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Dh is very nervous about a home birth. We only live 5 minutes from my hospital. That hospital doesn't do neonate triage either you have to be air lifted to the one 15 minutes away (if you birth in that hospital). Has anyone had a hospital transfer during a home birth? Do you mind sharing your stories with me? I would like to get an idea of what might cause a transfer etc so I can talk to him about it.
 

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here's a recent thread about "things to watch out for"<br><br><a href="http://www.mothering.com/discussions/showthread.php?t=649711" target="_blank">http://www.mothering.com/discussions...d.php?t=649711</a>
 

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my story is simple i had a fever nothing else my labor with my dd was fast 2hours 7 min so i knew this one was going to be the same so i refused to go to the hospital i didnt want to have a baby in the car so they tried everything to make me go from the baby wont be breathing it so bad she told me that childrens aid would take my baby away for failing to get medical care if i had to be transfered there after the birth when this didnt work the head midwife(we didnt get along at all my main one was on holidays) started to pack up so i had a choice stay alone or go with them so i was put in their one car and rushed to the hospital had to not push till they were ready <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/dizzy.gif" style="border:0px solid;" title="Dizzy">: meaning pumping me full of drugs for the feaver not pain meds had a birth forced knees to chest held there no say at all i was alone with 2 midwifes and a student but i had a healthy baby and was home in less then 3 hours of his birth<br><br>
just be ready in case have the birth things u would need while in the hospital packed in a bag just sitting there i hope you have a safe healthy happy birth for you and dc good luck <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"><img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hug2.gif" style="border:0px solid;" title="Hug2">
 

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I had a hospital transfer. In hindsight, it was not anything spectacular, although it seemed action-packed at the time! I had been in labor for about 42 hours, ds' heart rate was going down during/between contractions. The midwives had me trying to push in different positions--hands and knees and on a birthing stool--and kept reaching in to massage his scalp after each push to bring his heart rate back up. They also gave me some homeopathic remedies to increase oxygen flow to the baby. After trying a bunch of things they declared that my cervix was swelling and I was no longer 10 cm, but more like (hard to remember--I think 6 or 7 with a lip in the front?) and that I had to stop pushing. I was spent and opted to go to the hospital. The midwives called the hospital and my doctor and told them we were coming in. Dh drove me and the midwives went in a separate car and met us at the ER entrance. They were expecting us so they had a wheelchair waiting and they ran me upstairs, put me in a gown, blasted on some ungodly floodlights, and hooked me up to everything and their mother. My doctor got there shortly after and I tried pushing for a little while but I was too weak so she advised me to have a drink, take a nap, and she'd come back later when I was rested (I had an epidural at that point). I drank some juice and napped, she came back, I pushed, ds was born <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love"> 48 hours of labor total.
 

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I had a homebirth turned transport. When the midwife showed up, she discovered that the baby was footling breech, and wasn't comfortable doing a footling breech. So, she drove me to the hospital to see if her backup OB could do an ECV-- there wasn't enough fluid to do ECV, so I had a cesarean. It was very stressful at the time, mainly because I was giving up my dream of a homebirth AND any chance of vaginal birth, but really it wasn't a crisis or emergency situation (in retrospect).
 

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Most transfers are because of a long labor, and a tired mom wanting an epidural. Emergencies are really rare.
 

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<div>Originally Posted by <strong>SublimeBirthGirl</strong> <a href="/community/forum/post/7891075"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Most transfers are because of a long labor, and a tired mom wanting an epidural. Emergencies are really rare.</div>
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<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/yeahthat.gif" style="border:0px solid;" title="yeah that">:
 

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lyttleone,<br>
I just keep finding your threads. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"><br><br>
I had a hbac transfer to Holy Family (we were living in Cheney, WA at the time). Here is what happened. I was in the birth tub and felt a gush of fluid. I thought it was my water breaking but when I looked down I saw blood spreading through out the water. The MW thought maybe it was possibly from just getting to 10 but when she checked me I was only 7-8. Heart tones were great at this time so we went downstairs to decide what to do. MW called a few other HB MW's to see what they thought (at 3 AM) no one had any idea. MW checks me again and I am at a 2. At this point I was still bleeding but not gushing anymore and baby is still fine. She said that being so far from the hospital is there anyone's house in Spokane we could go birth at? We did not know anyone that well so that was not an option. She was still ok doing a HB and left it up to us. I asked her to call and see who was on at Holy Family since that is the most VBAC friendly hospital in Spokane. It was Dr. Brasch (great doc by the way) and so we decided to drive the extra time up there rather than go to Deaconess or Sacred Heart (who would have sectioned me for sure, or wanted to). Dr. Brasch did say that he thought I would deliver in the car before we got there. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"> At that point not knowing where this bleeding was coming from was a little scary and I felt better just knowing we were on the way to the hospital. It took about 45 minutes to get all the way up there. Once there the staff treated us great. They were very respectful of our wishes. I was checked (back to a 7!!!, I thought it would take forever to get back there <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol"> ), they put the monitor on (still great), and put in an IV. They then left us alone to labor and about an hour later I had a baby. Dr did want to break my water as baby was still posterior and he (as my MW says) is great at turning babies but I said no. We denied eye goop and hep B and the after birth pitocin shot (as I told you in the other thread <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> ). We also took home our placenta and left 10 hours later. They did have to bag Marah but my MW says that would not have been necessary if they had not cut the cord so fast. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> Scary at the time. Oh and I birthed on hands and knees and they did not say a thing. Turns out the bleeding was from a partial placental abruption about 15%. Even the doctor could not figure out the bleeding until I delivered the placenta and then it was obvious to everyone.
 

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I agree, most to to maternal exhaustion and not a life or death emergency. Heck most hospital "emergencies" are exhaustion on the part of someone as well.
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
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<div>Originally Posted by <strong>SublimeBirthGirl</strong> <a href="/community/forum/post/7891075"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Most transfers are because of a long labor, and a tired mom wanting an epidural. Emergencies are really rare.</div>
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I agree. That was the case for us. I had been in labor 30 hours, it had been three (or four?) days since my water broke, and the contractions were irregular and getting worse. Also, I hadn't peed in hours (I couldn't!) and needed a catheter to get the urine out (1.8 liters!).<br><br>
Real emergencies are rare. I think there are more "emergencies" in hospital births, due to all the interventions (epidurals, inductions, laboring on your back, etc.), than there are at homebirths.<br><br>
ETA: Ask your midwife how often she has to transfer to the hospital, and why. It's probably almost always due to exhaustion or failure to progress.
 

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Discussion Starter #12
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<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
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<div>Originally Posted by <strong>SublimeBirthGirl</strong> <a href="/community/forum/post/7891075"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Most transfers are because of a long labor, and a tired mom wanting an epidural. Emergencies are really rare.</div>
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I ended up finding the BMJ article on North American Home Births. DH is a math guy and wanted to see some numbers. The <a href="http://www.bmj.com/cgi/content/full/330/7505/1416/TBL2" target="_blank">table's</a> largest reason for urgent transfer was sustained fetal distress 0.6%. The largest reason for non urgent transfer was failure to progress in the 1st stage 4.2%. The second highest non urgent transfer was pain relief BTW 2.2%.<br><br>
DH was a lot more comfortable after he saw what a low number was associated with urgent hospital transfers in general only 3.4%! He did appreciate everyones stories. Thank you guys!
 

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My first birth was a homebirth turned transfer. We transferred because when my water broke there was thick/fresh meconium in the fluid. It was a precaution to transfer...there was no rush. I laboured for another 7 hours at the hospital before pushing out my baby.<br><br>
Emily
 
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