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Re: Homebirth
"What's going on? A range of experts made clear to me that there isn't any one factor to explain the increase, but a number of issues, including obesity-related complications such as hypertension and diabetes, the dramatic increase in the number of cesarean section births, a lack of access to affordable, quality health care and more women giving birth at older ages"
From your article. Yes increased c/s is mentioned. However many hospitals are trying to cut back on those. Many women who have needed an emergency c/s like myself would have died without one, our children would have died as well. Sure there are doctor's that push for them, but I have never met one personally. Your article is 2 yrs old and I don't think it's relevant to the home birth discussion. Home Birth is a sensitive subject for me, my aunt's son was stillborn due to a homebirth, he was her 5th homebirth. Sure homebirths can be great but know the risks, know that just because every other birth you've had was easy and uneventful, this one isn't guaranteed to be the same.
Oh and since you mentioned maternal mortality, I think I should share the this.
https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pmss.html
@Cerisrichard I’m a hypnobirthing advocate too! It really helped with my second labour. I’d recommend it to everyone! It’s quite empowering isn’t it?
Of course everyone should make their own decisions. Some key information here:
- Planned home birth is associated with fewer maternal interventions than planned hospital birth
- Planned home birth is associated with more than twofold increased risk of perinatal death (1–2 in 1,000)
- Planned home birth is associated with a threefold increased risk of neonatal seizures or serious neurologic dysfunction (0.4–0.6 in 1,000)
- First time mothers had between a 23 and 44% chance of an emergency hospital transfer (vs. 9% for women who have had children before).
Basically, at home, you do get fewer interventions (c-sections, episiotomies, etc.) of course. There is a very small risk of increased death or seizures in your baby. For people who have had children before, roughly 1 in 10 women will have to be rushed to the hospital urgently. For first time moms, that number is somewhere between 1 in 4 to 1 in 2 women.
I completely respect everyone's choices here. If you do decide to go through with a home birth, consider at least having a certified nurse midwife (CNM) attend your labour. These professionals, while they cannot provide advanced care from home, will generally be able to recognize if you're getting into a dangerous labour situation for you or your baby.
For anyone who wants to reduce their chances of interventions like episiotomies or c-sections, you should research your doctor’s rate of performing these procedures.
The ICAN sure will show you c section rates. https://www.ican-online.org/physician-cesarean-rates/
I would also make sure your provider has an excellent relationship with a hospital nearby....ideally, they should have hospital privileges. The doctor who was supposed to do our homebirth also delivered at a hospital. It made transferring so much easier.
Sounds like you are though? I hope you have a wonderful experience and can’t wait to read about it after!
I’m definitely considering a home birth! The hospital near us is amazing too though so we can’t decide!
I completely agree. Where I live it’s standard practice for midwives to deliver the communities babies, whether in home or in hospital. They leave the decision to have a home or hospital birth up to the parents, stressing that they the midwives are equally comfortable with both options so it’s merely a personal choice for the parents. Either way, Doctors don’t play a role at all unless specifically requested, or needed.
I'm so glad we have the privilege to choose where we give birth and have competent professionals in the home birth setting.