Questions you should consider when choosing your prenatal care and birth attendant. If someone doesn’t know their rates, they either do not want to divulge or don’t care about their outcome statistics. These statistics for Midwife Love reflect her 180 births from 2010-2017. Previously she attended 544 births in Miami. Total births attended: 778
What is your c-section rate? What have been the reasons?
My medically indicated c-section rate was only 6% and primary c/sec rate 6%: Reasons: maternal high blood pressure during labor, breech baby, transverse baby, failure to progress and non-reassuring fetal heart tones. My elective c/s rate was <1%. Compare that to local hospitals who report over 35% c/section rates.
How do you feel about episiotomies? When are they needed?
I think they are unnecessary and lead to greater tearing. My episiotomy rate was 1%. I teach my clients perineal massage techniques and pushing methods to help avoid tearing. Natural tearing requires fewer stitches and heals quicker than episiotomies. Moms remaining completely intact, needing not even 1 stitch after birth, my rate is 58%. First time moms: intact rate: 44%
What is your transfer to the hospital rate? What have been the reasons?
My pregnancy pre-labor transfer rate was 4%. My intrapartum (during labor) transfer rate was 9%. Reasons included high blood pressure, failure to progress, 2 requests for epidurals, non-reassuring fetal heart tones, preterm birth, fever, and 4 breeches, 1 in which I arranged a referral to a doctor who does vaginal breech births. My postpartum maternal transfer rate was 2%, reasons included too much blood loss.
What is your VBAC success rate?
We have a 90% VBAC success rate! 89% at home in 2016, transfers for reasons of failure to progress, 2 requests for epidurals, 1 baby with transverse lie and had a repeat c/s.