My first choice is a home (water) birth, but I'm not sure I'll be able to find a CNM who does them & is in my HMO network. We are less than 10 minutes (probably less than 5 in an ambulance) from a hospital if there was an emergency or need to transfer. If I use a CPM or a non-network CNM, we would have to pay out of pocket.
We visited a birth center that's about 30 minutes away, and I really liked it, but there are a few things that might be deal breakers:
- The hospital they transfer to for non-emergencies is about 15 minutes away (though they will still transfer emergency patients to the hospital across the street)
- Because of the possibility for transfer, they require you to have a car & licensed driver there for the birth. We don't own a car and my partner doesn't currently have his license - he can get it and we can rent a car, but this could cost us around $1000
- They will let you labor in the jacuzzi but do not currently let you deliver there
There are other birth centers in the area but they are farther away.
There are a bunch of hospitals close by, but I have not researched them fully since I'd prefer not to plan to deliver there unless I am risked out of home/birth center with a midwife.