Choice and Childbirth: The Birthing Center of Buffalo

2 Apr

On February 14th, the Birthing Center of Buffalo opened, making it the first combination birthing center and abortion clinic in the country. Buffalo Womenservices & The Birthing Center of Buffalo are located within the same building, have the same waiting room and the same provider. As a licensed and accredited free standing birth center, The Birthing Center of Buffalo offers certified midwifery and OB care. Buffalo Womenservices has a staff consisting of RNs, LPNs, social workers, counselors and physicians who offers abortions up to 22 weeks, and additional reproductive health care services including contraception.

Dr. Morrison opened the center after working with Eileen Steward, a homebirth midwife. During that time, she “realized that the women coming to her for abortions were being treated much better than women having in-hospital birth,” and Dr. Morrison wanted to change that. With that in mind, Dr. Morrison started the very long process of opening a birth center, a feat that is really hard to accomplish in New York and one that requires a lot of hard work, dedication and money.

Since opening, the feedback from patients has been extremely supportive. There has long been a desire for better maternity care in Western New York, and the birthing center offers an alternative for those who want a different birth experience. While not all Birthing Center patients are pro-choice, they continue to come to the Center because they see the importance of offering birth options. And even though there are protestors at Buffalo Womenservices, patients haven’t been deterred by them.

While there has been a lot of support and encouragement from around the Country, there remains ambivalence and mixed reactions from others. The Buffalo medical community and media have been mostly silent. Insurance coverage also remains a significant challenge, as most insurance companies have been resistant to covering the facility fee even though birthing center births are more affordable and have greater positive health outcomes when compared to hospital births. Since making services affordable and accessible is a priority for The Birthing Center, identifying ways to increase insurance coverage, like supporting New York to sign on to the ACA provision that requires coverage of birth centers, is a top priority of the Center.

The opening of The Birthing Center of Buffalo is an exciting and much needed addition to the healthcare landscape. Apart from providing important accessible care to those in Western New York, it is an example of integrative and holistic reproductive health care that addresses the whole patient and their life span. The Center represents that individuals who choose to have abortions and those who choose to give birth are not separate people. In fact, many individuals will experience both over their lifetime as 60% of those seeking abortions are already mothers and one in three women will have an abortion during their lifetime. But too often we treat these decisions as separate ideas when really we need to acknowledge that the reproductive choices one makes are intertwined. Abortion shouldn’t be stigmatized and treated as a siloed type of healthcare, because even if someone chooses to have an abortion, it doesn’t mean they aren’t going to also want to learn about breastfeeding, VBACs or birth options in the future.

The Birthing Center of Buffalo also reminds us that choice extends to all our reproductive decisions. When asked about the parallels between abortion care and birth options, Dr. Morrison mentioned how her background in abortion care helped her place on emphasis on a person’s ability to make decisions best for them, which includes the chance to choose different birth options. This is an example of the type of reproductive care we need more of. Where healthcare providers provide options, and honor that individuals are the experts on their bodies and experience. Because whether it’s getting an abortion, an IUD, or choosing a homebirth, excellent reproductive health is about respecting an individual’s choice in those decisions and supporting in their capacity to do so.

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