Home Birth

Healthy expectant mothers having a normal pregnancy with no medical or obstetrical risk factors, having a home birth is just as safe as a hospital birth.

Home Birth allows you to deliver in a familiar and comfortable space. You won’t have people you don’t know at your labor, people won’t be walking in to take vitals repeatedly during your labor, you won’t have to have interventions unless problems arise (which is rare in itself), and you can labor and deliver in ANY position you find most comfortable.

Family and friends that cannot be in the hospital with you can be at your home with you. Your caregiver only has you to look after, so their full attention is on you, not on 3 or 4 other women laboring the same time as you.

If you have:
-Medical conditions (high blood pressure, diabetes, etc)
-Previous uterine surgery (this isn’t a requirement in a lot of states for not having a home birth)
-Complications (preeclampsia, premature, multiples, breech at 37 weeks)
You CANNOT deliver at home without OB/GYN consent and as long as it isn’t against the law and you have a trained, skilled, certified, and willing midwife.

And even if you are eligible for a homebirth, complications do arise, so be open to a transfer to a facility if needed. But since midwives are there the entire time, they notice problems before they become life-threatening, so they will transfer you before things become too serious.

With a home birth, you have to be committed to giving birth without meds, preparing your home for the birth, and making sure you have good support during and after birth.

Even though home births are thousands cheaper than even a natural hospital birth, not all insurance companies and HMOs cover home births. BUT, most home births are about $2000 for all your prenatal, postpartum, and delivery appointments. Which is absolutely nothing!! My friend who had a cesarean in the hospital ended up having a bill of $12,000, and that was just for the delivery, not the prenatal and postpartum care.

The ACOG and AMA are against home birth. They say the hospital is the safest place to give birth no matter if you are with a qualified individual or not. They same complications arise suddenly, so a hospital is the best way to handle.

And even in a hospital, if things happen suddenly, most emergency cesareans take about a half hour to get everthing ready. So if you are transfered, the midwife can call the hospital ahead of time and the people will be ready in the OR for when you get there.

The ACNM and GCAPHA are in favor of home birth. If you are with a qualified caregiver, and there is arrangement for transfer and back-up, they should have the option for a home birth.

If you are unsure about anything, you can always call a CPM (home birth midwife) and ask. THey can assess if you are a good candidate fora home birth and also answer any questions you have about care and anything else.

Midwives always carry emergency supplies and equipment and can handle most emergencies until more help is given, or until the situation resolves.

Midwives are qualified the same as OBs, but they cannot do surgery, and most states won’t allow them to cover high risk pregnancies.

In Utah, midwives are no longer allowed to cover twins, since they are now considered “high risk”. They already can’t cover anyone that is in labor 2 weeks early (38 weeks) or 2 weeks late (42 weeks). When will the exceptions stop?

It’s amazing what they tell a qualified individual they can’t cover. Breech births are only done in the University of Utah hospital, midwives can’t cover twins, premature or overdue, some places won’t even offer VBAC anymore.

Who is to say what is a risk and what isn’t? Is pregnancy really something that can go absolutely wrong the majority of the time? Are we just fooling ourselves into thinking that pregnancy and labor are safe for mother and baby?


3 Responses

  1. Do you know of a website that lists the requirements for home birth by state? I’m curious what my state’s position is.

  2. http://mana.org/laws.htmlIt is the actual state law.You can also go tohttp://www.thebigpushformidwives.org/index.cfm/fuseaction/home.stateStatus/index.htmThis one has the map of states and what they ard doing. it doesn’t have the actual law

  3. I loved this post. Even though I worry too much to give birth at home, I respect the women who do. I am opposed to restrictions being placed on midwives and I am glad you mentioned it. It’s just ridiculous that qualified healthcare professionals aren’t allowed to care for patients just because they are 2 weeks early or 2 weeks late. I can’t believe that!

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