Originally Posted by jackieslilpie
I would be terrified that something would go wrong and I just couldn't live with myself if I lost a child due to my choice to homebirth or even to birth in a birthing center.
this is a scary idea, that a mother's choices could affect her child living or dying.
But you must must must ask yourself the complete questions, to get decent answers for your decision-making process.
How could you loose a child due to a homebirth choice?
Think of all the scary scary ways that scenario could happen....see if you can articulate that fear and worry so you can get some answers to your questions. Post them here, ask homebirth midwives you want to interview (we asked the 3 midwives we interviewed what they do concerning meconium-stained water, cord around the neck, etc.)
think very carefully about what the hopsital does truly offer a laboring woman and her newborn child. You have correctly pointed out that hospital procedures have little to do with ensuring a natural, nonmedicated birth.
What else do hosptials do? Is it possible that they are risky places--the 30.2% cesarean rate comes to mind, meaning, 1 out of every 3 pregnant woman who walks into the hospital is wheeled out in a wheelchair, post-op.
I am a conservative person--a worrywort, and anxious. I choose homebirth for my second birth because after doing the research, and getting the cultural "hospital = birth" nonsense out of my brain, I felt it was safer.
I feel it is less safe to labor at a hospital, with monitors strapped to my belly transmitting data to a montior at the nurses' station down the hall, in contrast with a homebirth midwife, who is the primary care provider (not "just the L&D nurse") with her hands ON my belly, her ear to the fetoscope or her hand on the doppler, listening. Right there, taking in all the data--my contractions, my face, my belly, my baby's heart tones.
That is the type of care that I think is safe, because I think that labor is the time when "problems" will occur during childbirth.
What if the baby's heart rate is flucuating? who will notice that first--that midwife with her face next to my belly at my house, or someone who's clocked-in at the nurses' station at the hospital?
Then--what will they do about it? the homebirth midwife will encourage position change (to get baby off the cord, for example) whereas a L&D nurse needs to consult with the care provider (she can't make a decision) and what will that care provider decide? position change? or c-section?
And what if at home, heart tones were nonreassuring--then you'd go to the hospital....what is the amount of time that elapses from 1st nonreassuring heart tones noticed to baby removed from womb via c-section for a homebirth transfer? how does that time frame contrast with the amount of time that elapses in a typical hospital scenario? Is it possible that both scenarios could be about 30-40 minutes? would the OR prep happen while you're in the car driving? is time a factor here, or not? A question whose answer might help you make your decisions.
Also, as far as post-partum hemmorage is concerend: yes, that is what kills women. A woman will bleed to death within an hour.
So--absolute worst-case scenario, you're 30 minutes from the hospital, if that baby flies out of your womb after a 40-minute labor (it could happen) and you start bleeding uncontrollably, you could get to an ER and get a shot of Pit or whatever, and the bleeding could be stopped.....or if not, emergency surugery could be performed to remove your womb (a last-resort effort!) to save your life.
But then--what about the factors that contribute to post-partum hemmorage? Number 1: cord traction, meaning, when a care provider pulls on the umbilical cord, in an effort to deliver the placenta after the baby is born.
Another factor: Pitocin use during labor. Many, many hospital labors are augmented with Pitocin.
Both of those factors that contribute to post-partum hemmorage are not present in a homebirth situation. That is interesting--this idea that the hospital staff could cause
problems, in addition to just being in the way of a nonmedicated noninterventive birth.