We live literally across the street from the hospital. I can see it from my bedroom window. It is good to know that their response time is faster from a phone call to the ER than from Labor and Delivery to c-section.
If we UC, I honestly don't intend on doing any fetal monitoring. I intend on tuning in and being really focused on my body, what it needs, and pushing the baby out once I feel the urge to push. I don't really intend on even checking the cervix or anything . . . maybe I'll have dp check if it's "grapefruit" sized, but I just think that if I'm sitting there timing ctx and checking myself and fetal monitoring, then I'm going to be a nervous wreck and should just go over to the hossy. Maybe choosing not to monitor the heartbeat could be considered irresponsible, but w/ dd (hospital birth), I got there pushing and had the monitor on for maybe a minute and I hated it---having it or not having it didn't make any difference in the birth. I know all births are different, but I don't think I could even go into this with the intent to UC if I really felt like horrible sh.t was going to happen anyways---I think if I felt that way I'd have no choice but to surrender myself to the hospital.
I just want to thank you all so much for sharing on this thread. I know it's not all about cord, a lot of this discussion is about fear, how people over-exaggerate, and how "necessary" or unnecessary is the medical approach to birth. So thanks a lot for sounding it out with me.
Fwiw, I freebirthed ds4 in a remote town, 4 hrs away from the nearest hospital but with medevac available and once arranged, it would take 30 minutes to arrive at that hospital. My dh used to work for the dr there and he said nobody ever left town in less than an hour and usually two hrs even with severe injuries because of the difficulties that are so common with flying there and arranging the medics and pilots.
Still, I accepted that what would be would be, and that staying in a motel for weeks from term to go to a terrible and ill-equiped hospital for the birth was not a reasonable option for us.
Presently, we are 30 minutes from a hospital and we wouldn't wait for medics because they'd be coming from the same direction as the hospital, so 30 minutes here and 30 minutes back.
I have not yet done any monitoring during labour or internal checks. My last labour was precipitous- 3 minutes- so it was never an issue and the one before was four weeks long, so same deal from my perspective. Babies came when babies and mama were ready.
I would change evrything I do if I thought it necessary though, without hesitation. I do trust my intutition and have furnished myself with ample knowledge and understanding about how this all works, although I don't think that's essential to a happy outcome; it is what I personally need to be present for my pgs and births and as a mother in general.