look at the website, send an email to ask any questions or to set up a free consultation visit.

Peggy and Kim host The Northern Virginia Homebirth Meetup, a free information class about homebirth and midwifery care, on the first Saturday of each month from 4-6pm. This is a good time to learn more about homebirth, midwifery care, ask questions, watch a homebirth DVD and meet others. Please email or call Peggy or Kim for more information.

Birth Team

We like to work with an experienced assistant, a student or apprentice who is certified in neonatal resuscitation and CPR. We have several women available and usually recommend one who lives closest to the mom. We are happy to let you choose if you know someone and have preferences. Although the assistant and the midwife usually cover the role of doula, it can be very helpful in some situations to have a doula present, especially for a first baby. There is no additional fee for the birth assistant.

Communities We Serve

Peggy and Kim help families all over Northern Virginia.  Prenatal visits are at NOVA Natural Birth Center, but we do serve home birth families over a large area of Northern Virginia.  We sometimes serve clients outside our service area, but this map shows a general idea of the areas we serve.  If you live near the border shown, please contact us so we can discuss your needs and see if we can help you in some way.

Home Birth Service Area

Fees, Refunds, & Cancellations

We would prefer to discuss this issue during our appointment. Our professional billing company will file your insurance claim. We can help you use your flex medical account. We request that our base fee be paid by 36 weeks with a $500 deposit at your first prenatal visit. You may make other arrangements or pay with MC/Visa or PayPal from our website.

All fees and policies regarding cancellations and refunds are clearly explained in your initial free consultation and in our Client Agreement. Please Contact Us for more information.