midwives...do you think UC is as safe as a homebirth? - Page 2 - Mothering Forums

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Old 06-25-2010, 12:22 PM - Thread Starter
 
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I'm trying to remember where you are from your other posts...have you considered going to the Farm? Or finding a lay midwife? The Farm is just wonderful and they certainly do waterbirth there. A lay midwife might open new options as well. I'm sorry you are in this position but good for you for weighing out all the options. I sincerely hope you can find a solution that meets your needs.

Jenne
The Farm is on the opposite side of the country so not really an option! I'm not sure exactly what a lay midwife is, but the ones around here are licensed by the state but DEMs or CPMs. There aren't any unlicensed ones as far as I know.
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Old 06-25-2010, 04:47 PM
 
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It really isn't quite like that. We did actually hire a midwife, but I no longer feel comfortable with her and won't be seeing her again. He truly doesn't think anything will go wrong and so doesn't see the point of paying for a midwife, but he's not refusing to hire one if a good one suddenly becomes available. His preference would still be for a UC though, and he has a very forceful personality and sometimes I just get tired of going against it (not necessarily on this issue, just in general). And truly, we don't have the money for a midwife. I don't know where it's going to come from.
Well, he can be as sure as all get out that nothings going to go wrong. That doesn't mean it won't. Like I said, I truly think husbands should be involved in decision making regarding birth! BUT...UCing because your husband doesn't think you need a mw or doesn't want to pay for one is not a good choice, you know? And I get that you don't really have the money for a mw, but in that case, I'd be looking at hospital birth with a doula. Good luck!
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Old 06-25-2010, 05:08 PM
 
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Well, he can be as sure as all get out that nothings going to go wrong. That doesn't mean it won't. Like I said, I truly think husbands should be involved in decision making regarding birth! BUT...UCing because your husband doesn't think you need a mw or doesn't want to pay for one is not a good choice, you know? And I get that you don't really have the money for a mw, but in that case, I'd be looking at hospital birth with a doula. Good luck!
I agree that your husband's gut feeling regarding the birth doesn't trump your feelings. You are the one carrying the baby, you are the one connected physically, emotionally, energetically with the baby. If you feel there is reason to have an attendant for this birth, then maybe UC isn't the best choice.

Then again, I absolutely disagree that hospital birth with a doula is always a better option in a situation like yours (I find myself in a similar situation in that there are no available midwives I feel 100% comfortable with). It is my opinion that preserving your emotional and spiritual health is as important as preserving your baby's physical health. Maybe moreso, since you and baby are one throughout labor. If you feel that it would be harmful to your psyche to be in a hospital surrounded by fear and interruptions and the threat of interventions during the birth, then that is a very real reason to consider UC. I think many times women are (understandably) too willing to sacrifice their own physical or emotional health in the name of physical safety of the baby. It is a situation where you have to take into account what could happen to you in a hospital birth, and include that in your analysis when you are weighing the pros and cons of all of your options. Safety of the baby isn't always the only factor, and I think it is time that we as women allow ourselves to acknowledge how birth choices affect us as well as our babies.
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Old 06-25-2010, 05:52 PM
 
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Good question! The thread should be in the stickies, IMO!
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Old 06-25-2010, 05:57 PM
 
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I just want to say that I am VERY proud of you for considerng this so carefully. In the end, you have to do what feels right to you. You are the one carrying the baby. Whatever you decide, know that I am there for you in spirit

What about hiring a midwife from another town?

Or what about having a friend act as your lay midwife? Do you have any friends that have been present at any births? Even just animal births? I know it's not ideal, but since you are in a tight spot, maybe something like that could work.

Take care and blessings

Also, I have a very good feeling about this upcoming birth. I really get the impression that you and the baby will be just fine, no matter what route you choose.

I (almost) had a UC. I transfered because my intuition told me to. DD's sholder got stuck very briefly, but I really doubt my DP could have done anything to fix it as he was sort of loopy from lack of sleep and the importance of it all by that point.

I did my pre-natal care at our local hospital, but planned to UC, as I said. We got to the hospital about 30 minutes before she was born. They didn't have time to do anything to me

DP caught our daughter, we went home asap.

It was very natural and although it wasn't what I wanted, I'm trying to come to peace with it. Anyway, PM me if you want more info

I think intuition is extremely important throughout pregnancy and birth. I went to the hospital one time while pregnant because I knew something had changed, and I was right. DD had flipped over! That was why I couldn't feel her kick, or find her heartbeat with our doppler. So, it was nothing bad, but I was right - something had changed. I also had the feeling throughout my pregnancy that I would 'end up' at the hospital (this was when we were trying to choose between a midwife or UC). Of course, I ended up being right about that, too

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Old 06-25-2010, 06:32 PM - Thread Starter
 
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And I get that you don't really have the money for a mw, but in that case, I'd be looking at hospital birth with a doula. Good luck!
You're assuming we have insurance to cover a hospital birth We don't.
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Old 06-25-2010, 06:39 PM - Thread Starter
 
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Then again, I absolutely disagree that hospital birth with a doula is always a better option in a situation like yours (I find myself in a similar situation in that there are no available midwives I feel 100% comfortable with).
Yeah, aside from the fact that we don't have insurance anyway so a hospital birth would be even more of a financial strain, I have no desire to birth in a hospital unless it's truly necessary. I don't see not having a good midwife available (for me, with my birthing history) as a reason to go to the hospital, and honestly, even if we had insurance that wouldn't be an option I'd be considering.
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Old 06-25-2010, 07:40 PM
 
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It sounds to me like you've already got your mind made up.

I hope and pray that your third birth is as wonderfully uncomplicated as your first two were.

Catholic homeschooling mom of two daughters and four sons... baby Mark born on 8/27/10. Kidney Disease Awareness
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Old 06-27-2010, 01:51 AM
 
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not to hijack your thread and I haven't talked to you for a while on this.... I hardly come to this site but I came here because it has the midwives forum....and I am taking a new path in life...will have to talk to you more IRL later...hehehehehe...
My offer still stands to you and your DH to attend your birth as a UC (with me standing by for birth knowledge/help if needed). Just wanted to throw that out there. Hugs to you. I know you are having a hard time with this decision. My price is right up your alley too... (free!)

Melissa, L&D RN now...aspiring midwife-2-B,
20yo DS, 7yo DD, almost 2 yo DD, 1yo GDD
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Old 06-27-2010, 02:08 AM
 
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To be willing and able mentally and spiritually to make such a difficult desision can be such a strain. After reading everything that has been said I just keep thinking that YOU are the one that truly knows what is best for you and the baby for THIS birth. When you are in a clear place doing what is best for you IS what is best for the baby. If we are in tune, nature keeps us from making selfish choices that would compromise our babies health. What you need to do will come to you. It is you right to be lead and directed to the best way to birth. Good Luck.
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Old 06-30-2010, 04:34 PM
 
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there are traveling midwifes out there...

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Old 07-01-2010, 02:49 AM
 
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Old 07-05-2010, 12:52 AM
 
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I think that UC is a valid choice and I support the women who choose it.

If you are comfortable with the smallish odds of something bad happening during your UC, that's fine, and I support womens' rights to choose the way they want to birth. But no, I don't think it's as safe as a birth with a trained professional there. I don't think most women choose to UC because they feel it will be *safer* than having a midwife there; there are many different reasons to UC, I just don't think that's one of them.

ETA: I wanted to add that "UC is acceptably safe" and "UC is *as safe as* MW attended homebirth" are two different things. The first I believe, the second I don't.
I'm a student midwife planning a UC for my own birth in September and I agree with all of this.

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What about unassisted, but not unattended? I asked my midwife about this and she said she has been asked a few times to leave the room, go outside, or whatever. That way, you are doing it yourself, but a trained hand is immediately available. Seems like a rational compromise to me.
I would say this is not available for the majority of women at least based on my experience. It's certainly not even close to possible here. Even a hands off in the same room midwife isn't...

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Old 07-05-2010, 03:50 PM
 
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Old 07-05-2010, 06:38 PM
 
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Not a midwife but this is something I recently put a lot of thought into myself. DP and I were in a very similar situation and I know how tough it can be to make this decision.

My opinion is that having a UC won't make something bad happen if it wasn't already going to. In other words, I don't think it can be said to be 'more risky'. The risks for shoulder dystosia, PPH, etc are the same in a UC as they would be otherwise (maybe less if anything, and I'll go into that in a bit). But obviously, if one of these things do happen, the results would be more likely to come out favorably if you had a trained and skilled attendant. So in that sense, yes I think homebirth with a trained midwife is safer than a UC.

On the flip side of that, I recently read a story of a momma here in the UC forums who had a midwife attended birth and IMO ended up with a SD as a direct result of the midwives being in attendance. I can't remember the exact details, but the midwife put her into a position that was not natural to her at the time and was probably less favorable for SD. (This was before the SD even presented itself). There was some panic in the room and some things done that were pretty much a no no all together and could have caused serious damage to mom and baby. I truly believe that in a situation like that, it's entirely possible that the SD wouldn't have happened in the first place (or possibly been resolved a lot quicker) had mom been left to labor and birth the way she intuitively saw fit.

The downfall here is that it's hard to include things like that when weighing out your options because a story like that will be told as "Thank god so and so had a midwife or things would have went horribly wrong." And I think there are certainly stories out there where that statement would be true. But what about the times when interfearance or intervention actually causes the problem in the first place. I think a lot of us in this community would agree that this takes place in hospitals a lot and is one of the reasons for homebirthing in the first place. But this is rarely something that is looked at when dealing with a MW attended homebirth, even though I've heard of it happening multiple times.

I don't think that is a reason for just anyone to UC. I think UC takes a whole lot of knowledge and commitment from both parents. I think it takes a certain sense of calmness, accountability, and responsibility. Things can go wrong in birth no matter where you are and who is with you. It's up to each of us to decide where we feel most comfortable and then be fully prepared to birth in that environment. In the end my decision was to birth at home with a midwife. But I didn't make that decision until 26 weeks and it was largely based on the fact that we got a pretty big tax return and were suddenly able to afford it. Had I not found a midwife I love and feel confidant will respect my space to birth at my own hands, I would probably be telling a different story. I know for us, a hospital birth just wasn't in the picture. I'm thankful to live in a state where we have many many options for midwives both liscensed and not. Now that I've made the decision I'm seeing a bit more clearly everything that goes into a UC and that I just don't want to have to worry about all the aspect of the birth. I'd rather feel free to just labor and know that everything else is being taken care of. I wish you luck with your decision.

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Old 07-05-2010, 07:16 PM
 
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Can you hire the apprentice to be a doula at your UC? Then you'd have someone with at least another set of eyes/hands to make the decision to transfer if you have to. Can she do that without making the other midwife po'd?

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Old 07-07-2010, 12:17 PM
 
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It sounds like its not the birth place that is the issue, but finances.

I would never make a decision to not birth somewhere because of money. I'm still paying off homebirth midwifery care bills and I transferred for BOTH of my births. My oldest is 3, her birth is still being paid off.

The hospital has to take you. They have to provide services, regardless of financial/insurance status. You will be allowed to set up a payment plan after with them for the birth fees.

UC is a HUGE decision to make and it has to be something you are passionate about and REALLY want. You do not sound as though that is the case. So that wouldn't even be an option if I was in your situation.

Many homebirth midwives will do a sliding scale for fees or let you make payments for their services.

have you applied for medicaid? In most states it has to cover a pregnant woman who has no other insurance. I would call and find out.

Torre , Momma to Abrielle (4/07) and Annalise (7/09), Birthdoula, CNA, Aspiring Nurse, and wanna-be baby catcher. I ATE MY !
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Old 07-07-2010, 12:21 PM
 
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Can you hire the apprentice to be a doula at your UC? Then you'd have someone with at least another set of eyes/hands to make the decision to transfer if you have to. Can she do that without making the other midwife po'd?
That may involve the apprentice taking on some major responsibility IF something went wrong. KWIM?

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Old 07-07-2010, 06:50 PM
 
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I am also not a midwife, but a mother who had her first child as a UC that was successful, but with a post hemmhorage (I can never spell that word). Not life threatening, but large.

Would I UC again, yes. But what I really wanted to write about was not statistics or logistics, but how do you feel about UC? I think that is probably the most important factor in a UC is what is the mothers intuition telling you? Ask yourself and sit with it until you are really certain of your response. But know that it may change over time so continue to check in with yourself.

If you don't feel called to UC, or like you can't do it or are scared of it, I would say find another option. But if you feel called to it, then it might be worth looking in to. What has happened in 1000 births before is really only marginally important to you and your birth. I would recommend seeking your answers inside rather than out.
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Old 07-09-2010, 10:20 PM
 
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"It is my opinion that preserving your emotional and spiritual health is as important as preserving your baby's physical health. Maybe moreso, since you and baby are one throughout labor. "

i absolutely disagree with this statement. after the fact, if everything turns out great, then yes. but if something happened, and baby wasn't ok, then no, i don't think anyone who has been in that situation would say that their emotional health was AS IMPORTANT OR MORESO than their baby's physical health.

that being said,it's your body and your birth and as long as you accept the risk, especially having 2 successful low risk pregnancies and births, you should do what you think feels right.
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Old 07-10-2010, 12:50 AM - Thread Starter
 
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It looks like we finally have a midwife! The apprentice midwife is going to be able to attend the birth and I am very happy with that
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Old 07-10-2010, 01:34 AM
 
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Old 07-10-2010, 05:50 PM
 
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Congratulations!!! I am so happy and relieved for you!

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Old 03-29-2011, 03:23 PM
 
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I am not a midwife- but I have thought about this a LOT lately. Expecting my 7th kiddo in 6 weeks and knowing what my last was like (she is 19 mos) I know that we could easily do it. My husband has seriously joked about it the whole pregnancy, and he is fantastic with this stuff... but still, there is that 'if'. Being a grand multipara, my statistical chances of hemmoraging are higher. One reason I really struggled with my last birth because it felt as if the staff (even though it was a waterbirth and was via nurses and midwives) had that LEAD my birth with unnecisary actions rather than what was actually going on (constant monitoring, making me have an IV, making me get out of the tub after birth asap even without much blood show at all, pressing on my belly hard once the placenta delivered, etc).

 

I have prepared my girls (almost 11 and almost 12) for an emergency birth- they have seen lots of my own as well as other videos and information, and know what to do if my water breaks. If my water breaks,the baby will most probably be here within 5 minutes- I am NOT going to the hospital. I refuse to birth a baby in the car or on the side of the road or on the floor of the ER. Our plan is that I will get in the tub (which will be prepared to be sanitary since that is what I will be doing in the weeks following) we will call my husband who is 1 mile away and then call the midwives putting them on speaker to have them walk us through it. No 911 or L&D calling unless there IS ABSOLUTELY an emergency (which an iminent birth is NOT) like fever, hemmoraging, baby not breathing, etc.

 

We are not planning a UC- but it very well may happen given I have a separated pubic bone and LOTS of room for a fast descent. I believe that having someone attend is a VERY good choice. I would have a homebirth via midwife if we could afford it, unfortunately a majority of the midwives here I would trust expect to be payed by 39 weeks (around $3,000+) and we CANNOT afford that. Still, the UC is very very attractive to me as a better choice than hospital births.

 


 
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Old 04-22-2011, 12:49 PM
 
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No, I don't think it is as safe as an attended birth.

 

I am not a midwife; I had my last baby in the hospital/birth center attended by a midwife and I'm hoping for a home birth next time.

 

When I gave birth to my son (normal, pretty awesome birth), I had a retained placenta and PPH.  I started to lose it - I became uncooperative and totally "out of it."  My midwife and husband had to hold my shoulders while my OB (her husband) performed a manual removal of the placenta.  It was scary, and in a UC situation, I don't think I would have made it.

 

My husband could not have held me AND reached inside me (plus he does not know how to manually remove a placenta; it's a delicate manouver), and even though I have the theoretical/book knowledge, I could not have instructed him.  Not to mention, my baby, rather than being cuddled by a nurse, would have been alone and crying, further adding to distraction. 

 

 

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