What is a birth center? A birthing center is a free standing facility run by midwives for low risk expecting mothers. Ours is one of the first in the state to become licensed. Click here for pictures. January 22, 2016 a new article was published: New Birth Center Literature Review of Maternal Outcomes Published in Journal of Midwifery and Women's Health
Can I have a water birth at The Birth Center? Yes. Many of our mothers deliver their babies in the tub and benefit from the pain relief that water offers. Our birth center suite has a large tub and our homebirth clients are provided a tub to use in their home or are welcome to use their own. Our midwives are very experienced in aiding women in the water and the particular differences it poses. Here is an exhaustive article about the most recent studies done about water birth and its safety. Click here for a G-rated slideshow of them. UPDATE Click here for most recent 2016 article on safety of water birth
Can I have a homebirth with you? Yes. 24% of our births in 2016 were clients that had their prenatal and postpartum visits in our birth center but birthed in the comfort of their own home with all our supplies, emergency equipment and team. Click here for a page with more details. Click here for a recent homebirth blogged. Click here for a video of one of our homebirths.
Do you do prenatal care? Yes. We provide safe and careful prenatal care with our qualified midwives, following the same schedule as standard prenatal care. Click here for more information about prenatal care and group prenatal care. Also, here is a blog by a client blogging her experience with our prenatal and postpartum care.
What does a birth with you cost? Our clients pay a global fee of $4950 prior to their due date. For details and a list of what is included in that fee or details about our loyalty discount, see our cost page.
What training does your staff have? Our birth assistants are certified and experienced in neonatal resuscitation and CPR, and are trained and experienced in assisting in maternal and neonatal complications and emergencies. They are also trained doulas, expert in labor support and comfort measures, and receive regular trainings in various birth and emergency skills as part of their continuing education. Our midwives' education and training our outlined here.
Who can be at my birth? We feel strongly that the decision of who shares in a woman's birth is not ours, but hers alone. Anyone you desire is welcome to share in your birth. We do not place any restrictions on who may support you or how many people are in attendance at your birth as long as you are comfortable.
What pain relief do you offer? As specialists in normal, healthy, low risk pregnancy and birth, we offer the best in labor support and comfort measures. We use natural techniques at every birth that empower the woman, and enable her to be mobile throughout her entire labor and birth experience, which reduces pain. Our simple but effective pain-reducing techniques are not only good for women in terms of how most women want to be treated in labor, but they also make the intensity of labor manageable while not disconnecting or numbing the woman from her birth experience. We specialize in natural birth at The Birth Center, and don't use narcotics, epidurals, or other pharmaceutical pain medication. We are specialists at providing natural healthy forms of pain relief including: counterpressure, massage, laboring and/or birthing in water, gentle touch and encouraging words, as well as a variety of positions and methods that have been shown to significantly reduce the intensity of labor, while still leaving the labor well in the woman's own hands and in her control. This is one of our most central values and practice philosophies as we attend women in labor and birth: to support her without disempowering or disconnecting her from her birth experience.
May I have a VBAC with you? Yes! As a low risk facility, we accept women who have had one (1) previous cesarean with a low-transverse incision, and whose pregnancies and labors remain normal, healthy, and low-risk (which is true for all our women! not just those who have had a previous cesarean). We believe strongly in and love supporting and empowering women who are wanting a vaginal birth after cesarean. Please see our VBAC services page for more information, or contact us for a free consultation regarding your particular questions and circumstances. Also, we have a monthly Post Cesarean Recovery Group at our center.
Are your midwives certified? Yes. Becky is a certified nurse midwife in the state of Utah and Eve is a licensed direct entry midwife in Utah. Click here to see the licensure of our different providers.
When should I make my first appointment? It is recommended to see a provider by 10-12 weeks of your pregnancy. We often have clients come for care earlier for information and reassurance which is no extra cost. We also have clients that decide to join our practice later in their pregnancy and we welcome those clients as well.
Will my prenatal care, like labs and ultrasound, be in a different facility? No. We draw all of our labs right here at The Birth Center, where they are picked up nightly by Mt Star labs, who performs all of our lab tests. Ultrasounds are also performed in-house, by our midwives in instances of abbreviated or limited ultrasounds, and by an ultrasonographer for more in-depth ultrasounds, such as the 20 week anatomy ultrasound. Our ultra sonographer sends these ultrasounds to a radiologist to be read and evaluated by a radiologist who types up their report and returns it to the midwives for their review.
Do you do placental encapsulation? No, but you are welcome to hire someone to take care of that for you. Many women choose to encapsulate their placenta, experiencing benefits such as decreased postpartum depression, increased milk supply and an improved transition overall after giving birth.
Do you offer any preconception counseling? The midwives are happy to see you during or apart from a well woman examination to talk about taking care of your body and looking forward to a possible future pregnancy.
What if something unforeseen happens? is a question we are glad our client know to ask. Our midwives and birth assistants are trained and equipped to deal with many emergencies in the rare event that they happen here. They also keep a constant eye on whether your or your baby's health needs change to a higher risk category and have a need for care outside of our scope. In that case, we have protocols in place to make that transition as safe and smooth as possible and healthy working relationships with the surrounding hospitals to keep caregivers attending to you aware of your particular desires. In the case of a transfer to a hospital after admittance to The Birth Center for birth, a birth assistant or midwife will accompany you.
Are your midwives able to prescribe birth control and medications if needed? Yes. Becky, being a Certified Nurse Midwife with prescriptive privileges, can take care of that for you.
Are you able to provide sutures when needed? Although often women do not need sutures after birth, sometimes they do and our midwives and trained and ready to do that for you here, with lidocaine to help numb the process for you.
Is your birthing center licensed? Yes! As of just recently this option is available in Utah and we are very happy to say we have ours.
Do you have Nitrous Oxide for clients in labor? Why or why not? Our midwives have done extensive research through the years and chosen not to offer this to our clients for a variety of reasons:
99% of nitrous gas inhaled comes out when you exhale. Therefore, 99% of it is still there in the room for medical providers to breath in. Nitrous oxide accumulates in closed air spaces and environmental exposure to others in the room is experienced if there is not an expensive wall suction unit to remove excess gas.
Nausea and vomiting are common at rates of us to 20%
Dizziness and drowsiness are common at rates up to 24%
should not be used in patients w a B12 deficiency or those who have had retinal surgery
on a pain score of 50, the use reduces pain 1/2 of a point (epidural is 50 and Fentanyl 1.5)
rather than decrease pain, it is found to form a dissociative reaction to labor
one set of researchers expressed concern that it can disrupt cellular processes in both the mother and infant for several days. The long-term impact of this is not understood.
one study has shown a dose-dependent association between intrapartum exposure to nitrous oxide and addiction to amphetamines later in life.
more information: https://evidencebasedbirth.com/nitrous-oxide-during-labor/