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ves|"Physicians are trained to get out of trouble. Midwives are trained to stay out of trouble." Bethany Hays, M.D.
CBS MIDWIFERY
2008 Statistics
Total number of Births 108 = 100%
Vaginal deliveries 84 = 78%
Normal spontaneous vaginal 82= 76%
Vacuum extraction 2 = 2%
Vaginal births after previous C/S 4 successful out of 5 attempts
Twins = 1 set (vaginal)
Of Those Who Had Vaginal Deliveries = 84
48 women had an intact perineum, or no stitches = 57%
20 had a 1st degree perineal laceration = 24%
8 had a 2nd degree perineal laceration = 10%
0 had a 3rd degree perineal laceration = 0%
0 had a 4th degree perineal laceration = 0%
1 had a sidewall laceration that was repaired = 1%
7 had median episiotomies = 8%
Of those who had Vaginal Deliveries = 84
59 had no medication or anesthesia = 70%
15 had epidural anesthesia = 18%
4 had medication for pain relief, then epidural= 5%
6 had medication but no epidural = 7%
Total Cesarean Deliveries 24 = 22%
Primary Cesareans Deliveries = 22
Repeat Cesarean Deliveries = 2
Reasons for Cesareans
Got to full dilation but unable to push baby out = 4
Failure to progress in labor = 5
Oblique lie due to fibroid = 1
Patient preference after 2 prior Cesareans = 1
Fetal Indication = 12
Breech = 4
Non-reassuring fetal heart rate tracing = 8
Of CBS Clients in 2008:
53 - women were first-time mothers
44 - had their second baby
9 - had their third baby
2- had her fourth baby
Women who wanted Birth Center and were eligible at term = 82
55 - delivered Birth Center = 68%
25 - Transferred to Labor & Delivery in labor = 30%
2- Birth Center full- had to deliver on L&D = 2%