Brief rundown on me is that I currently have a three year old DS (delivered in hospital by midwives and daddy) and am 25 weeks with our second.
Where I now live, we do not have *any* midwives (private or public) but what we do have is a terribly old fashioned approach to obstetric care.
I love my OB but I hate his practice and its policies. It is ridiculously old fashioned and unfriendly to natural parents. They also take a "sit down, shut up and do as you're told" approach to everything. Like many of you ladies, I am extremely educated about pregnancy, birth, and postpartum and I am vocal, so this does not work with me.
Ugh - this is a rant I could go on for a while. Like me, my husband is big into non-intervention birthing care. I'd planned to labour at home and hit the hospital when nearly ready to push. But they keep you a minimum of 24 hours here and I really, REALLY do not want to stay in the hospital with a new baby. With DS, I was at the hospital for 7 hours total (4 hours after birth - took the time to shower, go over PP care, learn how to latch him, and then we went home and my MW did follow ups at home.) My husband suggested homebirthing, and the idea has grown on me.
While my birth with DS was essentially unremarkable, I did have mild placenta accreta and had a 2" retained placental fragment for 7 weeks which had to be removed by D&C and caused some decent scarring. It is likely to happen again, and is often worse when it reoccurs. It could lead to haemorrhage. There is really no way to assess it prior to birthing the placenta. However, it also poses no risk until the placenta is delivered.
I do know already that my placenta is completely on the opposite side of my uterus this time.
So I'm really up in the air. If it weren't for the likelihood of the accreta reoccuring, I'd just... stop going to see my OB at 37 weeks. As we have no midwives, the birth would be unassisted.
I'm just wondering your ladies' thoughts. Is the risk just too great to birth at home without an attendant? Worth noting, we live about 5km from the hospital.