Hi!
Well, i have been an OB Rn in Pittsburgh for 2 years now....an aspiring midwife also. We do have 1 freestanding birthcenter--it is the ONLY one in greater PGH. They are small and limited, but still a phenomenal place! I've lived here in Greater PGH since 2004--and this is still a very medical based birthing culture by my assessment. Pregnant women wanting midwifery care have 2 options--the Birth Center, and the Midwives group at Magee Women's Hospital. There are 2 other hospitals, West Penn Allegheny and UPMC Mercy, that have L&D suites with attached NICU capabilities, but neither of those hospitals offer Midwife priveleges(to my knowledge) If anyone else can speak to this, please do. I am not 100% sure. I am currently employed at a regional hospital about 30 minutes east of downtown. We have a 10-bed birthing suite and a 22-bed postpartum unit with 4 triage rooms......and no midwifes in sight. :( I'm working on getting birthing experience there as I work thought my bachelors in Nursing and then will move on to Midwife education. I will say that to practice as a midwife in PGH, and to have priveleges at the hospitals you must be a CNM with at least a bachelors in Nursing, although I was told Magee prefers a Master's degree and at least 5-10 years of L&D experience.
In my limited experience here i can tell you that our city views pregnancy and childbirth in a very medical light. I don't see much around here regarding holistic and natural birthing. I know that i myself wanted to have a natural water birth, and our birth center doesn't have that as a resource. I may end up having a water birth at home.
Hope that was helpful!
heidi