We recommend that you schedule your initial prenatal visit between 8-10 weeks. After your initial visit you will most likely have a visit every 4 weeks until you reach 28 weeks. Between 28-36 weeks we will ask that you schedule an appointment every 2 weeks. Once you have reached 36 weeks you will be scheduled for a prenatal visit once a week. If you reach 41 weeks, you will have an appointment twice a week until delivery.
We are a family centered practice and are happy to involve your family as much as you would like. Children are welcome to come to any and all prenatal appointments. If you would like your children to attend the birth, please bring a friend or family member that will be dedicated to their care.
We will most likely admit you to the birth center once you are having regular contractions and have a cervical dilation of at least 5cm. If your labor slows or stops completely you may be sent home.
There are two personnel trained in neonatal resuscitation attending every birth. This will include a Certified Nurse Midwife as well as a birth assistant (CNM, volunteer doula, office staff, student midwives or Registered Nurse). We also train student midwives at this facility who may be a part of prenatal visits and/or assist at delivery.
Bring for birth:
• Food, snacks (you can eat during labor!)
• Gatorade, sport drinks, coconut water or other hydrating drinks
o There are several restaurants and fast food places near the birth center
o Snacks for Support person (people)
• Clothes for labor and to go home in
• Bathing suit top/sports bra for water if desired
• Swim trunks for Dad REQUIRED to get in pool
• Clothes for baby including diapers, car seat
• Laptop or DVD player if siblings will be present
o We have cd/radio – no docking station for iPod
• Any essential oils, soothing fragrances for room
• Hair ties or head band
Prepare at Home:
• Thick maxi pad – put small strip of water and lavender oil on pads and place in freezer for ice packs after birth
• Purchase either “Depends” undergarments or Poise pads for first 24-48hours when flow will be the heaviest
• Prepare meals ahead and place in freezer
• Make list of household jobs that others can help with after you are home.
• Lavender Epson Salts for bath to sooth sore bottom
Patients are required to stay at least 2 hours after delivery and most stay between 4-6 hours. The maximum amount of time you will stay will be 12 hours, which is usually only in cases where the mother is positive for Group B Strep.
Around 24 hours after delivery you will receive a call from Natural Beginnings to check up on you and the baby. Typically, we will have you come to the office approximately 3 days after delivery for a follow up visit. At this appointment we will evaluate how you are healing as well as do a hearing screen and newborn screen (PKU) on the baby. The baby should see a pediatrician or your family doctor within 4 days of being born. Your final appointment will be at 6 weeks postpartum.
Because we have a limited number of spots available each month we require a deposit to hold your spot to deliver at the birth center. Your deposit may be paid any time after your initial appointment and once your birth center consent forms have been signed.
We are able to deliver low-risk pregnancies at the birth center. Women with the following conditions may still be eligible to birth safely in an out of hospital setting:
• Thyroid disorders managed with medication
• Mild asthma
• Depression managed with counseling or medication
• Abnormal pap smears or surgery on cervix
• Women 35 or older
• History of miscarriage
• High blood pressure controlled by diet and/or medications
• Diabetes controlled by diet
The following is a partial list of conditions that may be potentially unsafe for out of hospital birth:
• Unstable high blood pressure
• Diabetes requiring oral medication or insulin
• More than 1 previous cesarean section
• Bleeding/blood clotting disorders
• 1st pregnancy with a BMI greater than 35
• 2nd pregnancy with a BMI greater than 40
• Smoking more than 1 pack per day
• In-Vitro fertilization If you have a condition not listed here we'd be glad to answer your question during a visit or over the phone.
We have to actively induce labor at the hospital if your water has been broken for more than 72 hours without labor.
We only do inductions if medically necessary.
• If your water has broken for 72 hours without labor.
• Severe preE
• Severe growth restriction of baby during pregnancy
• Greater than 41 weeks with low fluid or aging placenta.
All of our Certified Nurse Midwives have full privileges at Davis Regional Medical Center, which is 2.5 miles from Natural Beginnings. Non-emergent transfer will be by personal vehicle. If, for any reason, you require an emergency transfer to the hospital, EMS will be called and a midwife will ride with you to the hospital.
We have plan of action to insure that you are properly taken care of in an emergency situation.
• Dr. Coarsey or MD o/c and DRMC will be notified to prepare for emergency c-section
• Team will be called in if after hours
• Dr. Coarsey will meet us at hospital for surgery
We have an agreement with Catawba Medical Center NICU to transport our babies and assist as needed. Babies will always be transported by EMS with the father and a midwife. A second midwife and/or birth assistant will stay with the mother until she is stable and able to go to the hospital.
While we hope for a smooth delivery at the center we have measure in place. Each of our birth rooms are equipped with emergency supplies including oxygen, medication to control bleeding and IV fluids for dehydration. Each provider is also trained in neonatal (newborn) resuscitation.
We limit the number of birth center patients each month in order to reduce the incidence of more than two labor patients. In the event that we have more than two people in labor at the birth center, we have exam rooms and a back waiting room that can be turned into a postpartum or early labor area.
Of patients admitted to the birth center during labor, about 8% of moms and 2% or babies are transferred to the hospital.
We have a 3% C-section rate for patients admitted to the birth center during labor.
Nicole is an outstanding midwife. She is knowledgeable, kind-hearted, understanding and easy to talk to. With her help and encouragement I was able to give birth naturally. My "birth" day was better than I imagined and I am grateful for such an awesome midwife. I will come back to Nicole EVERY time!
- Bobbie Garland, RN