midwifelove.com
  • Natural Birth
  • May12

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    Midwife Love’s Informed Disclosure

    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 120 births from 2010-2014.  Previously she attended 544 births in Miami. Total births attended: 664

    • What is your c-section rate? What have been the reasons?

    My medically indicated c-section rate was only 8% and primary c/sec rate 7%, 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% or 1 client. At 42.5 weeks she chose a c/section and refused induction. Compare that to local hospitals who report close to 40% 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 0%. 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 49%.First time moms: intact rate: 38%.

    • How long should my pregnancy continue? When do you usually induce?

    Your baby and body will decide how long your pregnancy goes. Most first time moms go 7-10 days past their due date. At 2 weeks post due date, we can discuss natural labor induction techniques you can do for yourself, but it is your choice whether to use them. I can continue taking care of you for as long as you need.

    • What is the normal postpartum visit schedule? Do you include the PKU test

    I like to do a home visit around day 2 postpartum and offer you the PKU test for your baby then. I then see you and offer lactation support back in my office, 3 weeks, and 6 week and additionally if necessary.

    • Are labs drawn on premises or do I go elsewhere?

    Labs are drawn by me in my office for your convenience.

    • What is your transfer to the hospital rate? What have been the reasons?

    My pregnancy pre-labor transfer rate was 5%.My intrapartum (during labor) transfer rate was 11%.  Reasons included high blood pressure, failure to progress, 1 request for an epidural, non-reassuring fetal heart tones, and 2 breeches, 1 in which I arranged a referral to a doctor colleague of mine who does vaginal breech births. My postpartum maternal transfer rate was 3%, reasons included too much blood loss. Newborn transfer rate was <1%.

    • How many births have you attended? How long have you been in practice? In what environments have you practiced?

    In my 10 years as a midwife I have caught 664 babies, and attended many more births. In my 5 prior years as a nurse, I attended thousands of hospital births, and caught a couple of babies that came quicker than the docs. I worked at several large hospitals, including Jackson MemoriaI, a tertiary hospital with a lot of high risk patients, including an ICU for pregnant women. I practiced 5 years at a busy birth center in Miami, where we did 30-40 births a month. I have been attending home births on the Treasure Coast since 2010.

    • If I need a prescription drug during my pregnancy or birth, or birth control later, do you provide that?

    Yes. Nurse practitioners can prescribe medications. I do not offer epidurals or narcotics during labor. I have extensive training in contraception, IUD insertion, and gynecology when needed for your annual gyn exams & Paps for years to come.

    • How do you feel about waterbirth?

    Laboring in water helps relax muscles, minds, and ease discomforts. It allows for easy and gentle movements which facilitate labor. I recommend water to be available for comfort for all my clients. 73% of my clients have birthed in the water, which is a gentle transition for baby, and helps decrease perineal tears in mom.

    • What is your VBAC success rate? 88% have had a VBAC,76% at home, reasons for transfer included failure to progress, 1 request for an epidural, 1 baby with transverse lie and had a repeat c/s.
  • Dec17

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    I have been doing a lot of reading and thinking lately about the “sacred hour after birth”. I have had the privilege of seeing a baby born quietly, maybe with a final groan from momma bear. Momma catching her breath after doing some powerful work during labor, and baby slowly opening eyes to peek at this new world. I try to remain silent, observing this beautiful, instinctual dance of discovery between momma, baby, & poppa. Most of us lead hurried lives, full of technology, screens, beeps, chatter. These first moments with your baby are powerful and timeless. They should be respected, and not interrupted for routine procedures. The umbilical cord is still pumping oxygen rich blood to the baby, full of magical stem cells, iron, and minerals. Some cords pulsate for 20 minutes. I observe, but don’t do much during this time. The hat can wait….momma still needs to stroke that wet hair. The weight can weight, as can the facebook updates, and the calls to friends and families. This hour is sacred. Keeping baby skin to skin encourages breastfeeding reflexes. Momma instinctively touches baby, lightly stroking fingers, toes, hair. Baby nestles on mommas chest, listening to her familiar heartbeat and feeling her warmth. This is the best place to be.