Thank you for continuing to follow this story, Paul! Those of us familiar with the work that happens at the Birth Center want to continue to see coverage on this issue until the regulation matter is resolved. Charleston Birth Place provides a unique service that is completely different than the experience offered in hospitals. Hospitals are critical parts of a maternal healthcare model, but they cannot be the only option. Supporters of Charleston Birth Place understand the improvements in women's health (and babies') that come with low-intervention, natural birth options. South Carolina lags behind most states in its record of infant and maternal health. Keeping midwife centered care available, and actively increasing access to this model, is a critical part of the strategy to improve South Carolina's health record in this area. I urge all readers to get informed on the statistics for low-risk women and the benefits of birth centers. The data will speak for itself. Challenge the DHEC regulation - Support Charleston Birth Place!
The birthplace is a necessary service that this community needs for safe cost effective natural births. Personally had a natural birth in a hospital and a water birth at a birth center. The birth center is leaps and bounds above the hospital in natural birth in attention safety and comfort. Women need the service of birth center. I plan on having all future children there. By taking the service away from SC residents I would then have to look for home birth options or leaving the state to deliver. The hospital will not get my birth. Not to mention a natural delivery with no intervention at the hospital was $12,500 vs $6,000 at the birthing center.
I was a hospital transfer from Charleston Birth Place to Trident Hospital- one the very people these regulations are meant to protect - and I COMPLETELY DISAGREE with DHEC's new and unnecessary change to their interpretation of their own regulations. If I was forced to wait for an OB to come to the birth center before being transferred simply to agree with my midwife's already correct diagnosis (an unnecessary and dangerous step) it would have put both my daughter's and my life in danger. If DHEC changes their interpretation mothers and babies will be put at risk for bureaucratic and completely arbitrary NON-MEDICAL reasons. I am grateful for the professionalism, competence and efficiency of the midwives at CBP. Furthermore, even though I am no longer a candidate for natural birth, I plan to continue using the midwife model of care for all future pregnancies. It is a safe and cost-effective choice for any woman. I urge DHEC not to reinterpret their own guidelines and adopt the stricter national standards that which CBP already abides.
http://vimeo.com/80306768 This is a short video articulating the current issue and ways others can help support CBP!
Charleston Birth Place serves the community and we can't see their doors close! CBP is a wonderful safe alternative for low risk mothers who want a natural childbirth. This "new interpretation' hurts mothers and babies. CBP has a C-section rate of 7% when the state of SC has a rate of 40%. This is a low cost safe alternative for mothers, babies, and families. CNMs also provide well woman care and care for life for any woman. CBPs statistics are impeccable. The care these women provide directly results in better outcomes for mothers, lower C-section rates, lower costs of care while healthcare costs are skyrocketing - why aren't birth centers being looked at to help defray these costs?
Transfer in labor 12%
Emergent transfer in labor 0.1%
C/S rate 7%
Newborn transfer 1.5%
Emergent newborn transfer 0.3%
Maternal post partum transfer 0.8%
Emergent maternal post partum transfer 0.3%
Apgar less than 7 at min 0.5%
Neonatal mortality 0
Maternal mortality 0
Exclusive breastfeeding rate 80%
Total births to date >1,100
They have provided more than care, they have helped us become informed, empowered mothers. SC DHEC needs to change their regulation to align with National birth center standards - which Charleston Birth Place already adheres to and which is arguable more rigorous than current state regs. We need Charleston Birth Place #savecbp
Thank you for supporting us and representing us, the people, Charleston City Paper. If you are tired of the story, then consider helping us support women's choice. Certainly, women can choose to go to the hospital and women should be able to choose from other safe options. The government should not support arbitrary and potentially dangerous regulations. If you aren't interested in women's right to give birth safely in the environment of her choosing, you are not required to read it.
Hospitals are for treating illness. Pregnancy is not an illness. Plus, the numbers are in favor of the type of low intervention birth that Birth centers provide. In countries where midwife care is the majority, maternal and fetal outcomes are better. Tell me, why if our expensive model of care is better than better than that of the industrialized nations do we have some of the worst outcomes?
CBP is a staple to the community and a resource to families. Women birth naturally every day all over the world. Women of Lowcountry depend the same natural rights. We honor our midwives and trust them with our lives and our children's!
I chose to deliver my son at The Charleston Birth Place because I wanted a natural water birth. I knew when I stepped through the door at CBP that I had found the place I was searching for. The prenatal care I received was wonderful and with every visit I learned something new about pregnancy, delivery, breastfeeding, etc. My labor was something that I look back on so fondly that I wish every woman could have the birth experience that I did. From our first visit when we heard the baby’s heart beat to my 6-week check up, they made it all perfect. The midwives and the entire staff at CBP are flawless at what they do. Although my insurance was not in network with CBP, I chose to pay 100% out of pocket because I knew that was the birth experience that I wanted. I can’t imagine delivering my son anywhere else. It infuriates me that due to a reinterpretation of a DHEC regulation CBP may be no longer. I fully support all of the midwives at Charleston Birth Place. #savescbirth
Correction to my previous comment: CBP c-section rate is 0.1%.
If you are sick of hearing this story, turn off your computer, don't look at facebook, and turn your tv off. We are angry that DHEC's trying to take our choices away. They've admitted they "incorrectly" interpreted a regulation for 20+ years, which makes them the last people qualified to make a decision for "our safety and well-being". We aren't going anywhere, so be prepared to be even more tired of us! Ty for continuing to report accurately and fairly Paul! Keep it up! #savecbp
@fireitup. The c-section rate in our Charleston hospitals means about a 1-in-3 chance of major surgery. (31--36%) A huge gamble. CBP's c-section rate is 7%. I'd rather face those odds with the support of these midwives than gamble with a hospital delivery and all the complications raft happen there.
Also I've had two girls -- one in a hospital and one at CBP. And my prenatal care was higher quality (including education at every appointment about various aspects of pregnancy, delivery, and child care), more cost efficient, and more personalized than anything inexperienced with my hospital delivery.
So I'd rather not "just have a baby in a hospital like everyone else" if it's all the same to you. I would never presume to make your decision on this or any personal matter for you and would appreciate the same respect and support.
As a woman, and having been present for a birth at the birth center, losing this service for lowcountry women would be awful. The midwives were amazing and provided a comfortable and safe experience that could not be paralleled in a hospital. I hope to have this option available to me when I decide have children.
Thank you for continuing to cover this important issue. It's not simply about 'where to have a baby', it's about human rights and small business as well.
This is about women having options asto where she has her baby! Charleston birthplace is an awesome group of ladies and I had the best birth there almost a year ago. We want options other than just the hospital!! Not to mention they are cheaper and better for low risk healthy pregnancies.
Get the word out! Interestingly enough a woman can CHOOSE to abort her unborn baby but is now facing loosing the right of where she can CHOOSE to give birth to him/her.
Charleston Birth Place provides exceptional service to the families they care for. These women are certified nurse midwives with extensive training and experience in low-risk birth. As a woman who chose to labor naturally without drugs or medical intervention, CBP provided a safe, comfortable, and affordable setting for my daughter's birth. I had a very long labor, which in a traditional hospital setting, would have increased my chances of being put on Pitocin, which easily leads to an epidural and possibly even a C-section. As women, and humans, we have an inherent right to choose how and where we birth our babies. Without Charleston Birth Place, my choices are severely limited and my right to choose will thus be taken away.
Yes, DHEC, please regulate birth centers. Not one person I've spoken with who supports birth centers disagrees with that point. Our concern, my concern (as a mom with a December 5th due date), is the way regulation has monumentally shifted practically overnight. I support logical regulation that increases the safety and efficacy of medical practice. Unfortunately, I don't believe this new DHEC interpretation does that. The specific reg being reinterpreted reads, "A physician must be on call and available to provide medical assistance at the birthing center at all times that it is serving the public," (source: http://www.scdhec.gov/administration/regs/docs/61-102.pdf). Charleston Birth Place, specifically, is in compliance. A doctor is available and on call. The new reinterpretation wants a doctor to be *physically present at all times*. I ask, what reasonable person interprets "on call" as such?
I'll give birth any where I please, thanks. That's my right as an American, fireitup. And I choose the Charleston Birth Place. We don't all want or need to be in a hospital, as the c-section rates at CBP are significantly lower, the care provided there is infinitely better than anything I could get at a hospital during a pregnancy and labor that is free from complications, and it costs thousands less. Responsibly run birth centers like CBP provide an important service for families, and we all deserve the right to choose that experience. This reinterpretation by DHEC is simply a measure to cover their butts because one center slipped through the cracks, and instead of doing any common sense research into the practices at individual birth centers they are simply issuing a blanket shutdown so they don't have to do any real work. This regulation needs to be changed, and birth centers held to national accreditation standards-just like those followed at CBP. #savecbp
really shocked we outranked Savannah.
SCAD covers so much of their downtown, swarms of fixies
and beards everywhere a lot more than charleston
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