Believe Midwifery Services, LLC opened its doors during Nurse Midwifery Week in October of 2007. Dr. Penny Lane CNM caught the first baby, Joseph Andrew, in February of 2008. Since opening, we have maintained some of the best maternal and child health outcomes in the state, and rival the best outcomes in the country.
The statistics below include not only Dr. Lane’s births, but also those births attended by Holly Hopkins MSN, CNM, who worked with the practice from October of 2010 to February of 2012, and Miss Kristina Michael MSN, CNM, who joined the practice in June of 2014 and continues with us today. Where applicable, we have provided statistics specific to the individual nurse-midwife.
The statistics below incorporate each and every client who has entered care with Believe Midwifery Services, LLC through June of 2015. Stay tuned for up-dated statistics in the near future.
Total Number of Clients Served in the Practice
Total Number of Maternity Clients Served
Total Number of Homebirths Attended
Transfer Rate during Antepartum Period 7%
Antepartum transfers are those that occur during the pregnancy, prior to the initiation of labor. Reasons for an antepartum transfer might include fetal growth restriction, placenta previa, uncontrolled hypertension, preterm or an acute emergency like an automobile accident.
The above studies found the rate of antepartum referrals for obstetric reasons for women who intended a planned homebirth to range between 10% and 20%.
Transfer Rate during Intrapartum Period 3%
Intrapartum transfers are those that occur after the onset of labor and range from 9% to 13% nationally. The majority of maternal and newborn transfers are nonurgent, and the most common reason cited for transfer is failure to progress among primiparous (first time mothers) women at 78%.
When seamless coordination of care occurs, research demonstrates outcomes are improved for both mom and baby. Our practice works to improve interprofessional collaboration between midwife and physician, and home to hospital.
Transfer Rate during Postpartum Period 2%
Postpartum transfers are those that occur when mother experiences complications after the birth of her newborn. These might include a postpartum hemorrhage, retained placenta, postpartum preeclampsia, infection, or a third/fourth degree perineal laceration.
Transfer Rate for Newborn Care 0%
Newborn transfers can occur anytime during the first six weeks of life, as our midwife continues primary care for the newborn throughout that time. Reasons for a newborn transfer might be an emergent need such as respiratory distress, infection, or a birth defect, but it might also be a complication that occurs days or weeks following birth. These reasons might be elevated jaundice levels, umbilical infections, respiratory infections, and/or dehydration.
Cesarean Rate from Intrapartum Period 0%
This rate is specific to those cesareans that occur following our immediate management during the labor process and more accurately reflect our practice style. This rate does not include those women who opted to transfer prior to our having attended them in labor, within their home.
Exclusive Breastfeeding Rate at 6 Weeks 92%
Each and every client in our practice initiates breastfeeding, and all continue through six weeks to some degree. We expect breastfeeding success within our practice; however, at times we have mothers who for whatever reason, face challenges that cause them to require supplementation. This is nearly always achieved through donor milk, and those are not included in our exclusive rates above even when those babies have avoided artificial breastmilk entirely. Although we do not monitor our statistics beyond six weeks, it is common practice for our clients to breastfeed through the toddler years and rare to wean prior to the first year.
The vast majority of central Indiana hospitals average cesarean rates above 30%, with a handful exceeding even 40%, and even others exceeding 50%. Maternal mortality has risen each year for the last nine years, almost doubling in the last ten years.
This demonstrates a lack of safety in the hospital environment for the healthy birthing couple.
Because we are too short, too tall, too thin, too small of foot, too old, too young, too wide, and our pelvises are too narrow, too small, too untried, or unproven or the wrong shape, and our uteruses are too scarred, or pointing the wrong way, or we are too multiparous, too fertile, too infertile, too female, too small, too big, too fat, too emotional, too detached, too strong, too weak, too intelligent, too well designed to birth, not designed well enough, and our vaginas are too scarred, too unproven, not stretchy enough or too stretchy, and we’re too inconvenient, too unpredictable, too demanding, too informed, too loud, too messy, and our bodies labour too long or not long enough, and our cervices don’t dilate 1 cm an hour on command and because when you hire a surgeon you get surgery and hospitals are for sick people… and so for these and many other reasons, we are part of the homebirth movement.