Practice Statistics

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

Updated 6/2015

Total Number of Maternity Clients Served

Updated 6/2015

Total Number of Homebirths Attended

Updated 6/2015

Transfer Rate during Antepartum Period         7%

Updated 3/2009

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%

Updated 3/2009

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%

Updated 3/2009

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%

Updated 3/2009

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%

Updated 3/2009

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%

Updated 3/2009

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.

Practice Comparisons

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.

Food For Thought

Food for Thought

"It is much more important to know what sort of patient has a disease than what sort of disease a patient has."

Sir William Osler

 

Food for Thought

"Happiness is underrated and critically important to health. Seriously! Unfortunately, many people just have no idea how to be happy."

Aviva Romm

Food for Thought

"Physicians simply do not have time to be what patients want them to be: open-minded, knowledgeable teachers and caregivers who can hear and understand their needs."

Snyderman and Weil

Food for Thought #1

"They say that time changes things. But you actually have to change them yourselves."

Andy Warhol

Food for Thought

"To think is easy. To act is hard. But the hardest thing in the world is to act in accordance with your thinking."

Johann Wolfgang von Goether

Food for Thought

"Birth isn’t about avoiding one set of realities in favor of another. It’s about embracing all facets of birth--contradictory, messy, or unpleasant as some might be--as vital to the whole."

Rixa Freeze PhD

Food for Thought

"Why I appreciate being a certified nurse-midwife, as opposed to choosing another route for midwifery: I feel learning the science is vital so the art of midwifery is safe and effective."

Dr. Penny Lane, nurse-midwife

Food for Thought

"When the debate is lost, slander becomes the tool of the loser."

Socrates

Food for Thought

"To accomplish great things, we must not only act but also dream; not only plan, but also believe."

Anatole France

Food for Thought

"Science and uncertainty are inseparable companions. Beware of those who are very certain about things. There are no absolute truths in biological sciences - only hypotheses... 'We need to train medical students and residents more in the art of uncertainty and less in the spirit that everything can be known or that it even needs to be known.'"

Grimes (1986)

Food for Thought

"American physicians are rewarded for doing things to patients, not for keeping them well."

Grimes, 1986

Food for Thought

"The false idol of technology. 'Having a widget screwed into one's scalp has become an American birthright.'"

Grimes, 1986

Food for Thought

"Between 1985 and 1987, a hospital instituted a successful program to reduce its cesarean rate. The rate fell from 18% to 12%, losing the hospital $1 million in revenues - no small sum in those days."

Goer & Romano, 2012, p 37

Food for Thought

"Obstetricians are much more likely to perform a cesarean when they wrongly believe the baby weighs 4000 g or more based on sonographic estimates than when the baby actually weighs this much but the obstetrician did not suspect it."

Goer & Romaro, 2012, p 35

Food for Thought

"If you play God, you will be blamed for natural disasters."

Marsden Wagner (2006)

Food for Thought

"An education isn't how much you have committed to memory, or even how much you know. It's being able to differentiate between what you know and what you don't."

Anatole France

Food for Thought #3

"Birth is not only about making babies. Birth also is about making mothers - strong, competent, capable mothers, who trust themselves and know their inner strength."

Barbara Katz Rothman PhD (1996)

Food for Thought #4

"Believe there is always, always, always a way. When you have exhausted all possibilities, remember this: you haven't."

Thomas Edison

Food for Thought #5

"All truth passes through three stages. First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as being self-evident."

Arthur Schopenhauer

Food for Thought #2

"Yet you brought me safely from my mother’s womb and led me to trust you at my mother’s breast."

Psalm 22:9