Can someone list reasons why someone *shouldn't* have a homebirth? - Page 2

[applejuice]

Originally Posted by Apricot

You shouldn't have a homebirth if you don't want one.

Bingo!

[Artisan]

Originally Posted by pamamidwife

The Bradley Method as it is currently is one thing, but the book by Dr Bradley, Husband Coached Childbirth (especially the earlier editions, of which I have a copy), is full of misogynistic belief systems around women - including the fact that women PREFER to have an episiotomy and that it's not a big deal.

Whatever the Bradley Method is today is a far cry from how Dr Bradley originally spoke and taught. He may have been responsible for bringing fathers into the birth room, but he wasn't exempt from being a sexist pig! :LOL

I just finished this book and was quite shocked at many of his attitudes -- like that in a perfect world only 50% of women will need episiotomies.

[rustysmaus]

Originally Posted by Lisashepp

Would it be sensibe if the cyst is big or may be a problem to have my Dr follow just that, and have the midwives do all my pre-natal?

I had a couple of Dr. appointments during my last pregnancy, and other than to confirm that I was indeed pregnant, he never mentioned it, which made me really happy since we were doing our own prenatal care for our 2nd UC. I was expecting to have to justify our ideas and was really happy that it wasn't an issue.

~Laurie,
Wife to Rusty,
Momma to
hospital birthed ds 11, ds 10, dd 8,
c-section birthed dd 7, and
UC birthed dd 22 mos, and ds 10 mos.

[doctorjen]

I don't think an ovarian cyst, unless it was truly huge and possibly affecting baby's position, should rule out a homebirth. We see them all the time on ultrasound early in pregnancy and usually they don't matter at all.
I also had a mom/baby with velamentous insertion of the cord last year. It is one of the reasons I've become very reluctant to rupture anyone's membranes. This lady's membranes ruptured spontaneously at some point (we were never sure when later, as we didn't notice, but suspect it was on the toilet late in labor). The mom pushed out the placenta on her own. I was shocked to see the vessels running through the membranes about 10 inches before the placenta! In one area, the membrane had sheared away from a vein and the vein itself was exposed. How truly scary if I had hooked that with an amnihook! As it was, mom and baby were both just fine, and I learned another reason to leave things alone.

[amyro]

I am a midwife and also had a home birth in July. My own midwife's answer to the original question was that a person should not have a home birth if there is some thing or person that is only available at the hospital that would make for a safer birth. Obviously, this doesn't include many things. (Just stuff like prematurity, certain congenital anomalies, fetal distress, severe high blood pressure, etc.)

The ovarian cyst would not change the management of a vaginal delivery, so there is nothing you would have access to at the hospital that would make that a safer delivery. And being at risk for GDM is defiitely not a transfer criteria. Even diagnosed GDM is often over-diagnosed and shouldn't change the course of the birth itself. (It just might make for stricter nutritional requirements in the pregnancy.)

On another note, I had a velamentous insertion with my daughter (born at home). I was initially spooked, thinking all the "what if's". But then I realized that nature had its own plan for my birth, which was for the water to break before labor began. I realized I would have been a lot worse off if I had had a hospital birth with an interventive provider - possible rupture of membranes, pitocin, and active management of the third stage, all of which could have caused life-threatening emergencies for baby or me. I was way better off at home!

[teachermom]

I had gd with my third baby and ended up with a hospital delivery (my only one) but only after I was put on insulin.

I had a very low lying placenta with the second babe and hemmoriaged after the birth. my midwife massaged the uterus, gave me a shot of pitocion, and put me on an iv for the night. all was fine and I felt safe the whole time.

I think the only good reason for not having a home birth is if you do not feel comfortable having one.