Statistics – Women’s Birth and Wellness Center We attended 413 births in 2010. We attended 413 births in 2010. Average C/S rate over last three years is.

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Presentation transcript:

Statistics – Women’s Birth and Wellness Center We attended 413 births in We attended 413 births in Average C/S rate over last three years is 9%. Average C/S rate over last three years is 9%. Average intrapartum hospital transfer rate is 16.7%. Average intrapartum hospital transfer rate is 16.7%. About 75% of our moms that start prenatal care at the birth center, deliver at the birth center. About 75% of our moms that start prenatal care at the birth center, deliver at the birth center.

Attitude, Attitude Adjustment and Philosophy Women and providers highly motivated. Women and providers highly motivated. Catching babies is fun and we like it. Catching babies is fun and we like it. Our practice enables prolonged labor support. Our practice enables prolonged labor support. Labor takes a REALLY, REALLY long time! Labor takes a REALLY, REALLY long time! Patient choice is OK. Patient choice is OK. Most of those women you think can’t or won’t, actually can and will. Most of those women you think can’t or won’t, actually can and will.

Protocols Practice is evidence based. Practice is evidence based. No elective inductions – inductions=bad. No elective inductions – inductions=bad. Active labor includes behavioral and emotional criteria. Active labor includes behavioral and emotional criteria. Respect circadian rhythms in early/prodromal labor Respect circadian rhythms in early/prodromal labor Intermittent EFM keeps focus on mom. Intermittent EFM keeps focus on mom. Labor support/doulas make your life easier and help women deliver vaginally. Labor support/doulas make your life easier and help women deliver vaginally. Childbirth Education helps. Childbirth Education helps.

T ricks and Techniques Positions, “The Labor Progress Handbook…” Simpkin and Ancheta Positions, “The Labor Progress Handbook…” Simpkin and Ancheta Leopold’s Leopold’s Belly binding Belly binding Lots of water Lots of water Castor oil/membrane sweeps Castor oil/membrane sweeps Tens/sterile water papules Tens/sterile water papules Pain meds Pain meds Pushing, and “The Darcey” Pushing, and “The Darcey”

Pics of Tricks The “Darcey” Sterile Water Papules Belly Binding