101 West 12th Street, NYC, NY 10011 & 80 Maiden Lane, Suite 901, NYC, NY 10038

Call: 212-705-8785

Visit Village Obstetrics

Evidence Based • Midwife Care

Village Maternity Philosophy — the Secret of Quality is Love

Let us introduce you to Village Maternity. We would be delighted to attend you through your pregnancy and birth!

We are a group practice of experienced, empathetic, and accommodating midwives. Our philosophy is that the mother is having the baby. Our job is to help her. We are a source of information and support but the mother is the leader. Of course if you are floundering we are there with comfort and suggestions, and if there is the potential for harm we are responsible for the safety of your birth, but mostly we believe mothers know instinctively how to do this. All the high-tech benefits of modern obstetrics are available in our practice. We offer advanced genetic testing, sonograms, consultations with Maternal Fetal Medicine specialists, epidurals on demand, but not all of these things are needed or even desirable in every case. The choices are yours.

Prenatal visits are in our private office on W 12th St. When you are ready to give birth the midwife will meet you at Metropolitan Hospital on the Upper East Side.

Metropolitan Hospital deserves special mention. It has the lowest cesarean delivery rate of any hospital in Manhattan with outcomes equivalent or better. The large Labor-Delivery rooms have showers for hydotherapy, inhaled nitrous oxide for pain management, telemetry so you can move about freely even if you need continuous electronic fetal monitoring. There is a Level 3 Neonatal Intensive Care Unit and also an ACOG Board Certified attending obstetrician available any time the midwife needs assistance with a problem during the birth.

The hospital is accredited Baby-Friendly, a World Health Organization designation promising no separation of mother and baby except for medical indications. Breastfeeding is promoted and facilitated with a full time lactation consultant. All staff have special training in assisting you to breastfeed. You and your baby will have a private room together with a pull-out couch for the father or other support person who wishes to spend the night. There are no visiting hours or restrictions for your chosen support team.

If all this sounds good to you please contact us by phone or email for further discussion and to schedule a tour of the hospital. We look forward to speaking with you!

Evidence-based Maternity Care

We all want our pregnancy and childbirth to be normal and uncomplicated.  In Village Maternity’s collaborative practice, our midwives and doctors work together to help you have an uncomplicated pregnancy and birth. However, nature and history have taught us that sometimes there are complications. Our maternal-fetal medicine specialists are uniquely qualified to help you through any bumps in the road if needed. They are trained to recognize problems and advise on how to best avoid any dangers. Our team bases their care on evidence-based literature including  the 2014 ”Obstetric Care Consensus”. This document discusses one of our core values which is assessing “ the short-term and long-term tradeoffs between cesarean and vaginal delivery as well as the safe and appropriate opportunities to prevent overuse of cesarean delivery, particularly primary cesarean delivery.” Village Maternity recognizes women want and deserve minimum intervention with maximum safety and positive experience.

Nitrous Oxide and Wireless Monitoring

Pain Relief Options Including Nitrous Oxide

UpToDate, 2016:  “Nitrous oxide inhalation analgesia (usually a blend of 50% nitrous oxide and 50% oxygen gas) for labor pain has been commonly used for decades in Great Britain, Scandinavia, Australia, New Zealand, Canada, and other countries . . . The patient self-administers the anesthetic gas, as needed, using a hand-held face mask over her nose and mouth or a mouthpiece. A demand valve on the portable gas tank opens with inhalation and closes with exhalation.”

Fetal Safety through Wireless Monitoring in Active Labor

Most babies tolerate labor quite well, but some do not. We offer wireless electronic fetal monitoring (sometimes called telemetry) which continuously evaluates the baby’s status while allowing the mother freedom to move about as she wishes, even into the shower. Not every labor requires this level of surveillance. Intermittent checks of the baby’s heartbeat may be adequate reassurance in uncomplicated labors but if continuous monitoring is needed it is available without confining the mother to bed

UpToDate, 2016:  “Normal human labor is characterized by regular uterine contractions and repeated episodes of transient interruption of fetal oxygenation. Most fetuses tolerate this process well, but some do not. The fetal heart rate (FHR) pattern helps to distinguish the former from the latter as it is an indirect marker of fetal cardiac and central nervous system responses to changes in blood pressure, blood gases, and acid-base status.”