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Help me feel better about choosing the birth center...

post #1 of 19
Thread Starter 
Long, sorry...

So I have finally given in and agreed to have this baby in a birth center. I want a peaceful home birth so badly, but it looks like it isn't going to happen this time. Thinking about it is making me so sad. Help me feel better about this choice!

Background: DH is absolutely opposed to homebirth. With DD1, we had an HMO that only covered the highest-intervention, non-natural-birth-supportive hospitals in town. I put my foot down -- I was NOT going to birth in any of those places. We hired a lovely team of HB midwives, who nonetheless made DH nervous and anxious, and we fought about it all the way through my entire pregnancy (even when I went into labor, he was saying, "are you sure you don't just want to go to the hospital??").

I was in labor for 3 days. Looking back, I suspect that part of the reason for the slow labor was the fact that my mom and DH had so much anxiety and fear about the HB (not to mention all the other members of my family who showed up at the house uninvited to hang out while I was in labor). I finally ended up transferring for exhaustion, got an epidural and IV, and gave birth a few hours later, flat on my back in a hospital bed.

Not the worst possible outcome, given the circumstance (at least nobody said 'C-section' even after pushing for 4 hours), and the hospital honored my birth plan almost completely. But it was not what I had envisioned for the birth of my first child.

DH has insisted that this demonstrates that HB "doesn't work" and that I need a hospital's help in order to have a baby. And besides, he says, the hospital wasn't nearly as bad as you insisted it would be. He was right, it wasn't, though I still hated it.

Fast-forward to baby #2. The midwife we liked the best (and who we both would have trusted) has moved across the country. All the other HB MW's in town make DH nervous and combative. If we try for another HB, it will be a repeat of the last pregnancy, fighting all the time about it. And who's to say that DH's anxiety won't affect me just the same way this time?

Perhaps more importantly, I have a "gut feeling" that this baby isn't as strong as DD1. I don't have any reason to think this -- it's just a feeling. I suspect that s/he might need more help at birth, and the thought of a HB makes me personally anxious for this reason. At the moment, this is what's keeping me from absolute despair over my second lost HB.

We have different insurance now, that covers a local "holistic birth center" operating within a hospital. The center is run by midwives. They have a very good reputation.

The CNM I am seeing is very good, very low-intervention and a natural birth advocate. Lots of my friends have birthed with her and she comes highly recommended. It's not the same level of care I was accustomed to with the HB MW's though; she takes on a LOT of clients and doesn't seem to have a whole lot of time during office visits. And my friends tell me she doesn't stay with you during your labor, but pops in and out more like an OB would.

So I'm just feeling like, 'eh.' I don't want to birth anywhere but at home, but the birth center really does seem like a lovely place and everyone says they're wonderful there.

The cons are obvious: have to get in a car and drive 25 minutes while in labor, have to birth in a yucky sterile hospital wing (which it still is, regardless of what they call it), etc., etc. And, I'm just not at home, which is where I think babies should be born.

There are a few pros: I don't much miss the long drives to meet with the HB MW (who lives nearly an hour away). I don't have to stress out about cleaning my house and getting enough food and supplies together before the birth (I nearly had a breakdown about this the last time). None of my family members have to clean up the house and wash all the laundry and drain the pool (my MIL and SIL deserve sainthood for that one). I don't have to call everybody in town when I go into labor. I can order my first post-baby meal from an extensive menu and have it delivered. We don't have to go through all the headaches of getting a birth certificate and hearing screen and PKU test on our own.

So, I suppose it could be worse. But it still makes me sad. Anybody BTDT and want to offer some positive thoughts I might have missed??
post #2 of 19

I'm sorry you're stressing over it.

But I really think it sounds like the BC is best and you've got a GREAT BC!!!

I gave birth in a hospital with a MW & it was a good experience. It really was.

I think the most important thing is to have a supportive team - a team who truly "gets" birth (i.e. comprehends the concept of "sphincter law") - I truly think that's more important then location.

& the fact that the MW pops in and out while you labor vs. staying there might not be so bad. If the nurses are good, you'll have their support too. (And I would expect the nurses to be good too since all the feedback you hear says the whole BC is good.) Friends of ours who had a lengthier labor with the same MW at the same hospital said their nurse was SO GOOD she was just like a doula! They just RAVED about her.

& I wouldn't underestimate the "pro" of not having to get a birth certificate on your own! that is a really nice perk! I did NOTHING with all of that - hospital took care of it. Whereas HB Mamas here in Maryland have to fight with the dept of health & one of them was even told they wanted to send a nurse to do an internal exam to confirm she'd recently given birth. (turns out no exam is required, but they DO usually have a nurse do an in-home visit.)

Under 'pros' you didn't mention expenses - but my HB MW may be covered under "out of network" level, whereas hospital birth is a lot cheaper. Not that I think expenses should dictate a birthing choice, but since the BC is best for you, if it is cheaper, that's another nice perk to add to your 'pro' list. At very least, it may be easier! I have to pay my HB MW up front, in full, then wait for insurance reimbursement (which may not even come! ) Whereas I paid like one $10 the whole time for DS' birth!

My hospital was also a 25 min drive & I did the drive while fighting the urge to push! (1st stage at home went faster then I'd expected.) It wasn't that bad. I laid down in the back of my doula's minivan, so I guess that helped vs. sitting in a seat. Plus, time was warped then. I pushed for 45 min but it seemed like 15! So I guess my perception of the ride was skewed too.

I really think a truly good BC can be the best of both worlds. You're right, it is not your home, but there is a lot you can do to make it feel homey. & you'll still do some of early labor at home before leaving for the BC. And you'll be getting supportive, evidence-based care that's respectful of the natural process.

I hope you end up feeling positive about this & wish you the best of luck!!
post #3 of 19
I birthed my first in a regular hospital (that was fairly birth and baby friendly at the time-- so no worries about pacis but they did come in and bug me every four hours for the day we stayed) with an awesome OB. So the OB was there the whole time I was pushing, and did perineal support and massage with oil, but honestly I didn't really need him-- my doula would have stepped in. We paid like $5 for the whole birth. That factored in majorly. HB is pricey here, and saving that money meant I could stay home that much more. But I knew the OB could be trusted completely, like a good midwife, and that the staff was likely to be supportive, but I had a doula, too. Sometimes you have to make that call based on the bigger picture. I think your husband's attitude, while unfortunate, is a key factor nonetheless. That energy at home might be way worse than being in a really great hospital.

Good luck!
post #4 of 19
I think the tension you are getting from your DH is not helpful for a HB and it sounds like you can have an excellent birth experience in the BC - and your DH can just get out of your way, and since he won't worry...you can relax and just have a healthy pregnancy.

It sounds like a really good plan, mama. It really does.
post #5 of 19
With your specific situation, I think the BC is a really great choice for you. It sounds like a good compromise between what you and your DH want. Since you know several woman who have given birth there and rave about it, I think your chances for a postive birth are pretty high.

Good luck!
post #6 of 19
Sometimes homebirth isn't the best option. I opted for a hospital birth with my first. I went through nearly 2.5 years of infertility to get pregnant and wasn't in the best place to trust my body. My hubby felt the hospital was "safer" and his opinion did get considered.
post #7 of 19
I'm sorry you didn't get the homebirth you wanted.

I've had both my babies at home but I would definitely go to a great birth center if home weren't an option. My midwives just opened a brand new birth center in our little mountain town and it is awesome! There's a big four-poster brass bed, lots of windows and skylights, homey quilts and eiderdowns, cute antique furniture, and a HUGE bathroom with a massive birthing jacuzzi and pillows everywhere. I can't think of a better place to give birth if I couldn't do it at home. I know your birthing center is attached to a hospital, but some of those places are remarkably cozy--and it sounds like yours is too.

I DO think that your DH's attitude is incredibly unsupportive and unhelpful, and if you choose to have more babies after this one you should fight for the homebirth you want. His fears and anxieties are NOT a valid reason to force you into a birthing experience that's less than ideal for you. And don't be afraid to limit who can be there! It is absolutely vital that a laboring woman feels safe and comfortable in her birthing space. With pushy, doubting people around, no wonder your labor slowed down!

Don't be hard on yourself, mama. You already know you can do this naturally even in a less than ideal environment (hospital), so the birth center should be much more comfortable in every way. And if this isn't your last baby, you have plenty of time to assert your right to homebirth, if that's what you still want. Frankly, if my DH were such a Donald Downer at my births, I'd ask him to make himself scarce while I labored with a good supportive birth team (doula, midwives, friends) and we'd call him when I began to push. Not all men are cut out to be good labor support--and that's okay! But it doesn't mean you have to tolerate him dumping his fears on you, the laboring woman, at a most vulnerable time. Maybe next time he should do the 1950s thing and pace nervously in the hall with his buddies until it's over.

post #8 of 19
In this situation, I don't think a birth center is a bad option for you. I would just recommend getting a really good doula that makes you feel really supported.
post #9 of 19
Thread Starter 
Thank you, everyone, for all of your kind responses! I can't tell you how helpful this thread has been for my attitude. I have spent so much of my energy around birth trying to plan (and defend) my home birth that it's really hard for me to "switch gears" -- it feels like I'm giving up, or giving in. But really, I do think this is right for this baby, so I need to let go of all of my baggage about not getting my homebirth (again). Just focus on the positive... I just keep telling myself that. At least I don't have to clean the house!

Thanks, everybody -- I knew I could count on the wonderful womyn of MDC to offer the right kind of support!!!
post #10 of 19
I seriously considered a homebirth with my third, but my DH was very uncomfortable with it (Ive had heavy bleeding after the babes were born) and that coupled with the long drives for each appt and everything didn'd make it add up to the best choice for me.

I've had 3 hospital births with m/ws and they were all good. I think birth attendants can influence the outcome even more than location. I had m/ws who knew exactly what I wanted, never spoke of pain meds, and were great through everything.

If you trust your CNM (and it sounds like she comes highly recommended), you can definitely get a birth you are happy with. It won't be home, but you can see what the restriction are, you may be able to go home within a few hours of birth.
post #11 of 19
As for the nurses--if it's a dedicated unit within the hospital, you're going to get nurses who want to work in that kind of environment, which is going to make a huge, huge difference. A good L&D nurse is gold. We hear about the bad ones here, but the good ones are really, really good.
post #12 of 19
If you think that the birth center environment may be what your baby needs and it is where you will feel the most comfortable, then that's where you should go. It's important to listen to what your intuition is telling you.

And I'm with the poster who said that if your dh is nervous about the birth and not helping create an environment where you can relax, it's ok to ask him to step out until you decide you need him there.
post #13 of 19
Just another vote of support. I've had 3 homebirths with three separate mws (due to various moves around the country) and BY FAR, the best birth was with the mw who left me alone and didn't hover. I wouldn't worry about your mw popping in and out. Most mws (ime) don't take on the role of doula during the birth, so find other people to support and love you through labor and be grateful you have a mw and birth location that comes so highly recommended. Best of luck!
post #14 of 19
To me it sounds like a good compromise. I think most women want to have a HB because it promises natural and peaceful birth and labor. It is so inportant for laboring women to have support and peaceful athmosphere around them. If you DH supports you choice of birthing center you will have much greater chances of having natural and peaceful birth there than at home fighting with you DH and him undermining your ability to birth.
I had a HB with my first and this time around I am going to birthing center this time because I don't want to worry about neighbors coming over, cleaning my house before hand, etc.
If you are concearned about MW coming and going hire a doula, she will stay with you and help.
post #15 of 19
You've heard a lot of supportive things already here.
I'd like to add to the "support team" - as said, if your DH is more negative / scared than what you can handle at the time it's probably a lot safer for you and your baby to have other people of your choice around you. As for your extended family who stayed at your house while you were in labor: this is your party and you decide who's invited. Really, you don't need anyone who needs "worry therapy" from you in this situation.

Have a safe and healthy birth!
post #16 of 19
If it makes you feel any better. I enjoyed my BC birth much more than my home birth. If the BC hadn't closed I would be planning another instead of another hb.

Why?

Mostly, the bc was just so beautiful! Immaculately clean, wonderfully decorated, had a roaring fireplace and giant jacuzzi tub, scented candles, people made me food.... Plus it was practically free since they took my insurance!

Home was just my house. Toys and clutter everywhere, the tub cost an additional 800 bucks to rent instead of being included in the fee, my midwife didn't' take my insurance.

I am actually considering a 1.5 hour drive to another birth center because I had such a great experience the first time.
post #17 of 19
How many beds are in the birth center and what happens if you go into labor when there are no beds available?

(One of the reasons I decided against birth center birth. DH was adamantly against home birth. The other is that they didn't take our insurance. I ended up going to the hospital, where I gave birth about 45 minutes after arrival--and no, I wasn't anywhere near transition, so I would have felt cheated if I'd paid $1K-$2K out of pocket. And, there are only 3 beds there. That was my biggest concern, as I could not get a straight answer on whether or not I'd get a refund.)
post #18 of 19
Thread Starter 

Ooh, good question.  That's one I'm worried about.  I don't know how many beds there are, but if they're all full when we get there, I have to birth in the regular L&D wing in the hospital proper.  AND the birth center makes you sign a form ahead of time saying that if you get transferred to the L&D floor because of overflow, that you agree to follow all of the hospital policies even if they differ from the birth center's.  My jaw dropped when I saw that.  Seriously???  People sign that???  I mean, I'll still be going in with a birth plan specifying what I will and will not accept in terms of care... regardless of where they put me to birth.

 

So that is a concern, I guess.  And they do take insurance, so that at least is helpful.

 

I do wish they had nice cozy "real" beds instead of hospital beds... I hate hospital beds with a passion.  And a fireplace!  Wow!  Oh, a womyn can dream...

post #19 of 19

I had a great birth center birth.  I would never do a HB but can imagine it is just as peaceful as at home, maybe even more so with less distractions.

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