Home birth - page 3

Should babies be delivered at home ?... Read More

  1. by   NICU_Nurse
    I fully support the idea of home-like birthing centers that adjoin the hospital. I used to be a huge advocate of the choice to homebirth, and after working in NICU I've become much less vocal about it. I still support the choice, given healthy 'circumstances', to birth at home if you want, but I feel much more comfortable knowing that an NICU with trained professionals is a mere elevator ride away should complications arise.
  2. by   canoehead
    Perhaps we are going at this the wrong way. Maybe hospitals should be supported in leaving decisions to the parents so they will be willing to come in and have the babies in a safer environment.
  3. by   OBNURSEHEATHER
    Originally posted by canoehead
    Maybe hospitals should be supported in leaving decisions to the parents so they will be willing to come in and have the babies in a safer environment.
    Excellent idea! But how the hell do we do that?

    I work at a large hospital, about 5,500 deliveries a year. The assembly line philosophy is just too difficult to break.
  4. by   canoehead
    I have no solutions...the attitude has to change, and that will take decades even if we start tomorrow. Maybe smaller units, or starting with empowering the families in one unit for very low risk people and expanding out?

    But I will be cold and dead before I support the bleacher seat concept of birthing- you know what I mean.
  5. by   semstr
    Well since I am from the country with the most homebirths in the western world, of course I voted yes.
    BUT,
    There are a lot of things to be followed, one of them the exact prenatal care and monitoring of mother and child.
    Next clinic must be in reachable distance.
    Direct phone to a standby pediatrician, or a "baby-lance"
    An expirienced midwife and nurse.
    Enough room around the birthingplace.
    When bigger kids are there, who is going to take care of them?
    And who is going to take care of mother and child after the birth?

    In the Netherlands insurances pay for a special trained pp-nursing aide, who comes to your home for a week and takes care of, not only mother and child, but also cooks and does "light" cleaning work and looks after people coming to visit.
    Midwife comes once a day for a week too, to check the mother.

    But in the Netherlands more and more women are going to the hospital or birth-centre to deliver. They deliver and 2 hours later they go home.
    In Austria almost all the women deliver in hospitals or birth-centres and they can stay a few days.
  6. by   mark_LD_RN
    I agree canoehead, the attitude needs to change so people will feel comfortable coming to the hospital! where i work at we try i know i do my best it helps that we are kind of small. I work at some larger hospitals and did not care for the assembly line mentallity.

    on the other hand i do not feel the need for couples to deliver in a hospital with a NICU, if it is an uncomplicated term pregnancy
  7. by   kimmicoobug
    I like the idea of homebirth, but I do think it can be risky. An example is my cousin who has had two homebirths. With the first one, she had complications with the labor and had to be rushed to the hospital after the delivery because of hemorrhage. With the second homebirth, baby was born with the intestines on the outside (can not remember name of this condition).

    I think this practice can be safe, and I voted as such, but think the patient should really research whatever homebirth center she decides to go with. I heard after my cousin's delivery, that this particular center only saw dollar signs when taking patients and that my cousin should have never have been a candidate after her first homebirth. However, I did hear this from a few OB nurses, so there may be some bias
  8. by   keeper
    I have to disagree with the sentiment that previous complications should preclude a woman from having a homebirth in subsequent pregnancies. Unless the complication is a recto-vaginal fistula I can't see where most complications will affect another pregnancy.
    (I know there may be other examples, but this is the one I can think of now.)

    If a patient had suffered PPH, it will be important for a midwife to know that, so she can be ready in the event of a repeat. I don't think it means the mom is doomed to repeat it, though, especially with the midwifery emphasis on nutrition.
  9. by   mark_LD_RN
    i also do not believe all problems with a previous pregnancy would prevent one from having a home birth with the next ones. as lond as she has an adequate pelvis and non macrosomic baby
  10. by   kimmicoobug
    Ok, thanks for input, guys, since I assume that was directed towards my post. Like I said, I had heard that from some OB nurses when I discussed about my cousin's delivery with them, and that is what I was told. (gosh, I hope that is not read with sarcasm, because it isn't meant that way ). To be honest, I don't know a whole lot about this subject (as may be evident by my post), and will eventually research it further when time permits. I do have a whole lot of respect for women who choose to do it this way, and despite my cousin's problems with her labors, I gotta give that girl some credit. (she actually had three, but had to be rushed to the hospital for predelivery problems...delivered only two at home. The two I had posted previously of were her first and third).

    All of the other cases of home birth with the care of a certified individual has actually all been very positive that I have heard of.

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