About The Farm Midwifery Clinic

The Farm Midwifery Center has served mothers, babies, and their families for over 35 years with a practice based on the belief that pregnancy and childbirth are natural life events. Prenatal care, support during labor and delivery, and postpartum supervision are provided by a group of seven midwives credentialed as Certified Professional Midwives (CPMs) by the North American Registry of Midwives, and also certified by the state of Tennessee. Central to their work is the Midwives Model of Care© in which the midwife:

  • Monitors the physical, psychological, and social well-being of the mother throughout the childbearing cycle.
  • Provides the mother with individual education, counseling, prenatal care, hands-on assistance during labor and delivery, and postpartum care.
  • Minimizes technical interventions.
  • Identifies and refers women who require obstetrical attention.

The statistics for over 2500 births at the Farm Midwifery Center show a C-section rate of less than 2% (compared to a national rate of 32.8%), with low rates of anesthesia use, forceps deliveries, episiotomies, and perineal tears (see preliminary report of 2844 pregnancies, 1970-2010 below).

Total accepted for care 2844
Births completed at home 2694 94.70%
Transports to hospital 148 5.20%
Cesareans 50 1.70%
First time mothers 1048 36.80%
Multiparas (woman has given birth 2 or more times) 1796 63.20%
Grand multiparas (woman has given birth 5 or more times) 243 8.50%
Total Breech 99 3.50%
Postpartum hemorrhage 46 1.70%
VBACs (Vaginal Birth After Cesarean) 123 4.30%
Intact Perineum 1817 68.70%
1st degree tear 485 19.40%
2nd degree tear 87 3.20%
4th degree tear 1 0.04%
Forceps delivery 10 0.37%
Preeclampsia 11 0.40%
Maternal mortality 0
Maternal morbidity 0

Neonatal mortality (out of 1500 births) 1.7

Source: Birth Matters, by Ina May Gaskin,Published 2011, Seven Stories Press Press, pp 235-236.