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I'm 41 weeks today with my first baby, and I'm starting to get very antsy. Not because I have any issues with letting her wait as long as she wishes and needs, but because the medical system I have to birth her in does...<br><br>
I'm in the UK, and our medical system means that you don't really get to choose your care provider. Normal pregnancies are almost always taken care of by midwives, but they are very much part of 'the system', as it were. If you are absolutely loaded you could have an independent midwife but I am absolutely not loaded, so that's not an option.<br><br>
Homebirth is technically a legal right here. I have been booked for a homebirth throughout my pregnancy, and have been pleasantly surprised by the supportive attitudes of most midwives I have seen. However, in the homebirth 'pack' I was sent, it was pretty emphatic that they will not deliver at home past 42 weeks. (In fact, the first MW I spoke to about it said not after 41 weeks but I think that's just total BS).<br><br>
My official due date was May 12th, but from the several u/s I had (due to bleeding and lack of movement), my due date is May 22nd. However, these were done after 20 weeks, when ultrasound isn't accurate for dating purposes, so my MW decided that I had to go with the earlier one (although I'm pretty sure that the later one is more accurate, from my hazy memories of when I concieved). So, whilst I'm technically 41 weeks, I could well not even be 40 yet. (which is something I'mn absolutely going to use in the upcoming 'battle' I am anticipating)<br><br>
I'm due to see a MW for a stretch and sweep (not my usual MW, as she only works Thursdays and didn't want to do the s&s before 41 wks) on Tuesday. I'm not sure if I really want the stretch and sweep, but I will definitely be going to the appointment for a check up as i haven't seen anyone since last Thurs. Also, it can't be done unless baby is engaged, and I'm pretty sure that she still isn't. However, I'm assuming that this will also be when they start giving me crap about homebirth, induction etc.<br><br>
I'm absolutely 100% certain about not being induced unless something terrible happens, and although I'm dreading the guilt and pressure that they will inevitably start putting me under, I feel confident enough in my reasons for refusal. However, I'm also so very desperate to 'keep' my homebirth, and I'm getting so worried about what they might say.<br><br>
So, what are the arguments that they may present as to why I 'need' to be in hospital after 42 weeks? And what are some convincing counter arguments?<br><br>
Are there any UK mamas out there who have managed to birth at home after 42 weeks? What opposition did you encounter and how did you overcome it?<br><br>
As I said, homebirth is my legal right, whatever the circumstances of teh pregnancy. However, I really dread being in a situation where I am labouring AND having to fight with an officious midwife on the phone or in person, who refuses to attend me at home. It's just not what ya need in labour, ya know? (I do have a doula who I really like and trust, and who I think would advocate for me pretty well in that situation, but I need to do my research first and have all the arguments lined up)<br><br>
Sigh, I could really do without this hanging over my head. I'm just absolutely dreading spending my last days of pregnancy fighting to get the birth I want and being given all sorts of guilt by medical types. In fairness, it hasn't happened yet, and maybe she will surprise me by popping out in the next week, but there's no sign whatsoever so far and I need to be prepared. Hmph, I am so glad that we have a public health system that's free to all, but sometimes I do envy the freedom of choice that Americans seem to have in this matter (choosing MWs etc). (UC is absolutely not an option that I or my boyfriend would be comfortable with, in case that suggestion occured to anyone!)<br><br>
Any advice very very welcome, particularly facts and research to support the safety of birthing at home after 42 weeks, and support from those who have been in a similar situation!
 

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Hi,<br><br>
this is just going to be a very quick reply!<br><br>
Noticed you are in Leeds and so am I....in fact I'm one of the Yorkshire Storks independent midwives.<br><br>
You don't have to justify your choice of birthplace or the choice to decline their 'kind' offer of induction to anyone except yourself!<br>
But you know that.....<br><br>
It is difficult to make sure you get a supportive midwife attending your birth precisely because of the number of midwives available but maybe a strongly worded letter to the head of midwifery at your base hospital may be a good idea to request competent and unwavering support.....persistence works, ya know?<br><br>
If you want to chat more in depth chat about local options PM me.....there is also a rally on central square in Leeds city centre on tuesday the 22nd of may from 11am-3pm to save independent midwifery and to promote good one to one care ....come by if you fancy...i'll be there (one of the organisers)....i have very short dark hair and a small baby bump.....<br><br>
debs x
 

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OH! Im so glad debs replied! That works out wonderfully for you!!!<br><br>
I was going to suggest that when they start telling you that its too late, blah blah, blah, that you inform that yes, according to your lmp youre dd is may 12, BUT you have a 32 (34, etc) day cycle <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"> , which pushes your dd back by several days, include the FACT that you KNOW when you conceived <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"> and that may 12 is simply NOT a possibility. Also, be sure to remind them that youre u/s, although after 20 weeks, thus not accurate for sizing purposes, DOES back up the FACT that your baby is more accurately due when you say he is...<br><br>
compose a letter, submit it to anyone and everyone of slight importance and fight....<br><br>
good luck and keep us updated!!<br>
if all else fails, there are steps ive heard other mommas talk about that you can take for a *home induction*...on the last possible day...
 

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I just wanted to really quick jump in here and say I had a hb w/ a midwife at 42.5 weeks. She was born at a very healthy 8 pounds. Sending you love and gentle birthing vibes mama.
 

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My oldest was born at home at 43.5 weeks (by scan.) I've also had a 37.5 weeker and a 42 weeker at home with NHS midwives. I'm in the UK too.<br><br>
IF anyone should try to tell you that you need to be induced, refer them straight back to the NICE guidelines which recommend that women be offered induction at 41 weeks. Should they refuse, monitoring from 42 weeks onwards should be offered.<br>
Basically, you are in a strong position. The hospital have to offer the induction- so the consultant tells the registrar that this is the policy. The registrar tells you that hospital guidelines say "we induce at 41 weeks" and the SHO books you in for an induction to prove that you were offered one. The best advice I can give is to accept the booking for induction but to cancel via telephone.<br>
Ultimately, a midwife can NOT refuse to come to a woman in labour, even if she is post-dates. Hospitals keep on trying to argue the toss on this one and so far, they've never won.<br>
If I were in your shoes, I would cancel the appointment on Tuesday and try and get an appointment with your regular midwife. It sounds to me like she's a true believer in normal birth, and a really good CM; she's covering her back by insisting that you use the EDD from the 12 week ultrasound, but the reluctance to do a s/sweep before 41 weeks is a good sign for me. There is as yet no hard and firm evidence that suggests that a single stretch/sweep is an effective form of inducing labour anyhow.<br>
If you get really stuck, ring AIMS.<br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"><br>
You sound really stressed about this. Just trust that things will all be OK- the adrenaline can do horrid nasty things to labour. If you can, relax.
 
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