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Anyone thinking about homebirth? - Page 3

post #41 of 72

I want a HB but my insurance doesn't cover it, so it would be $6,000 out of pocket. The cost to me for a hospital birth is $500. Before my first birth I even went so far as to write our CEO citing all the studies showing HB is safe and much cheaper for the health care system. No dice. DH's plan does cover HB but the monthly premiums are hundreds more than my insurance. If I had a November or December EDD, I would switch to DH's plan on the day of the birth, then switch back to mine during open enrollment, but since that's not the case, not sure what I'll do. I'd really like to have one though. The beds at the hospital are so small and high.

post #42 of 72
I've had 6 uneventful unassisted home births. I think I'll hire a midwife this time though, whether I'll actually call her for the birth, I'm not sure. But I'd like the option of someone to call.

Kathy
post #43 of 72

My last homebirth was incredible and we are planning on another.  I am also switching midwives this time because we moved.  We have an interview with a midwife next week and I'm crossing my fingers that she will be the one!

post #44 of 72
Thread Starter 
Quote:
Originally Posted by JessicaHW View Post
 

I want a HB but my insurance doesn't cover it, so it would be $6,000 out of pocket. The cost to me for a hospital birth is $500. Before my first birth I even went so far as to write our CEO citing all the studies showing HB is safe and much cheaper for the health care system. No dice. DH's plan does cover HB but the monthly premiums are hundreds more than my insurance. If I had a November or December EDD, I would switch to DH's plan on the day of the birth, then switch back to mine during open enrollment, but since that's not the case, not sure what I'll do. I'd really like to have one though. The beds at the hospital are so small and high.


I always pains me to hear that $ is what holds a woman back from birthing the way she wishes, especially as you say that it is actually cheaper for the system.  I cannot believe that NJ midwives ask that much  money, whoah!  I live in rural VT and no one has high income around here, so I guess that the midwives charge a fee within the reasonable range and most offer a sliding scale or do barter for part of their services.  I would think a midwife would try not to turn anyone away for lack of funds.  Sorry mama.  Sounds complicating! I wish it were simpler :(

post #45 of 72
I'm planning my 6th home birth (first baby was in the hospital). Our insurance covers everything and I'm so grateful for it.
post #46 of 72

Our insurance is changing in January, and I discovered that for once, home birth is the less expensive option! Even though I'm pretty sure insurance is hardly going to pay any of it. Like, they might pitch in like $100..umm..thanks? I was pretty miffed (and, well, still am, lol) that in WA, vbacs are not covered by insurance if they occur out of the hospital. Its dumb political nonsense, really. Its because of malpractice ins. companies in WA not covering out of hospital vbac, and then health insurance can't cover something that isn't covered by malpractice. But, prenatal and postpartum care is covered. My mw requires the birth fee ($2500) paid in full by 34 weeks. Well, the full fee is 3500, so that leaves $1000, then the deductible is $750, and then, insurance only covers 50% of maternity services! sheesh. So, I'm pretty sure once its all said and done, darn near everything will be OOP. But it sure as heck beats paying 50% of a hospital birth! Yuck!

post #47 of 72

I am also planning my second home birth!  My first child was born in the hospital and was a nightmare.  My second child, three years later, was born at home with a wonderful midwife assisting.  For us, there is just no contest b/w hospital and home birth.  Part of our decision has to do with the local hospitals now allowing water births.  It is ridiculous, but that's their policy.  There are one or two that do have large tubs to labor in, but if the mom is over 200 lbs she is not allowed to use it, and under no circumstances is the mom allowed to actually deliver in the water.  A water birth is pretty much a necessity in my case as I have a herniated disk that hurts like the dickens during labor!  As long as I was in the water with my second child, the pain was completely manageable (felt more like pressure most of the time with some low-grade pain).  When not in the water, I felt completely out of control with the pain. 

 

We, too, will not have access to the midwife we used last time.  She will be with her daughter delivering her daughter's baby when we are due.  I am so disappointed!  But, we are pretty pleased so far with her replacement.  Our new midwife actually trained with our old midwife for many years before gaining enough experience and attending enough births to be ready to start her own practice.  So, I'm pretty happy!

 

Our insurance has a high deductible ($3k), so we would be paying a lot out of pocket anyway.  Our last home birth cost us a little less than $2k and that included everything - birth tub, various supplies, midwifery services, follow up appointments, etc.  She offered discounts based on annual income and was flexible in setting up a payment plan.  Since she practices out of her home office, she doesn't have the overhead of midwives with an office.  And, I have to say I liked going to her home for most of my appointments.  It was a beautiful drive, her home office was warm and inviting, and it just felt so personal and friendly compared to an office.  She was always on time, except perhaps once when another appointment ran over by just a few minutes.  Compare that to my OB and hospital experience where I had to wait up to 90 minutes for my appointment, got to see my dr for 5-10 minutes (instead of the hour with my midwife), and paid over $3,500 for my hospital birth plus a few co-pays early-on.  So, there is just no contest to me! 

post #48 of 72

We will be looking into the option of home birth too. The birth center I have chosen offers not only births there but also 2 of their midwives do home births. They also have the option of hospital birth with them available. I am a land birther as well. Just cannot see myself doing a water birth. I like the idea though giving birth at home and afterwards just staying in my own bed without the need of being transferred to a hospital room and all these check ups with docs etc. I just want quiet time and I want my kids to be able to see me and be with me and the baby right away. Sounds like I have made up my mind already. I really hope this option will be available closer to the due date as it will depend on the baby's position. I will have to check with my insurance though but I think we would have to pay $ 350 for the midwife to be on call. Everything else gets covered. I am looking forward to giving birth again. The only thing I am terribly afraid of is the need of a c-section. I don't mind the labor or anything else.

post #49 of 72

I would LOVE a HB or even a birth center birth.  With our 2 oldest we had them at the hospital, which was awfully inconvenient.  I had no complications and had good nurses and my OB attended both.  Hubbs and I just hate the hospital experience.  However, my hubby's mother is an operating room charge nurse so he tends to be much more medically minded than myself.  There are two MWs that deliver at the hospital but I went to see them for my last pregnancy that ended in m/c.  I will never go back there, ever :(  It was the most uncaring OBGYN I've ever heard of or experienced.  So, that leaves me with finding a naturally minded OB or a HB or BC.  The BC here in town is about 10 minutes away from the hospital, so it's not an automatic choice for my hubby since most BC are attached to hospitals.

 

I did call a naturally minded OB early this week and the ARNP for the OB is 5 weeks out.  I'm not satisfied with waiting 9 weeks to finally meet the OB.  I told my hubby this and he seemed more open to a HB.  He confuses me, haha, but I'm praying he changes his mind since I'm a good pregnant lady/laborer.

 

I have many friends who have had numerous HBs sucessfully.  My hubby is hung up on the stats of HBs.  Since MWs are not required to report live births, the stats look horrendous (at least all the stats he found on Google).

 

Our city has grown leaps and bounds in the past 5 years in the HB community.  There are probably 20+ MWs that deliver HBs for a city of 300,000.  I feel blessed that I wouldn't be stuck with someone I didn't feel comfy with like the OP.

post #50 of 72

I am hoping to have a home birth. I had a hospital birth with my first child 13 years ago, then a home birth with my second, 11 years ago (it was supposed to be a water birth but I couldn't drag myself away from the birthing ball by the time the tub was filled.) 

 

I live somewhere now where there's only one person (a CNM) who does home births and only very selectively. I am very fortunate to know her (she's great) and really hoping that she will take me on (it depends on my due date - she may be traveling.) We have no birthing center here so it's either a home birth or a hospital birth.   

post #51 of 72

I'm excited to say that after three hospital births, my fourth baby will be born at home! DH and I had our first appointment last night. We live in a rural area and had only one MW that would travel to us. Thank goodness we totally hit it off!. She lives 2 hours from our house, but at this point I'm the only client she has due in July. So I'm not too worried about her making it to the birth on time. And really, it's my dh that has the most responsibility if that were to happen, and he's confident in his abilities if that situation were to come up. :)
My main stress for our HB, is that my mom and MIL are of the mindset that birth belongs in the hospital. They are more natural leaning than some people, but I'm still a bit nervous to tell them our decision. They both live a couple hours from us, and at 13w today, I think it's a conversation I should have in person. Though dh did mention it to his sister a week ago and she said "Isn't that risky!!!" I'm thinking she might mention it to her mom. Which I wouldn't mind- it'd give my MIL time to process and I don't have to see her first reaction. So currently, I'm doing some research and watched "The Business of Being Born," to get some facts and talking points to have with any skeptical family members and friends.

We'll be borrowing a birth tub from a friend, though because I have very fast deliveries (meaning, I hardly push and the baby pops right out) my MW and I decided last night that we're not sure we'll actually birth in the tub. But laboring in the tub sounds amazing! LOL. My last two births, the doctors didn't have time to get their scrubs completely on before the babies were out! For my 2nd, my doctor just laughed and said it was wonderful and so exciting. That's why he loves what he does. Plus, my cousin and her baby had just done the same thing to him just hours before. :rotflmao

post #52 of 72

We're officially homebirthing. I found an amazing hands-off midwife who has other homebirthing-with-her mothers who will join her at a labor if the laboring mother wishes. I'm absolutely ecstatic, although a bit out of my element when it comes to the relaxed baby-catching, as I was expecting something like a contract or explicit guidelines and requirements/obligations list. This midwife has no such thing, but a community of women who adore her. I can't wait for our first prenatal.

post #53 of 72

I already posted about us planning a home birth but had a few things to add. We met our midwife and she seems really nice. Theres the language barrier a bit for me, as my French is not wonderful by any means, but DH will be there as a translator and I think think will work out fine as the midwife as a very comforting demeanor and is one of the only ones that does hb in this part of the country anyways. My mom may attend, we aren't sure yet if we would rather it just be us and the midwife or if an extra pair of hands (and support) might be nice. DH is completely on board and for the most part, our families reactions have been good. Both of our moms were okay after we explained our reasons for wanting a hb and letting them know that the hospital is 10 min away in the case of anything unforeseen happening. Its DH's dad who is giving me a lot of grief....we haven't actually even told him that we're planning a hb yet but I told him yesterday that I wasn't going to opt for an epidural and he went on this huge 20 min spiel about how there's no reason to go back to the middle ages, how birth could be a peaceful experience with medication instead of suffering, how its useless to labor out of bed, how women always change their minds once the labor really starts, how episiotomies were just about the greatest thing ever, etc etc. DH told him we were using a "sage femme liberale", a midwife that delivers outside of the hospital and he asked if she was from Africa...so yeah, not the best experience ever and that's with him still assuming that we are planning a natural hospital birth. He recently retired as the director of the trauma center at his hospital and had tons of people on hand for DH's birth ( a resuscitation team, 2 OBs, etc.) I'm making a concise list of our reasons for hb and hopefully DH can explain it to him in a way where at least he'll stop the fear mongering.

post #54 of 72
Quote:
Originally Posted by lacicolleen View Post
 

I already posted about us planning a home birth but had a few things to add. We met our midwife and she seems really nice. Theres the language barrier a bit for me, as my French is not wonderful by any means, but DH will be there as a translator and I think think will work out fine as the midwife as a very comforting demeanor and is one of the only ones that does hb in this part of the country anyways. My mom may attend, we aren't sure yet if we would rather it just be us and the midwife or if an extra pair of hands (and support) might be nice. DH is completely on board and for the most part, our families reactions have been good. Both of our moms were okay after we explained our reasons for wanting a hb and letting them know that the hospital is 10 min away in the case of anything unforeseen happening. Its DH's dad who is giving me a lot of grief....we haven't actually even told him that we're planning a hb yet but I told him yesterday that I wasn't going to opt for an epidural and he went on this huge 20 min spiel about how there's no reason to go back to the middle ages, how birth could be a peaceful experience with medication instead of suffering, how its useless to labor out of bed, how women always change their minds once the labor really starts, how episiotomies were just about the greatest thing ever, etc etc. DH told him we were using a "sage femme liberale", a midwife that delivers outside of the hospital and he asked if she was from Africa...so yeah, not the best experience ever and that's with him still assuming that we are planning a natural hospital birth. He recently retired as the director of the trauma center at his hospital and had tons of people on hand for DH's birth ( a resuscitation team, 2 OBs, etc.) I'm making a concise list of our reasons for hb and hopefully DH can explain it to him in a way where at least he'll stop the fear mongering.

That sounds horrible of him :( I'm not sure there is any convincing him, but putting your (or hubby's) foot down and telling him to mind his own business sounds in order! Hope everything smooths out.

post #55 of 72
Quote:
Originally Posted by lacicolleen View Post
 

I already posted about us planning a home birth but had a few things to add. We met our midwife and she seems really nice. Theres the language barrier a bit for me, as my French is not wonderful by any means, but DH will be there as a translator and I think think will work out fine as the midwife as a very comforting demeanor and is one of the only ones that does hb in this part of the country anyways. My mom may attend, we aren't sure yet if we would rather it just be us and the midwife or if an extra pair of hands (and support) might be nice. DH is completely on board and for the most part, our families reactions have been good. Both of our moms were okay after we explained our reasons for wanting a hb and letting them know that the hospital is 10 min away in the case of anything unforeseen happening. Its DH's dad who is giving me a lot of grief....we haven't actually even told him that we're planning a hb yet but I told him yesterday that I wasn't going to opt for an epidural and he went on this huge 20 min spiel about how there's no reason to go back to the middle ages, how birth could be a peaceful experience with medication instead of suffering, how its useless to labor out of bed, how women always change their minds once the labor really starts, how episiotomies were just about the greatest thing ever, etc etc. DH told him we were using a "sage femme liberale", a midwife that delivers outside of the hospital and he asked if she was from Africa...so yeah, not the best experience ever and that's with him still assuming that we are planning a natural hospital birth. He recently retired as the director of the trauma center at his hospital and had tons of people on hand for DH's birth ( a resuscitation team, 2 OBs, etc.) I'm making a concise list of our reasons for hb and hopefully DH can explain it to him in a way where at least he'll stop the fear mongering.


Sounds like your FIL is an aweful person. Sorry, but stating that episiotomies were the greatest thing ever just gets me over the top. That is mutilation at its finest. Sometimes it might be necessary but until recently just about every woman had one just because now the docs reverted to C-sections. Don't let your FIL get to your birth planning too much. I am pretty sure he is not the person you would like to have attending your homebirth. Heck, I would not even tell him much. Let him believe you are delivering in the hospital.

post #56 of 72

Just reading through this, and thought I would mention that money should never be the reason for not planning the birth you want.  There is always a way.  Midwives are usually very very very kind (I think too kind) about lowering their fees and making payment plans.  They are also open to taking credit cards usually.  I've also seen an increase in people using crowdfunding to get the money they need for a midwife through sites like gofundme.com and kickstarter.com . I don't doubt that there are times when it really isn't possible, but there is almost always a way if you are willing to meet with midwives, be frank about your financial situation, and be clear about how much you really want to have a homebirth with both the midwife and your friends, family and communities.   I would never turn someone down for lack of funds, unless we were a bad match and I didn't think she was dedicated to the plan.

post #57 of 72
Thread Starter 
Quote:
Originally Posted by Margo Nelson View Post
 

Just reading through this, and thought I would mention that money should never be the reason for not planning the birth you want.  There is always a way.  Midwives are usually very very very kind (I think too kind) about lowering their fees and making payment plans.  They are also open to taking credit cards usually.  I've also seen an increase in people using crowdfunding to get the money they need for a midwife through sites like gofundme.com and kickstarter.com . I don't doubt that there are times when it really isn't possible, but there is almost always a way if you are willing to meet with midwives, be frank about your financial situation, and be clear about how much you really want to have a homebirth with both the midwife and your friends, family and communities.   I would never turn someone down for lack of funds, unless we were a bad match and I didn't think she was dedicated to the plan.


I second that!  We never turned anyone away due to lack of funds.  Barter can be really practical in many ways.  We all have something to offer.

post #58 of 72

Is anyone here considering Unassisted Homebirth? or just having a doula and no midwife? 

post #59 of 72
Quote:
Originally Posted by Mirka View Post
 

Is anyone here considering Unassisted Homebirth? or just having a doula and no midwife? 

 

We are planning our sixth UC birth. Would having a doula make it an assisted birth?

post #60 of 72
Quote:
Originally Posted by ElektraofMars View Post
 

 

We are planning our sixth UC birth. Would having a doula make it an assisted birth?

No, they are not medically trained. It's basically like having your best friend there who's seen a lot of births :)

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