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If you were in this situation, what would you do? ***BIRTH STORY***  

post #1 of 42
Thread Starter 
Just a quick rundown of my current situation...I'd appreciate your 2 cents.

I'm 39w tomorrow with a due date of June 12th. This is pg #4, girl #4. My first three have come on their own at 41w2d, 40w6d, and 41w6d (in that order)...weights 8lb9, 9lb3, and 9lb12. My last two were unmedicated with a midwife...the last one a homebirth at a local hotel. History of PPH (1200mL with my last, and worse with my 2nd), and will require medication after placenta delivers. We have planned for a homebirth (at home) for this baby. My 3 kids are homeschooled and will be home during this...my mother lives nearby and can help with their care where necessary but won't be present for birth. Dh was hoping to catch this baby as he did with #3.

My husband has had serious illness/infection/severe pain/etc related to his gall bladder, bile ducts, and that general area due to numerous stones and spent 8 days in the hospital along with an endoscopic procedure in March. He's been very ill off and on with trips to the hospital numerous times since. We just got his surgery date today for June 13th. He really cannot wait for this due to the level of concern for his current health and because we're in Canada so surgery dates can be difficult to attain. If it is lap surgery like they are hoping for it to be, then he's looking at day surgery, about 5 days of feeling crummy but is home, and about 2 weeks off of work. They won't know until he's actually in surgery if he may need an open incision due to perforation of his gall bladder, scar tissue or other complications from all of his attacks, infection etc. This would mean 4 days in hospital and 4-6 weeks off of work.

To complicate things further, my primary midwife is scheduled for surgery herself on the 16th and won't be able to be present even as backup for at least a number of days up to a week after that point. There is a secondary but I don't know her near as well and I feel less comfortable/safe since my primary mw has handled my PPH at home with such skill and calm.

So basically my options seem to be:
1. pray that God brings her at the perfect time and try to remain calm (certainly this will be done regardless), but do nothing...risking having none of my support team available and/or dh's surgery/recovery being complicated
2. try an herbal/castor oil induction at home this week despite it being earlier than my other babies coming and no guarantees. I really don't do well with puking if that makes a difference.
3. give up my homebirth and do an actual induction in hospital with my mw (I've never been induced before) to ensure my dh and mw were there...with all of the additional risk and loss of my homebirth...not to mention being less comfortable.
4. ??

I'd really like to hear what you'd honestly do if you were in this situation. TIA
Cindy
post #2 of 42
To me, it looks like you DO NOT cook earlybird babies. I think it would therefore be unsafe for you and the babe to try and force the issue early. You'd probably end up being sectioned, and who wants to have BOTH parents dealing with surgical aftermath while taking care of a newborn?!?

I would take it ever-so-easy, avoid all of the common "OMG I'm DUE NOW" activities that are meant to encourage labor (as much as possible), keep hydrated, and trust God and your baby that she will be born when she's ready.

IMO, it's REALLY not worth a c/s or all the extra worry and heartache and pain that trying to rush this baby will generate. Trust. Hope, pray, and don't worry. It will work out all for the best.

ETA: two of three of your babies were over a week late. The other was almost a week late. I'm gonna bet that this one will be around at least another week after her due date, too.
post #3 of 42
4. What about meeting with your midwife's back up midwife and getting to know her better. I'm sure that she is perfectly competent. and you could ask her about what she would do in case of hemmorhaging.

You could also try some homeopathic to get things going and hope that it works so that your primary midwife will be able to attend your birth.

Good luck.
post #4 of 42
I agree with the PP- the induction will up your chances for a c-section and you do not need you both recovering from surgery at the same time.

I would get to know the back-up person and ask your mother to be more involved. She does not have to be at the birth, but maybe she could chip in more to help you with your kids and DH afterwards. Do you have any other family or close friends you could also as for help?

GL!
post #5 of 42
Work with your back up midwife as suggested above.

Honestly, I'd expect your anxiety to either force the baby out faster (OMG we're going to be eaten by a tiger, I better have this baby so I can run!) or, more likely, keep the baby inside until your dh is recovered from surgery (OMG can't stop and give birth now, TIGER!!!)
post #6 of 42
Thread Starter 
Wow thank you all for the input so far...I wasn't expecting to hear from anyone so soon. The problem with getting to know the backup mw better is that she is on vacation. I think I've seen her maybe 3 times? I just pulled out my calendar to check and sure enough, she is back on the 12th. I wonder what the chances of all of these things lining up the way they are??? It's rather discouraging. I feel like there's no guarantees of anything and it's really scary.
post #7 of 42
I'm going to pray that your dh's surgery date could be moved up. If he told his doctors that your due date was the day before, any chance?
post #8 of 42
Quote:
Originally Posted by Belle View Post
4. What about meeting with your midwife's back up midwife and getting to know her better. I'm sure that she is perfectly competent. and you could ask her about what she would do in case of hemmorhaging.

You could also try some homeopathic to get things going and hope that it works so that your primary midwife will be able to attend your birth.

Good luck.
I like this idea, in combination with #1. I would never willingly give birth in a hospital again. Castor oil would be way last resort. I think things usually work out how they need to, so I'd get to know the midwife, and hope for the best I think.
post #9 of 42
Often babies do wait until the "right time". I've heard a lot of stories where there was a particular concern and once it was resolved the labor commenced or sped up. It could happen for you to . I'd leave a message for the back up that you'd like to meet with her as soon as she returns, and tell your baby that she has to wait until X date.
post #10 of 42
Agreed that trying to rush the baby could only end up making matters worse.

The backup MW is trained to handle complications - even if you do not know her, she should be skilled. Try and relax knowing that. Talk to your current MW and chat about why the other was chosed as a backup. Tell her your fears. Your MW should help calm you. And when the backup's vacay is over, talk to her as well.
post #11 of 42
for me, the homebirth is really important--but i'm not uncomfortable with solo UC, so this may color the whole picture of my opinion.

1. realize that God will bring her at the perfect time;
2. try to enjoy the end of the pregnancy;
3. keep the homebirth and realize that it will be perfect no matter who is there;
4. talk to your primary midwife about meeting with her back up so that you can feel more confident with her in regards to your specific health needs.

it's really ok to just have faith that it will work out perfectly, no matter what that looks like.
post #12 of 42
I had my gallbladder out sept 07 and while I wasn't feeling great the first week I was still able to move and spend time with my family relaxing. The second week wasn't too bad, I helped my MIL run my daycare (minus picking the kids up), so I bet your husband will be ok, even if he's not physically able to take care of everyone, he should be able to be present and to hold your hand and help support you with his presence.

I would definately speak to your midwife about the backup and see if you can speak to her (I know she's on vacation but perhaps an email?) and at minimum get ahold of her as soon as she returns from her vacation.

Hugs mama, all the stress isn't so great is it?
post #13 of 42
Agree w/ the pp. I would try to meet a few times w/ the backup midwife. At least one afternoon or a few times if possible. Take her to lunch or something.

Then I guess I would try to focus on yourself as your own little support team for this one. You've already had 3 births so you know what your doing. Trust the backup midwife's abilities to deal with your PPH (unless for some valid reason you DONT trust her - in which case of course go w/ your instinct)

I think your idea of just staying calm & having faith sounds like the healthiest plan for your whole family. It seems like when you do that things have a way of turning out ok
post #14 of 42
I'd go with the backup midwife like the PPs have suggested. I'd personally also start calling around for a doula (maybe a doula in training?) or finding a close friend who could be certain to be there to support you. It might be nice to add one more person to the team who is more of a guarantee, since DH might be feeling crummy, you dont' know which MW will be there, mother will be busy with the kids...
post #15 of 42
Do not induce yourself at home. Everyone that I have had that has done that has had a baby born with massive Mec in the water and it is just not worth it (IMO).
I just got my gallbladder removed so i completely feel for your honey - he definitely needs that surgery.
DO NOT ditch your homebirth plans. Just pray about it - God knows the perfect time for your baby to come.
AND SURELY your midwife has some experienced assistants who can help you out.
jeni
post #16 of 42
I would not attempt ANY kind of induction methods - hospital or so-called "natural" ones at home.

I would just keep praying the timing works out favorably and shore up your back-up plans to help you out if the timing is less than favorable.

Good luck!
post #17 of 42
IDK how tight money is for you, but would it be a possibility to hire someone to help out around your house for the few weeks following the surgery & birth? Someone along the lines of a home health aid/house cleaner maybe... To help with meals, errands, housework and caring for your DH after his surgery if you won't be able to.
post #18 of 42
Don't know how things are going for you right now. But thought I would offer my support. I would never suggest a hosptial induction strictly for timing problems.

The likelihood of you waiting until after all the commotion is high. I have done the c/o in the past. And if you are truly concerned, I would try that. Generally, if you are ready it will work, if not, it won't. So it could be a way to try without taking on all the risks of induction.

Who knows, perhaps by now you are already holding your baby!
post #19 of 42
Number 1. Get to know the other midwife better. Have other support persons available for during labor and postpartum, a doula perhaps?
post #20 of 42
Thread Starter 
Thanks everyone for your suggestions and input...

We talked at length with the midwife and decided to go ahead with the herbal induction this weekend. The castor oil was only a small part of it and the mixture is such so that it won't make anyone really ill. It tasted disgusting (I took it 3 times over 2 days) but it basically emptied my bowels the first two times I took it, the third nothing. Both days I had a couple hours of strong cx 3-5 minutes apart. But it was not progressive and baby is just not ready. Of course that's OK and I would never force things...but I'm feeling sorry for myself today. I was just hoping to have this little girl (I'm 39w4d) before the surgery so that I could be recovered and not have to worry about dh.

Dh's surgery is coming on Fri so I think I can pretty much count on being at least a week late now. In the way of help, I don't know...we certainly won't be affording to hire anyone. I'm just going to have to manage the best I can and depending on how late I go, I might be able to ask for a little help from church members. I am really private though and have no desire to have a bunch of people here, even if they are wanting to help. My mom has company coming at the end of the month, everyone kids get out of school and the majority of our church seems to go away on vacation at that point.

<shrug>

Like I said, I'm just feeling sorry for myself today. Tomorrow will hopefully be better. It seems unfair at the moment that I seem to be the only person I know whose babies come late and are really big in size also. I know at least 6 ppl who have given birth in the last few months and every single one of them came early (not induced) except one who was right on time.
Thanks again,
Cindy
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