Hi FTM here and I want to labor mostly at home before I head to the hospital. My question is how do I know I am getting close? My biggest fear is to think I'm more dilated than I am, go to the hospital and find out I am only 4 cm or something.
I'm in the same boat. Ill be looking at the suggestions here, but I plan to have a convo with my MW to see what she recommends. Ill be delivering in the hospital, so her advice on how long to stay home will hopefully come in handy in avoiding pressure for interventions.
Part of the answer may lie with how long of a drive you have. I'm 30 minutes from where I delivered - not a long drive but also not so fun in labor! With my first, I went too early - but I started getting worried about being really really in pain and having to sit in the car. I ended up walking around for about an hour before I was admitted and had a baby 6 hours later. With my second I waited longer - and made it to the birth center moments before puking (I'm a mid-labor puker!). Even then it was another 5 or so hours before baby was born but I don't think I would have easily tolerated the car ride at that point - and I had some positioning issues that I needed the midwife's guidance to try to fix (baby was acynclitic so my labor stalled). Oddly I was never worried about actually having a baby on the side of the road or something (which did in fact happen to a friend of mine). Just worried about having to sit buckled in the car as it was so uncomfortable!
Short answer - go when it feels right. If it's too early, you don't have to be admitted. I think it is best to labor at home as long as you can but at the same time if you are starting to stress in your labor about getting to the hospital comfortably, don't feel bad about going!
The Bradley Method books have some good info about this. In addition, talk with your MW about how calls will go. When we were sure that contractions were regular, we called MW on call. She asked what we wanted to do, and when I said we wanted to labor at home, she said ok, and we checked n by phone every couple hours. She required I speak with her on the phone through a contraction or two (so she got a sense of how hard I was working) each time we called. We called an hour before our next planned check in call (she'd said call at 2 am or sooner if I felt things were much more serious). At 1 am-ish, I just knew. So in the end, I knew when it was time to go, but she was a great help reassuring us and since she wasn't worried we were still home, it reassured me. We had an hour drive to the hosptial and arrived fully dilated. Good luck!
After two natural labors - one which consisted mostly of laboring at home and one that was all hospital - I agree with everything said in this article! Needless to say, for number three coming up in September, I will try to stay home as long as possible before going to the hospital!
You will know. As crazy as that sounds we just instinctively know. I remember laboring at home for hours. I told my H and doula it was time to go to the hospital. They tried to talk me into staying home another hour because my contraction pattern was not a solid 4-1-1. We went and I had LO in less than 2 hours after arriving at the hospital.
ETA: I arrived at 6 cm and my water broke when I was admitted to triage. Things got really intense pretty quickly. The OB only came in to catch LO and I only pushed for @ 20 mins.
I started saying that I wanted to go to the hospital around 9am, but we didn't actually go until 2pm. My doula was awesome about suggesting other things I could do and basically distracting and stalling me. I was 7cm when they checked me in triage and my baby was born 4 hours later. I am so glad that I labored at home for as long as I did. I was pretty miserable from 9am-2pm but I would have been so much more miserable if I wasn't in the comfort of my own home. I'm also glad that I had the doula there to help me decide when it was really time to get going.
For me, it was when I knew I wouldn't be able to handle the 20 min car ride if things got any worse. My contractions were basically unbearable if I had to lean back, even a little like in the seat of the car. I had been in labor for about 20 hrs and that point, and was still only 4 cm when I got to triage. But my contracts were strong/long/frequent enough that they kept me. I didn't mind laboring in the hospital and was glad to not have to get in the car again. I did have my husband and mom there and a very supportive midwife, and they had an awesome jacuzzi tub (I waited until I was 6 cm to get in, and it did slow things down, but let me nap some). DS was born about 15 hrs after I got to the hospital. Dilation was a slow road for me, but I'm so happy I stuck it out because I was able to push squatting and on my hands and knees. Pushing like that for me only took 20 min.
Short answer - go when it feels right. If it's too early, you don't have to be admitted. I think it is best to labor at home as long as you can but at the same time if you are starting to stress in your labor about getting to the hospital comfortably, don't feel bad about going!
I agree with this. I hit a point where I just felt I needed to go in, worst case, I could return home if I over reacted. I also was at the point where I thought the car ride wasn't going to be fun, and I couldn't imagine the car ride if I waited for contractions to be worse. I had weird contractions though, mine were 2-3 minutes apart from the time I first noticed them until the time baby was born. It made it harder to know what I was supposed to do.
I arrived 10 cm dilated and while the car ride sucked it was otherwise a good plan.
Just stay home until there is no doubt in your mind that you need to go in. I think a good rule is that if you're still smiling, it's way too soon.
I totally agree with the still smiling, not ready comment. By the time I got to the hospital I was 9cm and didn't really want to speak and I definitely wasn't smiling. Also, I had a really hard time sitting down at that point. I am hoping to do it the same way this time; it was wonderful just showing up to push:)
I was just about to post something regarding this so thanks for doing it for me! I want to labor at home as long as possible. The article was great and very informative
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I totally agree with going based on emotional signposts. There is a whole section in the book "Natural Hospital Birth - the best of both worlds" that talks about when it is the right time to go in.
For me, it was when I was totally focused on labor. When I got to the point where I couldn't talk or focus on anything but laboring - even when I was between contractions - I knew it was time to go. I arrived at the hospital at 6 cm and my daughter was in my arms less than 4 hours later.
Do a lot of reading, but also go with your gut: I guessed it was really early when I told my doula I wanted to go to the hospital, and she also warned me that it was probably really early. When we got there, I was at only 2cm and so we decided to go back home, but then I suddenly dilated to 8cm in 7min, and LO was born 40min later! If I had stayed home, I might have had an unassisted birth, so I firmly believe that my instincts were telling me I needed to be at the hospital even though all the evidence suggested otherwise!
Realize also that the opposite is true: you could be 6cm when you arrive at the hospital and then stall out for hours. So just read read read, hire a doula if you can afford it, and trust your instincts....
"Can I call your baby 'Ze Munchkin,' or 'ZM' for short?" - my best friend
I really enjoyed the book "Natural Hospital Birth: The Best of Both Worlds" by Cynthia Gabriel. It gives lots of tips on laboring at home for as long as possible. I labored at home for so long that I almost didn't make it to the hospital! I was fully dilated and ready to push when I walked through the hospital doors.
I decided to leave when I realized that my body was beginning to push. This is probably later than you would want...but I arrived in triage at 10cm and had my son about 30 minutes later.
My labor progressed relatively fast. My water broke at 2:30pm and contractions came immediately but were inconsistent and not painful at all until about 9:30pm. It became very difficult for me to cope, but I thought there was no way I was far enough along to head to the hospital (my doula, who wasn't even to my home yet, thought the same). Around 10:30pm, I moved from my bouncy ball to the shower and the first contraction in there doubled me over and I could feel my body pushing. It was then that I knew it was time to go. No doubt about it...haha! We got to the hospital shortly after 11pm and DS was born just after midnight.
In hindsight, when I was on the bouncy ball...I told DH that if we got to the hospital and I wasn't far along, I would think about getting the Epi. That is the sign I will look for this time. When I begin to doubt myself, I'll know it's time to head into the hospital.
I totally agree with going based on emotional signposts. There is a whole section in the book "Natural Hospital Birth - the best of both worlds" that talks about when it is the right time to go in.
Is that book super crunch-tastic? I am trying to avoid "methods" like Bradley and Hypnobabies, they seem really rigid to me and while I know I could take the pieces I liked and only "use" that, but I also feel like I would get disgusted and start rolling my eyes, then give up on the book lol.
I totally agree with going based on emotional signposts. There is a whole section in the book "Natural Hospital Birth - the best of both worlds" that talks about when it is the right time to go in.
Is that book super crunch-tastic? I am trying to avoid "methods" like Bradley and Hypnobabies, they seem really rigid to me and while I know I could take the pieces I liked and only "use" that, but I also feel like I would get disgusted and start rolling my eyes, then give up on the book lol.
Not "crunchy" at all.
You might actually also like the Lamaze handbook. It's got a more science-based tone and less "imagine your sphincters opening like a flower". Whatever you do, avoid "Birthing From Within"... and honestly, I can't get through an Ina May book.
Oh, and "Your Best Birth" by Rikki Lake and "The Birth Partner" by Penny Simkin would both work well for you,too.
I totally agree with going based on emotional signposts. There is a whole section in the book "Natural Hospital Birth - the best of both worlds" that talks about when it is the right time to go in.
Is that book super crunch-tastic? I am trying to avoid "methods" like Bradley and Hypnobabies, they seem really rigid to me and while I know I could take the pieces I liked and only "use" that, but I also feel like I would get disgusted and start rolling my eyes, then give up on the book lol.
Not "crunchy" at all.
You might actually also like the Lamaze handbook. It's got a more science-based tone and less "imagine your sphincters opening like a flower". Whatever you do, avoid "Birthing From Within"... and honestly, I can't get through an Ina May book.
Oh, and "Your Best Birth" by Rikki Lake and "The Birth Partner" by Penny Simkin would both work well for you,too.
Lol! That's exactly what I'm looking for. No blooming flowers, no raw vegan diets, no "the best place to give birth is in a meadow full of cows so your body is inspired to make milk" BS. Not that there's anything wrong with that, if others like it. But I basically just want to know how I am most likely to get and be able to cope with a natural birth at a hospital, where interventions MAY happen if they are medically necessary. I'll check all those out! Thank you =D
Try to not set up a "I hope I'm at least ____ cm" when you get to the hospital. EVERYONE dilates at different rates. Two people may get there with one person at 4cm and the other at 8 cm and the 4cm gal may still deliver first. Listen to your body and maybe even consider not finding out your dilation. If they admit you then you know youre on your way, if they send you to do laps in the parking lot then you know it could be a while (maybe) longer.
Ha, my OB actually went back to the office b/c I was 5cm after 5 hours of labor (3rd child). DS2 was born less than an hour later and caught by the nurses!
Re: Laboring at home
https://bellyupbaby.blogspot.com/2011/07/is-it-time-to-go-to-hospital.html
That was useful to me.
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Thank you! It's a great article. I guess I will have to talk to my midwife as well.
Steph I'm with you. I want to be at the hospital the least amount of time possible!
I arrived 10 cm dilated and while the car ride sucked it was otherwise a good plan.
Just stay home until there is no doubt in your mind that you need to go in. I think a good rule is that if you're still smiling, it's way too soon.
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Great post.
Great link! Thanks for sharing
After two natural labors - one which consisted mostly of laboring at home and one that was all hospital - I agree with everything said in this article! Needless to say, for number three coming up in September, I will try to stay home as long as possible before going to the hospital!
You will know. As crazy as that sounds we just instinctively know. I remember laboring at home for hours. I told my H and doula it was time to go to the hospital. They tried to talk me into staying home another hour because my contraction pattern was not a solid 4-1-1. We went and I had LO in less than 2 hours after arriving at the hospital.
ETA: I arrived at 6 cm and my water broke when I was admitted to triage. Things got really intense pretty quickly. The OB only came in to catch LO and I only pushed for @ 20 mins.
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For me, it was when I knew I wouldn't be able to handle the 20 min car ride if things got any worse. My contractions were basically unbearable if I had to lean back, even a little like in the seat of the car. I had been in labor for about 20 hrs and that point, and was still only 4 cm when I got to triage. But my contracts were strong/long/frequent enough that they kept me. I didn't mind laboring in the hospital and was glad to not have to get in the car again. I did have my husband and mom there and a very supportive midwife, and they had an awesome jacuzzi tub (I waited until I was 6 cm to get in, and it did slow things down, but let me nap some). DS was born about 15 hrs after I got to the hospital. Dilation was a slow road for me, but I'm so happy I stuck it out because I was able to push squatting and on my hands and knees. Pushing like that for me only took 20 min.
DS, May 2011
I agree with this. I hit a point where I just felt I needed to go in, worst case, I could return home if I over reacted. I also was at the point where I thought the car ride wasn't going to be fun, and I couldn't imagine the car ride if I waited for contractions to be worse. I had weird contractions though, mine were 2-3 minutes apart from the time I first noticed them until the time baby was born. It made it harder to know what I was supposed to do.
I totally agree with the still smiling, not ready comment. By the time I got to the hospital I was 9cm and didn't really want to speak and I definitely wasn't smiling. Also, I had a really hard time sitting down at that point. I am hoping to do it the same way this time; it was wonderful just showing up to push:)
I totally agree with going based on emotional signposts. There is a whole section in the book "Natural Hospital Birth - the best of both worlds" that talks about when it is the right time to go in.
For me, it was when I was totally focused on labor. When I got to the point where I couldn't talk or focus on anything but laboring - even when I was between contractions - I knew it was time to go. I arrived at the hospital at 6 cm and my daughter was in my arms less than 4 hours later.
Do a lot of reading, but also go with your gut: I guessed it was really early when I told my doula I wanted to go to the hospital, and she also warned me that it was probably really early. When we got there, I was at only 2cm and so we decided to go back home, but then I suddenly dilated to 8cm in 7min, and LO was born 40min later! If I had stayed home, I might have had an unassisted birth, so I firmly believe that my instincts were telling me I needed to be at the hospital even though all the evidence suggested otherwise!
Realize also that the opposite is true: you could be 6cm when you arrive at the hospital and then stall out for hours. So just read read read, hire a doula if you can afford it, and trust your instincts....
I decided to leave when I realized that my body was beginning to push. This is probably later than you would want...but I arrived in triage at 10cm and had my son about 30 minutes later.
My labor progressed relatively fast. My water broke at 2:30pm and contractions came immediately but were inconsistent and not painful at all until about 9:30pm. It became very difficult for me to cope, but I thought there was no way I was far enough along to head to the hospital (my doula, who wasn't even to my home yet, thought the same). Around 10:30pm, I moved from my bouncy ball to the shower and the first contraction in there doubled me over and I could feel my body pushing. It was then that I knew it was time to go. No doubt about it...haha! We got to the hospital shortly after 11pm and DS was born just after midnight.
In hindsight, when I was on the bouncy ball...I told DH that if we got to the hospital and I wasn't far along, I would think about getting the Epi. That is the sign I will look for this time. When I begin to doubt myself, I'll know it's time to head into the hospital.
Is that book super crunch-tastic? I am trying to avoid "methods" like Bradley and Hypnobabies, they seem really rigid to me and while I know I could take the pieces I liked and only "use" that, but I also feel like I would get disgusted and start rolling my eyes, then give up on the book lol.
Not "crunchy" at all.
You might actually also like the Lamaze handbook. It's got a more science-based tone and less "imagine your sphincters opening like a flower". Whatever you do, avoid "Birthing From Within"... and honestly, I can't get through an Ina May book.
Oh, and "Your Best Birth" by Rikki Lake and "The Birth Partner" by Penny Simkin would both work well for you,too.
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Lol! That's exactly what I'm looking for. No blooming flowers, no raw vegan diets, no "the best place to give birth is in a meadow full of cows so your body is inspired to make milk" BS. Not that there's anything wrong with that, if others like it. But I basically just want to know how I am most likely to get and be able to cope with a natural birth at a hospital, where interventions MAY happen if they are medically necessary. I'll check all those out! Thank you =D
Ha, my OB actually went back to the office b/c I was 5cm after 5 hours of labor (3rd child). DS2 was born less than an hour later and caught by the nurses!