Delia Joy. Photo courtesy San Francisco Birth Center

Expecting mothers seeking alternatives to hospitals now have the option to give birth in hot tubs, yoga swings, or queen-sized beds at the San Francisco Birth Center – an independent, midwife-led facility that simulates a home-like setting under the care of medical professionals.

“Birthing can be a wonderful, beautiful growth experience, but it can also be extremely isolating,”said Julie Birdsong, a Mission resident and one of the Birth Center’s three founders.  The center opened its doors at 2300 Sutter St. on May 7 and fills a gap that was left behind after the city’s main out-of-hospital birth center, formerly located in the Mission, shuttered in 2011.  “Our goal is to create a community around birthing.”

Two years ago, Birdsong and her midwife colleagues, Nancy Myrick and Sara Van Acker, set out to empower women with options and greater decision-making power in what they want their births to look like. A growing movement for “natural births” and decreased cesarean section births has seen birthing centers cropping up nationwide, and the midwives were baffled as to why San Francisco did not offer this service.

“We decided that San Francisco needs a birthing center,” said Birdsong, adding that the women first set scouted the Mission for an appropriate space because they wanted to remain accessible to low-income communities, but they found potential spaces taken up by tech companies.  

“A lot of places were scooped out of our hands by the tech industry,” said Birdsong. Earlier this year, the midwives settled on a freshly remodeled facility in Pac Heights, which is “less sexy for the tech world” but in close proximity to four hospitals, said Birdsong.

The new birth center offers support and services post birth and helps to ease women into motherhood in a way that most traditional hospital do not, Birdsong said. The demand is there, said Birdsong, as women are increasingly opting to give birth “naturally.”

“Hospitals are clinical and sterile, for a reason,” said Ilyse Magie, a Mission resident and one of the birthing center’s first clients. “For my birth process, that’s not what we wanted. We looked at it as a  spiritual experience, and we wanted control over how that all looked.”

Photo courtesy of San Francisco Birth Center
Photo courtesy of San Francisco Birth Center

The June 4 birth of Magie’s daughter, Delia Joy, marked the first successful birth at the center. The five-hour ordeal was made bearable by the attention and patience extended to her by the midwives, said Magie.

“We started in the tub then a birthing stool then bed – we tried every position imaginable and it was them guiding me through it the entire time,” said Magie. “At hospitals, it’s not like you’re forced to have a C-section, but the conversation comes up. You’re more likely to have interventions there.”

Although the center does not facilitate home births, its focus is on tailoring the birthing experience to their clients’ expectations. The birthing room is kept largely unadorned, and families are encouraged to bring their own decorations from home.

“Giving birth this way is almost like a rite of passage for women,” said Birdsong.  “By choosing to give birth without medication, women can walk away readied for motherhood because their birth was a normal, natural process.”

With services like private and group prenatal care, water birth, postpartum home visits and newborn care, the birthing center “involves women step-by-step in the decision making process” as many traditional hospital do not, she said.  

The extra care is what often makes the difference in ensuring a mother and child’s physical and emotional well-being post birth, said Birdsong.

“At a normal hospitals, a mother is often there for 24 hours maybe and after being discharged she’s on her own for six weeks – a lot of stuff falls through the cracks during that time,” said Birdsong, adding that at her center, “we really support that home care.”

The midwives also worked to keep this specialized care accessible to women in all income brackets by offering grants and sliding scale payment options. Along with their clinic, the midwives co-founded the nonprofit “Friends of the San Francisco Birth Center,” which focuses on fundraising and grant-making to cover the gap between birth costs and what low-income families are able to pay.

“We wanted this type of birthing to be something that wasn’t just for affluent women, but accessible to all women,” said Birdsong.

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6 Comments

  1. I was the owner of San Francisco’s first birth center, Sage Femme Midwifery Service/Community Childbearing Institute Birth Center for 12 years (6 on Bryant St.and 6 on Capp St). Our staff of midwifery students, licensed and nurse midwives, office persons and childbirth educators served nearly a thousand families having birth center births, some hospital births and then some home births. Was forced to close for many reasons (mostly financial and related to the fact that many of our families were on MediCal with low reimbursements.

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  2. The previous birth center is reference in the second paragraph.

    As for anti-tech, are you referring to the quote from the midwife about having a difficult time finding a place? That doesn’t seem to be a cheap shot. Tech is dominating the rental market in the Mission, and that is a quote from the subject, not the reporter/writer.

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  3. I’m all for women having whatever birth they want but it makes me sad when we have to use phrases like “natural” and “normal” to describe one kind of birth and leaves the unsaid judgment that other birth choices are unnatural and not normal. If I had had a “natural” and “normal” birth, I wouldn’t be “readied for motherhood” at all. I would have been dead. Why do we have to validate our choices by tearing other women down?

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  4. You just can’t resist including an anti-“tech” jab in each and every ML article? I worry about how your posts fuel even more divisiveness in a challenging era of inequality and human suffering in this city. I encourage you to be more inclusive and less antagonistic towards a major part of the community, which will need to be part of the solution to all of the issues you highlight. I’ve been reading your stories religiously for 5 years and am disappointed by the increasingly divisive tone and, frankly cheap pot shots at certain groups of people. Please take a moment to reflect on this before drafting your next article.

    – A loyal reader and “long time” mission resident.

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  5. Though happy to hear about this Birth Center, it’s not the first one in the city at all. There was a Birth Center at 160 Capp Street in the early 2000″s until about 5 years ago. It was busy and active, had tubs to soak in, and a beautiful, comfortable family room for siblings and family members. I for one, miss them on the block.

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