Midwifery care for your community birth.
Care that meets YOUR needs!
Family Tree Maternity provides a variety of individualized services to meet the expectant family's growing needs, including birth center services, home birth midwifery services with complete prenatal, birth and in home postpartum care, in hospital doula support services, lactation counseling, breastfeeding education, and childbirth education services. All Family Tree services are designed and tailored on an individual basis, specific to each family’s unique needs.
With Family Tree you can expect care that supports a natural birth and breastfeeding experience. True evidence based care combining traditional midwifery wisdom, holistic natural care and the best of today’s science & medicine.
Our most frequently asked questions ....
Is community birth safe?
This study https://onlinelibrary.wiley.com/doi/full/10.1111/jmwh.12172 reports maternal and neonatal outcomes for women planning to give birth out of hospital under midwife‐led care, as recorded in the Midwives Alliance of North America Statistics Project dataset (version 2.0, birth years 2004‐2009). Among 16,924 women planning a community birth at the onset of labor, 94% had a vaginal birth, and fewer than 5% required oxytocin augmentation or epidural analgesia. Eleven percent of women who went into labor intending to give birth out of hospital transferred during labor; failure to progress was the primary reason for intrapartum transfer. Rates of cesarean, low 5‐minute Apgar score (< 7), intact perineum, breastfeeding, and intrapartum and early neonatal mortality for this sample are all consistent with reported outcomes from the best available population‐based, observational studies of planned community births.
How will you monitor my baby’s wellbeing in labor?
In the community (home or birth center) setting we do this using an intermittent auscultation protocol which has been studied and proven to be just as safe and effective for following the well-being of baby during labor as continuous monitoring for low risk women. This means that we use a handheld doppler to monitor your baby about every 20 minutes during active labor and every 5 minutes while you are pushing. A doppler can be used to monitor your baby while you are in the shower or in the tub, anywhere that you choose to labor, and does not restrict your movement. Continuous fetal monitoring as is standard practice in most hospitals has been shown to increase the number of cesarean births for low risk women while NOT improving outcomes for mom or baby. Using this type of intermittent assessment of baby’s health adheres to the nationally accepted guidelines put forth by the American Association of Birth Centers (AABC), which were adopted from both the American College of Nurse Midwives (ACNM) and American College of Obstetrics and Gynecologist (ACOG) guidelines for intermittent auscultation.
What about birth emergencies outside of the hospital?
Certified Professional Midwives are trained in the unique management of community birth (birth center and home), including how to handle emergencies that occur in the community setting and to initiate rapid transport of both mom and baby to the hospital when a higher level of care will be needed. Our goal as midwives is to identify and prevent potential emergencies before they happen through careful attention and oversight during your pregnancy (the cornerstone to a safe and healthy birth) and during labor. Less than 2% of transports from the community birth setting to a hospital are for emergent reasons. Additionally, Family Tree staff regularly participates in continuing education and hands on emergency drills to keep seldom needed emergency skills sharp and ready.
What if my baby is born needing immediate medical attention (resuscitation)?
Family Tree Maternity Center and its midwives are equipped with all the necessary tools to give your newborn immediate care as needed. All staff attending births have current Neonatal Resuscitation training which is offered by the American Academy of Pediatrics and is the same resuscuation training that doctors and nurses in a hospital delivery room have.
What is the bottom line for families?
Expecting families who choose community birth in the U.S. can expect high-quality, family-centered care with a Cesarean rate of approximately 6%. Less than 2% of women who choose the birth center setting will require an urgent transfer for either mother or newborn. The stillbirth and newborn death rates are comparable to rates seen in other low-risk populations.
The information provided by the new National Birth Center Study https://www.birthcenters.org/page/NBCSII#bottom-line-families will help women and families make evidence-based, informed decisions about their babies’ births.
"Whenever and however you give birth, your experience will impact your emotions, your mind, your body, and your spirit for the rest of your life."
-Ina May Gaskin