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Could you have a home birth?

  1. coopsmama

    cantaloupe / 6059 posts

    Yes, I could. I actually tried with my first but had to transfer to the hospital (non-emergent) after 36 hours and being stuck at 9cm for 6 of them.

  2. Ginabean3

    pomegranate / 3401 posts

    No, it's not for me. My first was very preterm and I hemorraged badly after my second. I feel much more comfortable at a hospital.

  3. Cherrybee

    papaya / 10570 posts

    I'm amazed its illegal in some states. Over here, if you're low-risk, its the option the NHS encourage! They send a midwife - and an ambulance if you need to transfer.

    I really wanted to give birth at home but DH wasn't on board. As it happened, I was high-risk anyway so I didn't qualify.

    I have to say, after the event, that my birth was MESSY. I expelled waters all over the floor, bled everywhere (it was up the walls??)... I cant imagine doing that at home!

  4. Happygal

    pomelo / 5000 posts

    After attending three births in three different hospitals, I started thinking about it. There were grumpy staff members, less than desirable facilities, and more.

    But I would be concerned about something going wrong, and I have enough family members in the medical field who would constantly remind me about those situations. Not having their support would wear me down. I would also become obsessed with getting my house in perfect order--I think clutter and dirt would drive me insane and if things were rough, I don't know if I'd want all those memories to be right around the corner to remind me of it all.

    Ideally, I would love to birth in a center that feels like a home and is attached to a hospital.

  5. yin

    honeydew / 7917 posts

    Nope. I didn't even qualify for a birth center because I'm high risk with GD. Plus I prefer hospitals for the just in case something happens scenarios.

  6. Adira

    wonderful pomelo / 30692 posts

    Nope! I wouldn't qualify to have one anyway, but even if I did, I wouldn't.

  7. LovelyPlum

    eggplant / 11408 posts

    I'm toying with it for our next one. The real reason I'm not sure is our place is small. Plus, laundry! But my midwife also has privileges at the hospital which is 1 mile away, so I fell comfortable that I could get there quickly if needed. Everything else about it sounds much better than a hospital to me. I couldn't wait to get out of there!!

    ETA: I'm very pro-doctor and pro-hospital when they're necessary. I'm not shy about seeking medical attention when I need it. But pregnancy isn't an illness, and in low-risk situations, I'd be comfortable at home with a competent midwife. If we needed more intense care, great. But I hated that in the hospital, everyone kept asking me why I wanted to wear my own clothes, and why I didn't want to stay in bed or stay as long as I could. The answer was that I wasn't sick, nor was LO, and I wanted to go home to my own bed and better food so I could relax and rest!!

  8. LovelyPlum

    eggplant / 11408 posts

    @Cherrybee: I saw that article about NHS supporting home birth this summer! I wonder if it's because there's greater access to the health system if something goes wrong?

  9. Cherrybee

    papaya / 10570 posts

    @LovelyPlum: Possibly. Although I read a report that claimed that every home birth saves the NHS a minimum of £380. I like to think that's not the reason....

  10. travellingbee

    hostess / papaya / 10219 posts

    For myself I wouldn't be interested. I actually liked being in the hospital and having people take care of everything. I wasn't someone who wanted to rush home. The postpartum mess was pretty terrible and I couldn't believe how much the nurses did for me. Even if I was interested, I don't think anyone would let me given my age and history of anemia and hemorrhage.

  11. LovelyPlum

    eggplant / 11408 posts

    @ms. line: I agree that I'm surprised that so many people seem to equate home birth with being unsafe. Obviously in the highest risk situations, being in a hospital could save your life. And I understand that the problem is that you don't know beforehand whether or not you'll be in that kind of a situation. On the other hand, it's not as if hospitals are cure-alls, either. In some situations, could being in a hospital save your life? Absolutely. But it's a fallacy to think that all at-home birth complications would never happen in a hospital.

  12. LovelyPlum

    eggplant / 11408 posts

    @Mrs. Pen: I thought midwives carried medicine with them that they can inject if you hemorrhage? I'm not 100% sure on the details, though. They are medical professionals, so it wouldn't surprise me.

  13. Tidybee

    nectarine / 2834 posts

    Never. True story - 4 weeks before giving birth to dd1, as I walked to my breastfeeding class at a hospital 3 blocks away, a paramedic came running out of the next apt building with a baby wrapped in a blanket and flew to the hospital in an ambulance. We learned that it was a home birth gone tragically wrong and the baby died. With a hospital literally within eyesight of the building. It could have happened at the hospital too but I still can't shake that image from my head.

  14. travellingbee

    hostess / papaya / 10219 posts

    I know everyone can find statistics to support their side and I truly don't have an issue with people choosing a home birth but it does seem slightly less safe to me.
    http://www.m.webmd.com/baby/news/20140203/study-ties-home-births-to-higher-infant-death-rates

  15. DillonLion

    GOLD / eggplant / 11517 posts

    I had the same issues as Jessa so I am glad I was at a hospital!

  16. LovelyPlum

    eggplant / 11408 posts

  17. Cherrybee

    papaya / 10570 posts

    @Tidybee: Goodness, that's awful. While the outcome may not have been different in hospital, you would never stop thinking "what if" if you were the parents.

  18. LovelyPlum

    eggplant / 11408 posts

    @travellingbee: I just saw thst on ACOG. I think the risk goes from 0.9 per thousand in the hospital to 2.0 per thousand in the hospital. I would not want my baby to be that extra one, but I do think it's notable that the rate is 2 per thousand. Thst means you still have less than a 1% chance, if you meet the criteria. I also thought it was interesting, and smart, thst ACOG doesn't recommend it for first time moms. That way, you can know how your body treated L&D the first time. I will freely admit that I would not have chosen it with #1! But my issues were actually not handled well in the hospital (hip problems flaring during labor), and I'm pretty sure that being at home might help me!

  19. LovelyPlum

    eggplant / 11408 posts

    @tidybee: so scary.

  20. chibee

    pear / 1974 posts

    I never ever could. Before my first child I would kind of brush it off and go "not for me" but now I am terrified - Jack needed assistance breathing immediately following birth after a perfect labor and delivery because he ingested meconium on his way out of the birth canal so it was a true last minute emergency. He had to be intubated minutes after birth, and while he was totally fine I don't know what could have happened if we didn't have those services immediately available to us following birth. So you could say I'm a bit traumatized - up to the minute he fully came out of me I would have said, hey, I could have done this at home! (although probably not bc i fully enjoyed the epidural)

  21. Rockies11

    persimmon / 1363 posts

    @LovelyPlum: I don't think that the hospital can necessarily prevent complications, they're just there to assist quickly. My low-risk pregnancy turned into a birth with many complications, including meconium, cord wrapped around baby's neck, heart decels, vacuum extraction, baby requiring recessitation, postpartum placenta issues, and a massive almost immediate infection. All of that happened within about 10 minutes. None of what happened was preventable, but we were spared disability and death by quick treatment.

  22. mrsbubbletea

    nectarine / 2821 posts

    I used to love reading home birth stories. I had a few blogs I loved to just pore over. This was before I was even TTC. I watched and loved the business of being born.

    I knew it probably would be an option for me because, 1. My partner isn't the type, 2. Insurance would mean not paying a cent vs paying 100%, and 3. As a nurse I don't know if I could justify it when push came to shove.

    At the very least, I thought for sure I would want to get discharged ASAP, I was hoping for that day if possible. I even cried on the second morning in the hospital because I was hoping they would discharge us and they said no. (Gave birth Sunday early morning, didn't leave till Tuesday night). But honestly in hindsight I wish I stayed another night! We had to drive back to the hospital for weight checks anyways the next two days, and maybe I could have got a little more sleep. Probably not. I think what it comes down to, is I was pretty comfortable in the hospital environment. I felt safe and taken care of. I had a good experience and felt supported yet left alone.

    Oh and edited to add I ended up with unsuspected complications like a hemorrhage and preeclampsia, plus they would have seen protein in my urine and sent me right off to the hospital.

  23. LovelyPlum

    eggplant / 11408 posts

    @Rockies11: gah, I just lost a whole long response!! But I'm super glad that you and babe are OK.

    I'm really torn about the whole thing, actually. I know that plan for the worst, expect the best is probably prudent. Births can go wrong, and when it's needed, a hospital is a huge blessing. On the other hand, it doesn't sit well with me to treat every birth as if it were one second away from everything going horribly awry. That seems to be the mentality with hospitals requiring continuous monitoring, IVs "just in case," not letting women eat during labor, etc, all so if she needs it, she can get into surgery in an instant. Where is the line? Quick access to a hospital? Already being in he facility, but not being hooked up? Being hooked up and all ready to go, in case things don't go well? Delivering in an OR? I just don't know.

    I'm also chuckling to myself because I never thought in a million years that I would be a home birth supporter. I needed some interventions in my hospital birth with my first, but nothing emergent. All things considered, though, I think the hospital did me a disservice by not listening to my concerns during labor. Next time, I think I would be willing to talk about it, if possible. I really dont want to go back to the hospital, if I can avoid it. My midwife is actally trying to start a birthing center, and I would for sure love that, if the pregnancy was going well. If only we had the benefit of hindsight when making these decisions

  24. gingerbebe

    cantaloupe / 6131 posts

    I was really interested in a homebirth or at least a natural birth in a birthing center when we started TTC. I was young and healthy with no previous health issues, so I thought we'd be fine with it. But then health issues cropped up for me in the ensuing years, plus a difficult pregnancy overall, so we decided to deliver at a big hospital with a Level 3 NICU.

    I don't think my desire for either birth scenario - homebirth or hospital - was in conflict at any time. I wanted to be in a setting that made me the most comfortable and gave me the most peace of mind so that I could deliver a healthy baby. Its just that when the time came for my son's birth, the factors that we were dealing with made that setting a big hospital. And after a spontaneous water break, a 36 hour failed induction with pitocin and an epidural, an emergency c-section during which I bled heavily, and a NICU stay for DS, we absolutely made the right call. His heartrate had been falling and when he was born his cord was wrapped around his neck. If we had tried a homebirth, we would have transferred eventually, and I would have been super stressed out the whole time, not to mention the potential risk to my son.

  25. Kemma

    grapefruit / 4291 posts

    This is just an opinion based on my experiences and what I've read but I really believe that hospitals contribute to some of the issues during birth. For example, woman goes to hospital and is placed on constant monitoring, can't leave the bed and isn't allowed to eat. Labour doesn't progress because the woman isn't allowed to move around to find HER optimal positioning, woman and baby both get tired and the cascade of interventions begin because she's also not meeting the timeline her body doesn't know it's on.

    Contrast that with a woman labouring at home, comfortable in her own environment and being allowed to move and work at her own pace and with her own body and chances are none of the issues that arose in the hospital scenario are even on the radar at home.

    And yes, I know this is a pretty basic and generalised scenario but it is the reality for some women.

  26. skipra

    pomegranate / 3350 posts

    One of the midwives suggested it with my second because we moved and the hospital was kind of far. I didn't want it and would not choose it as a first choice but I would prefer a home birth to a car or ambulance birth which is almost what happened. I did not have any issues with either of my births but it still seems scary to me.

  27. littlejoy

    pomegranate / 3375 posts

    I had a home birth, and if everything goes well next time, we'll do it again. It was an amazing experience.

    As far as safety, the research indicates that in a normal pregnancy/labor, outcomes are the same (even better in some areas) than hospital birth. Midwives bring a ton of equipment that can almost always fix any "emergency" or at least make the woman/baby stable for a transfer if needed. The "what if" definitely crossed my mind, but I had to trust my body ... Thankfully, everything went well.

    It's such a individual choice. And even then, I would never try for a home birth of I had anything other than a normal pregnancy.

    Additionally, I purposefully chose a midwifery practice with CNM's who had hospital privileges (in case of transfer). My team is very conservative (no breech, no multiples, no pre-e, no mech, no vbac etc.). I was super close with them, reviewed their stats, talked at length about their safety protocols, and made a choice that was best for me and my baby.

  28. annie624

    cherry / 241 posts

    Definitely not. I admire those who do, though!

  29. MoonMoon

    pomegranate / 3393 posts

    @Kemma: I definitely agree about unnecessary interventions and the cascade effect. I believe women gain a lot by being informed and advocating for themselves.

    But a lot of what you mentioned isn't inherent to hospitals. I think part of being informed is having a Dr and hospital who will work with you. I gave birth in a hospital with no IV, no epidural, no interventions of any kind. I could move, eat, use the shower, the hot tub, etc. My doulas were both welcome. I was able to try different positions for pushing. There was an awesome CNM on staff who was there for the birth along with my OB. I ascertained all this before going into labor. So I just want to dispel the notion that a hospital birth is incompatible with an intervention-free birth.

    A lot of people talk as if hospitals are these awful places. But it has to be said, they are great for many people! I kind of thought of it as a hotel with room service, and I was so comforted by the around the clock checks on me and my baby.

  30. littlejoy

    pomegranate / 3375 posts

    @MoonMoon: It's amazing that you had such a positive experience. I think hospitals (at least ones with progressive administration) are feeling the pressure to create more welcome and comfortable environments for birth.

    In Oregon, most hospitals will allow all of the things above, which is great. Home birth was the right choice for me, but I've been in the room with friends at the hospital who gave birth: on a birth stool, in a pool, etc., and were allowed to move freely and basically do what they want with intermittent monitoring.

    To your point about people saying hospitals are all bad, I agree with you. The same can be said for people who flat out say "home birth is scary and unsafe". Blanket statements don't help anyone, and I really like your perspective.

  31. Reese

    pomegranate / 3521 posts

    Nope. Not for me.

  32. MoonMoon

    pomegranate / 3393 posts

    @littlejoy: thanks! I hope I didn't come across in my responses as saying all home births are bad! I just want to put forward that it is possible to have a positive hospital experience, hopefully at more and more places.

  33. Rockies11

    persimmon / 1363 posts

    @LovelyPlum: yeah I mean I guess I think that overwhelmingly, low risk births are going to be free of any serious complications no matter where you have them. But that doesn't change the fact that, with some low risk births, there can be serious complications that come up very rapidly, where minutes or even seconds count. But that also doesn't change the fact that it's unlikely to happen to you. I am the only person I know that had complications like I had - most people had straightforward births with few issues. I think the decision to home birth requires an understanding that that risk exists but is unlikely to happen. For me, there's no corresponding benefit from a home birth that outweighs the risk, but for other people there might be. And having a bad hospital experience prior might shift the balance! With both my kids, my hospital experience was really positive.

  34. Kemma

    grapefruit / 4291 posts

    @MoonMoon: oh absolutely, I guess what I was trying to say (in a roundabout way!) was that one birthing environment is not inherently safer than any other. I believe women deserve to be able to make informed choices about their pregnancies and births, and birth where they are most comfortable, be that at home or in a birthing unit or a hospital.

    And a total yes! To having health professionals that will work with you! My first babe as actually delivered by a home birth midwife in hospital (well baby was sucked out by the OB but you get my drift) and it really felt like the best of both worlds - I had a midwife who was prepared to take her time and be cautious with the interventions but access to the OB when I needed it.

  35. MoonMoon

    pomegranate / 3393 posts

    @Kemma: yes! I wish everyone could have that "best of all worlds" birth, whatever it means for them.

  36. Kemma

    grapefruit / 4291 posts

    Just to add another layer to the conversation, has anybody ever seriously considered "unassisted childbirth" as an option?

  37. Autumnmama79

    pear / 1703 posts

    Yes, a dream birth for me would be in a tub, at home. Reality however, I was too scared to do that with my first and my second will be be an attempt at a vbac, which could of course end in another C.

    I'll continue to dream and be in awe of those who are able to deliver at home

  38. littlejoy

    pomegranate / 3375 posts

    @Kemma: Unassisted birth is not for me, but I have a friend who decided to have one after a very negative hospital birth. Everything went fine for her.

    I had a fast labor, so I could unintentionally have an unassisted birth next time, but the midwives would still be called as soon as I'm in labor!!! I wonder what women with tears do!!! No way could you handle that on your own! (And yes, home birth midwives can give stitches).

  39. teawithpaloma

    apricot / 490 posts

    @Kemma: I met a woman on the subway who "fired" her doctor and gave birth at home with her husband, her sister and brother-in-law. They showed up at the hospital after the baby was born!

    But seriously, this is a bad idea. I did work on maternal health in Ghana and do you know how many women would give anything to have a skilled attendant at birth?!?! They have seen too many babies and moms die due to no attendants or traditional birth attendants.

  40. teawithpaloma

    apricot / 490 posts

    @littlejoy: Exactly. Unresolved tears, fistulas, bowel perforations, so many things can happen if you don't get care soon after an unassisted birth.

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