midwives...do you think UC is as safe as a homebirth? - Mothering Forums
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#1 of 55 Old 06-23-2010, 09:04 PM - Thread Starter
 
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I'm trying to work some things out in my own mind...not looking to start a debate! Didn't want to post this in the UC forum since I'm sure there will be opinions against UC.

I'd like to know what homebirth midwives think about UC compared to a trained midwife attended homebirth. Specifically, do you think a low risk birth by a mom who is pretty well-educated about birth & related complications and prepared for things like PPH, is as safe as a midwife attended homebirth? If not, why not?
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#2 of 55 Old 06-23-2010, 09:37 PM
 
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To be quite blunt: no.

I think that UC is a valid choice and I support the women who choose it.

But as safe as a birth would be with a trained MW there? No. A 1-2:100 chance of coming against a situation you can't handle might not seem too bad to you, but when I see that many women in a year or two, the thought of 1-2 moms or babies dying is overwhelmingly awful. I can indeed think of two situations where (no exaggeration at all) mom or baby would have died without trained help and gear there. A couple more where mom or baby would have been fine during a UC if the family had transferred to a hospital in a timely manner, or where I believe family members would have been able to handle a situation, but where the presence of trained MWs meant that a transfer wasn't necessary.

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.

I had an accidental UC this last time around (read about it here: http://lifeatnikis.blogspot.com/2010...rth-story.html if you like) and my knowledge was completely useless to me. On a similar vein, you can know all you want about PPH but if you don't have the second-line drugs and are passing out, it's not going to matter. Or if you have a shoulder dystocia and you have exhausted position changes without it resolving, you aren't going to be able to reach in and turn a shoulder. I know there is a school of thought that says that these things are less likely in a UC; I think they are also unlikely in the extremely low-intervention model many MWs here believe in, but they do still happen. The worst hemorrhage I've ever seen was the next best thing to a UC up until that point; we'd done VERY little at that birth.

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.

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#3 of 55 Old 06-23-2010, 10:22 PM
 
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To be quite blunt: no.

I think that UC is a valid choice and I support the women who choose it.



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 agree with all of the above.

I guess a UC could be just as safe as a MW attended homebirth if you are in the percentage of women who have no problems at all, but it would be much more dangerous if you were in the percentage of women who do have a complication.

I still support women to birth in the way that they want and am not opposed to UC, but I do feel that MW attended homebirth is safer.

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#4 of 55 Old 06-24-2010, 07:54 AM
 
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I agree with the others. I've had 4 UC attempts, 3 successful and 1 transfer for probably-necessary csec. And really, it was the best option available at the time, given the lack of hb mws and things they would almost certainly have needed to do for me/baby if I'd birthed vaginally--being a mw would not have done me any good in that complicated birth. It was enough though, to help me know I really should transfer care.

I totally support UC as a choice! But between the transfers that occur for help that a hb mw could well have given at home, and the more complicated/dangerous things that also sometimes occur--where a mw knows soonest when med help will be needed, and usually can provide 'interim help' til med assistance is there--well, I can't say I believe that UC is as safe attended hb. And I don't think the stats show that, either--though of course we don't really have (in the US) good stats on attended hb or UC.
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#5 of 55 Old 06-24-2010, 09:26 AM
 
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Not a midwife, but I did come across a study from the late 70s in South Carolina that actually did include planned unassisted home birth as a category, and found that it had neonatal mortality rates 10 times higher than planned midwife assisted home birth. Unplanned unassisted was 40 times higher than planned midwife assisted, if I'm remembering correctly. The neonatal mortality rates for the midwives and hospital based OBs were pretty well within the ranges that we're used to seeing. And the planned unassisted birth population looked a lot like the planned UC community

I can look up the reference if you'd like. I will admit to being very very very wary of unassisted birth, because I almost planned one with my 3rd child, decided to call my midwife to come because she was like a friend to me at that point and I didn't want to hurt her feelings, and had a picture perfect labor with a shoulder dystocia out of nowhere resulting in a baby with an initial apgar of 0. I don't want to scare you and UC is a choice that every woman should have the right to make for herself and her baby, but that scenario does happen even in low risk people. Without my midwife's skills and resuscitation equipment, I don't want to think about what would have happened.

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#6 of 55 Old 06-24-2010, 10:37 AM
 
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My issue with UC is that you're forcing yourself into a choiceless choice. IF anything goes wrong, you're forced to choose between staying at home and dealing with it yourself or going to the hospital. There's a list a mile long of small minor complications that can happen in an otherwise uneventful birth that DO require knowledgeable attention. These can be handled easily and respectfully by a competent midwife. If someone can be comfortable knowing they will have to go to the hospital for them, then they can UC with confidence. I knew I would not be comfortable going to the hospital for anything less than a life-threatening medical emergency. When I lost over a pint of blood after an uneventful birth, my midwife was able to handle my PPH very effectively and respectfully. If I had been UC, my only choice would have been to go to the hospital to treat it.
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#7 of 55 Old 06-24-2010, 10:50 AM
 
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I consider UC to be a valid choice and I support informed, educated, prepared women choosing it. I would not undermine a woman's right to have an unassisted birth.

That said, it is unquestionably less safe than attended homebirth, which in the United States, is also pretty unquestionably less safe than hospital birth.

Safety alone does not validate or invalidate those choices. It's just a matter of understanding and choosing risks and benefits. As long as a woman understands what she's choosing (and in the case of UC, in my opinion her partner needs to be on-board as well), I am supportive of that choice. It's not my place to dictate how women choose to have their babies, be it by UC or by maternal request elective c-section (I also support a woman's right to choose a c-section without medical necessity).

ETA: Also, honestly, I feel the strong allure of UC. I totally understand the desire, even compulsion for one. I feel it, very strongly. But my rational brain interjects. I want that person with skills and expertise, and the equipment and drugs, in case things don't go perfectly. I think that if I knew less about birth, I might choose to UC, but knowing what I do . . . it is not a choice I would make, no matter how alluring it feels.

I'm not a midwife.
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#8 of 55 Old 06-24-2010, 10:54 AM
 
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Originally Posted by loveneverfails View Post
Not a midwife, but I did come across a study from the late 70s in South Carolina that actually did include planned unassisted home birth as a category, and found that it had neonatal mortality rates 10 times higher than planned midwife assisted home birth.
There was a similar study done in Indiana using the Amish (who often have planned UC) that showed pretty similar results, iirc. Though I think the neonatal mortality rate was compared against hospital birth and was more like 15 times higher.
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#9 of 55 Old 06-24-2010, 12:27 PM - Thread Starter
 
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My issue with UC is that you're forcing yourself into a choiceless choice. IF anything goes wrong, you're forced to choose between staying at home and dealing with it yourself or going to the hospital. There's a list a mile long of small minor complications that can happen in an otherwise uneventful birth that DO require knowledgeable attention. These can be handled easily and respectfully by a competent midwife. If someone can be comfortable knowing they will have to go to the hospital for them, then they can UC with confidence. I knew I would not be comfortable going to the hospital for anything less than a life-threatening medical emergency. When I lost over a pint of blood after an uneventful birth, my midwife was able to handle my PPH very effectively and respectfully. If I had been UC, my only choice would have been to go to the hospital to treat it.
That really isn't true. I think many, maybe most minor complications could be handled during a UC if you are well-educated and prepared. Many of the things that a midwife does for a PPH can be done without a midwife present as well, such as herbs, homeopathy, nursing, uterine massage, that sort of thing. Certainly there are some complications that could likely be successfully handled at home if a midwife were present, that would require transfer if you were UC'ing, but to say that any complication would require a transfer is far from accurate.
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#10 of 55 Old 06-24-2010, 12:29 PM - Thread Starter
 
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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 guess that's what I'm going to have to decide, given the lack of acceptable homebirth midwives around here...whether acceptably safe but not as safe as a homebirth is within my comfort level.
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#11 of 55 Old 06-24-2010, 12:34 PM - Thread Starter
 
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There was a similar study done in Indiana using the Amish (who often have planned UC) that showed pretty similar results, iirc. Though I think the neonatal mortality rate was compared against hospital birth and was more like 15 times higher.
That seems really high! I do wonder, though, how many of those deaths were from non-low-risk pregnancies/births, and how many of the parents were well-educated about birth and prepared for emergencies. I definitely do think some go into UC with little or no preparation, or are very reluctant to transfer in situations where it seems clearly indicated, or think intuition will diagnose or take care of any problems, or in higher risk situations that would likely risk them out of a homebirth.
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#12 of 55 Old 06-24-2010, 12:41 PM
 
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That said, it is unquestionably less safe than attended homebirth, which in the United States, is also pretty unquestionably less safe than hospital birth.
This is not true. See the CPM2000 study and the Washington DOH report. Of the studies done in the US, a bare few poorly designed studies have shown higher mortality in planned midwife-attended homebirths, the rest have shown similar mortality in home vs hospital with injury and intervention less likely for homebirths.

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#13 of 55 Old 06-24-2010, 01:03 PM
 
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That really isn't true. I think many, maybe most minor complications could be handled during a UC if you are well-educated and prepared. Many of the things that a midwife does for a PPH can be done without a midwife present as well, such as herbs, homeopathy, nursing, uterine massage, that sort of thing. Certainly there are some complications that could likely be successfully handled at home if a midwife were present, that would require transfer if you were UC'ing, but to say that any complication would require a transfer is far from accurate.
I'm an L and D nurse, not a midwife, but the issue that I have is that you're right in that many of the things are not terribly tricky to implement, however making the decision to do it, AND having someone who is responsible to do it is kind of a big deal to me. You as the laboring woman, might not be able to --then again, maybe you will be totally 100% with it--- and so it falls on your husband (or this other OB RN) to do those things, which is a lot to ask of a lay person, even an educated one. And I'm not one to dwell on it, but feeling 100% comfortable with the outcome if something did happen and you weren't able to assist or were too stressed/exhausted/panicky to respond appropriately is something you need to at least work through.

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#14 of 55 Old 06-24-2010, 01:15 PM - Thread Starter
 
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And I'm not one to dwell on it, but feeling 100% comfortable with the outcome if something did happen and you weren't able to assist or were too stressed/exhausted/panicky to respond appropriately is something you need to at least work through.
That's why I would prefer a midwife-attended birth. I'm just trying to work through all my thoughts and see if I can get comfortable with the idea of UC, and if not, if there's a way to find a midwife who's acceptable to both DH and I.
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#15 of 55 Old 06-24-2010, 01:25 PM
 
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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.

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#16 of 55 Old 06-24-2010, 01:29 PM
 
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That said, it is unquestionably less safe than attended homebirth, which in the United States, is also pretty unquestionably less safe than hospital birth.
Can you please share how you arrived at the conclusion that attended homebirth is unquestionably less safe than hospital birth?
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#17 of 55 Old 06-24-2010, 01:32 PM
 
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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.
It may be rational for you, but not for many midwives. They're being asked to accept responsibility for a situation while taking away part of their ability to affect the outcome. What if there's a serious problem, and you don't realize it, and by the time you do it's too late? The midwife will be the one held responsible for the outcome because she was there.

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#18 of 55 Old 06-24-2010, 02:07 PM
 
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I looked up the study for you, because I was pretty sure it addressed your concern regarding "but are these moms who are having planned UCs low risk?"

Here's the abstract:

Home Delivery and Neonatal Mortality in North Carolina

Claude A. Burnett III, MD, MPH; James A. Jones, MPH; Judith Rooks, CNM, MS, MPH; Chong Hwa Chen, MS; Carl W. Tyler, Jr, MD; C. Arden ******, MD

JAMA. 1980;244(24):2741-2745.


Abstract


Neonatal mortality is examined by place and circumstances of delivery in North Carolina during 1974 through 1976 with attention given to home delivery. Planned home deliveries by lay-midwives resulted in three neonatal deaths per 1,000 live births; planned home deliveries without a lay-midwife, 30 neonatal deaths per 1,000 live births; and unplanned home deliveries, 120 neonatal deaths per 1,000 live births. The women whose babies were delivered by lay-midwives were screened in county health departments and found to be medically at low risk of complication, despite having demographic characteristics associated with high-risk of neonatal mortality. Conversely, the women delivered at home without known prenatal screening or a trained attendant had low-risk demographic characteristics but experienced a high rate of neonatal mortality. Planning, prenatal screening, and attendant training were important in differentiating the risk of neonatal mortality in this uncontrolled, observational study. "

The entire study can be read here

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#19 of 55 Old 06-24-2010, 02:13 PM
 
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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 totally agree. I had a beautiful midwife assisted birth. One of the midwives took pictures and the other knit right until my daughter came out. I was checked once and they intermittently used a Doppler to check baby's heart rate. Most of the time they sat back and let us do our thing. Once they offered me a mirror to see her hair . My husband caught her and we have this great picture of her actually coming out into the water (I stood up in the tub). I think their motto was if they did their job right, we would leave thinking we could have done it ourselves. I'm totally grateful that they were there though because we got amazing pictures and I was sewn up because I tore. I'm also grateful for them because it was so reassuring to know that if something bad happened, it wasn't up to us to make difficult choices.

I wish more people had wonderful options for undisturbed attended births.

ETA: I guess this isn't the same as them leaving the room though.

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#20 of 55 Old 06-24-2010, 04:21 PM - Thread Starter
 
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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.
Honestly, I'm not particularly attracted to the idea of UC. I prefer and have had very hands-off births, where the midwife doesn't really do anything until after baby is born, but I do prefer an attendant. UC is just something that's being considered because A) the three area midwives are no longer options due to either personality conflicts or potential safety issues, and B) DH doesn't see the point in paying a midwife to "do nothing" as he sees it. So unless an out-of-area midwife moves here by fall or we can figure out a way for the apprentice midwife to attend with a different preceptor, I'm out of midwife options. Going to the hospital for a low risk birth is not an option, so I'm left with UC.
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#21 of 55 Old 06-24-2010, 04:51 PM
 
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Once again, I am going to respectfully suggest that this is your baby, your body, your birth, and you should not be coerced into having a UC or going to a hospital if those are not what YOU want to do... just because your dh doesn't want to pay for it. I do not think anyone other than the woman who is actually giving birth should EVER have the deciding vote on where/how/with whom she gives birth.

Just my $0.02.

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#22 of 55 Old 06-24-2010, 05:30 PM - Thread Starter
 
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Once again, I am going to respectfully suggest that this is your baby, your body, your birth, and you should not be coerced into having a UC or going to a hospital if those are not what YOU want to do... just because your dh doesn't want to pay for it. I do not think anyone other than the woman who is actually giving birth should EVER have the deciding vote on where/how/with whom she gives birth.

Just my $0.02.
You don't have to live with my DH! Anyway, it is his baby too and I am his wife...I don't know that I'd be too thrilled if he made some major health care decision for himself without taking my feelings/opinions into consideration.

And really, it's not like there's a midwife here that I'm happy with and want to hire anyway (aside from the apprentice). One I dislike, one I don't feel safe with, and, well, I guess I could live with the third, but I don't know that I'll get the type of birth I want with her. She absolutely does not do waterbirths, and flat out said they'd take me out of the water if I was in the pool when I'm ready to push, and that's just not the type of drama I want around my birth.
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#23 of 55 Old 06-24-2010, 05:54 PM
 
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This is not true. See the CPM2000 study and the Washington DOH report. Of the studies done in the US, a bare few poorly designed studies have shown higher mortality in planned midwife-attended homebirths, the rest have shown similar mortality in home vs hospital with injury and intervention less likely for homebirths.
We are unlikely to see eye-to-eye on this issue. There is evidence that U.S. homebirth is not as safe as U.S. hospital birth, and not as safe as homebirth in, say, the UK or Canada. I think the reasons for this are poor continuity of care between home and hospital; irregular and disparate systems of midwifery education, certification and legal status; lack of established protocols and transfer mechanisms for patients who need transfer during labor; willingness of some midwives to take on risky patients; and hospital-provider-based hostility to homebirthing mothers, families and professionals.

There is a reason MANA refuses to release its data, and has not published another study. There is a reason there was so much fudging in the Johnson & Daviss study, including subsequent changes to comparison groups and never using the correct comparison group despite the authors' acknowledgment that they used the wrong one in the first place.

I do not consider homebirth in the U.S. to be as safe as hospital birth, based on the published data available to date. Buuuuut it would be boring to debate it over and over and over again. I don't expect people here to agree with me. It is my assessment based on a review of the studies and available data.

I still choose to homebirth. I think that, generally speaking, the small increased risk of perinatal death is worth the much larger risk of all sorts of other injuries, complications or traumas that are relatively likely at the hospital. But if I could get a totally hands-off, respectful birth in a hospital, I would prefer that option over homebirth based on safety.
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#24 of 55 Old 06-24-2010, 06:03 PM
 
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There's not been enough good research done to say with any certainty that it is as safe or less safe than midwife-attended homebirth, but I agree with the others who feel it is less safe. There are quite a few situations that I can imagine that would best be attended to by someone with experience and skill. When I delivered my own children at home, I was not in the right frame of mind to attend to these possible scenarios. One of mine, in fact, may have been compromised if not for a skilled midwife to respond. (His short cord snapped as I pulled him to me, causing us both to lose a bit more blood than normal--how long would it have taken me to figure all that out? Longer than it took her, I am sure.)

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#25 of 55 Old 06-24-2010, 06:03 PM
 
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We are unlikely to see eye-to-eye on this issue. There is evidence that U.S. homebirth is not as safe as U.S. hospital birth, and not as safe as homebirth in, say, the UK or Canada. I think the reasons for this are poor continuity of care between home and hospital; irregular and disparate systems of midwifery education, certification and legal status; lack of established protocols and transfer mechanisms for patients who need transfer during labor; willingness of some midwives to take on risky patients; and hospital-provider-based hostility to homebirthing mothers, families and professionals.
This is a good point, thank you.

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Anyway, it is his baby too and I am his wife...I don't know that I'd be too thrilled if he made some major health care decision for himself without taking my feelings/opinions into consideration.
I agree with you on this.
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#26 of 55 Old 06-24-2010, 08:55 PM
 
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You don't have to live with my DH! Anyway, it is his baby too and I am his wife...I don't know that I'd be too thrilled if he made some major health care decision for himself without taking my feelings/opinions into consideration.

And really, it's not like there's a midwife here that I'm happy with and want to hire anyway (aside from the apprentice). One I dislike, one I don't feel safe with, and, well, I guess I could live with the third, but I don't know that I'll get the type of birth I want with her. She absolutely does not do waterbirths, and flat out said they'd take me out of the water if I was in the pool when I'm ready to push, and that's just not the type of drama I want around my birth.
There is a big difference between making a major health care decision based on certain feelings about safety and asking someone you love to have a birth without an attendant because you don't think the money put towards having a birth attendant is well spent. I would absolutely give weight to safety concerns my husband had regarding my medical treatment, but that's not the same category as giving his financial concerns priority over my safety concerns. That's just not even a question. This isn't deciding on a treatment plan with the help of an expert professional, where obviously you decide as a couple. This is being asked to go outside the care of professionals for do it yourself monitoring and medical treatment during the birth of your child because your husband wants to save money.

Is there a reason why having a water birth is more important to you than having a birth attendant? I just do not hear in your posts someone who feels comfortable with an unassisted birth. Is there any reason in particular why you feel that this birth *needs* to be in the water, or is it just your preference to be in the water?

I understand that your options right now suck, and that you're getting heavy pressure from your husband to not spend the money on a midwife. I'm just looking at this post and the other posts you've written and you don't seem at peace with this at all, and if something goes wrong it could be horrific for your psyche and your marriage above and beyond the trauma of losing a child because you weren't on the same page. That you're even asking if UC is as safe as home birth makes me think that you are trying to convince yourself that this will work out ok without actually having a sense of peace and purpose that UC is the choice you want to make for this birth.

There are some times where you really need to draw a line even though it will cause fights and maybe even long term resentment for years to come because to *not* draw the line risks an alternative that is even worse. I can't tell you, and none of us can tell you, if this is a place where you need to draw that line but I do gently want to ask you to consider that possibility. Is avoiding an extended fight because your husband wants to save money worth you being uncomfortable about whether you are safe while you are giving birth to your child?

I really really don't want to be offensive here. I'm just very concerned reading this, and worried for you.

Catholic wife in love.gifwith my husband, mom to superhero.gifx5,  babygirl.gifx2, angel1.gifx6. Birther of babes, baker of bread, and connoisseur of human folly. WINNER OF THE SILVER BIRTH STOOL, APRIL 2010 DDC! Happily hospital birthing with my BFF, Epidural Man.
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#27 of 55 Old 06-24-2010, 09:22 PM - Thread Starter
 
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Quote:
Originally Posted by loveneverfails View Post
There is a big difference between making a major health care decision based on certain feelings about safety and asking someone you love to have a birth without an attendant because you don't think the money put towards having a birth attendant is well spent. I would absolutely give weight to safety concerns my husband had regarding my medical treatment, but that's not the same category as giving his financial concerns priority over my safety concerns. That's just not even a question. This isn't deciding on a treatment plan with the help of an expert professional, where obviously you decide as a couple. This is being asked to go outside the care of professionals for do it yourself monitoring and medical treatment during the birth of your child because your husband wants to save money.
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.

Quote:
Is there a reason why having a water birth is more important to you than having a birth attendant? I just do not hear in your posts someone who feels comfortable with an unassisted birth. Is there any reason in particular why you feel that this birth *needs* to be in the water, or is it just your preference to be in the water?
It's not even a particular preference to be in the water. I just want to have the option. I don't want to be yanked out of my birth space if I do happen to be in the water when I feel like pushing. With my son's birth I was in the pool for two contractions when I started to feel the urge to push, and I physically could not have gotten out at that point. I don't want to be drug out of the water if that happens again. I think it would be really difficult to get back into labor land if that happens. And I do want to be able to labor in the water, so to me it makes sense to have the option to birth in the water too.

Quote:
That you're even asking if UC is as safe as home birth makes me think that you are trying to convince yourself that this will work out ok without actually having a sense of peace and purpose that UC is the choice you want to make for this birth.
I'm trying to gather enough information for myself to be either fully comfortable UC'ing, or not.

Quote:
There are some times where you really need to draw a line even though it will cause fights and maybe even long term resentment for years to come because to *not* draw the line risks an alternative that is even worse. I can't tell you, and none of us can tell you, if this is a place where you need to draw that line but I do gently want to ask you to consider that possibility. Is avoiding an extended fight because your husband wants to save money worth you being uncomfortable about whether you are safe while you are giving birth to your child?
I don't have a problem drawing a line here...but it would be a lot easier if it were obvious where the line could be drawn, ie if a midwife I was happy with were available. I'm hoping to find a way for the apprentice midwife to be able to come, either to a "UC" as a friend (she's considering it), or to see if there's any way for her to have a different preceptor for this birth (which would basically mean finding someone who would "supervise" over the phone and I don't know how feasible that is). I like her a lot, she'll barter the fee...but she'll get her license a few weeks after I'm due.
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#28 of 55 Old 06-24-2010, 09:44 PM
 
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I think you have hit it on the nose. UC, even when made as an informed choice by a knowledgable person, is probably not as safe as an assisted homebirth. HOWEVER......it probably still is reasonably safe, and you need to decide if it is safe ENOUGH for you.

CPST
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#29 of 55 Old 06-24-2010, 11:01 PM
 
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I just wanted to give you a cyber hug! It's a really tough decision! I agree that husband and wife should be on the same page. My midwife is a tad over two hrs away from me and I have to live with the fact that she could NOT make it. I do plan to be prepared for a UC, but would MUCH rather have her be here before the birth. It's something that I'm fine with at times and then I'm really worried about at times...my options are that or the only hospital with a huge Csec rate...
I also understand the financial strain...
I hope things smooth out for you quickly!

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#30 of 55 Old 06-25-2010, 04:25 AM
 
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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

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