I am beyond excited to start showcasing Portland providers. These are providers who I have worked with in the past, and whom I think are just great when it comes to respecting and advocating for the desires and well being of the Mamas they provide care for. 

 

Julia Vance CNM- OHSU & Emmanuel 

 

I have attended one labor with Julia and was impressed by her patience and care with her patients. 

 

1. Why did you become a Midwife? 

I started attending births (home) with my Physician father at the age of 7- never thought of any other profession 

      

2. Where is your office and where do you attend births?

I currently work at OHSU and Legacy Midwifery. Delivering at both OHSU and Emanuel 

 

3. How long have you been attending births?

26 years (and 10 as a child)

 

4. What is your favorite thing about attending births?

Providing compassionate holistic care in  an evidence based way. Promoting physiological birth, and empowering women.

5. What would you say your birth philosophy is?

See #4. Birth is a natural and complex process- requiring skill and act to facilitate identification of other-then-normal processes

      

6. How do you regard written birth plans?

I think they are helpful to patients to formalize their thoughts  and direct their personal education. Also helpful for hospital staff to be formally informed regarding patient preferences. For me, except for some very specific or religious requests, birth plans are almost always requesting my normal practice so I don't find them particularly useful. 

 

7. What are the chances that you will be the one attending your clients birth?

1/6

 

8.  How often do you feel it is necessary to intervene? What are the typical reasons?

Arrest of dilation

OP positions (try to rotate for improved labor and decrease pain)

Induction of labor at 42 weeks

              -Recommended reasons of Induction of labor: cholestasis, Intrauterine growth restriction, Gestational Diabetes in Mother, Mother over 40 years

3rd stage: previous PPH(postpartum hemorrhage)  suspected macrosomia , prolonged or precipitous labor, augmentation (usu r/t, prolonged labor)

IV- GBS treatment

9.  What role do your patients/clients have in making the decisions during their birth?

Self Autonomy- I am advisor only

10.  Do you attend breech and/or VBAC births?

VBAC- yes

Breach- No     

 

    Dr. William L. Toffler MD- OHSU Family Medicine

 

I have had the privilege to attend a few births now with Dr. Toffler and each time I walk away so pleased with the care he provides. The great thing about using a family doctor is that the chances of them being the one attending your birth are very high! Here is what Dr. Toffler had to say...

 

1. Why did you become a Doctor? 

I like people and helping them with their healthcare is a unique privilege 

      

2. Where is your office and where do you attend births?

OHSU- Center for Health & Healing

 

3. How long have you been attending births?

Since 1976

 

4. What is your favorite thing about attending births?

Sharing in the miracle of birth with families

 

5. What would you say your birth philosophy is?

Pregnancy and birthing are natural variations in the state of womanhood. My role is to be there if the        

need arises but to avoid technical interventions unless really needed (or desired).

      

6. How do you regard written birth plans?

A starting place for communication which should be continual throughout labor 

 

7. What are the chances that you will be the one attending your clients birth?

Very High! I attend all unless I am out of State. Generally I am there for 95% of my patients.

 

8.  How often do you feel it is necessary to intervene? What are the typical reasons?

9/10 deliveries are spontaneous vaginal deliveries. Anesthetics are used when a patient requests  

them. Instrumental deliveries & C-Sections are used/done only when the babies condition is at risk.

 

9.  What role do your patients/clients have in making the decisions during their birth?

Huge. Unless there is a strong medical reason (clear risk to mother or child) the mothers wishes are respected.

 

10.  Do you attend breech and/or VBAC births?

Yes. Although I often will ask other Doctors to be available to assist in case of complications.

     

11.  Anything else you want to say or add?

Have more babies!!

 

 

more provider profiles coming soon...