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 the 359 births from 2010-Jan 2020.
What is your c-section rate? What have been the reasons?Medically indicated c-section rate was 9%: Reasons: maternal high blood pressure during labor, breech baby, transverse baby, placental abruption, failure to progress and non-reassuring fetal heart tones. 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?We think they are unnecessary and lead to greater tearing. The episiotomy rate was 1%. We teach 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, our rate in 2019-36%.
First time moms: intact rate: 25% 3rd/4th degree tears: <1%
How long should my pregnancy continue?Your baby and body will decide how long your pregnancy goes. Most first time moms go 7-10 days past their due date. We can discuss natural labor induction techniques you can do for yourself, but it is your choice whether to use them. We can continue taking care of you for as long as you need. Preterm Birth-<1%
What is the normal postpartum visit schedule? Do you include the PKU test?We do a home visit day 1-3 postpartum and offer you the PKU test for your baby then. We then see you and offer lactation support back in the office, 2 weeks, and 6 week and additionally if necessary. Breastfeeding at 6 weeks: 95%
Are labs drawn on premises or do I go elsewhere?Labs are drawn in the office for your convenience.
What is your transfer to the hospital rate? What have been the reasons?Antepartum transfer rate in 2019=7%. Our intrapartum (during labor) transfer rate was 12%. Reasons included high blood pressure, failure to progress, epidurals, non-reassuring fetal heart tones, preterm birth, fever, and breeches. The postpartum maternal transfer rate was 1%, reasons included too much blood loss.
How many births have you attended? How long have you been in practice? In what environments have you practiced?Angela: In my 15 years as a midwife I have caught 902 babies, and attended many more births. 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. We have extensive training in contraception, IUD insertion, and gynecology when needed for your annual Paps for years to come.
What is your VBAC success rate? In 2019, our VBAC success rate was 100%, and all at home. Since 2010, 87% have had a VBAC, 79% at home , transfers for reasons of failure to progress, epidurals, and transverse lie.