At Physicians and Midwives we are committed to partnering with you to achieve the optimal birth experience. Many women prefer a vaginal birth over a cesarean section. This information will teach you about the many ways you can increase the likelihood of achieving a vaginal birth.

It is not necessary to make a birth plan, but if you would like to do this exercise, it should include information about you, your partner, and your wishes or preferences. We have a Sample Birth Plan that lists most of the desires our moms usually express.

We ultimately strive for a safe and healthy mom and baby.

For most uncomplicated pregnancies:

  • Intermittent auscultation is used
  • You will be allowed to change positions and ambulate
  • All patients will have IV access (a saline lock is placed) but it doesn’t mean you need to be hooked up to fluids
  • None of the midwives routinely cut episiotomies
  • Feel free to keep the lights dim during labor
  • You can bring your own music
  • Our hospital does not have tubs, however, showers are available if your midwife says it is safe for you and the baby

Of course, if there is any concern about the well being of you or your baby, we will create a new plan of care that may or may not include what was mentioned above.


A word about TOLAC: Trial of Labor After Cesarean

If you have previously had a cesarean delivery, there are a few things you should know about your next labor. At P&M we encourage any mom with one previous cesarean section to consider trying for a subsequent vaginal delivery. Some of the benefits of a successful VBAC include faster recovery, shorter hospital stay, lower risk of bleeding, infection and surgical complications. However, we recommend taking certain precautions in order to avoid some of the complications which can arise in this special circumstance. There is a small (1-2% in several large controlled studies) risk of rupturing the uterine scar when going into labor the next time around. This can lead to emergency surgery and rarely, injury (including brain damage) to the baby. A physician will meet with you during your pregnancy to discuss these risks in detail and outline a plan for your labor based on your specific history and circumstances. One method to predict your likelihood of a successful VBAC can be found here: