I have 3 children and delivered my last 2 with them. I had my first in a hospital in NYC and hemorrhaged afterwards, and was really nervous about delivery the second time around. But they assured me that they would prevent things by being proactive and that everything would be fine. I had a wonderful waterbirth and was told that I could go home just an hour or so after he was born, but still anxious about my previous hemorrhage I requested to transfer. Low and behold, I had a huge delayed hemorrhage when I got to the hospital and required a transfusion. I was really shocked that they were so quick to let me go home without monitoring me, with my history. Honestly, I could have died had I gone home. So I was very apprehensive to use them again for my third. As I got close to full term, I brought up the previous hemorrhages with them and wanted to talk about what would happen differently. They didn't have anything different to say about it, aside from the fact that I should deliver at the hospital instead. I was not pleased with just going with the same game plan as before, I was expecting them to have another strategy. I requested for them to get me in touch with a regular OBGYN to get a second opinion, I had to initiate it and set it all up and then tell them what that OB recommended. If I hadn't been so proactive, nothing would have been different the third time aside from me being in a hospital. But since they took the OBGYNs advice, I was on pitocin for 12 hours after delivery and luckily did not hemorrhage. I was really not happy with how much I had to advocate for myself. The birth center is wonderful, the center itself is very comfortable and the midwives are very good. But I feel like they lack the awareness that sometimes things can go terribly wrong, that birth isn't always as easy as it should be. I have a friend who used them who had a clinically small pelvis and they had her push for over 4 hours before transferring her. It ended in a cection and she was later told by the surgeon that it should have been diagnosed at her first prenatal visit.
I had a really terrible experience with them having my son circed too. He had it done in the birth center by a doctor and it was performed without any anesthesia whatsoever. The midwife that was there for it acted very terrible towards me for having it done and I honestly felt like they made my son suffer more than he should of because they did not agree with our decision.
The midwives are all so different and vary in their granola feel tremendously. The woman I got for my last birth was very medically oriented and I actually ended up with a lot of pitocin and an epidural (it had to do with me not progressing for 20 hours and her fearing my uterus would majorly hemorrhage again because of being so tired, so understandable) and I am really totally fine with how it panned out, but I did have a more granola midwife with my second and ended up with a totally different experience. You just never know what you'll get with them. They are all so different.
Overall, I really would recommend them. Just be an advocate for yourself.