What Conditions Could Prevent Me From Giving Birth with MBC?

Minnesota Birth Center provides care for healthy, low-risk pregnancies. To ensure your safety and support the birth you desire, here’s what you need to know.

Conditions That Exclude Eligibility

MBC does not accept clients with any of the following:
  • Heart disease
  • Blood clots
  • Bleeding/clotting disorders (excluding Heterozygous Factor V Leiden)
  • Symptomatic congenital heart defects
  • Kidney disease
  • Diabetes mellitus
  • Hyperthyroidism (Grave’s disease)
  • Essential hypertension (BP >140/90 before 20 weeks)
  • Sickle cell anemia
  • HIV positive
  • Hepatitis B or C positive
  • Marfan’s Syndrome (including immediate family history)
  • Epilepsy
  • Active tuberculosis
  • Lupus
  • Active eating disorders (within 1 year prior to conception)
  • Bicornate uterus
  • Uterine fibroids 5cm or larger
  • Thalassemias
  • Previous Rh sensitization
  • History of more than 2 previous cesarean births or any cesarean with a verical/classical incision
  • Current drug or alcohol use (must be actively quitting)
  • Any positive drug screen in the third trimester will require transfer
  • BMI > 45 with a previous vaginal birth
  • BMI > 40 with no prior vaginal birth

If any of these occur, you will be referred to a hospital-based provider:

  • Gestational Diabetes requiring medication
  • Hemoglobin <10 g/dL at birth
  • Declining gestational diabetes screening/testing
  • Multiple gestation (twins, triplets, etc.)
  • Planned breech birth
  • Two or more blood pressure readings >140/90 during pregnancy
  • Fetal growth restriction
  • High or low amniotic fluid volume
  • Cholestasis of pregnancy
  • Development of any other severe obstetrical, medical or surgical condition

Case-by-case Considerations

MBC may consider care under certain circumstances:

  • History of preterm birth <34 weeks
  • History of lap band surgery or gastric bypass
  • Gestation >22 weeks with no prenatal care
  • History of seizure disorders, only if:
    • Seizures were resolved due to a specific avoidable stimulus
    • No seizure activity in over 10 years
    • No medication required
    • No seizures during puberty

Ongoing Monitoring

MBC midwives will continuously monitor your health to:

  • Identify concerns early
    Help you take appropriate steps
  • Ensure the safest care for you and your baby

Questions?

If you’re unsure whether any of these conditions apply to you, please contact us for further details.