One of the most important decisions you will make regarding you birth is who your provider will be and where you will have your baby. I dedicate an entire two to two and a half hour class to this decision. Many couples believe that which ever hospital is closest to their home should be where they birth. However, all hospitals are not created equal. Like any business, they provide different services, options, and amenities. If you are in Salinas, Monterey, or anywhere in between you are blessed with five hospitals to choose from within 45 minutes of you, which is more than enough time to travel to your birth place, even if you have very fast labors! Choose carefully, where ever you choose to bring your baby into this world will impact your birth immensely. In class we are able to cover many details like induction rates, which hospitals are doula friendly, and where your decisions like to eat in labor, labor in a variety of positions, or birth in an upright position are most likely to be honored... after all... these are YOUR decisions to make, not your doctor's. If you choose a doctor or hospital that tells you upfront that these are not your decisions, I may not be able help you achieve the birth you want. To help simplify this choice just a bit, I put together this chart. It compares Natividad Medical Center, Salinas Valley Memorial Hospital, Community Hospital of the Monterey Peninsula, Dominican Hospital, Sutter Maternity and Surgery Center, and home birth. It is available in printable PDF form here. This is something you are welcome to print and share! I hope you find it helpful. Learn more about local hospitals and read reviews from local women:
Community Hospital of the Monterey Peninsula Dominican Hospital Natividad Medical Center Salinas Valley Memorial Sutter Maternity and Surgery Center
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Dominican Hospital is located at 1555 Soquel Dr in Santa Cruz, California. Many Monterey County couples may not even consider Dominican an option because it's in Santa Cruz. Birth according to the movies is lightening fast and perilous, but in reality the first time mother will labor 14-18 hours, leaving plenty of time to travel the 30-45 minutes from Monterey/Salinas to Santa Cruz. Some couples travel much farther, even over state lines, for a birth place that will respect their desires. From Dominican's website: "We deliver small miracles. At Dominican Hospital, we are committed to offering a full service, state-of-the-art, individualized birth experience. Dominican refers to their labor and delivery unit has a "Birth Center." It's important to note that the natural birth experience offered by a freestanding birth center is not the same as the "Birth Center" in a hospital. This is just the name that they have given their labor and delivery. To learn more about freestanding birth centers visit the American Association of Birth Center's website. Dominican is supportive of women who choose to birth vaginally after having a cesarean (VBAC). Many women travel to Dominican to from Monterey for this reason. Dominican's Jacuzzi tub, birth stools, and access to midwives for low risk deliveries may also play a role in that decision. In 2011 almost 450 women traveled to Santa Cruz to have their babies. Out of the total of 926 births at Dominican in 2012, 26.7% of the births were by cesarean section, (www.cesareanrates.com). Though this rate is below the state average of 33.2% and lower than all of the Monterey County hospitals, it is above the World Health Organization's recommendation of 10-15%. Dominican is a non-profit hospital, "a California survey found that women were 17% more likely to have a cesarean at a for-profit hospital than a non-profit" (Optimal Care in Childbirth by Henci Goer). Dominican is certified as Baby-Friendly, meaning they utilize evidence-based practices in the postpartum such as immediate skin to skin, support in breastfeeding, and rooming in. I had my second child at Dominican Hospital in 2011 with certified nurse-midwife Margann Mentor. The nurses were friendly and encouraging, my nurse knew exactly what to say to me when I felt overwhelmed. I could tell they were experienced in working with women who wanted to birth naturally. You can read my birth story here. The following is from a Monterey military mom, Esther: "I can't recommend Dominican Hospital highly enough. They were incredibly hands off through my entire stay, from labor through postpartum. Since I was GBS negative I didn't need an IV for antibiotics and they didn't even ask if I wanted a saline lock. The only needle I ever saw was when they drew blood to bank. I was able to eat while I was in labor and when I did need to be on monitors, they used the telemetry unit so I could still be up and moving around. The telemetry unit is also waterproof so it didn't restrict me from spending time in the jacuzzi tub, which is huge and made contractions so much more bearable I didn't even realize I had hit transition until they did an internal exam. The following are reviews from other Monterey County moms: "I labored in the tub at Dominican and the nurses are AHHHHHHMAAAAZZZZZING!!!! As was that tub! I was in there for quite some time and spent a good chunk of time in the shower as well. I wasn't bothered by any of the nurses and they pretty much left me to labor. Absolutely wonderful! Unfortunately baby had a short stay in the NICU, but fortunately, everyone there was wonderful. I even requested that he receive donor milk instead of formula, as I wasn't getting a drop out of me and the doctor accommodated my wishes! This was my second birth at Dominican and I thoroughly enjoyed that full size bed :0) It was like a vacation. Especially because we were served three celebratory dinners." "Not all OB's at Dominican are VBAC friendly. My frustration lies in the fact that the on call Dr. (Dr. Nicholson) told Dr Klikoff she used the vacuum because they were worried baby's heart rate would dip too low and not come back up and that I wouldn't be able to push him out fast enough. Yet my records say I was pushing very effectively (literally, exactly what the doctor wrote down) and they didn't use the vacuum until he was nearly crowning. Wwwwhhhyyyy?! He was nearly out and I was doing fine! Reading my records just made me even more frustrated than I already was. Another care provider in my doctor's office wasn't surprised at all by his delivery once she saw who delivered him. She said she's far more conservative than Dr. Klikoff...she stopped short of saying she's not VBAC friendly but did say I probably freaked her out, walking into L&D attempting a natural VBAC and already feeling the urge to push." "I was REALLY impressed with Dominican's birthing center tour last night... They highly encourage using the showers during labor if you want... The beds are specifically birthing beds that are designed to have all sorts of bars so you can labor (and push) kneeling, standing, squatting, in bed or out of bed, in whatever position is most comfortable for you. They also have the birthing stools... The sleeper chairs for support staff are a lot bigger and more comfortable than most hospitals, they actually had dads at one of their tours try out a bunch of different models and pick their favorite and that's the one they went with. Of course they have the Jacuzzi tub too that they encourage women to use... "I had a great experience at Dominican with Dr. Klikoff, but I got lucky with a nurse who is at Sutter 99% of the time, and was only covering a shift at Dominican. Her name is Carol and I'm certain she's an angel." "I've had clients deliver there recently and Dominican is fine with eating during labor. They pretty much leave it up to Mom and how she's feeling. You can also bring a few healthy snacks with you--just pull them out when you need/want them." - doula "I delivered there in 2009 - The staff was wonderful, so grateful to the nurses I had!" Reviews from Yelp and Google: "I had both of my youngest children at Dominican - I felt like a queen there. Great, professional staff, beautiful large room, more food than I could possibly eat. I give them 5 stars!" "The birth center has great security, the nurses were nice, the rooms were bright and clean (p/s the post-delivery rooms where you stay for 2 days had double beds, couches, fridges, etc. - way nicer than the post rooms I've been in at Marin General and California Pacific in SF). The rooms didn't feel like a hospital, more like a 2-3 star hotel. Not bad, come on, it isn't the Hyatt. Before the tour I didn't think I would want to deliver at Dominican, now I am 100% happy with the idea. I especially liked how they played 'rock a by baby' on the loudspeakers when a baby is born (it happened two times while we were there), they have a level 2 and 3 intensive care unit for at-risk newborns (which Sutter does not have), and the security is top notch... not that I am a security freak, but it appears to be pretty much impossible to steal a newborn from that ward, the babies wear a low jack type bracelet and there are locked doors with passwords and cameras, etc. That was nice for the hubby who comes from a much more security phobic." "Since the birth of my daughter 5 years ago I have visited Dominican many times. The first was when Dr. Hencke knew what was wrong with me (rare pregnancy complication, which a lot of doctors miss). The whole staff is caring. When my daughter begin having seizures at 5 months old we were in and out of ER and pediatrics till she was one. We had to transfer to Lucile Packard children's hospital twice because, even for having such a great staff, do not specialize in infants and seizures. We had an awful time at LPCH. If I had to pick a hospital (and really who would want to be in a hospital) I would pick Dominican for the caring, compassionate staff." "My son was delivered at Dominican. We were in labor room for 4 shifts, and every staff member we interacted with was amazingly helpful and kind. Same experience in the postpartum section of L&D. Would recommend, 5 stars. Even the food was good." I include every review that is sent to me, if there is helpful information that you would like me to include, please let me know. Learn more about local hospitals and read reviews from local women: Community Hospital of the Monterey Peninsula Dominican Hospital Natividad Medical Center Salinas Valley Memorial Sutter Maternity and Surgery Center You can view and download a chart comparing hospital options and amenities here. Did you give birth at Dominican Hospital? Please share your experience in the comments below! Community Hospital of the Monterey Peninsula (CHOMP) is located at 23625 Holman Highway in Monterey, California. Like our other Monterey County Hospitals, CHOMP is certified as Baby-Friendly, meaning they utilize evidence-based practices in the postpartum such as immediate skin to skin, support in breastfeeding, and rooming in. CHOMP provides a Level 2 Neonatal Intensive Care Unit (NICU), babies that are in need of a Level 3 NICU are transferred to a Bay Area hospital like Stanford or UCSF, sometimes to Dominican in Santa Cruz or Natividad in Salinas. CHOMP refers to their labor and delivery unit has a "Family Birth Center." It's important to note that the natural birth experience offered by a freestanding birth center is not the same as the "Birth Center" in a hospital. This is just the name that they have given their labor and delivery, it does not mean they necessarily offer a more natural approach to birth. To learn more about freestanding birth centers visit the American Association of Birth Center's About CHOMP's amenities from their website: What to expect during your birth: "Our 13 rooms are equipped for labor, delivery, recovery, and mother-baby care. As you prepare for the birth of your child, we thought you might like to know some of the things we believe at the Family Birth Center...
In the Monterey County Weekly article, The Holistic Hole, director of CHOMP’s Family Birth Center, Catherine Powers said, "medication-free births like Ellis’s only represent about 1 percent of the hospital’s deliveries. Doulas, though rare, are allowed to attend to laboring moms... We’re all moms here at the Family Birth Center. We believe birth is a choice,” Powers says. “[But] we are a medical model, so that’s what we provide.” You can learn more about the medical model of care (as opposed to the physiological model of care or midwifery model of care) and your options within it here. Out of the total of 1045 births at CHOMP in 2012, 32.9% of the births were by cesarean section, (www.cesareanrates.com). Though this rate is below the state average of 33.2%, it is above the World Health Organization‘s recommendation of 10-15%. CHOMP is a non-profit hospital, ”a California survey found that women were 17% more likely to have a cesarean at a for-profit hospital than a non-profit” (Optimal Care in Childbirth by Henci Goer). Though, in 2012 CHOMP did have a higher cesarean rate than the only for-profit hospital in the county, Salinas Valley Memorial. CHOMP is one of two hospitals in Monterey County* that do not offer the option of vaginal birth after cesarean (VBAC) to women despite the American Congress of Obstetricians and Gynecologists and The National Institutes of Health‘s 2010 recommendations to do so. Unlike hospitals who support women in having a VBAC, CHOMP is not required to have an anesthesiologist or obstetrician on the floor at all times. In 2011 CHOMP had the highest epidural rate (79%), and the highest induction rate (37%) in Monterey County*. (Monterey County Weekly) CHOMP also has the highest episiotomy rate (11%) in the county, which is quite a bit higher than other local hospitals like Natividad (2.8%) and Dominican (2.3%). (CalQualityCare.org) CHOMP does not offer the option to birth with a certified nurse-midwife, which is the standard of care in most other developed countries and has shown to improve maternal and infant outcomes according to a recent study including 16,242 women published August 2013 in the Cochrane Database of Systematic Reviews. The following is a Salinas mom's experience touring CHOMP: I toured CHOMP in spring of 2012. CHOMP seems to only allow pregnant ladies and one other adult on the tour. They also don't schedule a tour until pretty late during pregnancy. I was 6 months (I think) when I finally got to do a tour. More reviews from Monterey County moms: "They took me to my room – which was a teeny tiny room that they haven’t used in a long time but had to shove me in it since they were extremely busy. I stripped my clothes off as fast as I could, got my monitors on and hopped up on the bed. "Being a first time mom, and having heard some negative stories about delivering at CHOMP, I had my concerns about being able to have a natural birth, free from interventions there. However because of my insurance, CHOMP was really my only option. The doctor wanted to induce me at almost 37 weeks because the non-stress test was 94% and they wanted to see 100%. The doc told me he didn't want to have to have me come in every other day for a non-stress test and said I needed to be induced. I didn't have any problems throughout the pregnancy... I've had my 3 kids at CHOMP: 2010, 2012 and 2013. I had gone in the first time expecting to do an all natural birth, no meds. I had an open mind though, knowing and telling myself it would be okay if I did end up getting an epidural. I did and it ended up saving my life and my babies, I truly believe that. I had to be turned on my side and my pelvis/hips slid out of socket because of the weight of the baby and my super lax tendons. If I had not had the epidural, I would have been in immense pain, and not have been able to push. "My daughter was born at CHOMP. We hoped for a natural birth, but one thing lead to another and I got to experience the "cascade of interventions" first hand. We ended up with pitocin, my water was broken, an epidural, episiotomy, vacuum extraction and then my baby had to stay in the NICU for 5 days because of the infection we got while in labor, which I've learned can happen when nurses do many cervical checks after your water has broken." "I had a c-section at CHOMP 5 years ago. I was moved three times starting the day after the surgery. The second room I was in was atrocious. There was a jack hammer breaking apart the neighboring wing. It was so loud I couldn't hear my husband talking nor my baby cry. I asked the nurse if there was anywhere else they could put me and she said 'would you rather be in the hallway?' Anyway, I waited in a wheelchair in the reception/waiting area until a room became available. It took a few hours, but I was grateful, all 13 rooms were full. I went on to have a VBAC at Sutter for my next child." I include every review that is sent to me, if there is helpful information that you would like me to include, please let me know.
Learn more about local hospitals and read reviews from local women: Community Hospital of the Monterey Peninsula Dominican Hospital Natividad Medical Center Salinas Valley Memorial Sutter Maternity and Surgery Center You can view and download a chart comparing hospital options and amenities here. If you birthed at CHOMP please share your experience in the comments below! *hospitals included were those with 200 beds or more Natividad Medical Center is located at 1441 Constitution Blvd, Salinas, California. Natividad is one of the few county run hospitals left in California. It is a non-profit hospital, "a California survey found that women were 17% more likely to have a cesarean at a for-profit hospital than a non-profit" (Optimal Care in Childbirth by Henci Goer). Natividad is also a teaching hospital, which is sometimes a bad thing when you have doctors eager to give residents an opportunity to practice their skills, sometimes when they aren't necessary. However, at Natividad it is a positive. Most of the doctors that catch babies at Natividad are up to date on the latest research and seem eager to work with their patients, I personally have felt an attitude of learning is encouraged. I chose Dr. Peter Chandler, Natividad’s Obstetrics and Gynecology Services director, as my doctor when I transferred to Natividad. In our first appointment he was referencing my favorite natural birth documentaries and had listed some topics for me to look up on PubMed, a refreshing change from doctors who seem threatened or bothered by an informed mother. Natividad is the only hospital in Monterey County that offers VBACs (vaginal birth after cesarean). In 2011 Natividad had a 60% successful VBAC rate (The Holistic Hole, Monterey County Weekly). Even if you are not having a VBAC, it is good to know if your hospital allows them. If they do it is a sign that they follow the American College of Obstetrics and Gynecology's guidelines and that they provide evidence-based care, care that is supported by research and science, as apposed to fear-based care, opinion-based care, or convenience-based care. Out of the 2812 total births at Natividad in 2011, 28.3% of them were cesarean section (www.cesareanrates.com), lower than the national average of 32.8%, but still higher than the World Health Organization's recommendation of 10-15%. In 2011 Natividad had the lowest epidural rate (45%) and lowest induction rate (15%) in Monterey County. Like Dominican and Sutter in Santa Cruz, Natividad now offers mothers the option of having a certified nurse-midwife deliver your baby, which no other Monterey County hospital offers. This is standard care for low risk mothers in all other developed countries and has been shown to result in better outcomes in mothers and babies (read more here). From Natividad's website: "The Maternal Infant Unit is a 26 bed unit promoting family-centered care and provides a full range of care to childbearing women, the normal newborn, and their families. Fathers and significant others are included in our family-centered care... Education and support services, including infant CPR classes, lactation support and information on women’s topics are offered. A Lactation Consultant is available 7 days a week providing individualized instruction." We did have our third son, Indiana, at Natividad, you can read his birth story here. We visited the hospital a few times before his birth, to tour and we were admitted a few times for various reasons, you can read about one of those visits here. Here's a picture I snapped of the beautiful light filled room we were given. Not fancy, but I loved all the windows and how big the room was. Not all rooms come equipped with bored husbands, just mine. The following is from a Monterey mom, Wendy, who had her baby at Natividad, these are just some snippets from her incredible home birth turned induction at 43 weeks: We arrived, birth plan in hand, and got settled into a room. From the get go, I retained as much control as one can when you are checking yourself into a hospital. Knowing that they couldn't turn me away I felt empowered to assert my right to respectfully refuse anything that I wasn't comfortable with, starting with the hospital bracelet they wanted me to wear but that I promptly took off... Dom set up our room, with a sarong over the bright light, my blanket on the bed, our music on the ipod, snacks for the nurses laid out by the sink, copies of our birth plan distributed widely... We claimed the space as our own. I dressed in the special nightgown that Bestie had given me. I texted my mom and the midwives to come join us. More reviews from Monterey County moms: “If I had been at any other place they probably would have done a C-section. They were just so patient. They met my every need, emotionally and physically.” (The Holistic Hole) "The neonatologist, Dr. Bruni, was awesome. The labor room was huge and spacious, that was cool. We had some scary stuff going on, the nurses were great. The surgeon, Aguillera, was amazing. I went to visit my cousin there last week, her nurse gave me an SNS (supplemental nursing system) when I told her my baby had IUGR (intrauterine growth restriction). The way they handled my baby's transport was super great, my nurse stayed after to see her off. I would recommend them in a hot sec." "I loved my [labor & delivery] nurse. The after care? Not so great. They stuck me in a back room and basically ignored me." "They explained every step they were going to take... When it came to pushing my doctor was in the room the whole time. She as well was pleasant. We had a good relationship, she was trying to make jokes to ease some of pain. If I told her I felt like I had to push, she wanted me to push, if I felt like I couldn't anymore, she wanted me to take a break... My overall experience delivering at Natividad was positive. Would recommend any one and everyone to deliver here." I include every review that is sent to me, if there is helpful information that you would like me to include, please let me know. Learn more about local hospitals and read reviews from local women: Community Hospital of the Monterey Peninsula Dominican Hospital Natividad Medical Center Salinas Valley Memorial Sutter Maternity and Surgery Center Did you give birth at Natividad Medical Center? Please share your experience in the comments below! Sutter Maternity & Surgery Center is located at 2900 Chanticleer Ave in Santa Cruz, California, right across the street from Dominican Hospital. Some people (myself included) have mistaken Sutter for a freestanding birth center. We do not have any freestanding birth centers on the central coast. A freestanding birth center, like Sutter, employs both midwifes and sometimes obstetricians, but do not offer epidural or narcotic pain relief and do not do cesarean sections like Sutter does. Sutter, however, still may be a good choice for couples planning an unmedicated birth and prefer a less hospital like environment. From Sutter's website: "We have both doctors and midwives on staff, which means you have a choice in your obstetrical care. We have 12 birthing suites to accommodate you before, during and after your baby is born. Some of our suites include an in-room Jacuzzi. For suites without an in-room Jacuzzi, a private one is available." Sutter is supportive of women who choose to birth vaginally after having a cesarean (VBAC). Out of the total of 978 births at Sutter in 2012, 23.5% of the births were by cesarean section, (www.cesareanrates.com). Though this rate is below the state average of 33.2% and lower than all of the Monterey County hospitals, it is above the World Health Organization's recommendation of 10-15%. Sutter is a non-profit hospital, "a California survey found that women were 17% more likely to have a cesarean at a for-profit hospital than a non-profit" (Optimal Care in Childbirth by Henci Goer). Sutter is certified as Baby-Friendly, meaning they utilize evidence-based practices in the postpartum such as immediate skin to skin, support in breastfeeding, and rooming in. An expecting Monterey mom shared her thoughts and a couple pictures from her tour: "The rooms are huge, bright and sunny, with a balcony you can walk out on (Dominican has patios but they don't let you out on them for security reasons)." "And half of their rooms have the jacuzzi tub in them. The other half have only the shower, but there's a separate tub room those rooms can share. My pic doesn't show it, but they even have fake candles to make a soothing environment. "They have a nutrition closet where you can grab drinks and snacks any time, plus you can order food from their cafe 24/7. And another Monterey County mom shares her birth experience: Hands down Sutter Maternity was amazing. We toured CHOMP, Dominican, and Sutter and immediately knew where we were going. "If you want to have a low-intervention or non-medicated childbirth, this is the place. It's the best of both worlds. Although I had a natural childbirth, I was glad the technology was there when we needed it, because my son had some heart rate issues during delivery." "I do not care where you live....if you are pregnant...and you want an amazing birth experience.... GO TO SUTTER MATERNITY!" "Giving birth here was like being a VIP, staying in a 5-star resort hotel. The nurses were so amazing and the chef downstairs whipped up gourmet meals daily." "Staff was AMAZING. With my first child, I had a nurse by my side for 24 hours, literally. One nurse spent the night by my bedside (Due to some complications, but where else can you say you get your own private nurse?)" Learn more about local hospitals and read reviews from local women: Community Hospital of the Monterey Peninsula Dominican Hospital Natividad Medical Center Salinas Valley Memorial Sutter Maternity and Surgery Center You can view and download a chart comparing hospital options and amenities here. Did you give birth at Sutter Maternity & Surgery Center? Please share your experience in the comments below! |
EventsNatural Birth Series
Sept 28 – Nov 15 Carmel, 6:30–9pm Register Infant Sleep for Expecting & New Parents September 28th 6:30pm - 9:00pm Register Gentle Cesarean: Planning & Recovery September 30th Toro Park, 3-6:30pm Register Natural Birth Refresher October 15th Salinas, 1– 4pm Register Preconception & Early Pregnancy Class October 22nd Salinas, 1– 4pm Register Sibling Prep for Parents & Kids November 4th & 5th Toro Park, 2:-4pm Register Fall Home & Birth Center Birth Series Nov 7 – Dec 12 Salinas 7pm–9pm Register VBAC Class November 12th Salinas, 1–4pm Register Natural Birth Series Nov 29th – Jan 17th Salinas 6:30–9pm Register Archives
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