We are proud of our ethic that prioritizes women and their choices
without compromising safety and positive outcomes.

Sunrise Midwifery has participated in the national MANA Statistics Project since 2009.  This project utilizes prospective data: this means that every birth outcome listed was entered at the beginning of care, rather than after the birth occurred.  No cherry-picking allowed!  Now there are tens of thousands of births entered from all sorts of midwives in the out-of-hospital setting.

Sunrise Midwifery also participates in the WA State OB-COAP Project.  This is run by the Foundation for Healthcare Quality whose goal is to promote raising the quality of care for all patients in all settings.  Thanks to MAWS’ work to provide a data link between MANAStats and OB-COAP in 2012-13, our practice’s statistics and those of all MAWS’ members are directly imported.

Here is some other information that is not reflected in the numbers below.  The number of mothers in the data set is 162.  No maternal or newborn deaths have occurred.  Some genetic anomalies or malformations identified and diagnosed after birth include: heart, pancreas, and spina bifida occulta.

 More information can be provided upon request.   Last updated November 2015.

Maternal Charateristics

First-time mothers, called primigravidas, tend to have the highest rate of interventions including induction, epidural anesthesia, and c-section.  In homebirth, they also tend to be transported the most often for pain relief or long labors. Mothers having their second or greater birth are generally at lower risk of transport, intervention, and c-section.

Percent of clients who are primigravida (28%)
Percent of multiparous clients (72%)

Transport rate

Transports to the hospital for medical care occur during labor or the immediate postpartum.  They do not include women or babies who are referred for medical care prior to or after labor and birth.  Most transports take place for optimal safety of mom or baby rather than in a state of emergency.

Percent of births ending in transport (10%)
Transport rate of newborn at birth (1%)

Cesarean sections

C-sections are sometimes indicated, even in homebirths.  The c-section rate in healthy women experiencing normal pregnancy should not be greater than 10-15%, per WHO.

Percent of clients who end up with a c-section (3%)

Vaginal Births After Cesarean

Vaginal Birth After Cesarean (VBAC) is not only possible, but also very likely!  We have a 95% success rate with women attempting VBAC who go into labor.  Clients who risk out of homebirth (e.g. for blood pressure increase) prior to labor beginning are excluded from this number.

Percent of clients who have had previous c-section (11%)
VBAC success rate (95%)

Breastfeeding

Breastfeeding is integral to the health of babies and mothers.  We are able to provide full breastfeeding education and support. It is easier for us because women choosing homebirth generally choose to breastfeed and have good support.  However, we recognize that every woman must make many decisions for her health and that of her family members and that breastfeeding sometimes does not occur.  We strive to support every woman in her breastfeeding journey.

Percent of mothers breastfeeding at birth (98%)
Percent of mothers breastfeeding exclusively at last visit (90%)
Percent of mothers joint feeding at last visit (10%)

Baby weights

Babies come in a variety of sizes and we see a high number of healthy babies and few small or preterm babies.

Percent of babies weighing less than 6 pounds (1%)
Percent of babies weighing 6-9 pounds (75%)
Percent of babies weighing over 9 pounds (23%)

Perineal lacerations

Tearing to the perineum or vagina often happens during birth.  We can minimize damage through client-led pushing, waterbirth, and perineal support at crowning.

Percent of clients with episiotomy (0%)
Percent of clients with intact perineum (25%)
Percent of clients with minor injury not requiring suturing (15%)
Percent of clients with 1-2 degree laceration (52%)
Percent of clients with 3-4 degree laceration (2%)