INTRO Prevention Stratagies

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

While these strategies may reduce the risks of developing concerning conditions, 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 give you the information you need to 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, which can be 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. 
  • Transferring during pregnancy or birth can bring up a lot of emotions but should it be necessary, we are here for you, to the extent that you would like for us to be, to 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 so that you can avoid the situations and circumstances that are preventable or that can at least be minimized.

This guide addresses the common conditions and situations that...

  1. May require transfer of care to a medical provider 

  2. May be preventable or minimized with attentive care

  3. May add additional expenses to your care 

There may be other conditions or situations that would also require transfer of care for which 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 that is called “stacking”. This usually refers to a situation wherein someone develops multiple potential or minor risks factors. For example; a significant rise in blood pressure that hasn't reached the diagnostic criteria for hypertension, failing the first glucose screen but passing the second, a significant weight gain and for fun, lets throw in a breech presentation. Non of these may be that difficult to manage on their own but when 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 it to simply make you aware of possible scenarios that could prove to be challenging. 

Always know that we are here for you should you have any question about your health or your options.