I am debating between returning to the freestanding birth center, an hour away, where I had DS (where obviously intervention rates are incredibly low, they do not perform c-sections or medical inductions there, the transfer rate is less than 10%) or the local hospital (which is just 10 minutes away). I did take the hospital tour a few weeks ago and wasn't totally impressed by the well, hospital setting, but they do seem to support "natural" birth and the nurse told me all 3 of her patients that morning had delivered naturally- but of course that term changes based on who is using it. There are pros to the hospital of course, like distance, convenience, they seem to be cool with eating/drinking lightly, heplocks, etc... but I called the hospital rate person today to get more info that the nurse didn't know,on my midwife's recommendations (who is awesome and says I need to be where I feel most comfortable. As of right now, I'm thinking that's the birth center)
My hospitals rates:
C-section rate: 25% (lower than national average, but still higher than recommended)
Vbacs: Yes, they are allowed (yay!), 4% of previous c-section moms did a trial of labor. 11/18 women delivered vaginally after a previous c-section. She did not seem to think the rates were increasing, but rather staying the same, since the new ACOG guidelines came out. But maybe it's just too soon. Success rate is 61%.
Episiotomy: 6% rate
3rd-4th degree tearing/episiotomy: less than 1%
Now for the biggie- induction rate: 40%! (this does NOT include labors that are augmented or "sped" up. This is strictly inductions.)
The woman I spoke to said they are trying to keep inductions low and that they do follow the ACOG guidlines with regards to inducing but I don't see how they could and still have that high of a rate. Or am I nuts? And she said a week over your due date is when they will induce, not 42 weeks.
I still need to talk to my doctor and like my MW says, I don't need to decide today but this just makes me feel uneasy about delivering there. And I don't think a doula is a possiblity, I have to double check, but my MW said as of 7 or 8 months ago, they do NOT allow doulas at this hospital- another red flag? Any thoughts or opinions are appreciated