DD1 and DS- Midwife attended hospital births, drug free. Good experiences.
DD2- Freestanding birth center, amazing water birth!
This time- ??
I spent a good deal of time tonight researching options. We have a lot of them in this area, and they run the gamot. There is not a birthing hospital in my county, so I have a 30+ mile drive to any birthing facility. Or, I could stay home. In fact, there is a well recommended CPM here in my home town. She's literally a mile away.
We have an alternative birthing center attached to a hospital about 35 minutes away, although they see patients closer, about 20 minutes away. My insurance would actually cover them 100%. They have some negatives- like a laundry list of "risk out" factors including blood pressure over 140/80 in late pregnancy or labor, and BMI. While I'm not "huge" I'm not a skinny lady either, and my current BMI lands me right on the fence between overweight and obese. I have an email into them, but I would hate to feel like every bite I take in the next 9 months, could cause me to gain that extra pound that risks me out.
Our big teaching hospital just built a new hospital and about 1/5 of the rooms have birthing tubs. They will allow you to bring in a tub, like an AquaDoula, for a water birth as well. The midwife I saw with DD1 and DS now is delivering there. Her office is very close to me, like 10 minutes away, for appointments. Again, my insurance would cover 100%
There are several CPM practices, with two or three midwives, that cover our area for homebirths. All with good reputations, and many, many years of service to women.
Or, I could go back to the freestanding birth center I had DD2. It's the furthest away, over 45mins, for appointments and delivery. It's also the most expensive option up front, but my insurance would reimburse about 60%, or they did with DD2 anyway, and nothing has changed.
I am really not sure what I want to do. For some reason, I feel a little more compelled to seek out a hospital birth this time. I have no idea why, but I have this inkling that maybe I should be in a hospital this time. It probably stems from DD2 being breech to 37 weeks, and scurrying about to get an OB consult, trying to figure out what we would do if she didn't turn. I felt scared by my lack of connection with an OB, that the hospital the midwives back up used was over an hour away. In the end, she turned, and everything was fine. And in fact, they considered me a good candidate for a breech birth because of my two previous uncomplicated births of big babies. Also, we are moving this summer, and we really need to replace DH's car with something he can transport four children in. We have a lot of upcoming expenses, and I'm struggling with choosing to incur the expenses when insurance literally covers 100%!
For now, I am seeing my CNM from my first two that delivers at the teaching hospital so I can get the first trimester follow up care I want, because of my losses. I will, assuming I transfer, due so at the end of the first trimester.