"Physicians are trained to get out of trouble. Midwives are trained to stay out of trouble." Bethany Hays, M.D.

               CBS STATISTICS -- 1999

Total Mothers = 88                  Total Babies = 89 (1 Set Twins) 

Age Range: 24-42                                48 Girls  

17 % age 24-30                                   41 Boys                                 

73 % age 31-40

10% age 41-42

                                   First Time Mothers = 52

                                   Repeat Customers = 25

                                    Vaginal Births = 66

Normal Spontaneous Vaginal Deliveries           60

Vaginal Birth After Cesarean                             5

Vaginal Delivery By Vacuum Extraction             1

Low Forceps                                                      0

                                                          Total:    66 = 75%                 

Perineal Outcomes

40 had intact perineums = 61%

20 had 1-2 degree perineal lacerations = 30%

1 had 3 degree perineal laceration = 1%

5 had epsiotomies = 8 %

Pain Relief      

40 had no medication or anesthesia = 61%

13 had medication only = 20%

1 had medication and epidural = 1%

12 had epidural only = 18%

Successful Vaginal Birth After Cesarean 5/6 = 83% 

Cesarean Births = 22

20 Primary Cesarean = 23%

2 Repeat Cesarean = 2%

4 planned Cesareans

    3 for Fetal Indications

              2 for position (transverse lie, breech)

              1 for abdominal cyst in baby, seen on sonogram

    1 for maternal preference (repeat c/s &  btl, 8# 14 oz baby) 

8 women labored to full dilation and pushed, but were unable to deliver vaginally

        1 Twin pregnancy

        7 singletons average weight 8# 11 oz. (range 7# 7oz to 10# 2oz)

8 women went into labor and had Cesarean delivery before full dilation.

        2 babies were over 10 lbs.

        6 babies had meconium and/or non-reassurring fetal heart rate tracings 

Birth Center Deliveries = 41

    Ineligible for Birth Center (Previous c/s) = 6

    Chose Not to deliver in Birth Center  = 5

Induction of Labor = 9.7%

     Postdates = 3

      Ruptured Membranes, no labor despite castor oil = 3

     High Blood Pressure = 1

      Cholestasis of pregnancy = 1

      Twins, pre-eclampsia = 1

"The evidence suggests that women with uncomplicated deliveries who give birth with nurse-midwives have as good an outcome as those who deliver with obstetricians, and a substantially lower use of drugs, anesthesia, episiotomy, and Cesarean section." Henry E. Simmons, M.D.