Thursday, October 13, 2011

Yavapai County options - Birth Places

Tonight's meeting was birth places. Here's the information about local birth places:

Yavapai Regional Medical Center (YRMC)
I talked to Connie Buckner, the director.
YRMC has 16 LDRP (labor, delivery, recovery, postpartum rooms).
Patients are cared for under the laborist model (the on-call, not prental, OB is present for birth) and under couplet care (one nurse for mom and baby).
Stats (current last month):
Primary c-section rate (no prior c-section): 18%
Overall c-section rate: 33%
Epidural rate: 40%
Induction rate: 30% (There must be a medical reason for induction before 39 weeks.)

Verde Valley Medical Center (VVMC)
VVMC has 4 LDR (labor,delivery,recovery rooms) and 11 postpartum rooms.
There is a separate room with a laboring tub.
(I wasn't able to reach the director at VVMC to find out more statistics.)

Homebirth
From NARM (North American Registry of Midwifes) - In the CPM 2000 study, the rate for transfer during labor or postpartum was 12%. C-section rate was 4%. Out of low risk cases, the death rate for babies was 1.7 per 1000 and there were no maternal deaths.
Waterbirth is available for homebirths.
There is continuity of care in homebirth - same provider for prenatal, all of labor, birth and postpartum.

Local homebirth midwives are Paula Matthew and Melody Fisher. There are other midwives that are licensed but not actively practicing.
Search under the "Obstetrics and Gynecology" specialty on the VVMC website or the YRMC website for a list of the OBs who deliver there.

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