Why Choose Out of Hospital Birth?

 

Is Out of Hospital Birth Really a Safe Option?

 

Why choose out of hospital Birth?
What is the difference between a home and a Birth Center Birth?
Is out-of-hospital birth really a safe option?
What happens if something goes wrong?
What emergency procedures can you perform? Medically, what are you qualified or not qualified to perform?
What happens in the event of hospital transport? Do you come with us?
When is out-of-hospital not a good option?
How close do you need to be to a hospital?
How does prenatal and postpartum care differ from care with an OB/GYN?
What is nitrous oxide? Is it safe to use during my labor?
Who attends the birth at an out-of-hospital birth?
Where did you get your training?
How long do you stay at my house during the birth? When can I  come and how long can I stay at The Birth Center?
What is the schedule for prenatal and postpartum visits?
What happens if I want pain medication at a home birth?
Can I still have a doula attend my birth?
What happens if two clients are in labor at the same time?
Do I still need to see an OB/GYN at all durning my pregnancy?
What do you bring to labor? What do I have to provide?
There are multiple midwives in the area. How do I go about choosing which on to use?

 

Why choose Out-of-Hospital Birth?

People generally choose 0ut-of-hospital Birth because they will feel more comfortable giving birth in water or in a home or home like setting. In addition, they are typically healthy and wish to avoid routine hospital interventions or non-evidenced based practices such as being confined to a bed, not being allowed to eat or drink in labor, continuous electronic fetal monitoring, routine IV fluids, non-medically indicated (pitocin) induction, episiotomy and other common birth interventions. There may be more personal reasons that are sometimes given. For example, our midwife, Caroline chose to birth at home because she desired a natural or “physiologic” birth and wanted to avoid an unnecessary caesarean section. Families that chose to birth at home or in the birth center tend to view pregnancy and birth as a natural process, not an illness, and therefore feel that the hospital or the “medical” model is not the appropriate approach to childbirth. Others wish for their older children to be present and engaged in the pregnancy and birthing process. What are your reasons? For more information, book a free consultation!

 

What is the difference between a home and a Birth Center birth?

The only difference is location! Both locations have access to the same emergency (anti-hemorrhagic medications, IVs, antibiotics...) and obstetrical equipment (doppler ultrasound fetal monitoring, labor tubs, birth stools...), supplies and medical providers (midwives!).  If you are birthing at home, we come to you, set up, and clean up following the birth. If you come to us, you get the benefit of a “spa” like setting within close proximity to the hospital. Additionally, if you are birthing at The Birth Center you have access to Nitrous Oxide in your labor. Both locations are safe for low-risk pregnancies and birth. For more information, book a free consultation!

 

What happens if something goes wrong?

We do not take complications lightly and safety is always the priority for mother and baby. We are licensed by the California Medical Board and are well trained to deal with complications, as well as to transport to an OB or hospital as needed. However, it is important to remember that our clients typically are healthy and have low-risk pregnancies. As such, our clients also typically have very normal low-risk births. We will not hesitate to transfer care to a hospital or OB appropriately in the event that a high-risk situation occurs. Let’s discuss what these circumstances might be at your free consultation!

 

What emergency procedures can you perform? What are you qualified or not qualified to perform?

We are trained in CPR and Neonatal Resuscitation. We are also trained to deal with complications such as cord prolapse, surprise breech, shoulder dystocia, hemorrhage, placental abruption, and many others. We cannot use forceps, vacuum extractors, perform surgical birth or external cephalic version (ECV is used to turn a baby from breech to a cephalic (head down) presentation). Midwives are qualified to attend the birth of a normal, low risk pregnancy and manage complications if they arise. If complications arise that necessitate hospital care, we stabilize and initiate transport to the hospital. Let’s discuss what these circumstances might be and more detail about these questions at your free consultation!

 

What happens in the event of hospital transport? Do you come with us?

Yes, in the case of a hospital transport our midwives (one or more) will accompany you. Even though most of our clients do not need to go to the hospital, we recommend all of our clients have a transport birth plan. If a transfer of care is necessary (as in high blood pressure or other high-risk health concerns develop), this will allow a smooth transition. In addition, our midwives will facilitate the transfer of care to the hospital by bringing your medical records and giving a verbal report to the receiving care providers.  We stay with you until after the birth and take on the role of advocate and birth coach.  We know it is important to help the parents understand what is happening and help you get the information you need to make informed decisions. For more information, book a free consultation!

 

When is out-of-hospital not a good option?

Out-of-Hospital Birth is not a good option for a person with preexisting disease or condition making pregnancy and birth high-risk.  Some examples are women with pre-existing diabetes, certain types of heart conditions, uncontrolled thyroid problems or hypertension. Being over 35 years of age is NOT a risk factor for pregnancy and birth if that woman is in good health overall.

We spend a great deal of time with our clients working preventatively using nutrition, supplements, and non-allopathic remedies, to keep a healthy pregnancy healthy and low-risk. However, occasionally, a pregnancy may begin as low-risk and develop a complication that becomes high-risk (such as preeclampsia). In those instances, the care of the pregnancy must be transferred to an OB and Out-of-Hospital Birth is no longer a good option.  We will continue to provide concurrent care and support, however the primary medical care is taken over by the OB and the birth will take place in the hospital. Let’s discuss what these circumstances might be and more detail about these questions at your free consultation!

 

How close do you need to be to a hospital?

There are no guidelines in place for this. Our midwives will deliver within 45 minutes from the hospital in the home setting. If you live further, we recommend you birth at The Birth Center. Find out which areas we serve at your free consultation!

 

How does prenatal and postpartum care differ from care with an OB/GYN?

The typical OB/GYN appointment is approximately 30-40 minutes of waiting for your appointment and 7 minutes spent with the physician. We spend at between 45-60 minutes with you at each prenatal appointment with no waiting time. Like your OB appointment, we test your urine, take your blood pressure, listen to the baby’s heart, screen for abnormal symptoms, and measure the fundal height. Later in the pregnancy, we also feel your uterus to determine the position of the baby. Many families love this process and we often help partners, grandparents, children and the pregnant person feel the baby’s back, knees, head, etc. Most of the hour is spent discussing general health, diet, exercise, pregnancy, including psycho-social issues, and answering any questions you or your family have. Any upcoming testing or screenings are discussed prior. With every decision, we offer a full informed consent. We trust that you will make the best decision for your family and your baby. Postpartum care is a minimum of 5 visits, 2 home visits (1 day, 3 days) and a 7-10 days, 3 and 6 week office visit.  Additional visits are available upon request and encouraged, including visits just for breastfeeding support. Book your free consultation!