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Would you do hospital, home, someone else's home, or what under these circumstances?

post #1 of 22
Thread Starter 
I don't even know yet where I'm having this baby.
I have wanted, so badly from the beginning of this pregnancy, a homebirth, but our finances are such that we are still going be living with roommates when dd is born in late March/early April. Right now we rent two bedrooms in a house, and the other two occupants are two single (divorced) guys. I'm pretty sure a homebirth there would not be the greatest idea in the world. I mean, if I go fast or something, then fine, but I wouldn't want to be there laboring for hours and hours if it drags out. I mean, the guys are nice enough, and they are very respectful of us and are the "family" type (i.e. their kids come over all the time, there are toys out in every room, the one guy stocks up on kid foods like mac n cheese, they don't freak out over ds' tantrums etc) but I still can't imagine doing something so personal and intimate as birthing my daughter with anyone other than her father being around. Plus, there is only one bathroom with a tub, and it's clean enough for daily life, but not (by my standards) clean enough to birth in. I mean, I'm the only female in the house....they just don't care if the shower curtain gets a little grimy or whatever.

The other possible option is birthing at someone else's house. My midwife had emailed saying she thought she had a home for me to birth in if I needed it. However, half the reason I wanted to birth at home was so that ds could be in his own environment throughout the process, and it would just be a lot easier to keep him happy (which would make ME feel less stressed) if we were all at home together. I just don't know how well it would work out if I was birthing somewhere else. BUT I'm totally open to the idea, so if anyone has "home" birthed not at YOUR home, I would love to hear how it went.

Of course, the last option is the hospital. My midwife has said a lot of good things about one particular hospital, and she & her assistants would accompany us and be doulas and stay for the labor and birth but the fact is that we would still be subject to hospital policies, like about eating during labor and so forth. Last time I wanted to eat and drink but couldn't and I am STILL pissed about that. ds would not get to even see his sister until we were discharged because due to the H1N1 flu no one under 18 is allowed to visit. And of course my bf is pretty mainstream and all that pressure for vaccines, etc would lead to a lot of fighting those first few days. Plus, I just don't WANT to be trapped in a hospital bed for three days! I hated the hospital with ds and couldn't wait to leave.

Medicaid will cover the homebirth with my midwife, which in and of itself is so amazing to me that I feel like it's a sign we should really try to make it work.

No matter what happens, I'm setting aside the $500 for out-of-pocket expenses (the assistants who will do any setup and cleanup and doula during the labor) that Medicaid doesn't cover.

What would you do? Birthing in a hotel (which I would LOVE....unlimited hot water, cable TV and a king sized bed ) is not an option for us....we can't afford it.

So....your input would be appreciated. Is there another option I haven;t thought of? There are no birth centers around here.
post #2 of 22
I would definitely choose "someone else's home" in your circumstances, as long as the home/people were nice.

Our situation is slightly similar-- we are living in a studio apt. in our new state while house-searching, and the situation is far from idea for birthing. We don't even had a bed, just a foam mattress on the floor...

Basically, we're having the baby at a "birth center" which is just a house owned by our two midwives near a good hospital. Since I don't feel any emotional attachment to this apartment, I really think I'll be happier there than at "home."
post #3 of 22
Hugs!

I know finances are an issue, but can you spring for a cheap hotel room for your roommates to go camp out and watch cable TV for a day while you labor and birth in your own home?
post #4 of 22
Thread Starter 
It's not our house, we just rent the two bedrooms. We are just lucky that the owner of the house has a kid himself who stays there half time, and his girlfriend has three kids who also stay there a lot, so it is kind of a "free for all" and we (and ds) pretty much have run of the house.

If we did someone else's home, would we all go? Or leave ds with someone else and have them bring him when we're getting close to delivering? And then how long would we stay afterwards? A couple hours, two days?

I would also want to pay that person for their time and hassle. Do you think it would e weird laboring in someone else's house while they were there?

I kind of like the idea, but I'm haviong trouble imagining how it would all paly out.
post #5 of 22
We shared a home with my dad and brother when I had my oldest and neither one of them even knew anything was happening until he was born. (My brother had sworn he was leaving the minute it started.) It was the middle of the night by the time hard labor hit and I just had a robe on to go back and forth between my bedroom and the bathroom.

One thing to remember is that even if you choose a hospital birth, you may still be laboring at home for several hours before you move.

Will Medicaid still cover the birth even if you aren't at your own home? What about getting a motel suite where your son could have his own space and there wouldn't be other people around?
post #6 of 22
That's a good point about hospital birth...you could stay at home until the very last part of labor, then go to the hospital with your midwife. And hey...if labor WAS going really fast, you could just stay at home and birth in your bedroom.

I would ask you midwife more questions about this home she thinks you could birth in. What the people are like, if you should reimburse them, what the environment is like, who will be there, if you can take your child... once you know more, you might be more comfortable with the idea.
post #7 of 22
I would probably take my midwife to the hospital.. that's just me.
As for a hotel..I honestly have never heard that. I don't think the owners would let that fly if they found out.. at least around here.
post #8 of 22
Oh, I hate that you have to think about this so close to your birth! I am due in March, too. Is it a possibility to speak with your roommates about this? They sound really like great people. I agree that having your son in a familiar environment would be ideal. It would help you during labor b/c you wouldn't be worried about him (and that is a big thing).

Let's look at your roadblocks:

1. the sanitary-ness of the bathroom -- couldn't your BF address this for you? He could really scrub it up so nice, and even spend $5 for a *new* shower curtain. Is there only one bathroom?

2. not feeling free to be yourself -- visualize the different scenarios -- how comfortable would you feel in the hospital, in a stranger's home, in your own rooms... Realistically, if you labor at night, the other other housemates might just sleep through it. If daytime, I am sure they wouldn't mind going somewhere. I really do think you should talk to them about it -- you owe it to yourself.

You have a little bit of time. Perhaps you could invest a little time each day into making your home into a more ideal environment, particularly the bathroom. Focus on freshening it, and adding nice, warm touches such as candles and maybe some nice green bamboo in a vase.

Keep posting on here, and maybe others will come up with good ideas, too. You deserve to have a great birth, and I do believe it is within your reach.

Again...
post #9 of 22
I agree with Velveeta.

You should talk to your housemates. They may be totally open to you having a homebirth and may even think it is really wonderful. You could tell them your concerns about privacy, not wanting to disturb them etc and see what solutions you all come up with. Just be honest.

Also, you and bf can make an extra effort to keep the bathroom clean from now on (and maybe mention it to housemtes so they will make the effort, too).

Consider getting a birth pool - even if you don't want to have a waterbirth it might be nice ot labor in instead of the communal bathroom.

Honestly, if given the chance I will always labor and birth in my own home. (I've had one hospital and three homebirths). Going to someone else's home means having to go somewhere while in labor, not being in your own environment, and exposure to other people's germs - your baby will have soem immunity to the germs in your own house, but not to the germs in other houses.

I hope all works out for the best.
post #10 of 22
Agree with previous posters, if it were me (having lived with only men in any roommate situation I've ever been in) I would talk to my roommates about it and likely just do it at home. Cleaning is easy enough. I would look into a smaller birth pool and want that to labor in, especially if there is only one bathroom. Especially since they are both kid friendly, as long as they were somewhat amenable to the idea, I'd stick with my homebirth plan. I mean, I'm sure they would try to give you as much privacy as humanly possible (I know any of MY former roommates would've been out the door voluntarily for that ). I wouldn't be comfortable in someone else's house, and no WAY would I be comfortable in a hotel.

I think you should go ahead with your homebirth
post #11 of 22
I had a homebirth at MIL's house. It worked out wonderfully. In your post you didn't sound at all positive about the hospital experience, needing to follow their protocols, fight against vaxing, your son won't be able to come visit, etc. If I had any option other than hospital, in your situation, I'd take it. ///// Obvious homebirth in your own home is the ideal with your own germs and stuff floating around. Someone else's home seems next best because it's not where the sick people go, like the hospital is. // My MIL's worked out well because A. they cleaned B. they stored supplies and C. they fed me after Lovely. Moving locations in labour is sucky, but if you know you're going somewhere that your wishes and needs will be respected, ie not hospital, i think it'll be a lot easier.
post #12 of 22
Moved to B & B
post #13 of 22
Given that there are no birth centers nearby, and there is a pretty good hospital, I'd probably do that. Talk to your MW and pediatrician in advance about being discharged early. They usually want baby to take PKU 24 hours after the birth, but there's no reason you can't leave immediately after that, or earlier if you agree to bring the baby into the clinic for PKU. Honestly, my 2nd child was born at 3:26 AM and we were all so pooped having pulled an all-nighter that the last thing I wanted was to immediately head back home to take care of a toddler. I enjoyed having one day to myself to simply enjoy my new baby.
post #14 of 22
Thread Starter 
Quote:
Originally Posted by kltroy View Post
Given that there are no birth centers nearby, and there is a pretty good hospital, I'd probably do that. Talk to your MW and pediatrician in advance about being discharged early. They usually want baby to take PKU 24 hours after the birth, but there's no reason you can't leave immediately after that, or earlier if you agree to bring the baby into the clinic for PKU. Honestly, my 2nd child was born at 3:26 AM and we were all so pooped having pulled an all-nighter that the last thing I wanted was to immediately head back home to take care of a toddler. I enjoyed having one day to myself to simply enjoy my new baby.
It DOES sound appealing to have a few hrs to myself with the baby and her daddy, if she is born at some ungodly hour. I'm just worried that they will start asking/pressuring about tests and stuff and it will lead to me nad him fighting over everything at what is supposed to be a happy time.

Also, I want to eat and drink at will, move around, etc and I guess I'm just jaded from my first hospital experience about getting to labor my way. Even the constant monitoring annoyed me and interrupted my "groove" that I got into during the hard labor. I don't know, I guess I can't have it all and need to realize that.

I just have it in my head that in my perfect world I want to be left alone by everyone except her dad (and the MW for the necessary checks and stuff), and have him around to wait on me hand and foot. I sort of see myself being cranky and aggravated and wanting a LOT of homemade yogurt smoothies (I crave these a LOT and really wanted them last time too, it's so refreshing and a real comfort item for me) and unlimited hot water on my back, and good music, because I get in a rhythm of rocking/swaying through contractions and I remember thinking last time that music would have been awesome. That's what I envision at my perfect birthing experience.

I'm weird, huh?
post #15 of 22
There's no way on earth that I would choose to birth at a hospital without a medical emergency indication! I suspect if you had had a homebirth before you would likely feel the same because it's SO MUCH better :-)

I gave birth to my second child at home but it wasn't my own. My husband had left me and I was homeless and moved in with friends a week before the birth. They knew I was planning a home birth and were fine with it. They had a two story house and I ended up birthing in my bedroom downstairs while they had dinner guests upstairs. I have fast labors but honestly I don't think it would have mattered had it been long.

My vote would be 100% to talk to your roomates and stay home. Bathrooms can be easily cleaned and truly don't need to be super clean to birth in. You and the baby are already exposed and immune to the germs of your own home. Not so in the hospital. Cleanliness is much more of a big deal and less possible there.

If you are sure you want a water birth you could acquire a tub to put in your bedroom, home bathtubs are horrible for births anyway, they are generally only big enough to be useful as pain relief using the shower.

Going to someone else's home would cancel out a few of the benefits of homebirth but it is certainly better than going to the hospital. The hospital has much greater risks than not being able to eat and drink!

All that being said you should birth where you have the best chance of feeling relaxed. Would you be the most uncomfortable with fighting hospital policies and the "birth machine", being in a strangers home (and either not having your son with you or worrying about him in a strange house), or being in your own home even if it means your roomates are there and you spend the birth in your rooms?

Laura
post #16 of 22
I would not pick a hospital birth in this situation -- way too much that could go wrong. I always say, you buy the hospital ticket, you take the hospital ride.
It's a pity there's no local birth center, that could be a great option.
What I would probably do is make my home as inviting as possible for the birth. Giving birth is a big deal and people tend to be pretty happy to accommodate a woman who is pregnant. Could you politely ask your roommates if they could go somewhere else for a day? Could they stay with their girlfriends or other friends? I really don't think that's a huge or unreasonable request.
Also, I would really recommend a birth tub over a bathtub for a number of reasons. Could you and your husband really focus on getting the house, or at least a birth space, really clean and welcoming and sanitary?
post #17 of 22
Great replies so far!

I agree- I would take the hospital off the list - no way, too many negatives!

I also agree that your roommates are likely to be accommodating. So it's worth exploring that.
post #18 of 22
Thread Starter 
Sorry I haven't replied back to you guys....but I've been reading all the responses and I really appreciate them so far....keep them coming!

I showed my bf this thread and we talked about it again last night and he is actually open to the idea of us getting a hotel suite for a couple days if our income tax return allows us to set that much money aside. If not, as soon as we are caught up on rent we will talk to the guy who owns the house about the midwife and homebirth. I'm sure right now he thinkswe're having the baby in the hospital since he is a VERY mainstream type of guy. I don't think he'd be un-accomodating, but he is the type who would be afraid of getting sued or in trouble or something because he will think homebirth MUST be illegal/dangerous/crazy. Like, whenever his 9yo ds is over here, they spend most of their "together" time eating doritos and playing madden 10 or watching UFC or WWE. He was extremely proud of himself last night because he had bought diet Sprite (with artificial sweetener) because he heard me say ds doesn't eat a lot of sugar. He totally thought that was an acceptable drink.

Our other roommate, honestly, probably wouldn't care a bit. He never comes out of his room except to get something to eat or go outside and smoke. It's entirely possible that I could have the baby, midwives and all, and he'd have no idea til he heard her crying, lol.

I guess I have no idea how this really works so I don't know what to expect regardless of where the birth happens. I probably sound silly

so pretty much anything you all have to add on this topic is much appreciated. I'm starting to get really nervous and stressed about the whole birth thing, actually.
post #19 of 22
I would birth at home. Your roommates should be able to make themselves scarce for a day, or at least stay out of the room you will be birthing in. When you are deep in labor, you probably won't care/notice they are there.

Perhaps you could buy a birth tub (a 100 gallon rubbermaid horse trough is not too expensive) or rent one from your midwife.

The problem with planning on going to a hotel/other house is that it may be a hassle dealing with leaving home during labor (one of the nice things about home birth is that you don't have to travel during labor). Also, if the labor is fast, you may not make it to your planned destination.
post #20 of 22
Thread Starter 
Quote:
Originally Posted by Catherine12 View Post
I would birth at home. Your roommates should be able to make themselves scarce for a day, or at least stay out of the room you will be birthing in. When you are deep in labor, you probably won't care/notice they are there.

Perhaps you could buy a birth tub (a 100 gallon rubbermaid horse trough is not too expensive) or rent one from your midwife.

The problem with planning on going to a hotel/other house is that it may be a hassle dealing with leaving home during labor (one of the nice things about home birth is that you don't have to travel during labor). Also, if the labor is fast, you may not make it to your planned destination.
Thanks! I'm worried about the hassles of going somewhere else too. I have a sort of....toxic... family and they refuse to come to our place for pick up/drop off of ds and insist that we bring him to the mall or another store when he goes to visit them. They also won't take ds from my bf, *I* have to hand him over. And, we don't have a car. So, I would have to, in active labor, walk ds over to the mall across the street to have one of my parents pick him up, then continue on either by cab or in the midwife's car or something to wherever we'd be going. It makes me tired just to think about it, really.
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