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2 The Birth Place Fundamental Premise Every woman wants a healthy baby and every woman deserves one

3 How do we help you achieve that? o By making sure you are involved in all aspects of your care o By listening, supporting and encouraging you along the way o By making sure you have health care answers you can understand o By watching closely and vigilantly for early signs of complications, collaborating closely with our obstetric back up team throughout

4 Clinical Staff Jennie Joseph Senior Midwife, Clinical Director Staff Midwives/ Staff Nurses Student Midwives/ Nurse Interns Katrina Nelson RMA, RN/BSN Can. Nurse Manager Medical Assistants Birth Assistants/ Doulas Childbirth Educators Jennie Joseph LM, CPM Owner, Executive Director Kendra Ippel, LM, CPM Midwife

5 Clinical Staff Mary Foster, RN, BSN Clinic Nurse, Labor & Delivery Nurse, Student Nurse Midwife Mariana Cook Juarez, MD (Mexico), Student Midwife Stephanie Matos, Medical Assistant, Student Midwife Josephina Saraf, Midwife (Chile) Student Midwife

6 Prenatal Care with a Difference

7 Environment is key q Warm, friendly atmosphere q Relaxed visit time with your provider team q Questions are welcomed q Education is our focus

8 The Birth Place Birthing Center Housed on the third floor of the Winter Garden Executive Building in Historic DowntownWinter Garden. 213 S. Dillard St, Suite 340, Winter Garden, FL

9 A Safe Place to Have YOUR Baby o State licensed midwives (LM Florida Statute 467) and nationally certified (CPM) o State licensed and regulated Birth Center (AHCA Florida Statute 383, Rule 59-A11) o State licensed and Board Certified OB/GYN back up physicians o Nearest hospital 7 minutes away o Winnie Palmer Hospital transfer option with continued midwife support

10 Why Choose a Birthing Center? o Safe, natural approach to YOUR care o Personal attention, easy access to staff o Full understanding of what s happening at all times o YOU are part of the decision making process

11 o o o q Fully equipped birthing facility State, county and fire and safety inspection annually Full adult and neonatal resuscitation equipment Emergency medications, antibiotics, IV fluids (No narcotics on site) State required newborn medications and testing available Delivery Carts Oxygen/ Resuscitation Equipment

12 Comfortable Birthing Rooms

13 Birthing Options o Light food and fluids throughout labor if desired o No routine IV s o Active labor positions o Birthing ball o Birthing stool o Water labor and delivery o Natural pain relief techniques, safer for baby o Labor doulas

14 Choices for active labor

15 Avoiding Cesarean Section o Our C- section rate for transfers is around 8% o Local hospital rates are 30% - 50% o Less interventions = less chance of surgery o Natural spontaneous labor leads to greater chance of vaginal delivery and faster, safer recovery

16 Welcome Little One!

17 Benefits of natural birth for baby Skin-to-skin time is standard after all births for as long as required Umbilical cord is not cut until spontaneous pulsation ceases (can be up to an hour) Partner and family members have immediate access to meet, bond and spend uninterrupted time with newborn Priority focus on supporting breastfeeding as soon as possible after delivery

18 Breastfeeding best for baby, best for mommy

19 No separation from YOUR baby o Weighing, newborn exam and procedures deferred until you are ready o All baby monitoring done at your bedside, baby stays in your room o Total family & sibling involvement o Photo and video filming of birth welcomed

20 Same-day Discharge Home o Personalized recovery with your own trained birth assistant o Minimum 4 hour post delivery stay varies from 4-8 hours according to need and time o Breastfeeding support at home as needed o Pediatrician follow-up within 24 hours required o 24 hour postpartum access to midwives and lactation team

21 Ready to go home

22 High Risk Clients o o o o o o Unfortunately patients with any of these conditions cannot be delivered at the birth center Previous C-section Diabetes, cardiac or pulmonary disease Previous poor birth outcome Current high blood pressure Current twin pregnancy or breech presentation Any other serious health concern

23 Payment Options For one-on-one, optimal care, access to your providers 24 hours a day and real peace of mind - our reasonable fees can be paid for by the following: o o o Insurance and Medicaid accepted need to be discussed individually with the office Mastercard,Visa, Discover Self-pay payment plans and cash discoun Call/ our Office or

24 Where do YOU want to have your baby?

25 Questions?

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