Birthing centers

A birthing center or centre is a healthcare facility, staffed by nurse-midwives, midwives and/or obstetricians, for mothers in labor, who may be assisted by doulas and coaches. By attending the laboring mother, the doulas can assist the midwives and make the birth easier. The midwives monitor the labor, and well-being of the mother and fetus during birth. Should additional medical assistance be required the mother can be transferred to a hospital. Some hospitals are now adding birth centers to their facilities as an alternative to the high tech maternity wards commonly found at most hospitals.

A birth center presents a more home-like environment than a hospital labor ward, typically with more options during labor: food/drink, music, and the attendance of family and friends if desired. Other characteristics can also include non-institutional furniture such as queen-sized beds, large enough for both mother and father and perhaps birthing tubs or showers for water births. The decor is meant to emphasize the normality of birth. In a birth center, women are free to act more spontaneously during their birth, such as squatting, walking or performing other postures that assist in labor. Active birth is encouraged. The length of stay after a birth is shorter at a birth center; sometimes just 6 hours after birth the mother and infant can go home.

A 2012 Cochrane review compared traditional hospital births with alternative, home-like settings in or near conventional hospital labor wards. In comparison with traditional hospital wards, home-like settings had a trend towards an increase in spontaneous vaginal birth, continued breastfeeding at six to eight weeks, and a positive view of care. The review also found that having a birth at an alternative birth center decreased the likelihood of medical intervention during labor, without increasing risk to mother or child.

Like clinics, birth centers arose on the coasts of the U.S. in the 1970s, as alternatives to heavily institutionalized health care. Today, use of birthing centers is generally covered by health insurance. Several of the practices which were innovated in birth centers are beginning to enter the mainstream hospital labor and delivery floors including:

There are certain requirements that a woman needs to meet in order to be able to birth at a birth center. First, she must have an uncomplicated, low-risk pregnancy. Free-standing birth centers require hospital backup in case complications arise during labor that require more complex care. However, even if a delivery can not happen at the birth center due to a high-risk pregnancy, birth center midwives might provide prenatal care up to a certain week of gestation or at the hospital alongside an obstetrician.

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