Mothering › Forums › Pregnancy and Birth › Birth and Beyond › Homebirth › Husband *again* thinks spending $$ on homebirth is a 'luxury' we can't afford. Update #69
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Husband *again* thinks spending $$ on homebirth is a 'luxury' we can't afford. Update #69  

post #1 of 84
Thread Starter 
We went round and round about this last time as he doesn't see the big deal in using our insurance to hospital birth.

I feel totally crushed. It was all we talked about in therapy last night. I was even throwing the imaginary figure of $200/monthly payments (cuz really have to make payments or this won't be working regardless) and even that much per month he was balking at (and really we COULD afford that, might have to readjust our budget to limit some random spending, but its *doable* as far as I'm concerned).

I was even snapping at our therapist last night, I mean she doesn't know a thing about homebirth and was just trying to understand and see if we could compromise somehow but I just felt so attacked. Matt doesn't understand why I can't have a natural hospital birth. He was challenging me about how *could* I know that my uterine and rectal prolapse was caused by kaiser (um lets see pitocin=hard contractions, mag. sulfate=lots of vomiting, flat on back=worst position to push in... so yeah pretty sure that the massive puking and therefore Orion flying out of my vagina without even turning his shoulders to deliver was the cause of the damage and that it's pretty likely that a homebirth wouldn't have the same thing happen).

I felt guilty saying that I felt like I was raped at the hospital, I don't like using that word lightly, but the entire time I was there it was just invasion and violating and horrific. For no fucking reason! He doesn't *get* that doctors and nurses don't have anything invested in me getting a natural birth. And really in that environment I would be stressed and upset and that would be stalling my labor. I can't even imagine now that I'm faced with panic attacks how that could affect things if I'm stuck in a hospital. I'm petrified of being the 10% who get risked out of homebirth and NEED to go to the hospital!

And I'm totally confused on top of it all. We come home, don't talk about it until like 11pm when he's asking for nookie (this totally pissed me off, like you don't SEE that I'm barely holding together over the argument in therapy?!) and I'm in bed turned away from him silently crying and when I bring it up again then he's all trying to find solutions (but um no, I can't just ask a midwife to attend the birth and no prenatal care and get a discount) and then was saying that he would LOVE to be able to have a homebirth happen for me, and that being able to do that could be a big turning point in my life (duh! Me? Who feels disimpowered and like I have no choices and feel weak because of that? Would you think a successful homebirth might help me feel a little stronger?? Naaaa!), but we have to see if we can make it work.

Well which is it??? Which way do you feel Matt?? If $200/monthly is going to be too much for your comfort then there is not a chance in hell I'm going to find a midwife to do this for less than that! So I was trying to get clarity on that and really couldn't. It seems like to him this is a luxury item, he'd *love* to give it to me, but if its going to make us tighten our belts and make less money for awhile it just doesn't seem worth it to him. I on the other hand would be taking a second job to cover it if I thought I could handle that (but no I couldn't, 55 hours a week with the daycare kids plus time outside of that for cleaning/buying groceries ect wipes me out). I've been trying to think of alternative ways to make money and save money to help out.

And really I'm deeply hurt that we have to spin around the subject again. Matt SAW the hospital birth, Matt saw how it affected me, he hears me talk about the horrible experience even now and still all this. If almost 5 years later it still makes me want to cry to think about it doesn't that mean something? My milk didn't come in. I was severely internally damaged in a manner that affects me daily. He was convinced that I was going to die and was crying so hard his mom had to bring him to the hospital. And he still doesn't get it! It'd be 'nice' to have a homebirth to him. Just 'nice'.

Even if I presented to kaiser as late in labor as I felt I could I would *still* end up with lots of interventions. Obese women have a 1 in *2* rate of c-section. They weren't happy with the readings on the external monitors and have to break the water to get internal ones in, and this isn't going to be different this time. Broken water + stuck laying flat on a bed = CAN'T FUCKING COPE Contractions. Equals epidual. Equals slowed labor. Equals pitocin/more pitocin. And hopefully it doesn't stress the baby too much and we need an "emergency" c-section. I know I'm preaching to the choir here but I'm not off in la-la land about the chances of NOT having a natural labor in the hospital. And seriously the two days I stayed there after he was born was just as horrible as the birth. Being poked every 2 hours, the horrible rooms and beds and the nagging about breastfeeding *too* much and coming into my room everyday to ask about circ'ing, it was awful!

He even said "well maybe the next child when we plan for them". But he knew I was going to fight for a homebirth. He knew before I was pregnant. When Orion was a baby I was saying that no chance in hell I'm going to the hospital if I don't need to with the next one. He even brought this up in therapy. So... perhaps if he KNEW if I got pregnant that we'd have a big expense of a homebirth.... well maybe he shoulda worn some protection when we had sex (this little babe is very loved but very unexpected).

I've briefly thought of UC'ing, but don't feel comfortable with it. I don't see Matt being a source of strength during birth without someone there to assure him that all is well. The first "I can't do this" out of my mouth and he'd have a bag packed in 5 minutes to go to the hospital. I really don't see any other compromise between Go-To-Hospital and Have-A-Homebirth. Our therapist thinks we can find a compromise but I don't see it.

And I wanted to slap him when he was talking about how *he* doesn't have any choice in the matter. I flat out told him HE wasn't giving birth. He said 'the child is half mine' and again I said HE wasn't giving birth. He has no health concerns over the safety of homebirth, so I don't get the baby being half his has a *thing* to do with it. It comes down to money, plain and simple. He even suggested CANCELLING our health insurance and just paying for the midwives instead! What?!?! What about Orion or me or him needing a doctor? What about if I risk out? "Oh well then the midwives can do whatever the doctor would do" That's not how it works and if you'd been paying any attention to all my ramblings about birth and midwives you'd KNOW that!

I seriously am just rambling on now here. I'm just so angry and upset and so very very hurt that he doesn't *get* it.
post #2 of 84
I don't have time to type as much as I want, but you work and have a salary. Plan the homebirth, cut your own expenses to the bone and find a midwife to do payment plan with you and just do it. It is totally worth it and I am of the no vagina, no vote camp. My husband wouldn't dare suggest I birth in a hospital. We haven't paid for our last birth yet, but we are working on it.
post #3 of 84
My first birth was a hospital birth and I know exactly what you are talking about. I have also had 2 home births and am planning on a third. There is absolutely nothing luxurious about home births. To me it is a physical and emotional necessity. I wouldn't compromise with him on this. You need to make it abundantly clear that this is something that you need. You could always ask your husband how he would feel if somebody started yanking and pulling on his scrotem without asking and wouldn't stop no matter how much it hurt or what he said.


Here are some things to ask yourself and consider:

1. From the sound of your post, I am not sure whether or not you have started contacting midwives. You need to start calling all of the midwives in your area. Explain the situation to them and see if they can offer you any help. You would be amazed at how many of them are willing to work with you on a payment plan. My midwife has been known to let me work off some of the fee.

2. How good is your insurance? Do you have to do copays? If so, add up all of the copays and miscellaneous fees to see what you come up with. When I was in the position of choosing between insurance covered and midwife, I did the math and found out that using a midwife wouldn't be that much more expensive than using the insurance. Most men respond well to hard facts.

3. Are you certain that there are no midwives that will take your insurance at all? My midwife will bill insurance companies as out of network. Sometimes she actually gets them to pay.

4. Do you or your husband have any hobbies? When I was considering using the hospital, we took a long hard look at our hobbies. It turned out that my husband has some hobbies that could be put on hold in order to save a few dollars here and there. Why was it that he could spend money on guitar equipment yet I was agonizing over whether or not we could afford a home birth. I would look very closely at my budget and I would try to identify your husband's luxuries even if it is just eating out all the time.
post #4 of 84


Let me preface this by saying that my suggestions are for his comfort, and not conditions upon which you get to birth out of the hospital. It sounds to me like you should absolutely not birth in a hospital, especially not the one you birthed in before, unless actually medically necessary.

My first question is, have you called and asked about payment plans? Is it possible you could find someone who would accept $100/mo?

Second, what about a birth center? My insurance covers birth centers, but I don't think they cover home birth.

Also, if you live near a state border, your insurance might cover different things in that state, because each state has different insurance laws. For instance, when I lived in VA, I'd go to see a naturopath whenever I'd come home to WA for a visit, because WA laws requires them to be covered, but VA doesn't. So my insurance didn't cover any NDs in VA, but I could see them if I was in WA. So if you can drive to another state in <45min, and there's a midwife with a birth center there that your insurance covers, that might work.

And finally, if you must have a hospital birth, there are ways to avoid that hospital, even with Kaiser. If you "just happen to be visiting a friend," and are too far from Kaiser when you go into labor, whatever hospital you "can get to" has to take you, and if you're too far along in labor, and they can't safely transfer you, then Kaiser will pay for your birth. Of course, the big downfall to this is that you won't be able to have the doctor you have built a rapport with, but it doesn't sound like they're very good anyway. So, investigate which hospital you want to "accidentally" have to go to, and keep copies of your medical records with you (you know, in case of "emergency" ) But don't do this if you're hospital birthing for medical reasons, because you'd need your doctor who knows your medical history.

But seriously, I'd do whatever I could in your case not to hospital birth again.

And if you do have to, make some individual appts with your therapist (or one who is more understanding of birth issues than this one sounds like), in order to help you through your birthing trauma. It sounds like you have some mild to moderated ptsd-type effects from your last birth, and you don't need that added stress stalling your labor.
post #5 of 84
Thread Starter 
Yeah, I have been cutting my expenses, but unfortunately he hasn't. He's making huge lifestyle changes, which is wonderful for his health but not so much for our wallet. But I always thought that this is really important to him, and something he really needs, and made it work. I'm really crushed that the same isn't true for my needs.
post #6 of 84
Thread Starter 
Yes I am sure kaiser won't cover anything outside of their facilities, I did a lot of research with my first birth and have looked into things this time as well. They don't have or cover birth centers either. Kaiser is an all inclusive HMO, you can only see Kaiser Doctors and such. I've read about letters sent in saying they don't provide midwives/homebirth and therefore it should be covered, but haven't once seen any success doing that.

I have told him about hospital co-pays, but just called to verify, its $400 PER DAY, more than last time. And last time I was admitted on a monday, birthed on a tuesday and left late on thursday. If I had a similar experience it would be $1600. If I had a c-section and had to stay even longer? Even more. But I'm afraid he's going to say "but that MIGHT happen anyways if you have to transfer".

And I'm afraid I'm in the bay area of Ca, not close to other states... and going to a different hospital won't matter too much I don't think, I'm pretty sure if I don't refuse GTT testing I'll be positive (which is crap, I tested positive last time and my sugars were always fine, my son was 7lbs 12ounces) and that's automatically via their system puts me into a high risk catagory. They had me coming in for the last month + for NST's 3 times a week, it was crazy. I'm not going to do dual care for long this time.

Corasmama, I am seeing a therapist, but unfortunately this is our 2nd session and we haven't clicked quite yet....

I'm afraid that my choice if I can't get him on my side is going to be standing up and demanding my homebirth, but its going to wreck havoc with our relationship. The repercussions of that is going to be blame for anything financial that goes sideways, constant questioning about do I *need* an assistant (for the daycare) do I *need* to not work for 6 weeks after the birth (with the assistant running it so I can stay open and not loose all my clients), do I *need* those popsicles at the store, do I *need* X for the baby, ect, ect.
post #7 of 84
Our midwife loves to barter, she has 7 kids and will work with you, just talking with her and letting her know the issue. They understand, hopefully you will find one that can support you emotionally and prenatally. Start off by reading Ina May's books and surrounding yourself with positive birth stories...unmedicated that is. Read into UC as much as possible you never know what tomorrow can bring. Big hugs and hope all works out well.
post #8 of 84
Thread Starter 
Yes I've told my husband about bartering, he's an expert with computers, woodworking, handyman house stuff, good with cars, I'm artistic and do portraits, bellycasting, ect. So I really want to see if that can cut the expense by a little.

I'm not comfortable with UC, partially because I don't think my husband is a capable support person without *his* own support person assuring him that everything is ok. The first minute I hit "I can't do this" land he would be packing a bag to go to the hospital. And I know I'm going to need a lot of support and a lot of "yes you can!" and knowing that everything is going ok to be comfortable and avoid panic attacks and such. I wish I was comfortable with a UC, that would really be a good middle ground, but inside I don't feel its a good choice for me.

Oh and I have been contacting midwives, its very frustrating, ones listed as working my area don't, it takes several days to weeks to get responses via email and as the children in my care don't know I'm pregnant yet I'm very limited on phone time I can use to call midwives.
post #9 of 84
Quote:
Originally Posted by StarMama View Post
I have told him about hospital co-pays, but just called to verify, its $400 PER DAY, more than last time. And last time I was admitted on a monday, birthed on a tuesday and left late on thursday. If I had a similar experience it would be $1600. If I had a c-section and had to stay even longer? Even more. But I'm afraid he's going to say "but that MIGHT happen anyways if you have to transfer".
What makes him so certain that you are going to transfer? Is he a doctor? Has he bothered to educate himself? I would be calling midwives no matter what. Midwives are really awesome and know how to address this sort of things. It sounds like your husband is letting his own fears get in the way of what is best for you.


Quote:
Originally Posted by StarMama View Post
I'm afraid that my choice if I can't get him on my side is going to be standing up and demanding my homebirth, but its going to wreck havoc with our relationship. The repercussions of that is going to be blame for anything financial that goes sideways, constant questioning about do I *need* an assistant (for the daycare) do I *need* to not work for 6 weeks after the birth (with the assistant running it so I can stay open and not loose all my clients), do I *need* those popsicles at the store, do I *need* X for the baby, ect, ect.
If you don't stand up and demand it, it will wreak havoc on your relationship. If you give in and get a hospital birth, you will forever resent him for it and it could end up causing even more stress and trauma in the long run. If you stand up for yourself and everything goes off without a hitch, you can stand back and smile. I realize that you are in a tough position but it sounds like you have already given up and resigned yourself to the hospital birth. It sounds like you are in no win situation no matter what choice you make so go with what is going to make YOU happiest. You have said that he has made some lifestyle changes that are good for his health. Ask him to give those up because you view them as luxuries. Marriage is a two way street and both of you have to do some give and take.
post #10 of 84
I see by your signature line that your new little person is coming in December. The highest rate of c-sections is in December (docs like to be home with their families for the holidays too). Some hospitals have rates above 70% on Christams Eve. I would avoid a hospital birth in general, but especially one that is likelier to result in a c-section. What would that do to your childcare business? Can you afford not to work for 3 or 4 months or longer if there are complications or the road to recovery is rough? Homebirth makes more financial sense to me in order to avoid the costs and risks of a December hospital birth.
post #11 of 84
Thread Starter 
Library lady I have definately thought of the flip side too, of giving in. I know I would totally see it as HIS fault anything that happened against my plan at the hospital. I'm really upset about everything right now, but I totally 100% am NOT giving up on the homebirth. I'm very upset about what it might do to our relationship if I can't get him on my side, but I will NOT be having a hospital birth barring complications that require me to be there. I WILL be having a homebirth. I WILL be seeing a midwife for prenatal care after I finish with the expensive blood work and u/s and such with kaiser, so around 20 weeks. No worries about giving up on that here

Ohhh Ann I didn't even *think* of that! I'm due on the 19th, but who knows of course.... I could even see pressuring for induction at that time just so they have one less woman laboring closer to the holidays. Thanks for that little piece of ammo
post #12 of 84
ask him why he thinks your reproductive system is a "luxury". really, what is the price of our pelvic floors..b/c they get pretty battered in alot of hospital births.

i dont think its ever "easy" to shell out thousands of dollars for a MW for most ppl when they have insurance that would pay for a hospital birth (at least it bugs the crap out of me) but still..its much much better than the alternative.

GL...
post #13 of 84
You're the one giving birth.Find a mw you like who can work with you and have a wonderful hb!
post #14 of 84
Thread Starter 
Yeah and my pelvic floor was damn battered last time. Uterine prolapse, its improved with physical therapy but my cervix was actually outside of my body for over a year. Rectal prolapse, its hard to go #2 and frequently I have to stand and sit, stand and sit to finish. Its a huge HUGE impact in my life, self-esteem, ect.

And yeah that's a big part of his whole issue. We pay over $700/month for health care. I WISH it covered midwives, but it doesn't. He feels like we're spending money twice now.
post #15 of 84
Quote:
Originally Posted by StarMama View Post
Library lady I have definately thought of the flip side too, of giving in. I know I would totally see it as HIS fault anything that happened against my plan at the hospital. I'm really upset about everything right now, but I totally 100% am NOT giving up on the homebirth. I'm very upset about what it might do to our relationship if I can't get him on my side, but I will NOT be having a hospital birth barring complications that require me to be there. I WILL be having a homebirth. I WILL be seeing a midwife for prenatal care after I finish with the expensive blood work and u/s =d such with kaiser, so around 20 weeks. No worries about giving up on that here

Excellent! Now we just need to figure out a way to make him buy into it.

Men tend to go for facts bn nygbbso now we just to find a bunch of indisputable facts that he can't argvue with. I wonder if you couldn't find the c-section rate, episiotimy rate, etc. for the hospital that he wants you to use. If the rates are too high, it can be argued that it would be next to impossible to get a natural birth at the hospital. The other thing you might do is take a trip to the hospital and take a tour and ask them point blank about their protocols and procedures. It sounds like you just need to find an unemotional way of educating your husband. Here are the facts. What conclusion would you come to if you had all of these facts?

I am due in Dec. too so I suspect we will be "seeing" each other quite a bit.
post #16 of 84
Only 4% of babies arrive on their "due date." Approximately 70% arrive later than their due date. (This could be for first-time moms, I'm not entirely sure, so look it up.) So . . . the probability is that your baby will most likely arrive after Dec. 19. You are due exactly during what is statistically a lousy, lousy time to be in a hospital!!! And yes, I think you're right about possible pressure to induce. They might even come up with convincing "reasons" you "have" to be induced.

Yay for your choice to homebirth!!!
post #17 of 84
Thread Starter 
Quote:
Originally Posted by saintmom View Post
You're the one giving birth.Find a mw you like who can work with you and have a wonderful hb!
Yes Saintmom, but its not quite so cut and dry when its going to have a giant impact in my relationship. I will be having my homebirth, but its going to be hell on my relationship. At a horrible time for it to be under stress with all my anxiety/depression/panic attacks going on too. *sigh*
post #18 of 84
Thread Starter 
Quote:
Originally Posted by library lady View Post
Excellent! Now we just need to figure out a way to make him buy into it.

Men tend to go for facts bn nygbbso now we just to find a bunch of indisputable facts that he can't argvue with. I wonder if you couldn't find the c-section rate, episiotimy rate, etc. for the hospital that he wants you to use. If the rates are too high, it can be argued that it would be next to impossible to get a natural birth at the hospital. The other thing you might do is take a trip to the hospital and take a tour and ask them point blank about their protocols and procedures. It sounds like you just need to find an unemotional way of educating your husband. Here are the facts. What conclusion would you come to if you had all of these facts?

I am due in Dec. too so I suspect we will be "seeing" each other quite a bit.
Unfortunately none of that is a concern to him. I mean in a happy happy land he'd *love* to give me a homebirth he says, but it sounds like someone saying "Oh I'd LOVE to buy you a lexus if I could" yk? Its very simple to him, spending $3000-$4000 is something we can't afford, and its going to impact us in a huge negative way and he simply thinks its a bad decision to make. Even if my birth is worse this time. Even if I have more trauma over it. Even if I end up with a c-section and all sorts of interventions not necessary. He doesn't understand the emotional ramifications and I can tell him until I'm blue in the face and it still doesn't change his thinking. Birth in hospital=cheap. Birth with midwive=expensive. Our fiances not being great = no brainer go to the hospital.

I think if he had concerns about the safety of it or something it wouldn't be such a crushing heartache to me. As it is now it feels like my physical AND mental health is not worth some scrimping and saving and a bit of a tight belt to him.

I know he's freaked out over the possibility of the daycare and a newborn and my depression/anxiety issues being too much for me, and I know a lot of his financial worries is over that as well. It WOULD be wonderful to have a nice big savings to cushion things, and I'm trying darn it, but when we spend too much its hard to keep it in savings!
post #19 of 84
Thread Starter 
Quote:
Originally Posted by annmartina View Post
Only 4% of babies arrive on their "due date." Approximately 70% arrive later than their due date. (This could be for first-time moms, I'm not entirely sure, so look it up.) So . . . the probability is that your baby will most likely arrive after Dec. 19. You are due exactly during what is statistically a lousy, lousy time to be in a hospital!!! And yes, I think you're right about possible pressure to induce. They might even come up with convincing "reasons" you "have" to be induced.

Yay for your choice to homebirth!!!
Yeah I'm not quite sure about how this one will go... Orion was born *on* his due date, and yes I was induced, but had been in light labor for 2 days prior. So I'm guessing that this one will come aroundish the due date since its my second, but no clue! The babe could come anywhere between the 19th and Jan 2nd!
post #20 of 84
First, Congrats Lisa on your pregnancy from an old friend.

I was in the same pickle choosing where to deliver and how this time. It's so hard and there are no easy answers. I'll just offer a I know you'll figure it out somehow.
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Mothering › Forums › Pregnancy and Birth › Birth and Beyond › Homebirth › Husband *again* thinks spending $$ on homebirth is a 'luxury' we can't afford. Update #69