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Midwife Hopsital Transfer Rate

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May 2nd, 2008, 12:42 PM
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What was your midwife's hospital transfer rate? I interviewed one already and she said 15-20%. That seemed high to me for some reason. She still said only 3% c-section rate... but still. Is this a pretty average rate?
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May 2nd, 2008, 01:15 PM
Butter's Avatar Heather the Mama Duk
Join Date: Oct 2005
Location: San Antonio TX
Posts: 28,853
Mine's just over 5%. The midwife who delivered Cameron had a 3% transfer rate. That rate does sound high, but the population of women she's delivering makes a difference. The midwife who delivered Cameron delivered 80% Amish women and drugs don't even enter into their thinking. The more first time moms a midwife delivers the higher her transfer rate will be. A lot of midwives find that a good number of their transfers are women who change their minds and decide they want drugs.

~Heather, wife to Jamie (15 years; June 5, 1998) and mom to
Ani - 14 (February 15, 2000), Cameron - 12 (October 3, 2001),
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May 2nd, 2008, 03:01 PM
shadowdweller's Avatar Mega Super Mommy
Join Date: Oct 2007
Location: salt lake, utah
Posts: 2,269
mine has an 8% transfer rate, and even volunteered the breakdown for who transfered for what...the vast majority of transfers are first time moms who change their minds, like butter said.
20 % seems a bit high to me.
oh, and included in her transfer rate are post-birth transfers...the other three i interviewed did not include those...
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May 2nd, 2008, 03:23 PM
twiceinabluemoon's Avatar Mega Super Mommy
Join Date: Apr 2007
Location: the Great Basin
Posts: 1,462
When I interviewed my midwife she hadn't had any transfers. But she admitted it was artificially low because she hadn't been practicing midwifery very long. I believe she had at least one transfer during my pregnancy.

My midwives with my other babies seemed to have about 5-10% transfer rates and mostly for 1st time moms wanting medication.
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May 2nd, 2008, 09:29 PM
LaLa's Avatar Platinum Supermommy
Join Date: Jun 2005
Posts: 11,576
I agree it does seem high - I would ask for a breakdown.

It coudl easily have to do with strict state guidelines - I know the MW here had a 10% transport rate overall, but it was 20% for first time moms. Too often they risked out - the state enforces timelines for everything right down to how long you can labor with your water broken, etc.


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May 4th, 2008, 11:54 AM
Twinkle's Avatar Platinum Super Mommy
Join Date: Oct 2004
Location: New York
Posts: 57,412
My midwives have a 6% transfer rate, all but 1-2% are for non-emergency situations, like a long labor and the mom wanting medications. According to my midwives, they have a 1-2% transfer rate for emergency situations, most commonly being hemorrhaging mommies, or breathing difficulties with the infant.

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May 7th, 2008, 07:24 PM
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Thank you ladies for all your responses! I ended up finding a midwife with a lower rate. Somehow I felt that the higher rate meant that they didn't help put you in the mindset that you can really do this! The lady I choose seemed much more confidant about natural unmedicated birth as well as lots of experience with different birth presentations if that so happens.

I did interview another lady today too that also said that the transfer rate was mostly for pain meds but also because a lot of women over 40 are being attracted to home birth now making statistics a little different for their cases.
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