Our 2019-2020 Practice Statistics! | Tampa Home Birth Midwifery
When we opened the home birth arm of our practice in 2013 we promised to keep with our transparency pledge and publish our stats each year. A few years in to that promise the state of Florida changed to mandated reporting of stats but our year runs June-June so it makes it difficult to keep track of both! We publishes our 2019 stats from Jan-Dec of 2019 which you can check out here . In the past few years we have had some babies personally, we’ve added a 3rd midwife, and we have changed the landscape of our practice with the growth of The Community Roots Collective as well as our north office in Brooksville.
Stay tuned for a practice update of stats since we opened our doors to midwifery clients from 2013-2020!
For June 30, 2019-June 30, 2020 we accepted 105 clients into care. Some of which had early miscarriages, needed to switch providers due to insurance or relocating, etc…
68 clients who started care with us planning home births
Of those clients
+13% transferred to higher level care in the antepartum period (before labor began.) Reasons for a transfer during this period included pregnancy induced hypertension, pre-eclampsia, and positive Flu diagnosis while at term.
+17% transferred to the hospital during labor. These transfers included non reassuring fetal heart tones, desire for pain medication, prolonged rupture of membranes, and failure to progress during 1st (active labor)or 2nd stage (pushing.) Nearly all of our in labor transfers this year were first time mothers or clients planning vaginal births after cesareans (VBAC.)
+2% transferred to the hospital immediately postpartum . This accounted for one person transported for hemorrhage, and one person transported for a 3rd degree laceration repair non-urgently. Both clients were stable and did not require blood transfusions.
+2% transferred to the hospital for newborn concerns. This accounted for two babies transferred for a low initial APGAR scores that required resuscitative measures, both were kept for observation but discharged home within 24 hours.
+7% of these births were successful VBAC (Vaginal Birth After Cesarean)
+We had a 80% VBAC success rate!
+10% cesarean rate, with only a 8% PRIMARY cesarean rate.
+96% of clients were still exclusively breastfeeding at 6 weeks postpartum
No fetal, maternal, or newborn deaths.
We also provide easy access prenatal/postpartum care only to folks who’d like to plan a hospital birth. This is an options clients may choose if they want pain medication during labor, need to plan a cesarean, or maybe have circumstances that would prevent them from being great candidates for homebirth! Some of these clients we also provide midwife-as-labor-support for to provide continuity or we connect them with a wonderful local doula. We have wonderful collaborative relationships locally with hospital based providers who attend the deliveries for these clients. It is truly the epitome of how teamwork makes the dream work for better maternity care outcomes- especially in communities of BIPOC folks!
14 clients came into care planning hospital deliveries
of those clients
+86% had vaginal deliveries. The only two cesareans for this group were repeat cesareans after attempted VBAC.
+43% of these births were successful VBACs! These VBACs included VBA2C, VBA4C, and even a VBA2C after a previous uterine rupture! These special consideration births are especially why we love collaborating with local high risk OBs for the best outcomes possible for these families!
+95% of clients were breastfeeding at 6 weeks postpartum.
We are looking forward to how our practice grows and changes in the next year and years to come. Making midwifery care accessible to all is our top priority. While we love homebirth and believe it is truly the best option for otherwise normal, low risk, healthy pregnant folks who desire that option we know not everyone is there yet (or ever.) It is never the ‘homebirth club’ but it is definitely the ‘midwifery care club!’
