I am currently 14 weeks pregnant with my second baby. We just met with the midwife I would choose to have a home birth with and I think I feel comfortable with a home birth except for the fact of the lack of a back up doctor. She has a back up but he is not in any of the hospitals close to where we live. We live in LA county and depending on traffic it does not seem practical to drive from one side of town to the other in case of an emergency. The OB I am having and who attended my first birth is natural birth friendly (meaning unmedicated) and did back up for midwifes until 1 1/2 years ago. However he does not do that anymore and I had just talked to him about it at my 10 weeks visit as I had mentioned that I am thinking about a home birth this time. So the midwife and my doula from last time suggested to just not mention a home birth to him anymore and keep doing prenatal visits as it is already approved by my insurance and in the case of the need of a transfer to go to the hospital and give him as my OB. I feel very uncomfortable about doing this though my doula and the midwife said the chances of needing a transfer as a second time Mom would be very slim. The midwife had only had two transfers of second time Moms in 10 years. I just know that I probably will be wondering about this all pregnancy if I decide to do a home birth. I couldn't lie into my doctor's face if he would for example remember and ask me about my decision. It would be convenient to use him that way as we have HMO and could not even pay the far away back up dr. who isn't in our insurance just like that hospital isn't in our medical group. It is so confusing to deal with all these insurance matters as I am from Germany and we have a way easier and patient friendlier health care system. Anyways wouldn't it be obvious that I tried for a home birth let's say if anything seems wrong while already pushing and we 'd do transfer then?
I don't know. What do you think?
Thanks so much, HTH Maren