Natural Birth Home is closing its doors
By Matt Carter, STAFF WRITER
Inside Bay Area
PLEASANTON — A 94-year-old house on Railroad Avenue where hundreds of mothers gave birth without the use of pain-killing drugs is closing its doors.
Since founding The Birth Home in 1997, midwife Beah Haber and Dr. Michael Bleecker have helped bring 450 babies into the world.
Most of those births took place at the historic Larkin Locke house in downtown Pleasanton, using natural childbirth techniques.
Advocates of natural child birth say doctors and nurses who attend to births in hospitals are sometimes too quick to use surgical procedures and pain-killing drugs.
At The Birth Home and at similar natural child birth centers around the country, less than 5 percent of births involve cesarean sections, compared to about one in every four births in U.S. hospitals.
But The Birth Home never generated enough business to be able to hire the midwives it needed to be available on call 24 hours a day.
We never seemed to average beyond five or six babies per month, Haber said. We couldnt (hire) enough midwives ... so I was on call 30 days a month.
Haber, a certified nurse midwife, will still attend to mothers who want to experience natural child birth in their own homes. Bleecker, an obstetrician-gynecologist, will continue to deliver babies at ValleyCare Medical Center.
But expectant mothers will no longer be able to hire Haber and Bleecker to attend to them at The Birth Home, an arts-and-crafts style home on a shady street in downtown Pleasanton.
Built in 1911, the house at 4441 Railroad Ave. sits across the street from an old fire station the city plans to convert into a theater and art gallery. Its also a short walk from businesses on Main Street and several downtown parks.
Louise Layer, who owns the home with her husband, Les, said she hopes to lease the home to another small business.
Having given birth to a daughter at The Birth Homes original location — an office suite on Santa Rita Road — Layer was rooting for The Birth Home to succeed.
Its really sad they couldnt make a swing of it, she said.
The Layers invited Haber and Bleecker to set up shop on Railroad Avenue in the summer of 2001, after neighbors objected to a plan to relocate The Birth Home from Santa Rita Road to a home on Second Street.
Kate Bauer, executive director of the National Association of Childbearing Centers in Perkiomenville, Pa., said the first natural childbirth center was established in 1975 in New York City. There are now 175 birth centers in the U.S., Bauer said. The associations Web site lists nine in California, including the soon-to-close Birth Home.
Each year, we have birth centers opening and birth centers closing, because a birth center is a small businesses, Bauer said. But their numbers are growing, because birth centers have a survival rate that is much higher than the average small businesses.
Like other medical care providers, birth centers are struggling with rising malpractice insurance costs, Bauer said. For a time, Bleeckers malpractice coverage would not allow him to attend to patients at The Birth Home, he said.
But, more importantly, Bleecker said, many insurance companies arent willing to reimburse patients who want to use a birth center instead of a hospital — even though birth centers can be cheaper.
With less than 1 percent of births taking place outside of hospitals, It just doesnt represent enough volume to make it worth their while to consider, Bleecker said.
Alta Bates Summit Medical Center in Berkeley and Kaiser Permanente Medical Center in Walnut Creek offer midwives, while ValleyCare in Pleasanton and San Ramon Regional Medical Center do not.
Haber said expectant mothers who want to attempt natural childbirth in a hospital can hire a doula, which is an attendant who provides comfort and support while acting as a go-between with medical care givers.
Midwives and doulas can go with you to the hospital, and make sure you have an advocate for translating the rules of the game — they just cant manage the delivery, Haber said.
SOURCE:
http://www.insidebayarea.com/trivall...ews/ci_2932727