Thanks so much to members for being so supportive and gentle with me as I tried to be involved in this thread from my phone. I think stuff like this is one of the more stimulating parts of being a parent and I so much appreciate our members for being so open to discussing these topics. I do think that we all come to this type of information with our own bias but my experience is that HB mamas in particular are pretty open to new information.
Originally Posted by Jennyanydots
I'm following this discussion with interest. Currently 28 weeks pregnant with my 4th and planning my 2nd homebirth (first two were born in hospital). I've been sitting on the fence about another HB this entire pregnancy. I agree completely with cynthiamoon
about what drives many (including me) to seek OOH birth in the first place. I am very wary of having another hospital birth for fear that my wishes regarding treatment of the newborn will be ignored and met with resistance. My DD2 was vaccinated and given abx against my wishes in hospital, with the reasoning that because they couldn't find my medical records (I had preregistered with the hospital, THEY made a mistake) she needed to be treated as though I'd had no prenatal care and my demands were ignored. I remember all too well the hostile, disrespectful treatment we received.
Because of incompetent care by a MW (not my MW, but her back up) during my last delivery, I'm also wary of going the homebirth route this time. We switched to a different MW team, because although we thought our MW was great, she now practices with the MW we felt failed us. I am concerned because the nearest hospital that accepts HB transfers is about 20 min from us. Like Meepycat
I've also had a chance to experience slow ambulance response times. When I miscarried last fall I hemorrhaged and my MW called 911 for me. The first responders were quick, but the ambulance took almost 30 minutes to get to my house. This leaves me with very little hope for a quick transfer should we need one.
I feel like my options aren't great. This study adds food for thought.
Jenny, I had doubts about HB for my second birth.
With my first, it seemed every child development expert and everyone in the medical field was pro-HB. There wasn't the internet - just classes, text books and magazines and the library.
I had a transfer (we drove so I have little experience with waiting for an ambulance) and my hospital experience was so-so. Not bad but not this wonderful thing either. My MW for that birth wasn't a great fit for me. She just wasn't able to give me the incentive I needed to dig down to what strength I had left to get my baby out. But, she advocated for me wonderfully in the hospital and even performed uterine massage and I believe prevented me from a major complication - this to the gratitude of the OB who didn't spot the problem (even with me telling her something was wrong, sigh). Looking back on that birth I do think I would have a c-section and, although not the worst thing by any stretch, I'm very happy to have avoided one by beginning my birth at home. I also had some pressure about vaccinations, some concern over my baby being "too big" (she was only 9lbs) and some curd after the baby was born.
BUT, with my second (third with miscarriage) pregnancy, I felt my mortality as a mother. I worried about complications and how dealing with that would be too much for my first child. There was also the internet and all the skeptics and stories...
And, I didn't like the local CNM and chose a CPM (in a state that did not recognize CPMS). She was a good fit for me because I was confident and familiar with birth. The way she was with me would not have been a good fit for another mother but I'm not sure if she would have been the same with a new mom. This MW was able to really guide me through birth (I have a long 2nd stage, or I did for both births). But, a few times through the pregnancy I made it clear that I was not going to let any issues of legality get in the way of the safety of me or my child. My research at the time indicated to me that the biggest short-fall of HB is in infant care following birth so I was especially cautious during that period (was sure to see a pediatrician and do all my post-natal visits).
I dislike how clueless I seemed on this thread regarding apgars. I do know what they are, of course, but having a child born with low scores, a zero at 5 minutes seems crazy bad news. And, I don't know what to make of the study, honestly. I think this forum should be a safe place for us to toss around a few "but waits" without being labeled defensive or whatever... and it should be a safe space for us to really try to understand this stuff and help each other.
I will say that I didn't go into either of my births thinking that HB was "safer" than hospital birth. I went into both factoring in a lot of things. I sort of cringe when I see people boldly say that "HB is way safer than the hospital" but I also cringe at the strong opposition to HB that comes from ignorance.
I don't think a lack of comment on this study is indicative of anything... I don't know the medical and midwifery establishements well enough to know what the norms are with this. As far as I can tell this study is floating around on mostly skeptic sites.
But, I do hope to read more about it. I really appreciate articles about studies and will often read every "side" about a study. I love science but am humbled by what I don't know or don't quite understand. Another reason I so appreciate discussions like this one.