Home birth - page 2
Should babies be delivered at home ?... Read More
Mar 31, '03I would do it myself in a minute, but I would want at least 2 professionals present for the actual birth, and fast 911 ambulance service.
Mar 31, '03I posted yes, but I am biased (and happily so), as I've had two wonderful homebirths and two hospital births that were okay, but could have used improvement.
I want to point out that when a homebirther transfers to the hospital with complications such as PPH and vaginal lacerations, this shouldn't be viewed as evidence of the danger of homebirth. This happens in any setting to a certain amount of women. The fact that the woman is presenting at the hospital is a sign that she and her attendant understand when it's time to transfer. There are many, many more homebirths you know nothing about, because the need for transfer was not there.
I'm a very religious person, so I think a lot of the "what if's" can be put to rest with a simple prayer. I've had friends who truly wanted a home birth but gave birth in a hospital after praying and feeling that's where they needed to be. If I were given that kind of answer, even during a completely uncomplicated pregnancy, I would listen and birth where I needed to. There's a lot to intuition, and the homebirthers and midwives I've known have had tons!
Last thought: No babies are "delivered" at home! I know I'm splitting hairs over terminology, but delivery implies a birthing woman as a passive participant having her baby delivered to her by her active attendant, as opposed to a glorious, powerful woman actively giving birth to her child. I've heard the phrase, "The only thing that ought to be delivered at home is a pizza," so many times, and I completely agree! The midwifery flip of that statement: "Pizza boys deliver; women give birth."
I'm not exactly sure how pizza has become so involved in the birth process, but I digress....LOL.
Anyway, I'm glad so many are willing to agree with my right to homebirth, even if you don't agree with the practice.
Mar 31, '03I think it's risky. A strong movement with Midwives is gaining momentum in BC, and I think that's great. My own choice though would be in a hospital setting.
Mar 31, '03I am absolutely in FAVOR of homebirth! 'Course I was the neighborhood radical cuz I breast fed (OHMYGOSH!) my babies.
THEN I began home eduation...and the last 2 (out of 4 kids) were born at home.
I had toxemia<now under the name of pregnancy induced hypertension?> with all 4. The 1st doc drove me from her office across the street to the hospital, and induced me for 20 hours over 2 days. Pit in one arm, mag sulfate in the other, foley (WHICH THEY FORGOT TO TAKE OUT WHILE I PUSHED!!!!)
monitor, NPO. Hubster took care of me the whole time, putting me on and off the bedpan, wiping my butt, even pointing out to the RN that she had fed the IV tubing thru the IVAC pump the wrong way. She insisted she had it right <even though it wasn't folllowing the directional arrows> and the pump kept sounding off (with said nurse stating :"I don't know WHAT is wrong with this pump") Tom finally rethreaded it himself when she left the room.
#2 Doc was gonna throw me in the hospital til he found out we didn't have insurance; taught Tom to take BPs and insisted I make the trip into his office everyday for a check <course, that didn't count on the weekend when the office wa CLOSED!>
With #s 3 and 4 the midwives talked to me about nutrition exercise, rest. Lots of leafy greens and protein. Even gave me a book a DR in NY had written (What Every Pregnant Woman should Know) about toxemia/nutrition connection. I was able to labor at home, walked the block <stopping every few minutes to breathe LOL> and avoided the agonizing ride to the hosp and having the need for an advocate to avoid all the interventions that were deemed "routine".
We DID have OB back up just in case we needed to transfer, but in reality in an emergency situation you get whom ever is there anyway, and we didn't take the stand that "I'm not going no matter what" THAT would have been extremely foolish,
Sandy (putting on her asbestos suit)
why can't I see the typos before I save the 1st time???Last edit by joyflnoyz on Mar 31, '03
Mar 31, '03After working L&D in hospitals for years, I can understand why a couple would want to give birth at home, as the objective of some obstetricians is that childbirth is a disease to be actively managed, and gotten over with as quickly as possible. It is essential that the woman have a qualified birth attendant, have good prenatal care, and very carefully screened for any potential problems, and live close to a hospital with C/S capability.
It is also essential that the couple be willing to take on the responsibility that goes with this choice, that if there are unforseen, unavoidable complications the couple must be willing to share the responsibility--which is contrary to the "victim" mindset of people today.
Apr 1, '03As a prolapsed cord and severe PPH veteren,(Both DS and I nearly died)I'm a hospital girl all the way!
Having said that if someone wants to go for a homebirth,I wouldn't stand in their way.(Nor would I be anywhere in the vicinity though!)
Apr 1, '03To clarify my previous post...I think it should be everyone's right to have a home birth if they want to, if they are a good candidate, and if they have competent and qualified personnel present. For myself...sh*t happens, so I still wouldn't do it.
Apr 2, '03i voted yes also we almost had our last one at home, but due to our age and my nerves we decided on me delivering it in the hospital with doc present and leaving hospital 4 hours after delivery,hind site home birth would have been great especially since we lived less than 10 minutes away from hospital
Apr 2, '03I come from a family that home births as a matter of practice. The best I can describe it is think modern "hill folk" with full plumbing & electricity. My cousins families commonly run to 5-10 children. Home birth was not for me, I had complicated deliveries and it is not a safe option for my daughter (due to increased risk of having a baby with a CHD).
I feel that a home birth should be an option if is:
NOT the first baby,
an uncomplicated pregnancy with consistant pre-natal care
no complications with prior pregnancies or deliveries
and EMS & the hospital are very near.
That said, I do not agree with the way my cousins "do it". Yes, they have great prenatal care and are attended by a licensed mid-wife but they home birth with their first pregnancies. My biggest objection is that they live in an area that from the time you call 911 it takes EMS 15 minutes to arrive and the local EMS (volunteer) only has BLS training. Transport to the nearest hospital is 45 minutes (30 minutes just to get to a freeway). To me that is just to long and far because the "ifs" do happen. The births are a huge family events but I hesitate to attend out of fear for my license, I NEVER go to first births. I am scared that should something go tragicly wrong that the expectation of the BON is that I should have been able to recalled my 12 weeks of L&D rotation from nursing school 13-14 years ago.
On a side note...I empathisize with the chalenges faced by nurses who work in areas with a large Amish (for example) communities. In my area there is a large Apostilolic Lutheren community, they often birth at home with "their own" lay Mid-wives after having professional pre-natal care.
I found it interesting when I was doing Peds HH how much of my visit case load was their babies for things like NG tube placement & teaching for FTT and follow-ups for SGA, IUGR and post Nissan for GERD (I have done teaching & followup on as many as 4 children at 1 visit, cousins-their Mom's gathered a one home to save me from having to go house to house).
My understanding is that this Order orignated in Norway/Sweden/Denmark (I can't remember what that geographic area is "called"). I do know that they have very strong rules about consanguinity, there is much marrying between families and rarely they marry outside of their religion. I've wondered if there is a connection. (sorry, talking to myself)
Apr 2, '03of course good prenatal care is a must. but do not see a problem or a difference being first pregnancy or not. not really much difference I have seen first ones go fine and problems develope with subsequent deliveries.
the biggest issue is good prenatal care adequate pelvis, trained provider and being near to the hospital,30-45 minutes is just to far away for me