Transparency in Care

You have probably read several times where I have said that this blog is me – uncensored, unedited, transparent.

I have been a part of an ongoing prospective study being conducted by MANA (Midwives Alliance of North America) looking at the outcomes of homebirths. Here is how this study works:
1. one of my clients consents to be part of the study
2. I must enter them (by code number, not by name) into the study. They must be entered before they birth – that way all of my clients are included. We aren’t allowed to pick and choose who is included (thus choosing only the positive outcomes).
3. once the birth has occurred, there are pages and pages of questions I have to answer with regards to the outcome.

So here is me being transparent again…..I will share my current statistics. I am sure that there are midwives out there that have better and worse outcomes, and it’s not about that – I do not restrict who I take (to eliminate first time mothers, for example, as I know some midwives who do), these are the outcomes for the past 2 years of all of my clients. (does not include clients who birthed in the last few months)

First-time mothers: 41.0%
Second+ time mothers: 59.0%

Average age of client: 29 years

Vaginal Births: 96.7%
Homebirth as planned: 93.4%
Waterbirth: 50.8%

Births with intact perineum or just abrasions: 67.2%
Episiotomies:  0

Inductions:  4.9% (note: this figure includes clients who choose to take castor oil, herbs, or want their membranes stripped – this is not hospital inductions)

Male/Female babies: 50%/50%
Average baby weight: 8.2 pounds
Breastfed at 72 hours: 100%

How much more transparent can I be?


  1. Kelli wrote:

    Thank you. Your transparency is what earned our trust, and it has been clear it was very well placed. Thank you a thousand times over.

    Sunday, September 26, 2010 at 11:57 pm | Permalink
  2. Lindy wrote:

    YAY! And thanks for taking on first time mommies:) Out of curiosity, since this only includes those who consented to the MANA study, how reflective of your overall stats would you say this is? Do the vast majority of your clients participate in this study? (I don’t know why they wouldn’t, I had no problem consenting but just wondering…)

    Monday, September 27, 2010 at 2:39 pm | Permalink
  3. elfanie wrote:

    I don’t believe that, as of yet, I’ve had anyone refuse…so it’s very VERY representative of my practice.

    Monday, September 27, 2010 at 9:26 pm | Permalink
  4. Tangie wrote:

    Nice….you rock!

    Tuesday, September 28, 2010 at 3:06 pm | Permalink
  5. Sara wrote:

    Awesome! I wonder if my local midwives that I am considering for my next pregnancy also participate in this? If they don’t, what would be a good way to ask them to?

    Wednesday, September 29, 2010 at 2:37 pm | Permalink
  6. Sara wrote:

    Oh and can you tell us how many births are represented in those numbers?

    Wednesday, September 29, 2010 at 2:38 pm | Permalink
  7. Tara wrote:

    This is great information. I’m all for transparency. Just wondering how many of these lost a mom or baby – any?

    Monday, October 18, 2010 at 7:26 pm | Permalink

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