A thread for the homebirthers! - Page 3 - Mothering Forums

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#61 of 83 Old 04-01-2010, 10:22 PM
 
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I told my mom and MIL about the homebirth and it went awesome! DH wasn't going to tell his mom until we had to because she's been super opinionated (not in a good way) about our choices in the past but she straight up asked him (I guess she's starting to figure us out, lol) so he had to say yes. But then he launched right into some statistics and info before she could say anything else and she didn't say anything else!

I had an appt with a hospital CNM yesterday just to get my prenatal care started while we interview midwives. My mom asked how I picked that practice and I said it was the closest to me and that DH and I haven't figured out where we want to go "for real." She asked if we were thinking of a homebirth and when I said yes she said, "oh, cool!! Hospitals are for sick people, you don't need to have another baby there!" I knew my mom would be supportive because she was a natural birth (in hospital), extended breastfeeding kind of mom but I didn't expect her total enthusiasm! Now I'm really excited!

Casey - Mama to my little lovey girl 6-2-07 and my littler lovey girl 11-16-10!
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#62 of 83 Old 04-03-2010, 08:23 PM
 
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This is our first baby and we'll be having him or her at home, barring any major reason not to.

I interviewed midwives before I was pregnant and chose one, so we could budget for the fee in our FSA account. And also because I'm a control freak super-planner and had a two page list of interview questions.

Right now I'm starting to work on getting it covered by insurance, but Maine doesn't have licensing for CPMs, and the insurance guidelines say that they will accept licensed midwives only. Also, our CPM is an ND, and insurance won't cover NDs at all, so I'll probably have to make an argument about her ND-ness being secondary to what I'm seeing her for, which is midwifery. Heh. We'll see how that goes...but that's why we budgeted beforehand. If they cover at 60% out-of-network I will be psyched!

I'm really excited. I love my midwife, and my husband really likes her too. He said that she's confident without being cocky, and he can tell that she's not going to try to be a hero if something isn't going right. It's comforting to have his support.
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#63 of 83 Old 04-03-2010, 09:09 PM
 
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Wingonwing, would you mind sharing your list of questions that you used? We're about to start calling midwives now that we know where we're moving, but I'm overwhelmed and have no idea where to start.
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#64 of 83 Old 04-03-2010, 10:41 PM
 
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Here you go! These are compiled from a mothering homebirth thread about what to ask HB midwives. Sorry to cloud the thread with the length....

Prenatal

What do your checkups consist of?

How do you determine a due date?

What are your goals for prenatal care?

For what reasons might I risk out of homebirth?

What about preeclampsia?, GD? Twins? Breech?

What do you do if someone else is laboring?

Have you ever missed a birth?

What is your position on gestational diabetes?

Do you have a maximum number of mothers you work with within a particular time period?

Are there any prenatal tests that you require?

In what circumstances/situations would you recommend an ultrasound?

Just one 20 week ultrasound okay? No ultrasounds okay?

How do you handle questions between visits?

What percentage of your patients start labor spontaneously?

What do you expect from us during pregnancy?


Labor

What do you consider overdue?

What if my water breaks and contractions don’t start? Is there a time limit before intervention?

What happens if you’re unavailable?

What is your role/personal style during labor?

Under what circumstances would you feel an IV is necessary?

Under what circumstances would you feel it’s necessary to do a vaginal exam?

Under what circumstances would you artificially rupture membrances?

For what reasons would you perform a vaginal exam after rupture?

Are there restrictions on eating and drinking during labor?

How do you monitor the baby and the mom during labor?

What is your approach to a labor that is progressing slowly?

What do you do if you find meconium?

How do you think the pushing stage should be managed?

What percentage of your patients have episiotomies?

Under what circumstances would you perform an episiotomy?

What kinds of things would you do to avoid performing an episiotomy?

What percentage of your patients have c-sections?

What are the most common reasons for c-sections?

Are there time limits for stalls in the labor?

How do you encourage partner participating?

Is the partner allowed to catch the baby?

What do you carry with you, and why?

What kind of emergency equipment do you have with you?
What kind of pain management techniques can you help me with?

How would you handle a hemorrage?

Cord prolapse?

What experiences have you had resuscitating a baby? Training?

Can you tell us about bad outcomes?

Problem with the dog being there?

What are the qualifications of your assistant?

How will I get to know your assistant? What if I don’t like her?



If I transferred to the hospital…

For what reasons would you recommend a hospital transfer?

Do you have a relationship with any hospitals or OBs?

If I go there, will I be treated like a leper?

What would be your role in the hospital if I’m transferred? What are your privileges?

Would you meet me at the hospital when I’m admitted? At what point do you show?

Do you stay throughout labor?


Post

What happens to the baby immediately after birth?

For what reasons would I be separated from my baby after birth?

At what point do you prefer that the cord is cut and clamped?

How much time do you allow for the delivery of the placenta?

How do you feel about lotus birth?

Can I breastfeed immediately?

Is there a bathing requirement (for the baby)?

What happens if I need stitches?

Do you require any of the following --Vitamin K, heel stick, eye antibiotics.

Do you perform circumcisions? (I wanted to know whether I had to worry about her coming at my son with a scalpel or something!)

What kind of lactation support is there?

How do I get a birth certificate?

How often will you visit me after the birth?

What do the visits include, and why are they important?

How many babies?

What kind of professional development do you engage in?

Do you participate in peer reviews?

Have you ever been named in a lawsuit?

Have you had any women or their families be dissatisfied with your care?

What kinds of classes or methods would you recommend?
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#65 of 83 Old 04-09-2010, 11:21 AM
 
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Told my coworker today about my plans for a homebirth and was pleasantly surprised at her reaction.

"they've been doing it that way for centuries. Good for you!"



Not that it really matters what people think... but the positive responses are really nice and it makes me feel like perhaps education is getting out there a little more.

I live in an area where midwives just are not really heard of. We have one midwife delivering babies in a hospital right now, but she is at a practice with like 10 OBs, so no garantee to even get her.

A big reason why the birth group I belong to popped up to help change the climate of birth in this area.

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#66 of 83 Old 04-12-2010, 09:51 AM
 
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Anyone thinking of supplies yet?

I picked up a package of bendy straws, a vinyl mattress cover, and H and I retired an old set of sheets to use. I started a box in our office to house what I have picked up thus far.

I know it's really early, but money is tight and I figure if I pick up small things here and there throughout the months it will go better.

I'm just so excited! lol

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#67 of 83 Old 04-12-2010, 11:29 AM
 
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Picking up things throughout the pregnancy sounds like a great idea! Maybe I'll start that after my first mw appt.

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#68 of 83 Old 05-20-2010, 11:11 AM
 
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Ocean Reef Pools on sale on amazon.com for only $20!!!

In case any of you are looking for a cheap alternative to a birth tub and missed the link in the homebirth forum.

I ordered two of them today so DD has one to play in this summer too. So excited!!

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#69 of 83 Old 05-20-2010, 01:24 PM
 
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I used a blow up kiddie pool for two of my births (I had it set up for all 3) this time I think I will be using a proper hard sided birth pool. a friend of mine has one she lends/rents out..it should fun!

I haven't really even begun to think about birth. I guess since I have had 3 pretty amazing home births I just feel like it will all fall into place. plus we have 5 months left to plan, right? I have my first midwife appoint,ent soon so I guess we will chat about all of that at some point.

 

 

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#70 of 83 Old 05-20-2010, 04:31 PM
 
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hey ladies just now starting to post here
15 weeks along
this will be my 4th child 3 homebirth
all have came naturally but hospitals and docs just arent for me
i am soo happy to be able to have the same mw this time around as we have moved alot and my other 3 were born in diff. states so always had to find a diff. care provider lol
finally emailed my midwife and have my 1st appt. in a week
was gonna try and hold out since shes having her big annual picnic in june
i couldve surprised her
but couldnt wait any longer

maya mama to dd 10,ds 5,ds 21m &15weeks
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#71 of 83 Old 08-06-2010, 08:17 AM
 
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Ordered the last of my homebirth supplies last night!!

Well, the medical type ones. lol Still trying to decide what to do about pool drainage equipment. I need to talk to my Dad about this, but know he's going to get all weirded out again. He's having a hard time wrapping his head around a waterbirth.

What are some pool drainage things you ladies are using? I was going to try to go cheap and was thinking of just the hose as I have seen posted around, but I think I may have to put the hose out the window to drain, and I don't think it will work to pull the water up to the window?

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#72 of 83 Old 08-06-2010, 08:38 AM
 
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Way to go Phoenix! The only thing I've done so far is walk by th chux pads at Target and think, "I should get some of those some point!"

I don't think we are doing a pool this time--mainly because I just don't love the water in labor. And we have a tub/shower steps from our bedroom, so I can always use that.

Last time though I went to Petsmart o buy a hose to fill and drain with. It was maybe $40. I seem to recall my reason for doing it was that somewhere someone said we needed to use a sterile type hose, not a garden hose. Obviously the petsmart hoses aren't steril, but they're meant for keeping water clean. Also, they have a way to use your water pressure in your house to empty a pool (we did it into the tub).

Hope that's helpful!

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#73 of 83 Old 08-06-2010, 10:18 AM
 
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Yeah... I'm worried about anything requiring the water pressure of the house. We have a well, and the water pressure is pretty crappy.

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#74 of 83 Old 08-06-2010, 10:23 AM
 
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I don't think it really needs serious water pressure, as long as you are able to get water flowing in your sink (which I assume you can) it uses the motion of that to then empty. I do recall after our HB that my husband at one point was trying to empty the tub (this was a few hours later I think---we were worried about that much weight in our 160 year old house). He was having some trouble but our MW came in and got it going really well. I bet your MW can do the same---they've seen more birth tubs than we have!

Now that I think about it, I think it was my MW that suggested the Petsmart hosing---the best part was that you can fill it by screwing it onto your closest sink.

Oh, and don't forget 3-4 weeks before your birth to turn your water heater up!

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#75 of 83 Old 08-06-2010, 11:55 AM
 
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The Python did NOT work for my last waterbirth. I want a submersible pump this time for sure. Trying to decide between our bathtub which is ok sized, but not super large or the La Bassine. I love water during labor/birth, so one has to stick. Ordering birth kit and some misc. things today.

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#76 of 83 Old 08-06-2010, 04:55 PM
 
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I'm so excited for birthing! I see my mw on Wednesday. I birth reeealy fast, so I don't feel like I need to really plan much - except lots of food to be stocked. I'm a total food hoarder, like I start to get anxious when our freezer begins to run low.

I wonder if I should have supplies on hand in case my mw doesn't get here in time? I wouldn't really need to do anything except wait, I suppose. But I sort of worry about bleeding issues & that maybe I should have *something* on hand JIC. Any ideas? I've read that most of the herbal stuff, like Shepherd's Purse isn't strong enough to do anything in a true emergency. I think I'd feel better knowing that if she doesn't make it, I'd be a bit prepared.

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#77 of 83 Old 08-06-2010, 05:03 PM
 
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Originally Posted by Metasequoia View Post
I think I'd feel better knowing that if she doesn't make it, I'd be a bit prepared.
Maybe talk to your mw about a Rx for some cytotec? Even though I'm not a fast birther by any means, I had some on hand just in case my mw didn't make it for my last birth. Its pretty cheap and doesn't need refrigeration. From a clinical perspective, I think it works better than pitocin does for bleeding immediately PP.

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#78 of 83 Old 08-06-2010, 06:55 PM
 
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Metasequoia---How far away is your midwife? And how far are you from a hospital? How fast have your last births been?

While it's definitely good to be safe and prepared, I'd also be worried about self medicating with some pretty strong stuff....that said, I'm in Philadelphia and I live 2 minutes from a hospital, so I'm in a different boat from someone who lives an hour or so....

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#79 of 83 Old 08-06-2010, 07:21 PM
 
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I would look at homeopathics for hemorrhage - can't recall them off-hand but I know there are resources out there. If you're worried about it, I would also research symptoms and signs of PPH. I think evaluating when there is a need to worry is probably the hardest thing.

I am thinking about getting some homeopathics on hand for birth, too. I sat in on some great sessions with a midwife who has compiled information on when and what to use in birth, and I have wanted to get her info and pick up a few things. Of course, now I can't remember which things I was interested in.

My uterus tends to take its time shrinking down (even after a c/s), so we've been proactive with my 2 home births and done Pitocin with any sign of extra bleeding. It'd be awesome if I could find something effective that wasn't pharmaceutical (and didn't involve needles! ).

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#80 of 83 Old 08-07-2010, 12:22 PM
 
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Originally Posted by birthdancedoula View Post
Maybe talk to your mw about a Rx for some cytotec? Even though I'm not a fast birther by any means, I had some on hand just in case my mw didn't make it for my last birth. Its pretty cheap and doesn't need refrigeration. From a clinical perspective, I think it works better than pitocin does for bleeding immediately PP.
I think I will mention my concern & see what she says. She knows her homeopathic remedies too.

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Originally Posted by Oliversmommy View Post
Metasequoia---How far away is your midwife? And how far are you from a hospital? How fast have your last births been?

While it's definitely good to be safe and prepared, I'd also be worried about self medicating with some pretty strong stuff....that said, I'm in Philadelphia and I live 2 minutes from a hospital, so I'm in a different boat from someone who lives an hour or so....
My midwife is 35 minutes away w/o traffic and if she runs out the door as soon as I call. Considering she has two kids and could be in the middle of something, I imagine it would take her closer to an hour or just under.

All of my labors have started in the middle of the night while I've been asleep. A contraction wakes me up & then it's fast. First labor was 3.5 hrs, second labor was 1 hour from that first contraction to babe in arms and my last labor was 2 hours. Closest hospital is 10-15 minutes away. I wouldn't go to the hospital though, unless the baby had come & my mw still wasn't there & something was obviously wrong with one of us.

Quote:
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I would look at homeopathics for hemorrhage - can't recall them off-hand but I know there are resources out there. If you're worried about it, I would also research symptoms and signs of PPH. I think evaluating when there is a need to worry is probably the hardest thing.

I am thinking about getting some homeopathics on hand for birth, too. I sat in on some great sessions with a midwife who has compiled information on when and what to use in birth, and I have wanted to get her info and pick up a few things. Of course, now I can't remember which things I was interested in.

My uterus tends to take its time shrinking down (even after a c/s), so we've been proactive with my 2 home births and done Pitocin with any sign of extra bleeding. It'd be awesome if I could find something effective that wasn't pharmaceutical (and didn't involve needles! ).
I'll definitely talk to my mw on Wednesday about having something on hand.

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#81 of 83 Old 08-07-2010, 01:35 PM
 
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I also need to get some stuff on hand for if the mw doesn't get here in time. Mine is 3 hours away or so and my fastest birth was 6 hours or so, so I'm not terribly worried about this one coming fast, but just in case...Also need to get a car birth kit in order for my 1.5 hour car drives to appointments alone with kids! Didn't think about that one!

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#82 of 83 Old 08-21-2010, 01:44 PM
 
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Got my birth supplies! Still have a few things to get and big things like the birth pool I'm still undecided on.

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#83 of 83 Old 08-21-2010, 05:22 PM
 
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Ugh, I still need to order. Trying to figure out if I can "break" my midwife's kit, as I have some of the things already (like PP pads, mesh panties, knit cap...)

Our mw provide the pool, IIRC, but I'm not sure if we need to get hoses, etc.

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