Many people have asked me lots of questions about where I will give birth. Do I stay in the bush or travel back to a city/civilization to have the baby? How do I see the doctor and what type of treatment do I get way out here in the bush? So here are a few answers to your burning questions....
We have a really nice health clinic in Iliamna. It's staffed with two really great Physician Assistants, Ann and Suzanne, who are fabulous. BUT, they only work 6 weeks at a time and then are off and out of the village for 6 weeks. I believe they have a stand in PA for them during their time off, but I have not met that person yet. Ann has done my first couple of check-ups and helped refer me to a Mid-Wife in Anchorage.
Bob and I have done a lot of research regarding the type of treatment and delivery we'd like to have for our child. After watching the documentary, "The Business of Being Born" and reading several additional articles, we've decided we'd like to have our baby with a Mid-Wife at a "Birthing Center." Actually, we'd prefer to have a home delivery, but seeing that we're located in the bush and if we needed emergency assistance, that was not really an option for us at this time. So, I will be delivering our baby at the Geneva Woods Birthing Center in Anchorage.
The center is affiliated with Providence Hospital, so if there are complications, they will immediately take me to the hospital and stay and work with me there. The hospital is only 5 minutes away from the center. There are several Mid-Wives and a few Certified Nurses Mid-Wives that work at the facility. I met with them for a tour and my first appointment on March 4th as I returned from New York and was on my way back to Iliamna. Unfortunately, due to weather, Bob was not able to make it to the appointment with me, but we hope he will be able to go to the next one.
I REALLY LIKED the Mid-Wives who worked there. They were all so friendly and helpful and spent lots of time with me. I felt as if I received so much more attention than I would've got at a regular doctor's visit. They did a full check up and interview with me and then an ultrasound. They also took me on a tour of the facility.
So, I will have to make periodic trips into Anchorage to meet with them. They've worked with many women who live in the bush are used to our awkward circumstances and seemed quite accommodating and flexible regarding our travel situations. They require us to move back to the road system (Anchorage and vicinity) for the last 4 weeks of my pregnancy. This is a common procedure for all women living in the bush. Then, I would go in to visit them once a week until I deliver. For us, we have been offered an opportunity for Bob to swap with a Trooper in Soldotna, so that he will be able to work in Soldotna and another Trooper will live in our house in Iliamna and work from Iliamna while Bob is gone. This helps our finances and hopefully, our housing situation if we are able to stay at friends homes while we are in Soldotna. Now, we are just praying for a car during that last month so we have some form of transportation while we're in town. We would just fly or drive up to Anchorage each week for the check-ups.
When I go into labor, then we'd make our way to the center and deliver there in one of the bedrooms or possibly in the bathtub. We are very interested in the water birth procedure and they have a large tub for that.
Below are several pictures of the center and the area where the women deliver.

From the outside, it just looks like your normal medical office building.
Geneva Woods Medical Center

As you enter the birthing area, it's just like a little apartment. There's a little living room for you to hang out in and relax. We can walk around anywhere and don't have to be confined to one room.

Attached to the living room is a little kitchen area. They ask us to bring lots of food with us to eat during labor. They say it's common to burn tons and tons of calories and I will get hungry, so they have a place to prep food and store it. Then, after I deliver, before we leave (which can be as early as 3-4 hours after the deliver) they want me to eat a full meal to help recovery. The reason the women leave so early is that they want both the mother and the baby to get to a comfortable place where they can sleep for a long period of time without being disturbed, so they recommend we go back to our hotel or wherever we'll be staying at that time. Then we would return again in a few days for checkups and other stuff.

This is one of two bathrooms. There will be a third bathroom and bedroom by the time I deliver, but for now, this is the only laboring/birthing tub. It's a giant corner jacuzzi type tub.

Some of the medical equipment in one of the bedrooms.

One of the comfy bedrooms for delivering. What do you think? Much more cozy than a hospital!

The second bedroom.

The second bathroom with a shower and exercise ball for laboring.

More medical equipment and supplies in the drawers for additional needs. This is located in the second bedroom.
We both realize this may not seem "normal" to many people, but both Bob and I are very comfortable with delivering here rather than in a hospital. However, we realize that sometimes complications arise and we may need to deliver in a hospital in the end. We are simply trying to minimize the risk of some of the complications that hospitals occasionally impose upon delivering mothers and families. We'll keep you posted on this unique experience!


























