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Discussion Starter · #1 ·
So some of you know my story a bit but for the rest of you I have planned my first birth at a free standing birth center that is ultra cool and laid back and very home birth oriented mentality (natural all the way). I also have a doula coming along, who is stinking awesome and is also a homebirth midwife.<br><br>
So last week, thanks to the homebirth and insurance thread I was inspired to get in touch with my insurance instead of just assuming they wouldn't pay and they will pay at least 80% and likely approve a claim to cover 100%. SO now homebirth is a very real option. And one I am really liking because it will be the same medical wise, the same atmosphere wise AND without an hour drive.<br>
Except I will have to rent a birth tub or something comparable.<br>
So am I missing any information here? Do you think there are any factors I have not considered as far as which is preferrable- home birth or free-standing birth center?<br>
Oh and btw, both are ten minutes from the hospital by ambulance.<br>
Let me hear your thoughts.<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/redface.gif" style="border:0px solid;" title="Embarrassment">
 

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Personally I did NOT want to leave my house during labour with my first. I was comfortable on my couch, in my bathtub, on my floor, etc. I eventually left with my midwives to the hospital while having contractions every minute or so. Let me tell you, it was NOT comfortable to walk anywhere at that point. If I could have stayed home, I would have (did not have money for homebirth at the time and thus were not prepared to have one at home). It wouldn't have mattered if you were taking me to a great birthing centre, or the hospital. I just didn't want to go anywhere.<br><br>
Now, perhaps if I had left earlier I may have been more willing to go, BUT the key is, I didn't want to go earlier. I ended up having a fantastic hospital birth (no drugs, no interventions, midwife delivered baby, nurses stayed out of our room the majority of the time, ...). The only thing that could have made that birth better is if I hadn't had to leave my house. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
So, I think it highly depends on your personality. If the birthing centre isn't giving you any benefits over a homebirth, why leave your house?
 

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It would have to be life or death to get me to leave my house. Once I'm in labor I don't want anybody to touch me or to move in any way during a contraction. As for laboring in water, I had no desire to have anything to do with it, but that's a personal preference; water does not make me feel good when I don't feel well.<br>
I really think it's up to your personal feelings about where you want to give birth. It sounds like you have great options and wonderful support for either. But I sure wouldn't want to drive an hour during labor!!<br><br>
- Krista
 

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<div>Originally Posted by <strong>veganf</strong></div>
<div style="font-style:italic;">But I sure wouldn't want to drive an hour during labor!!<br><br>
- Krista</div>
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Oh my! I missed that part! I agree with Krista! I was literally 5 minute drive from the hospital and it felt like it took hours to get there as I had to stop every few feet on the way to the vehicle to have a contraction! And there was NO way I was able to sit and have a seatbelt on so I had to lie on blankets in the back of my midwife's minivan. So, it wasn't even a safe ride!
 

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Okay, you asked <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/redface.gif" style="border:0px solid;" title="Embarrassment"><br><br>
I really think a homebirth, especially given all the circumstantial factors you describe (i.e. being 10 minutes from a hospital, having a doula, etc...) is the optimum birth experience....but take that with a grain of salt cuz I haven't had one yet...<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"><br><br>
Seriously, my first and second births were wonderful natural waterbirths...but in a hospital. Both times, I said "That was lovely but it would've been better at home."<br><br>
The only thing about being in a hospital (but doesn't apply with the birth center you refer to) is having your meals (even though they are gross) delievered to your bed. Got someone who can do that? Then go for it!!!!!<br><br>
\You won't regret it, I can almost assure you. An hour drive in labor is....not fun...to put it mildly.
 

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OK....here it is...my opinion....<br><br>
For my first dc, I had a 1 hour drive to the hospital..and it really wasn't that big a deal. We left the house knowing we had to drive an hour, ie. we didn't wait until I was in excrutiating discomfort. We left while everything was still managable and during the ride, I just closed my eyes and concentrated on breathing, staying relaxed, etc. (I used hypnobirthing for this delivery) Before I knew it, we were there.<br><br>
For my first dc, if a birthing center had been an option (vs. a homebirth), I would have gone with the birthing center....something about being in a more "medical" environment seemed reassuring at the time.<br><br>
Now, with #2, I want to do a homebirth (been through 1 delivery, know what to expect, my labour with #1 was short and might be shorter this time, etc, etc.), but it's not an option (too expensive), so we're going with a new birthing center, which I still feel really good about.<br><br>
There it is...my opinion<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">
 

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I had the 5 minute drive with both 1 & 2. It was terrible. This time, I am going with a homebirth because I REALLY don't like anyone touching me during labour. Plus, I don't want to move me, DH, the girls, etc. I just want us to be all in the same place.<br><br>
Gosh, you are lucky that insurance covers homebirth! GA's backwards on that one!<br><br>
Good luck!<br>
Lisa
 

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Discussion Starter · #8 ·
rbeaufoy: I know where you are coming from because with a first birth it seemed like a Birth Center was safer/more medical. But actually that isn't true. There are the EXACT same medical interventions available at a home birth...pitocin, oxygen, equipment to start an iv, ability to do an emergency episiotomy, etc. There is NOTHING my birth center can/will do that my homebirth midwife won't.<br>
It is good to know, though that someone had a drive and was fine with it.<br>
Lisa: It isn't necessarily that MA isn't backwards about homebirth also (my sister had one and her insurance wouldn't cover it)- it just depends on your insurance plan.
 

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<div>Originally Posted by <strong>TechnoGranola</strong></div>
<div style="font-style:italic;">Personally I did NOT want to leave my house during labour with my first. I was comfortable on my couch, in my bathtub, on my floor, etc. I eventually left with my midwives to the hospital while having contractions every minute or so. Let me tell you, it was NOT comfortable to walk anywhere at that point. If I could have stayed home, I would have (did not have money for homebirth at the time and thus were not prepared to have one at home). It wouldn't have mattered if you were taking me to a great birthing centre, or the hospital. I just didn't want to go anywhere.<br><br>
Now, perhaps if I had left earlier I may have been more willing to go, BUT the key is, I didn't want to go earlier. I ended up having a fantastic hospital birth (no drugs, no interventions, midwife delivered baby, nurses stayed out of our room the majority of the time, ...). The only thing that could have made that birth better is if I hadn't had to leave my house. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
So, I think it highly depends on your personality. If the birthing centre isn't giving you any benefits over a homebirth, why leave your house?</div>
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That sucks that your province doesn't pay for home birth. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">
 

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<div>Originally Posted by <strong>the_lissa</strong></div>
<div style="font-style:italic;">That sucks that your province doesn't pay for home birth. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"></div>
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Yup, neither the province I lived in for my 1st birth or the province I am living in now for this birth pay for homebirths. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad">
 

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I hate that.<br><br>
I am so thankful that midwifery and home births are regulated and paid for. Of course, regulation can be a double edged sword.
 

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here's a couple of other things to think about:<br><br>
at a birth center, you will have to drive home with a hours old baby. Personally, I would hate to have to put such a new baby in that hard carseat for an hour ride home.<br><br>
At home you will have access to any food that you may want during labor and right after the birth (an hour after my son was born my DH made me strawberries with yogurt and granola, YUM!! at 1AM)<br><br>
You may not have to rent a tub. a lot of midwifes and doulas own a tub and you just have to buy a new liner for about $25.<br><br>
You will probably be less inhibited at your own home and more able to do what you have to to get comfortable.<br><br>
That 1 hour car ride while in labor will NOT be fun. with this being your first it will most likely be a longish labor. You would probably not want to go too early, so contractions will be closer together and stronger by the time you are heading up there. and it is quite impossible to get in a comfortable possition even in a SUV, like I did with DS1.<br><br>
so, can you tell what my opinion is??<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink">
 

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<div>Originally Posted by <strong>SummerTwilight</strong></div>
<div style="font-style:italic;">rbeaufoy: I know where you are coming from because with a first birth it seemed like a Birth Center was safer/more medical. But actually that isn't true. There are the EXACT same medical interventions available at a home birth...pitocin, oxygen, equipment to start an iv, ability to do an emergency episiotomy, etc. There is NOTHING my birth center can/will do that my homebirth midwife won't.</div>
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<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/yeahthat.gif" style="border:0px solid;" title="yeah that">: You're exactly right! The only thing that the BC will have that a HB won't is more restrictions & protocol (though probably less than a traditional hospital). That's one of the major reasons why I'm planning a HB even though I'll have to pay 30% + $500 out of pocket when there's an excellent BC 45 minutes away from me where it would be covered 100% w/ only a $10 co-pay.<br><br>
Since first time moms like us are more likely to have longer pregnancies, longer labors, longer time pushing, etc, etc I don't want to risk getting booted out of the BC for something a HB midwife would be more relaxed about if everything else is going well. KWIM?<br><br>
The bottom line, though, is that you need to plan to birth where you'll be most comfortable. Good luck making that decision <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love">
 

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Well, I'll speak from the perspective of a birth center midwife and someone who has had a homebirth. Birth centers are GREAT, especially if you or your family aren't comfortable with a homebirth and they are SO much better than any hospital. I really feel like women practically have a homebirth experience with us. The convenience is no clean up for you, no purchasing supplies or needing to keep your house tidy <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> Plus we have jacuzzis so you don't need to muck with getting a tub and most insurances cover 100%. That said, I WOULD never have a birth center birth after having a homebirth. I can't imagine getting into a car! Either in labor or 4 hours after getting birth! I loved being tucked into my bed with my baby, naked and warm and not worrying about a thing. Being home is just the BEST!<br><br>
I will say though, for our last homebirth we paid out of pocket and it was a huge burden but worth it. This time, we found a homebirth CNM our insurance covers. If we hadn't found her, we probably couldn't have a homebirth because money is really tight, and I would have been okay to go to our birth center. Also, my hubbie jokes it would be a "luxury" to go to the birth center because he had clean up duty last time and didn't like it at all. My water broke with a gush of thick meconium all over our area rug and we didn't have chux or towels handy (because DH did NOT familiarize himself with our supplies) and we found some blood clots in our sink from the placenta (lovely!).
 

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Homebirth!!!! going anywhere in labor would not be cool with me. also, the whole "power/authority" dynamic, even with super-awesome laid-back midwives, is just different in your own home versus "their" place.
 

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<div>Originally Posted by <strong>Glittergal</strong></div>
<div style="font-style:italic;">The convenience is no clean up for you, no purchasing supplies or needing to keep your house tidy <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"></div>
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Um, our house has been a disaster for births; no one seemed to mind. And my midwife's house is never the picture of tidiness either. It makes me comfortable though!<br>
The midwife and her assistant cleaned everything up both times. Except for my husband never putting the wet laundry into the drier after a week's time, everything was done for us. So no inconvenience there!<br><br>
- Krista
 

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between my mw's and doula, they cleaned everything up w/in the hour after birth. Doula started a load of laundry, and everything else was taken care of. they even took the garbage bags out for us!!
 

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well i certainly didn't mean to say your house has to be clean. i'm a slob but have to have things tidy for other people so my early labor was spent cleaning up, which kept me busy. our midwives stayed 3 hrs and didn't do much cleaning at all.
 

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I usually lurk here, but just wanted to say thanks for this wonderful thread! I am having the exact same dilemma and am completely on the fence. This is my second child, my first was an attempted birth center birth, but I was transferred to the hospital in labor.<br><br>
Sybil<br>
#2 due in August!
 
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