When I was pregnant with my son I had exceptional insurance that allowed me to give birth at any hospital I wanted. Since I lived close to a metropolitan area I had quite a few options. In the beginning of my pregnancy I thought I had selected the best local hospital; a facility with luxurious birthing suites and the ability to order a steak dinner after giving birth. That sounded pretty awesome to me and my OB-GYN’s office was located conveniently across the street.
I started questioning my hospital selection about five months into my pregnancy. I hired a doula and she quickly addressed concerns about my decision to birth at the posh hospital. She knew I desired a natural childbirth and wanted to help me have the best chance at obtaining that outcome. We talked about home birth, but I didn’t trust my body’s ability to birth a baby at that time. Then she mentioned the local birth center but their BMI restrictions didn’t allow me to go there. Lastly, she talked about two local hospitals with strong midwifery practices; University Hospital and Denver Health.
Denver Health is a county hospital and I remember thinking early on in my pregnancy that I was glad I had good insurance and wouldn’t have to birth there. At the time I had equated a great place to give birth by what amenities they provided. I didn’t realize there were far more important factors I should be taking into consideration.
My doula put me in touch with a midwife at Denver Health who at the time was managing their midwifery program. My husband and I were pretty surprised when we walked into a fairly new wing of the hospital. It looked very similar to my selected hospital only the staff seemed far more inviting. When we met with Eliza Burelle my husband and I both fell in love with her. There’s truly no other way to describe our reaction to her. She exuded compassion and made us feel at ease.
The thing that stood out the most was when Eliza said there was only a 17% c-section rate within her hospital and it dropped to 6% within the midwifery program. My selected hospital had a c-section rate close to the national average of 30%. It also had a 90% epidural rate. Up until Eliza shared that information I never realized how important it was to know. I knew because of my weight I had a higher chance of ending up with a c-section and wanted to do all I could to lower my risk.
Following our visit with Eliza we took a tour of the labor and delivery floor. We were shocked! The suites were larger than the ones at our other hospital. They were really nice and the bathroom had jetted tubs to labor in. The nursing staff who gave us the private tour was so excited about my desire for a natural birth and talked about supportive tools they provided (AKA important amenities).
My husband and I left Denver Health with a BIG reality check! We also had a NEW hospital and care provider. I was a middle class woman with incredible insurance choosing to birth at my county hospital.
Switching to Denver Heath was the best decision we ever could’ve made because a few months later I gave birth and it was life changing. The compassionate care I received will forever stay with me. Aside from when I was admitted, I wasn’t strapped to any monitors. I received intermittent fetal monitoring via a portable doppler. This provided me with the ability to move about as I desired and labor in the tub for as long as I wanted. They encouraged me to eat and drink throughout my labor. When I was ready to push my midwife suggested I climb up on the bed on my knees and that’s how my son was born! My son needed some extra care following his birth and it was very reassuring to know there was an onsite NICU. From my desire to have a natural childbirth to being a woman of size, I felt incredibly supported and respected throughout my experience at Denver Health.
Being in a facility that doesn’t judge you because of your weight is a game changer! Denver Health provided me with larger gowns and a bigger wheelchair without saying anything about it. They made me feel normal and just as special as any glowing new mom.
I’ll forever be grateful to our doula who opened our eyes to other possibilities and to Eliza for welcoming my husband and I to Denver Health. Eliza provided me with outstanding prenatal care but wasn’t my midwife during my son’s birth. She did stop by to congratulate us afterwards and that really touched our hearts.
Another fantastic midwife named Magi was the one who helped my husband to catch our son. Eliza had told Magi all about me and was hopeful if she couldn’t make my birth then Magi would. I feel incredibly lucky to have received care from two midwives who helped me to develop a new relationship and trust with my body. Oh and remember that steak dinner, I was informed you can now get that along with amazing care at Denver Health!
Here are some important questions you might want to consider asking when selecting a hospital.
1. Do you have a midwifery program?
Even if you’re not interested in working with a midwife, the collaboration of OB-GYNs and midwives brings about better birth outcomes. The video below goes into detail about the midwifery model of care.
2. What is your c-section and epidural rate?
If your care provider or the medical facility refuses to answer this question then it’s safe to assume their c-section rate is around 30% and epidural rate is close to 90%.
3. What is your Vaginal Birth After Cesarean (VBAC) success rate?
If you’re desiring a VBAC this is a critical question to ask. If you’re not it’s just good information to pass along to your loved ones who might be interested. Anything above 20% is outstanding.
4. Does your hospital policy allow eating and drinking during labor?
There’s a very low risk you could vomit and aspirate while under general anesthesia for a c-section. In my opinion the risk of aspirating doesn’t outweigh a woman’s need for proper fuel and hydration during labor. More and more hospitals tend to agree.
5. Is your hospital baby friendly?
It’s a proven fact that rooming in with your baby will improve breastfeeding outcomes.
6. Do you allow intermittent fetal monitoring?
Hugely important for women desiring an unmedicated labor. Continuous fetal monitoring is a contributing factor to medical interventions.
Be sure to ask anything else that’s important to you! If you want someone to take pictures during your labor and birth then ask. There are many facilities that do not allow pictures to be taken until after the baby is born. If having a lot of people in the labor and delivery room is desirable to you be sure to see if there are any limitations. Remember, just like you have the right to fire your care provider at any time you also have the right to switch hospitals. This can be challenging though with insurance limitations and you might have to switch care providers. Speaking from experience I can share it is worth any headaches.
I created the video below interviewing a nurse, chief of obstetrics, and a midwife (Eliza) because I felt like it was a great way to thank Denver Health for all they did for me. I wanted to highlight the wonderful hospital that it is. I hope you’ll take sixteen minutes to watch it and learn a lot about the midwifery model of care.
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