Home birth vs. hospital - page 4

I belong to another parenting board & one of the debates that surfaces every so often is home birth vs. hospital birth. There are so many pro-home birthers that talk about how natural home birth is.... Read More

  1. by   kimtab
    I looked for data comparing home birth and hospital birth outcomes and couldn't find any...which I thought was odd, someone must have studied it? Anyway, I want to point out that while it may seem selfish if a Mother chooses home birth for her own reasons/interests you are either overlooking or discounting the fact that many women have feelings of inadequacy/disappointment and yes even depression about the actual birth experience. A very shameful way to feel when you should just be happy that you have a healthy baby, right? So now not only do you have disappointment, but shame and guilt too! I'll bet those kinds of feelings can be pretty powerful motivators to dictate how future births are planned.

    I have no opinion on whether or not it is responsible to use such criteria. Personally, I'd never give birth at home. But, having been through one hospital birth, I can also say that things will be different if I do that again!
  2. by   NurseyNursey
    It is almost impossible to compare statisitics. Homebirths should and usually are only considered in low risk situations. Granted, we all know how quickly things can go bad.


    There is nothing wrong with trying to have a good birth experience. We all want to do what we think is best for ourselves and our children...and our patients.
  3. by   IttyBittyBabyRN
    I would bet that no one who works in a NICU would ever recommend at home birth!! It is somewhat of a blessing and a curse that the average mother has no idea of all the things that could go wrong during a pregnancy and delivery. I was pregnant with my first when I started working here, and may I just say I would recommend having all of your kids BEFORE becoming a NICU nurse!!! It was very scary. And still is each day that I come in and have full term babies that ended up horribly sick. Have one tonight that was 42 wkr, PPHN, on NO. Very very sick. People think we just take care of preemies and don't really know what can happen even if you do make it to term, regardless of how well you take care of yourself!! When I read this post I thought how sad it would have been if this baby had been born at home.
  4. by   SmilingBluEyes
    Yes it is true, Ittybitty, OUR perspective as nurses definately puts a burden upon us. That is why so many "medical types" are so against homebirth. We see ALL THE WORST CASE SCENARIOS. But as pointed out above, the BEST CASE ONES are NOT THE ONES that stick out in our minds and we are NOT aware of HOMEBIRTH STATS...I know of no reliable place to find them. Could be a good master's thesis subject perhaps? I will store that away for future pursuit. Take care all, we all want what is best for mom and baby, homebirth advocates and nurses alike.
  5. by   PowerPuffGirl
    If homebirths tend to be low-risk pregnancies, can we really make a fair comparison of homebirth outcomes vs. hospital outcomes?
  6. by   SmilingBluEyes
    yes we can make comparisons, in similarly LOW RISK pregnancy situations whereby someone is delivering in a hospital via midwife or dr. I see LOW risk clients all the time where I work. It is not all the dangerous stuff we deal with; that really is the exception. SO, Sure we can gather stats, though it would take work.
  7. by   TinyNurse
    I gave birth to my son at home a year before I started nursing school. It just felt right, from the moment I got pregnant.

    There wasn't much of a mess. In fact the midwife cleaned it up while I bonded with my son.

    During labor I played kickball with my brother and sister, we ordered pizza, we went for a ride in the car, I took hot showers, walked around a lot, laughed, smiled and we all told stories about fun times my family has had together.

    My midwife showed up about 1/2 hour before Hunter was born. I remember asking her to "check me" to see if i was allowed to push. She said, "well, i don't really need to check you, your own body knows when to push, but if you want me to I'll check." She checked and sure enough it was time to push.

    My OB quarter in nursing school was the worst ever for me. I am able to understand the information, since I studied birth extensively while I was pregnant. I just couldn't get it out of my mind, the unnecessary interventions. I watched an anestheologist attempt an epidural 3 times on the same woman. I witnessed nurses give breastfeeding babies "sugarwater" while they gave the after birth immunizations. It sickened me, and reminded me just why I chose to give birth at home.

    We are all mothers, whether we choose to go the medical route, or birth at home. I just liked the peace of knowing everyone who was in attendance at my son's birth. Knowing that I could breastfeed right away, and knowing that I could walk downstairs after pushing my baby and placenta out and share my beautiful boy with my family.

    I'm graduating nursing school on June 13th, and I'm a pro-home/natural birther.
    xo
    Jen
  8. by   regular yaya
    I assist a licensed midwife in So. CA . We attend home births and births at her Birth Center. We are certified in neonatal resuscitation, bring O2 with bag and masks,(adult and newborn). Our clients are well educated in their birth options and take responsibility for their pregnancy and birth. They are healthy, eat well and all prenatal care is done with midwife. We have a back-up Dr. We discuss reasons to transport with our clients. We obviously only accept women with normal pregancies. We monitor heart tones throughout labor, taking appropriate action according to what presents,including transport if necessary. We never leave a mess with the mother to clean up. Our families do so well and our women feel empowered to retain control over their experience. The midwife is available 24/7. She makes a home visit 1st day pp. When I do labor support at the hospital my heart aches for what the women have to tolerate as "care". I know there is a place for all the interventions but they should not be the first course of action. I also think women must take control of their own experience and educate themselves about pregnancy and birth and the options available to them, Home birth isn't for everyone, and if a woman prefers the hospital she should be there, but she should still be educated so that all decisions are made by her and she has given true informed consent for everything. As nurses we should be one of the avenues for education and honor women's right to have birth options. We should also educate ourselves about these options. yaya1
  9. by   emhanojoli
    [QUOTE=cyberkat]Aren't most of the interventions done in a hospital by parents' choice.

    No, absolutely not. Epidural is one intervention of dozens. Yes, women choose epidurals. However, they do not choose AROM or continuous monitoring, or internal monitoring, or IV's (unless they are choosing pain meds), or restricted movement, or hourly vag exams.... or any number of other things. And these are all things tha can lead to negative outcomes.

    Stacey, who has done it all.... hospital inductions x3, c-section for twins, and an unassisted homebirth. Guess which was my favorite.
  10. by   emhanojoli
    [QUOTE=IttyBittyBabyRN]I would bet that no one who works in a NICU would ever recommend at home birth!!

    You would lose that bet. I work in the NICU. I'm an OB nurse, but float over there to help when needed. I've seen the worst of the worst. However, most of what you see there is preterm babies. Of course preterm babies shouldn't be born at home. Other things I see, mec aspiration, resp distress, can probably be found to be caused by something done to the mom by hospital staff (pit and epidurals are big one's for these two).

    Stacey
  11. by   gfmidwife
    I am a student midwife. I have a huge file with homebirth, midwife outcome studies. Please email me nabours@comcast.net if you'd like me to forward them to you. The most famous studies are the Mehl studies. You could also look at the books by Henci Goer, Obstetric Myths vs. Research Realities and The Thinking Woman's Guide to Pregnancy. BTW, Henci is not anti Obstetrician or technology.

    Lara Nabours-Mentor Program Director, Admissions Advisor lara@ancientartmidwifery.com
    AND AAMI 1721 Student Midwife Mama to
    Cally 10-1st of 3 Blessings!
    Daniel 7.5 homebirth
    Katyah 4.5 waterbirth

    I believe all mothers are midwives, all women are doulas and we can all educate and advocate for the community and our selves. Birth professionals should look to their community for their calling and respect, not outside organizations that have historically oppressed us.
  12. by   emhanojoli
    Quote from fergus51
    I know one family member and one friend who have had home births and were lucky enough to have healthy and natural births.

    MrsB is correct in saying that many OB practices are not evidence based (partially cause you can't really experiment on pregnant women)
    First of all, I wouldn't say they were "lucky." Healthy natural births could be the norm, and in fact, ARE the norm in home births.

    Secondly, of course pregnant women are experimented on. What is Cytotec? Certainly not developed for induction. Someone thought, "hey let's try this" and they did. That's experimentation. Everything we now do to pg women was done for a first time, and experimentally, and the list of things we do is growing almost daily. So, yes, they are experimented on.

    Stacey
  13. by   ktwlpn
    Quote from emhanojoli
    Secondly, of course pregnant women are experimented on. What is Cytotec? Certainly not developed for induction. Someone thought, "hey let's try this" and they did. That's experimentation. Everything we now do to pg women was done for a first time, and experimentally, and the list of things we do is growing almost daily. So, yes, they are experimented on.

    Stacey
    I would just like to point out that the above is true of medicine in general.....thankfully we live in a country that values freedom
    .You can choose to have your baby anywhere you like--you have that right...

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