Tired of driving to your appointments, fighting traffic, only to have to wait past your appointment time and be seen for 15 minutes? We take our time, answer questions and get to know you. Appointments typically last 45-60 minutes. You aren't just another medical record number, but a parent with hopes and dreams for your birth. We want to know what those are! For some clients in the Lehigh Valley area and below, we come to you for your appointments.
Every pregnancy is unique and every person desires something different from their birth experience. We do our best to lay the foundation for you to achieve a healthy and safe birth free from unnecessary interventions. No provider, regardless of setting, can make 100% guarantees, but we seek to give you the best chance that we can can at achieving your goals. Our transport rate is typically around 10% and c-section rates are less than 5%. A majority of our clients also chose waterbirth.
While not a requirement for homebirth, we strongly recommend that you consider hiring a doula for your birth at home as well. We have 2 doulas in our practice who are trained and experienced, but you are free to chose any doula that you would like. This is your birth, we want to support you in your decisions!
Jennifer Timbs, CPM has been attending births since 2001. She started as a doula and childbirth educator and then became a traditional midwife in 2008. She has attended hundreds of births in a variety of settings. She has fulfilled the requirements by the North American Registry of Midwives to obtain the Certified Professional Midwife credential. Jennifer is the mother of six children and is happily married to the kindest, most patient man on earth.
Jennifer took a break from midwifery to attend nursing school in 2016 after completing the prerequisite courses, but has returned to midwifery and homebirth as of March 2017. Instead of nursing, she is finishing up her bachelor's degree in midwifery through the MEAC accredited National College of Midwifery. Jennifer hopes to acquire her license in New Jersey upon completion of her degree. There is currently no licensure available in Pennsylvania for Certified Professional Midwives.
Mountain Valley Homebirth/My Birth By Design LLC will only take on 3-5 births a month to reduce the likelihood that a backup midwife would need to be called. We do however, have reliable backup in place. Jennifer started her practice in 2008 under the name My Birth By Design. Our new name reflects our expansion into doula care, birth photography, and lactatation consultation services.
We have years of experience with at home waterbirth. Birth tub rentals are available through our practice to clients of My Birth By Design, LLC (Jennifer Timbs' practice) and for clients of our doulas here at Mountain Valley Homebirth & Doula Services. Our tub rentals include the tub, hose to fill, fittings for your your faucet, pump to inflate your tub, a new liner, and submersible pump to empty your tub.
Birthing and laboring in the water is so relaxing and is a good form of pain relief. Many women find the water to be the thing that truly helped them to achieve a drug free childbirth. Currently it is difficult or impossible to find an OB/GYN in the Poconos or Lehigh Valley who supports and has experience with waterbirth.
Some women wish to rent a tub to relax in at home before they go to the hospital, if that is the birth setting of your choice. Buyer beware, you won't want to get out!
VBAC stands for Vaginal Birth After Cesarean.
HBAC stands for Home Birth After Cesarean.
These stand for vaginal birth after multiple cesarean and homebirth after multiple cesarean.
VBAC is offered at home in a trial of labor for the following candidates:
Just because you aren't a good candidate for a homebirth this time, doesn't mean you shouldn't try to have a vbac! First, find a suppotive OB/GYN or CNM in a hospital that supports vbac. Don't settle, shop around! Second, hire a doula! Third, take a childbirth education class or refresher course.
Pregnancy care for a vbac is essentially the same as it was in your first pregnancy. One difference is that we will need to get an ultrasound to determine placental location. A placenta that is implanted over a uterine c-section scar can result in a condition called placenta accreta, which can be catastrophic. This can be seen on your 20 week anatomy scan. If planning a homebirth we will also need a copy of your operative report from your surgical birth. The other difference is that you are less likely to be induced, to further reduce your risk of uterine rupture.
For your birth, we are more vigilant about fetal monitoring of the baby and pain assessment of the client as well as the client's vital signs. This simply means more frequently timed assessments in the home setting. In the hospital, typically mothers are hooked up to continuous external fetal monitoring. A uterine rupture, which is the biggest complication of a vbac, is often detected through changes in the fetal heart tones, changes in maternal heart rate or blood pressure, and feedback from the mother as to the type of pain she is experiencing. Some uterine ruptures however, go undetected even with the most invasive type of monitoring, the intrauterine pressure catheter and fetal scalp electrode. No method of monitoring is 100%, but we do our best to ensure your safety within the confines of an out of hospital birth and within the hospital they do their best to monitor safely as well. It is important to note that continuous fetal monitoring has not been shown to improve outcomes.
Midwives Model of Care Services
Your cash pay out of pocket costs for homebirth midwifery care. We use a sliding fee scale, based upon your income. There are no refunds after 36 weeks, regardless of final place of birth. Our financial agreement will be sent to you with all of the details.
Tubs are delivered to you at your 36 week homevisit. Tub rentals are good for 36-42 weeks and must be returned by your 2 week postpartum visit or a fee of $50 per week applies.
Squatting during labour increases the pelvic opening and helps to draw the baby further down into the pelvis. The Kaya birth stool is large enough and strong enough for your partner to sit behind you.
Discounts and special offers, courtesy of My Birth By Design LLC & Mountain Valley Homebirth
Hire the birth doula of your choice, and, if having a homebirth with Jennifer Timbs, CPM, she will pay 20% of your total doula fees! The value of this varies, depending on the doula hired and the fees that your doula charges. Payment will be made to the doula of your choice. Your account with My Birth By Design/Mountain Valley Homebirth & Doula Services must be current and in good standing.
Clients of My Birth By Design/Mountain Valley Homebirth are entitled to a $50 discount on standard placenta encapsulation services.