Northshore Midwives Lactation Consulting
Frequently Asked Questions

Is it safe to give birth to my baby outside of the hospital?

 

The safety of Home and Birth Center Birth has been proven and successfully documented. We would be happy to discuss this in detail with you at your consult or initial visit. The research shows that home birth is very safe for healthy, low risk women and babies. If you are interested in specific studies, please follow the links provided below for good resources on the safety of giving birth to your baby in your home or at a birth center.

 

Home Birth: An Annotated Guide to the Literature.

This annotated bibliography provides citations and critical appraisal of original studies on home birth.

 

Outcomes of Care for 16,924 Planned Home Births in the United States: The MANA Statistics Project

 

Results: Among 16,924 women who planned home births at the onset of labor, 89.1% gave birth at home. The majority of intrapartum transfers were for failure to progress, and only 4.5% of the total sample required oxytocin augmentation and/or epidural analgesia. The rates of spontaneous vaginal birth, assisted vaginal birth, and cesarean were 93.6%, 1.2%, and 5.2%, respectively. Of the 1054 women who attempted a vaginal birth after cesarean, 87% were successful. Low Apgar scores (< 7) occurred in 1.5% of newborns. Postpartum maternal (1.5%) and neonatal (0.9%) transfers were infrequent. The majority (86%) of newborns were exclusively breastfeeding at 6 weeks of age.

 

Discussion:  For this large cohort of women who planned midwife-led home births in the United States, outcomes are congruent with the best available data from population-based, observational studies that evaluated outcomes by intended place of birth and perinatal risk factors. Low-risk women in this cohort experienced high rates of physiologic birth and low rates of intervention without an increase in adverse outcomes.

 

Outcomes of Care in Birth Centers: Demonstration of a Durable Model

 

Results: Of 15,574 women who planned and were eligible for birth center birth at the onset of labor, 84% gave birth at the birth center. Four percent were transferred to a hospital prior to birth center admission, and 12% were transferred in labor after admission. Regardless of where they gave birth, 93% of women had a spontaneous vaginal birth, 1% an assisted vaginal birth, and 6% a cesarean birth. Of women giving birth in the birth center, 2.4% required transfer postpartum, whereas 2.6% of newborns were transferred after birth. Most transfers were nonemergent, with 1.9% of mothers or newborns requiring emergent transfer during labor or after birth.

 

Discussion: This study demonstrates the safety of the midwifery-led birth center model of collaborative care as well as continued low obstetric intervention rates, similar to previous studies of birth center care. These findings are particularly remarkable in an era characterized by increases in obstetric intervention and cesarean birth nationwide.

 

 

 

What is a Midwife?

 

Midwives Alliance of North America’s definition of a midwife is, “Midwives are the traditional care providers for mothers and infants. Midwives are trained professionals with expertise and skills in supporting women to maintain healthy pregnancies and have optimal births and recoveries during the postpartum period. Midwives provide women with individualized care uniquely suited to their physical, mental, emotional, spiritual and cultural needs. Midwifery is a woman-centered empowering model of maternity care that is utilized in all of the countries of the world with the best maternal and infant outcomes such as The Netherlands, United Kingdom and Canada.” Midwives Alliance of North America.

 

We are Licensed Midwives and a Certified Professional Midwives. We are licensed by Washington State and overseen by the Department of Health. Northshore Midwives & Lactation Consulting provides full Prenatal, Birth and Postpartum (after birth) care for healthy women who are planning a Home Birth or a Birth Center Birth.

 

Outcomes of planned home births with certified professional midwives: large prospective study in North America

 

Conclusions: Midwives who were integrated into the health care system with good access to emergency services, consultation, and transfer of care provided care resulting in favorable outcomes for women planning both home or hospital births.

 

Midwife-led versus other models of care for childbearing women: Cochrane Database Systemic Review 2008

 

Main Results: Women who had midwife-led continuity models of care were less likely to experience regional analgesia, episiotomy, and instrumental birth, and were more likely to experience no intrapartum analgesia/anaesthesia, spontaneous vaginal birth,  attendance at birth by a known midwife, and a longer mean length of labor.

 

Conclusions: Most women should be offered midwife-led continuity models of care and women should be encouraged to ask for this option although caution should be exercised in applying this advice to women with substantial medical or obstetric complications.

 

The Evidence Basis for the Ten Steps of Mother Friendly Care

 

"STEP 1: Offers all birthing mothers unrestricted access to birth companions, labor support, professional midwifery care. ACCESS TO MIDWIFERY CARE – Use of midwives was associated with:

 

  • Increased length of prenatal visits, more education and counseling during prenatal care, and fewer hospital admissions.
  • Less need for analgesia and/or epidural anesthesia and increased use of alternative pain relief methods, as well as more freedom of movement in labor and intake of food and drink.
  • Decreased use of amniotomy (membrane rupture), IVs, electronic fetal monitoring; fewer inductions and augmentations of labor; and fewer injuries of the perineum (tissue between vagina and anus) as shown by fewer episiotomies, fewer rectal tears, and more intact perineums.
  • Fewer cesareans overall, including fewer emergency cesareans for fetal distress or for inadequate progress in labor, and more vaginal births after cesareans (VBACs).
  • Fewer infants born preterm, low birthweight or with complications such as birth injury or requiring resuscitation after birth, and more infants exclusively breastfeeding at 2-4 months after birth."

 

 

 

Is water birth safe?

 

Water Birth Safe for Babies - New Research

 

We found that being born underwater did not confer any excess risk to the baby. Babies born underwater were no more likely than those not born in water to have a low five-minute Apgar score, or require hospitalization or neonatal intensive care (NICU) admission. We also found no evidence that water birth is associated with neonatal death; on the contrary, in our sample of 6,534 babies born in water, there were no cases of death that could be attributed to being born in water. This indicates that, for low-risk mothers whose labors proceed normally, water immersion is generally a safe pain management option.

 

 

 

What if I want or need a hospital Birth?

 

Northshore Midwives & Lactation Consulting recognizes that there are women who would like to have the benefits of midwifery care but choose, or for medical reasons need, a hospital birth.  For these families we provide prenatal and postpartum care.  We will organize care with an obstetrician or certified nurse midwife who will oversee your birth in the hospital. You have the option for a midwife to attend your birth as a support person.

 

 

 

Is Home Birth messy?

 

Home Birth is not messy. Our staff is meticulous about keeping your home clean. We start your laundry and remove any garbage resulting from the birth process. When we leave, your home will look as it did before the birth.

 

 

 

Does insurance cover Home Birth or Birth Center Birth?

 

Northshore Midwives & Lactation Consulting is a preferred provider for most major insurance companies. Please call the office for questions you may have regarding your individual plan and we will direct you to our midwifery billing specialist. Our billing specialist will contact and bill your insurance directly for your Prenatal, Birth and Postpartum care.

 

 

 

What if something happens during labor?

 

The most common reason that we transfer to the hospital during labor is for non-emergent reasons such as a very long and exhausting labor. There are less common situations that can be more urgent. The Midwives and Birth assistants at Northshore Midwives & Lactation Consulting are highly skilled healthcare providers, who are trained to recognize, and resolve, any issue quickly or to initiate help when needed. We have plans in place for every possible scenario. When you come for a consult or initial visit, please write down all of your questions and we will go each one in detail.

 

Northshore Midwives & Lactation Consulting has strong working relationships with obstetricians and perinatologists at our local hospitals. Should a situation arise during your Prenatal, Birth or Postpartum care that increases your risk, your midwife will consult with one of these physicians or transfer your care to one of the local hospitals. If transfer to a physician is needed, our existing relationships with these providers improves the transfer interactions significantly.

 

 

 

Should I have a doula?

 

Northshore Midwives recommends having a Doula at your birth. Studies have shown that Doulas are a valuable addition to your birth team. These studies indicate that women who use Doulas are less likely to need pain medication, are less likely to have interventions such as cesarean-section (c-section), are more likely to have shorter labors and are generally happier with their birth experience. Midwifery care in and of itself positively impacts these results, adding a Doula to the team provides even greater benefits. Learn more about Doulas.

 

  •  

Logo and text to link Contact and Maps Page

Northshore Midwives & Lactation Consulting is conveniently located in Kenmore at Eastside Natural Medicine.

 

In addition we serve: SeattleShorelineEdmondsMountlake TerraceLake Forest ParkMill CreekBrierKenmoreLynnwoodMukilteoEverettLake Stevens, SnohomishMonroeSultanBellevueKirklandRedmondWoodinvilleSammamishDuvallCarnationMercer IslandRentonSeaTacKentIssaquah,  Snoqualmie,  North BendKing County and Snohomish County in Washington, WA.