Homebirth safer then hospital birth???? - page 2
My SIL just posted this article to her fb page : I cannot find any of these "stats". Thoughts?... Read More
0Sep 13, '12 by klone, BSN, RNQuote from CloudySueHow scary that must have been. Did your water break beforehand and you knew there was meconium? As someone else said, if there's meconium in the fluid, a responsible midwife would transport you to the hospital as soon as the meconium is apparent.All I know is that if I would have had my first daughter at home (after a low-risk pregnancy) she would have been stillborn. Her umbilical cord was wrapped around twice and she inhaled meconium.
1Sep 13, '12 by BobbkatI'm back and forth about homebirth. On one hand, with a well trained, well prepared midwife an appropriate candidate should be fine at home. On the other hand, I was an 'appropriate candidate' but the you-know-what hit the fan so quick with my first childs birth that there wouldn't have been time for a transfer to a hospital, she would have been dead. She spent as week in the NICU as it was. I went from through the door to triage to crash c/s to baby in NICU in under an hour.
Besides my own personal birth experience, I'm a NICU nurse and we have had some seriously neurologically devastated babies in the unit because they were homebirth gone very, very wrong. I will say, in each case that I can recall the midwife recommended transfer for hospital care and a probably c/section, but the mothers refused for HOURS before coming into the hospital, and the babies will pay the price forever. It makes me very, very sad. We've had some babies from hospital birthing Moms that have had come in this way too, because of refusal of a c/section.
I don't know.....I've seen the research about mortality rates in other countries, and I know that the 'bad' outcomes are few and far between if treated appropriately.....but I just can't imagine life without my oldest daughter......and the babies we've had in the unit...I just don't know if it's all worth it or not.
Can you tell I'm conflicted about this?? I personally like the happy medium of a low intervention, midwife attended birth center attached to a hospital.
1Sep 13, '12 by fromtheseaRNQuote from FyreflieI agree. A close friend of mine is a midwife, and she requires her assistants to be NRP certified just as she is. If she saw stained fluid she would have an assistant call 911, and intervene as necessary until their arrival.Probably the same way we handled it at my last job (rural OBs with no NICU, RT and peds on call only). We suctioned mouth and nose and then oxygenated as necessary. Vigorous babes with mec were stimulated to encourage clearance and left skin to skin. The OB could intubate in a pinch, as could a midwife at home if competent and certified. Not an ideal situation for sure--but I don't see a huge difference between the two provided your practitioners are regulated and well trained (and work in teams).
1Sep 21, '12 by honeyortarI suggest watching the documentary, The Business of Being Born. It's a life changer. For me it was, anyway.