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I am touring the birth center I want to use (switching from my OB to CNMW)this afternoon. I am trying to make a list of questions to ask. Its different than what I would ask an ob since I know they support a natural birth experience. There are no IVs, fetal monitoring (just hand held Doppler), etc. So mostly I am concerned about is what happens during an emergency and the logistics of the whole thing (unlike a hospital if there is no one in labour there is no one there at night right?). Anyway any input would be greatly appeciated!
Transfer of Care
During pregnancy, what conditions would require me to transfer to the care of another provider?
During labor, what situations would require me to transfer to a hospital?
If transfer becomes necessary, what is the back-up hospital and who are the back-up physicians? How can I arrange to tour the site and meet the physicians?
What is your rate of transfer during labor? What is the most common reason for transfer?
Would my midwife be able to remain active in my care if I need to transfer to a hospital?
How often are appointments?
Will I get an ultrasound at 20 weeks?
Do you do blood sugar testing?
Care During Labor and Birth
At what point do I come into the birth center?
In what situation would I be sent back home?
Who will be with me during labor and delivery?
Postpartum and Newborn Care
What newborn care is routinely provided or offered if a baby is healthy?
Are there any reasons why my baby would need to be separated from me immediately or shortly after birth?
Leaving the Birth Center
How long is the maximum/minimum stay after the birth?
What follow-up care and support would you provide after I go home? Is there an option for a home visit? Do you provide information or give breastfeeding or emotional support over the telephone?