No. The global fee is for prenatal, delivery, and postpartum. If a client leaves my care and that flat fee no longer applies then I wipe the slate and start over with a new itemized bill.
Summary: 12-week and 16-week prenatal home visits, 2 urine test strips, one hemoglobin test kit, possible 4 hours of travel (midwife does only home visits, has no office), client declined prenatal screen (would've had to find a doctor to prescribe, not through midwife), client found ultrasound provider and scheduled ultrasound to confirm loss. If it's significant, midwife missed appointment during this time period, with no phone call, and was unreachable for about a week following.
Total fee $3000 includes approx. 12 prenatals, birth, approx. 5 post-partum. Contract is general, listing total fee and that a partial payment is expected at each visit, but no details.