INTRO to Prevention Strategies

We are only able to provide care to healthy, low-risk women. 

While these strategies may reduce the risk of developing conditions of concern, they may not eliminate all of them. Their efficacy depends not only on 100% compliance but also on personal and family history. 

Staying healthy is the best way to ensure a successful, out of hospital birth. 

This section of information is meant to help you avoid or reduce the severity of complications that could interfere with your Out-of-Hospital birth. These are prevention tools. Information for actively managing, rather than preventing, any of these complications can be found in the "Special Circumstances" section of this guide. 

These prevention strategies mirror the Basic Guidelines for a Healthy Pregnancy found near the beginning of this guide.

  • Most healthy women have healthy pregnancies and births. But should an inconvenient or complicated circumstance arise, transferring to a medical care provider may be necessary. 
  • Transfer during pregnancy or birth can bring up a lot of emotions.  Should it be necessary, we are here for you to the extent that you would like for us to be. We can provide ongoing support and love throughout the remainder of your pregnancy and/or birth.

Our goal is for you to feel safe, supported, educated and healthy.  Within these boundaries, you can avoid or minimize preventable situations and circumstances.

This guide addresses commonalities which may:

  1. Require transfer of care to a medical provider 

  2. Be preventable or minimized with attentive care

  3. Add additional expenses to your care 

There may be other conditions or situations requiring transfer of care. Some instances there isn't a known or available prevention- such as twins, genetic considerations, accidents and so forth. This guide does not address those circumstances.

In most situations it will be much easier to manage a clinical complication if you are already in good health. In the clinical world of assessing risk, there is something called “stacking”. This usually refers to a situation of developing multiple potential or minor risk factors. Take for example: someone develops a significant rise in blood pressure that hasn't reached the diagnostic criteria for hypertension, fails the first glucose screen but passes the second, gains a significant amount of weight and for fun, throw in a breech presentation. None of these may be difficult to manage on their own, but presented together, switching to medical care would be the prudent course.

I would also like to point out that health and the human genome has mysterious intelligence. Some women will work 100% to insure that they stay healthy to have a normal birth only to wind up with significant challenges, while others will seemingly apply zero effort and have an absolutely smooth pregnancy and birth. 

Therefore, another one of our goals in this process is simply to make you aware of possible scenarios proven to be challenging. 

Always know- we are here for you should you have questions about your health or your options.