Bellingham Birth Center

FAQ

Why would I choose a birth center birth instead of a home birth?

Many women feel most comfortable coming to a calm and orderly space that is dedicated to them having the best natural birth experience possible.  Our birth center is easy to find, has lots of parking, and is located less than a mile from our local hospital.  When we designed our birth center, we hoped to create a very homey, tranquil space.  Each of our 3 birth suites include roomy tubs with hand-held showers, a private bathroom, soft lighting, and a music system.  We have a birth sling, birth balls, and birth stools, all of which use gravity to facilitate an easier labor.

Why would I choose a birth center birth instead of a hospital birth?

In addition to such options as waterbirth and eating and drinking in labor, many women find it important as they anticipate their labor to know who will be with them when they give birth, and to have established close, comfortable relationships with those people.  Midwifery care is all about the bond between the client and the midwife, and many midwives have observed that the process of birth works best when women are surrounded by people they love and trust.  Birth center birth is characterized by an absolute freedom of movement, where the laboring woman can find the position that works best for her in the moment, be that on her hands & knees, standing, dangling in a birth sling, sitting on a birth stool, relaxing in a birth tub, or reclining in a queen-size bed.  The midwife monitors the health of the mother and baby without disturbing her and intervenes appropriately when necessary, allowing the laboring woman to find her own rhythm without disruption when intervention is not necessary.  Many women today are reassured by the fact that medical inductions are never done at our birth center, and we consistently find that our cesarean rate is between 3% and 5%.  Women having “high-risk” pregnancies benefit greatly from being in a hospital setting, and those having “low-risk” pregnancies benefit greatly from being in a free-standing birth center with licensed midwives.

Is Bellingham Birth Center covered by my health insurance?

Most likely it is, but feel free to confirm benefits by contacting our medical biller, Ingrid Skjelstad at (360) 632-4435 or islandbilling@gmail.com.

Bellingham Birth Center has contracts with: Aetna, Cigna, Community Health Network of Washington, Community Health Plan of Washington, DSHS (Apple Health), First Choice Health Network, Group Health, Lifewise, Molina, Premera, Regence, and United.  We also work with insurers such as Integra BMS, HMA, MediShare, Three Rivers Provider Network, Community Food Coop Insurance and others.

 

Bellingham Birth Center

Who is eligible to have a Bellingham Birth Center birth?

Any woman wanting an unmedicated childbirth who has a straightforward medical history, and who is having a normal pregnancy can have their baby with us.  We cannot work with women who have had a cesarean in the past, or who are pregnant with twins.  We can work with women who have a variety of controlled medical conditions, such as hypothyroidism, diet-controlled gestational diabetes, and we can work with women who are over 40.  The best approach is either to call the birth center directly or talk with your midwife about your particular situation to see if midwifery care and birth center birth is right for you.

Can I switch to a midwife part way through my pregnancy?

Absolutely, as long as your pregnancy has been normal and you have had prenatal care before 24 weeks.  Many people come to realize their birth preferences during early or mid-pregnancy after researching the issue.  All the licensed midwives privileged at our birth center offer free consultation visits where potential clients can meet a midwife and ask questions about her practice philosophy and experience.  We encourage families to interview a few midwives in order to find a really good fit.

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Is it safe to have a baby outside the hospital?

“The safety and effectiveness of birth center care have been demonstrated…” We are quoting the most recent study released in 2013 from the Journal of Midwifery & Women’s Health which looked at 15,574 planned birth center births in USA.  This and many previous studies – collectively looking at thousands of births – all conclude that for healthy “low-risk” women, this is not only a safe, but a very satisfying and cost-effective way to give birth. (Stapleton, Osborne, Illuzzi. Outcomes of Care in Birth Centers: Demonstration of a Durable Model. Journal of Midwifery and Women’s Health. 2013;58:3-14. 2013).  Copies of this and other birth center related studies are available at Bellingham Birth Center.  An annotated guide to the literature on out-of-hospital birth (be it home or birth center birth) can be found HERE.

Do I also have to see a doctor during my pregnancy if I have a midwife?

No you do not.  Licensed midwives are independent practitioners and offer all the routine blood work, ultrasounds, pre- and post-natal care as physicians, with the added benefit of longer office visits which result in more time and attention being focused on your transition into parenthood.  You also do not need a referral to see a licensed midwife, as long as your midwife is contracted with your health plan.  For your baby’s ongoing care, we recommend having him or her seen by a pediatrician, family doctor or naturopathic physician within 2 weeks of your baby’s birth.  That doctor will provide well-child checkups for your baby.

Can midwives file birth certificates?

Licensed midwives routinely file birth certificates and obtain social security numbers through the Washington State Department of Health.

Who can be here with me during labor?

You are free to choose the company of friends and family that you feel most comfortable with.  We have no rules about visiting hours, numbers of visitors, or ages of children allowed.  Our comfortable waiting room and kitchenette allow visitors to feel at home here also.

Little Earthling Photography

How long do we stay after the birth of our baby?

Typically, families are ready to go home for a good sleep in their own beds around 3 hours postpartum.  Midwives are very protective of the first hour after birth, often called “The Golden Hour,” allowing the cord to finish pulsing before clamping it, and delaying any measuring or weighing of the baby until after breastfeeding has been established.  This initial bonding period allows the family to savor the exquisite experience of falling in love with their new family member, undisturbed.  The family spends time relaxing in bed together, showering off, or even taking a bath with their newborn.  Before the family leaves, the newborn has breastfeed, has had a head-to-toe exam, the midwife has gone over some “Postpartum Instructions” to prepare the family for the hours to come, and then the midwife follows up with them with phone calls and a home visit in the next day or two, continuing an individualized care schedule through 6 weeks postpartum.

What if something goes wrong during labor?

Your midwife is in attendance throughout active labor, and in most cases will notice a complication developing well before the situation becomes urgent.  Our birth center provides oxygen and resuscitation equipment for newborns who need help with breathing, several medications to treat postpartum bleeding (pitocin, methergine and misoprostol), urinary catheters, IV fluids, suture equipment and local anesthetic for perineal/vaginal tears, and three rarely used emergency medications (epinephrine, magnesium sulfate, and terbutaline) that treat a variety of unlikely complications.  If transfer to a hospital is necessary it is seldom an emergency, and most often the reason is a prolonged labor where all progress has ceased.  In this event, the midwife calls and speaks to the obstetrician on-call at the hospital, and the laboring mother and her support team simply drive to the hospital, accompanied by their midwife.  If it is a more urgent situation, an ambulance can be used, and transfer happens quickly.