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Discussion Starter · #1 ·
28 weeks and counting. Having to make a big decision because of finances. I have birthed two other children at home with my wonderful midwife, but this time we are having problems affording her. I am on medicaid so hospital birth means free birth.I am crushed<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/gloomy.gif" style="border:0px solid;" title="Gloomy">: at the prospect but my husband likes the idea. Welcoming any comments, advice or ideas.
 

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Have you considered an OB for prenatal care and then birthing unassisted?<br><br>
Have you talked about your situation with your midwife to see if you can come to any financial agreements?<br><br>
Talked to other midwives?<br><br>
Myself, after birthing at home, I could NEVER go to a hospital barring a true emergency. I'd go unassisted before setting a foot in a hospital. But, you have to do what is comfortable and practical for you.<br><br>
I hope you find some resolution soon.
 

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would your midwife be able to work out some kind of payment plans with you?<br>
i am so sorry, it is not right women have to make these kinds of choices based on money alone <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 have btdt and didn't even have medicad. I found a mw who would see me with a very flexible payment plan (meaning I could give her $5 a mos and later on when I had money give her more). I also sold stuff on ebay for her.<br><br>
Just remember you get what you pay for.
 

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Well, this is such a personal subject. But I can relate to you being in the same situation.<br>
Luckily my doctor who birthed my other child agreed to deliver this one at home. He also works with a midwife so she will be there and I pay her like a doula. My doctor accepts medicaid, but the midwives don't.<br>
Some midwives will allow you to make payment plans, starting before the birth, or continue paying after the birth until it's paid off.<br>
Did you ask your mw if she would be willing to work something out. Ask her for advice, I'm sure she has seen situations like this and could possibly direct you to a practitioner who could work with your finances.<br>
When all options are exhausted...This may be a radical thought but what about unassisted births? since you and your dh have been through 2 homebirths.<br>
These were my thoughts before I had a solution.<br>
It will work out for you. Let us know what happens.
 

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I would never birth in a hospital simply because of money. I would talk to the midwife and see if you can work something out. I would explore UC.<br><br>
good luck!<br><br>
-Angela
 

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haveyou talked to your mw? has she birthed your other children? i would see if she couldtrade stuff or work out a payment plan..... i wiuld talk to her
 

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Please consider talking with your mw. Most are not in it solely for the money <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> I can completely empathize w/having no money to afford this. Do you have family to turn to? Items you could sell to raise $?<br><br>
My first ds was born in the hospital with insurance---total, his birth cost us $5. Of course, due to iatrogenic complications from his birth, he was admitted into the NICU....and those three days cost over $25,000 and were the worst three days of our lives....so, "free" isn't necessarily a *good* thing.<br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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In my state, North Carolina, homebirth with a CNM is covered by Medicaid through the Health Check/ Health Choice program, which is not limited to NC. Do a search for Health Check/Health Choice in your state and see what you can find. It is more difficult to find CNMs for homebirth in many states, but not impossible. We have had one homebirth with a CNM and are planning another. And both midwives are on the way groovy side, if you know what I mean. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"><br><br>
Good luck!
 

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You get what you pay for. A free birth may not cost you any money, but birthing in the hospital will rob you of your power as a birthing mother. Since you are a returning client, I bet your midwife would take a payment plan. Mine is being very lenient and is givng us 2 years to pay her off.
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">but birthing in the hospital will rob you of your power as a birthing mother.</td>
</tr></table></div>
I have to say, I understand totally that in many cases the above quote can be true. But, I have been to some wonderful births in the hospital is well. It all depends on if you have a practice with low interventions (ie low c/s rate) and respectful, flexible care. We are lucky enough around here (but granted it is the only hospital out of quite a few I could recommend) to have two practitioners who have a 5 and 8 % c/s rate and one of them takes call for their clients, so you know you will get her...just like a hb midwife.<br><br>
Anyway, my point is that if you have heard of a good option in the hospital it might be worth checking out if you can't work something out with your midwife or you are not interested in uc.<br><br>
Best of luck! Paige
 

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Totally talk to your mw and if payment arrangements can't be done, truely concider a UC! You've done it at home before, you know how things work <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> I hope things work out well for you <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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Discussion Starter · #14 ·
Thank you so much for all the responses, this is my first time posting a new thread and it really helps!!<br>
Here's more info: my midwife did offer two years to pay her back, but my husband still likes the idea of a "free birth" and after our tour of the hospital he felt like it wouldn't be so bad, I of course felt worse after touring the hospital because I dont even like being there on a normal day let alone when I am in labor! I am pretty determined not to give birth in a hospital but I have to convince my husband how important it is to me, to me its way worth the money( and it really isnt <i>that</i> much money)
 

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Ask him how he'd feel if you were cut (either section, episiotomy...) for no other reason than they were in a hurry. Ask him how he'd feel if they kept your baby from you in the nursery or nicu for hours or days. Ask him how he'd feel if you or your baby picked up a serious infection. Ask him how he'd feel if your breastfeeding relationship was damaged (formula is more expensive than a midwife)<br><br>
etc etc etc<br><br>
-Angela
 

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I had a homebirth with a CNM in WI who takes Medicaid. Different states have different Medicaid rules. Unfortunately I don't know how things work in MI.<br><br>
I have had a hospital birth. There is no way I would have a hospital birth without a doula. If you feel that way too, that takes away the option of the hospital birth being free.<br><br>
You might also want to talk to your DH about how different newborn procedures are in a hospital environment. I had a really good hospital birth, but it was still a much harsher introduction to the world than my homebirthed baby received. After my homebirthed baby was born we all crawled into bed without our shirts on and had skin-to-skin time with our new baby. You can't do that in a hospital with the lack of privacy and the barrage of interruptions and you'll never have those precious first moments again. The <a href="http://www.birthpsychology.com" target="_blank">Birth Psychology</a> web site has some info about birth trauma/bonding (though a lot of it is in the form of citations of research you would have to go find).<br><br>
Good luck with working this out. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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Who's having the baby? YOU! You can consider your DH's feelings, but ultimately, you should be making the decision where you want to give birth.
 

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Perhaps your relationship with DH is "a bit" unbalanced. Even if it is unintentional, you are considering his needs, at the complete deficit to your own. You have said you want a hb, not hospital. You are birthing. Tell DH when he delivers the next baby, he can choose where he wants to labor.<br><br>
If this is so financial, find out what the cost of a year of psychiatric counceling will cost you. Quote him this amount. Tell him if you are in the hospital, perhaps everything will end up fine. You could be lucky. Or perhaps things will turn out bad, but acceptabe. Or perhaps things will end up TERRIBLE. If you end up with the traditional route - AROM, pit, epi, cesarean..... then the PPD or PTSD you suffer afterwards will severely affect your relationship with your new babe, him, your other children, not to even mention yourself. Would you even be able to forgive him if this happened? And surely he must be willing to pay the therapy costs, so you can get better and take care of him and his children?<br><br>
Sorry if I sound harsh, but it just seems so unrealistically unbalanced to me. Esp. considering you have hb twice before. This is not new territory for either of you.<br>
Allison
 

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We're kind of in a similar situation. But one thing is for sure, we're going to find a way to pay for a homebirth before I'll step foot in a hospital to deliver. My DH has even said we'd go unassisted before he'd take me to a hospital. You do get what you pay for. A "free" hospital birth would have so many interventions and other most likely other complications involved, it's not worth it in the end.
 

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Discussion Starter · #20 ·
Ok here is where I am standing now, went to the hospital for the tour, and met a possible cnm, and was completely turned off by everything. Everyone says you have more control over your situation in a homebirth, less in a hospital. I realized this is not my issue at all. I dont want to have to be in control while birthing, I JUST WANT TO BE ALLOWED TO BIRTH without anyone messing with me or my child, I feel like I would have to be in control at the hospital making sure things went a certain way, while at home I could just let things happen in their natural course. AND THIS IS SO IMPORTANT TO ME that nothing else matters and its worth having to buckle down and count pennies for a while. So like someone said a few posts ago, I am telling my husband that the next time he gives birth he can chose the location, but for <i><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/rant.gif" style="border:0px solid;" title="rant">:</i> HOME IS WHERE I WANT TO BE!!!
 
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