You have questions. We have answers.
Families in South Dakota have been asking for a freestanding birth center for years and it’s time you had a physical place to come together for your health and your community. Ovo is dedicated to developing South Dakota’s first freestanding, accredited birth center. This is an intensive process that involves a lot of planning, but we’re getting close! After touring dozens of birth centers and researching funding options, Lisa Groon is busy preparing everything from policies to clinic layout to staffing. You can send us your contact info here, so that you are the first to know. Also, when you join The Nest and follow our Ovo Facebook page, you will see regular updates about how progress is coming along and you can join in on events as we prepare to open South Dakota’s first freestanding, accredited birth center!
Certified Nurse Midwives are committed to providing personalized care for families using the wellness model of care. They are specially trained to help expectant mothers have healthy, comfortable births and provide regular, well-woman care. Following birth, your midwife will help you get started with breastfeeding, do a full head-to-toe newborn exam with your involvement, and discuss and perform all newborn procedures, following a discussion with you about your options. After you go home, your care team will continue to check on you and your baby at home and at the center.
The American College of Obstetricians and Gynecologists says, “hospitals and accredited birth centers are the safest settings for birth.”
Ovo cares for women experiencing healthy, low-risk pregnancies and research shows that for a woman with low risks, giving birth at a birth center is as safe as a hospital birth and has health benefits for mothers and babies, such as a low chance of having a cesarean birth.
Rest assured that we’re building safety into our plans. We’re building well-defined risk assessments that start on day 1 of your pregnancy and we’ve made arrangements with local health systems to rehearse and work through all of the what-ifs, so you can breathe easy and be in the moment.
The safety of birth center care was established in 1992 in a study that observed nearly 12,000 labors nationwide. The study was replicated in 2013, this time analyzing outcomes from 15,574 labors and showing similar results. Both studies demonstrated that for women with low risk pregnancies, outcomes were the same or better in a birth center setting relative to nationally reported outcomes of low-risk births in hospitals, and a low cesarean birth rate. Outcomes in birth centers have remained stable, despite a significant increase the cesarean birth rate in hospitals since the 1990’s. The cesarean birth rate for women with low risk pregnancies in hospitals is estimated to be 25% compared to 14% in birth centers. The risks associated with unnecessary cesarean sections are well documented and significantly impact a woman’s ability to care for herself and her newborn in the postpartum period. The research confirms that this model of care safely reduces the chance for cesarean birth. Separately, birth center births offer an 50% average savings, compared with a typical birth in the hospital. This is a result of the “high touch” rather than “high tech” philosophy of care. 64% of moms who have had a hospital birth are interested in the option of a birth center for their next birth. That’s why we’re bringing more options for maternity care to our region of the country.
Source: Stapleton, S. R., Osborne, C., & Illuzzi, J. (2013). Outcomes of care in birth centers: Demonstration of a durable model. Journal of Midwifery & Women’s Health, 58(1), 3-14. (link)
Source: Truven Health Analytics (2013): The Cost of Having a Baby in the United States. (link)
Source: Listening to Mothers III: New Mothers Speak Out, a national survey of new moms, conducted in 2013. (link)
Sandall, J., Soltani, H., Gates, S., Shennan, A., & Devane, D. (2016). Midwife-led continuity models versus other models of care for childbearing women. The Cochrane Database of Systematic Reviews, 4, CD004667. [summary]
Renfrew, M. J., McFadden, A., Bastos, M. H., Campbell, J., Channon, A. A., Cheung, N. F., . . . Declercq, E. (2014). Midwifery and quality care: Findings from a new evidence-informed framework for maternal and newborn care. Lancet (London, England), 384(9948), 1129-1145. [abstract]
Woo, V. G., Milstein, A., & Platchek, T. (2016). Hospital-affiliated outpatient birth centers: A possible model for helping to achieve the triple aim in obstetrics. JAMA, 316(14), 1441-1442. [abstract]
Birthplace in England Collaborative Group. (2011). Perinatal and maternal outcomes by planned place of birth for healthy women with low risk pregnancies: The birthplace in England national prospective cohort study. BMJ (Clinical Research Ed.), 343, d7400. [full text]
Moore, J. E. (2016). Women’s voices in maternity care: The triad of shared decision making, informed consent, and evidence-based practices. The Journal of Perinatal & Neonatal Nursing, 30(3), 218-223. [abstract]
Nutter, E., Meyer, S., Shaw-Battista, J., & Marowitz, A. (2014). Waterbirth: An integrative analysis of peer-reviewed literature. Journal of Midwifery & Women’s Health, 59(3), 286-319. [abstract]
Cluett, E. R., & Burns, E. (2009). Immersion in water in labour and birth. The Cochrane Database of Systematic Reviews, (2):CD000111. doi(2), CD000111. [summary]
Hodnett, E. D., Gates, S., Hofmeyr, G. J., & Sakala, C. (2013). Continuous support for women during childbirth. The Cochrane Database of Systematic Reviews, 7, CD003766.
Lawrence, A., Lewis, L., Hofmeyr, G. J., & Styles, C. (2013). Maternal positions and mobility during first stage labour. The Cochrane Database of Systematic Reviews, 10, CD003934. [summary]
Lee, S. L., Liu, C. Y., Lu, Y. Y., & Gau, M. L. (2013). Efficacy of warm showers on labor pain and birth experiences during the first labor stage. Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN / NAACOG, 42(1), 19-28. [abstract]
Moore, E. R., Anderson, G. C., Bergman, N., & Dowswell, T. (2012). Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database of Systematic Reviews (Online), 5, CD003519. [summary]
Rooks, J. P. (2011). Safety and risks of nitrous oxide labor analgesia: A review. Journal of Midwifery & Women’s Health, 56(6), 557-565. [abstract]
Singata, M., Tranmer, J., & Gyte, G. M. (2013). Restricting oral fluid and food intake during labour. The Cochrane Database of Systematic Reviews, (8):CD003930 [summary]
Sakala, C., Romano, A. M., & Buckley, S. J. (2016). Hormonal physiology of childbearing, an essential framework for maternal-newborn nursing. Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN / NAACOG, 45(2), 264-275. [abstract]
Approaches to limit intervention during labor and birth. (2017). Committee Opinion No. 687. American College of Obstetricians and Gynecolo-gists. Obstet Gynecol 2017;129:e20–8. [full text]
“The United States could improve outcomes and decrease costs by reconsidering where low-risk deliveries take place….Closely coordinated birth centers have the opportunity to meet and perhaps exceed safety standards than exist in many hospitals today.” – Woo, V., Milstein, A., Platchek, T. (2016)
Birth centers are completely committed to making care affordable for you. At Ovo, we intend to accept all major insurance and help you develop a payment plan that works for you from day 1. We’ll work hard to make insurance and financial matters as clear and hassle-free as possible. Research shows that services at a birth center are about 1/3 the cost of a comparable birth at the hospital, so even if Ovo is out of network with your plan, your out-of-pocket costs could actually be lower than they would be in-network at a hospital-based practice. Services which are offered outside of the birth center, such as ultrasounds, lab tests, and genetic screenings are not included in the birth center fees and will be arranged separately by you and we’ll refer to in-network services whenever possible. Out-of-pocket costs will depend on your health insurance plan, but we’ll discuss that with you and provide a detailed estimate of costs during our first meeting to ensure you have all the information you need to make your decision about care.
According to the American Association of Birth Centers:
The birth center is a health care facility for childbirth where care is provided in the midwifery and wellness model. The birth center is freestanding and not a hospital.
Birth centers are an integrated part of the health care system and are guided by principles of prevention, sensitivity, safety, appropriate medical intervention and cost-effectiveness. While the practice of midwifery and the support of physiologic birth and newborn transition may occur in other settings, this is the exclusive model of care in a birth center.
The birth center respects and facilitates a woman’s right to make informed choices about her health care and her baby’s health care based on her values and beliefs. The woman’s family, as she defines it, is welcome to participate in the pregnancy, birth, and the postpartum period.
Using the midwifery model of care, providers help families prepare for healthy pregnancy and also offer regular well-woman care, nutrition, fitness, fertility and more. At a birth center, you are trusted to make decisions for your health in partnership with your birth team. Midwives take the time in longer appointments to listen to you and answer your questions and to make sure you leave your appointment feeling informed and cared for. Your birth team will assist you in developing a personalized support plan that matches your needs and values. You can also participate in classes, where you’ll have opportunities to meet fellow future parents and learn skills for birthing, parenting, and wellness so that you can achieve your best possible physical and emotional well-being. At the foundation of the birth center model of care is Community. Families are encouraged to participate in classes, groups, and community Nest events like potlucks.
A freestanding birth center is a fully equipped medical facility with peaceful spa-like rooms so you can relax and give birth in a calm environment. The Ovo Birth Center is being designed with your comfort and safety in mind and will offer a family room and full-sized kitchen, community room, meeting rooms, and 2 birthing suites, complete with large, private water birth pools, walk-in showers, and, queen-sized family beds. The birth center will be located in a quiet area in Sioux Falls near the local hospital systems, restaurants, hotels.
The providers at a birth center also provide referrals when necessary. Referrals will be discussed in-depth and might be for prenatal testing, ultrasounds, and lab work. Along with your midwives, you participate in the decision-making process. Ovo gives you the time you deserve and affords you the respect to be part of your care.
Large studies show that midwifery care at a birth center leads to great outcomes. Some of them include:
- High chance of having a vaginal birth
- Low risk of damage to the perineum (area between the vagina and the anus)
- Low chance of having a cesarean birth
- Low chance of having an episiotomy (a cut made in the perineum to make the vagina larger for birth)
- Low chance of infection
- High chance of a successful start to breastfeeding
One of the wonderful aspects of care at a birth center is that there is plenty of time for longer, more comfortable visits. Because birth centers serve a limited number of clients, our team can get to know you and help you have the pregnancy and birth you want. Your prenatal visits give you time to build a close, trusting relationship with your entire birth team. Your birth team offers personalized care, wellness support, as well as a link to other resources in our community. In addition to having personal attention to your health needs, you will also become familiar with the environment where you’ll give birth and the people who will be present. We’d love for you to bring in your kids, partner, or anyone else you want involved in your visits. Ovo is a place for families!
At your first visit, your midwife will take a close look at your health history to identify anything that could affect your health during pregnancy. We’ll also offer you some lab tests and estimate your due date. At each visit, we’ll do a routine prenatal checkup that includes measuring your growing belling and listening to your baby’s heartbeat-everyone’s favorite part. Your midwife will sit down with you in a warm, comfortable, relaxed environment to have a discuss how you’re feeling about, well, anything! You might discuss things like nutrition, relationships, mothering, work. Everyone is different. Your health history, work and home life, and dreams are all unique to you. Your prenatal care should be, too.