Full Circle Midwifery

January 1, 1984  through  December 31,  2020

Total planned home births:                                                                           1693

Total  transports:                                                                            129    [ 7.6 % ]

              Mothers transported in labor:                                         92

                              Cesareans                                                     51   [ 3% ]

                              Forceps/Vacuum                                             9

              Mothers transported within 24 hours postpartum:         23

              Babies transported within 24 hours after home birth:   14

Counties:  Benzie 2     Kent  14   Lake 19   Manistee  53    Mason 210     Mecosta   130     Montcalm  15  Muskegon 354    Oceana 246   Ottawa   121   Newaygo  378   Osceola  78    plus 73 births attended in Allegan, Clare, Eaton, Grand Traverse, Gratiot, Ingham, Isabella, Kalamazoo, Midland, Missaukee, Shiawassee, Wayne & Wexford.

Oldest mom                 47,         Youngest mom     16

First baby or first vaginal birth:                                                          360   [ 21 % ]

Grandmultiparas   (more than 7 births):                                             161

Twins   (17 sets home born):                                                  22 sets, 21 sets vaginally born

Presentation of baby:

            Vertex    (head down)                                                                     1690

            Breech    (11 home born)                                                                   25

Mom’s position for vaginal birth:  

            Side-lying                                                                                          561

            Semi-sitting                                                                                       531

            Hands and knees                                                                              285

            Supine   (lying down)                                                                        132

            Upright   (standing, squatting or birth stool)                              153

Waterbirths:   [36% last 5 years]                                                                   289

Lacerations with vaginal births:

            None or superficial only                                                          1155  [ 70 % ]

            1st degree                                                                                         400

            2nd degree   (into muscle)                                                             74

            3rd degree      (into rectal sphincter)                                            1

                   -stitched                                                                                     152

            Episiotomy and stitches   (8 transports; 1 HB)                             9

Rupture of membranes > 24 hours   (3  maternal infections):           103

Males:                                                                                                            900

Females:                                                                                                       815

Average baby’s weight  (range of 3 # 12 oz. to 12# 5 oz.):                  8# 2 oz.

Males circumsized:                                                                                 217   [ 24 % ]  

Births missed by Midwives:                                                                            72       

VBACS   (vaginal birth after previous csec): [ 88% successful ]                 156   [19 repeat csecs ]

Screened out for home birth:                                                                          68