Mothering Forum banner

1 - 20 of 27 Posts

·
Registered
Joined
·
4,519 Posts
Discussion Starter · #1 ·
First I want to say that I'm not pregnant yet, or even actively TTC, just looking at my options.<br><br>
The nearest hospital to me is 40 miles- and it is a level two obstetric unit and nursery.<br>
The nearest big hospital is Fargo- that's where the NICU & ect is as well. Fargo is 120 miles from here.<br>
The nearest midwife is a traditional midwife, and doesn't have any certifications.<br>
My last homebirth was a city birth- we were two miles from an excellent hospital for back up. I had an excellent CNM and doula there for the labor, then birthed my baby on my own.<br>
I guess that I'm just nervous about the distance from care in case something goes wrong. I'm trying to weigh out everything to see what my options are.
 

·
Registered
Joined
·
2,043 Posts
That's a tough one. I am still somewhat conservative, and I don't think I'd be fearless enough to birth that far away from a hospital. However, I have zero desire to labor in a car, which is what it sounds like you'd have to do! I guess, though, that since my labors were both about 4-6 hours, I might be "willing" to try to drive up to an hour, once labor started - but not for a hospital birth. I'd have the baby in a hotel before I went to a hospital! (first, though, I'd try to find a friend who would host the birth)<br><br>
good luck<br>
--janis
 

·
Registered
Joined
·
2,282 Posts
Provided I was low-risk (not twins, etc) I would probably do it. If I felt very, very comfortable with the traditional MW. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
It takes hospitals awhile to get ORs ready, so they would likely just be ready if you called ahead in case of an emergency when you arrived. If there are more problems than that, they would Xfer you and baby to the other hospital, possibly air-lift, no?<br><br>
No one can answer this one but you in the end, though <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

·
Registered
Joined
·
1,209 Posts
I've never lived more than a few miles from a good hospital, so I can't say exactly what I'd do. But there are several factors.<br><br>
First off, even if you were planning a hospital birth, 40 miles is a long way if something does go wrong. There are lots of things that could happen suddenly, even if you weren't in labor, and you'd still be stuck far away.<br><br>
What are the chances of you having a precipitous birth? All three of my labors have had very short active/pushing stages.. so again, if that's likely for you, if you did want to make it to the hospital, you'd have to leave at the first sign of labor.. otherwise you'd be risking delivery in the car. Personally, I'd much rather be at home.<br><br>
Could you possibly be airlifted in the case of a true emergency? I'm not talking maternal exhaustion or anything.. but if there was a cord prolapse or something, could you get to the hospital any quicker?<br><br>
I'd also feel a lot more comfortable if I had several uncomplicated births. If I know that I generally birth babies pretty easily, then I'd be more likely to consider it. I know, freak accidents can occur to anyone.. but I sure wouldn't do a homebirth that far away from a hospital for my first birth, you know?<br><br>
I'm pretty conservative when it comes to birth, and it would make me uncomfortable to live that far away from a hospital regardless of whether I was planning a homebirth or not. Would it be possible to stay with a friend or in a hotel as soon as you know that labor might be starting?
 

·
Premium Member
Joined
·
15,078 Posts
Unless I had anticipated problems, I would UC anywhere.
 

·
Registered
Joined
·
2,211 Posts
I'm going to flip this on it's head and argue that the farther you are from the hospital, the better it is to plan a homebirth.<br><br>
When you live close to a hospital, you can wait until the 'last minute' to go in. If you know you've got to drive for hours to get there, you'll want to leave early on in labor and getting the hospital too early really stinks as far as both comfort and interventions go.<br><br>
If you have a midwife who lives closer to you than you do to the hospital, you're closer to basic "labor and delivery" care if you go with her. If she's as far away or farther than the hospital, it's still easier/better to call and have her show up a little early at your house than to leave and sit around in a hospital. If I was worried about possible complications, I'd want to get checked out/get a fetal heartrate/etc. sooner rather than later, and having a midwife able to come by and assess the situation could probably happen more quickly than getting to the hospital.<br><br>
Distance from the hospital would definitely drastically change my comfort level as far as when to transport, though.
 

·
Registered
Joined
·
4,519 Posts
Discussion Starter · #7 ·
<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;">
<div>Originally Posted by <strong>prothyraia</strong> <a href="/community/forum/post/11628111"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Distance from the hospital would definitely drastically change my comfort level as far as when to transport, though.</div>
</td>
</tr></table></div>
You've raised some really good points to ponder.
 

·
Registered
Joined
·
6,549 Posts
Interesting discussion. For this birth we are only about 1.5km to the hospital. But when we return home & have our next we will be 60km.
 

·
Registered
Joined
·
3,473 Posts
As a mw, I don't really have distance requirements about the hospital as long as mom/baby are in clearly good health throughout pregnancy. On the other hand, when I have a mom/baby who show 'iffy' signs, then I might well continue to be willing to help them birth at home, but would definitely want them to labor closer to the hospital. I myself UCed at a friend's house, to be within 15min of hosp when we lived way out in the boonies, and considered it well worth it (we had no particular reason--just my desire for that).<br><br>
While you can't always predict an emergency, only very rarely do things go very bad, very fast at birth that is unhindered. I would take that risk if the parents also were willing (they would have to understand that they themselves were assuming the most risk, of course, if it did turn out to be one of those rare sudden emergencies).<br><br>
But I guess it depends on your comfort level. Your best chance of having a gentle, normal birth is to labor/birth where you feel the safest. For me with one of my UCs, that was at my friend's house. You have to consider what will enable you to be the most relaxed. And remember...birth works! It really is not a bomb just waiting to go off....;-)<br><br>
good luck~
 

·
Registered
Joined
·
1,333 Posts
I would be comfortable regardless of distance to the hospital. Yes, I could see it being a risk that I would consider, but it wouldn't change my mind about a home birth. I would probably have a mw for sure if I was really rural - 40 miles doesn't cross that line for me. It's all based on your own personal comfort level.
 

·
Registered
Joined
·
2,899 Posts
I have fast births. If I lived 40 minutes from a hospital, it would be quite likely I wouldn't make it to the hospital anyways, so having a homebirth w/ a mw on the way would be a better choice for ME.<br><br>
I have a friend who lives basically in the same town I do, and won't consider a hb because it is "too far" from the hospital, and because the ambulance service for their town is considered the worst in the area (they both work for the hospital, so know the score)... which I didn't know before. I think the ambulance service covers our house, too... so now, knowing that, I would just get in the car and drive in an emergency, perhaps requesting an escort on the way, rather than call the ambulance.
 

·
Registered
Joined
·
1,964 Posts
Currently I'm about 30 minutes from the nearest hospital. I feel completely fine planning our homebirth with that distance. Obviously my comfort level with that could change if I were to become high risk. I will also need to factor in the weather (I'm due in January and we're in Vermont, so roads may be impassable).<br><br>
I think I'd be comfortable with just about any distance provided I didn't have a health issue I was dealing with.
 

·
Registered
Joined
·
685 Posts
With my first 4 homebirths we lived 45 minutes from the nearest hospital (very small with only one OR) and 2.5 hours from the next level up hospital. I was very comfortable with that. I would rather have my midwives driving to me than be in labor in a car over curvy mountain roads. With my last 2 homebirths and currently we now live 3 blocks from the women and children's hospital. I don't feel more comfortable with homebirth by being this close. Location of hospital was never a factor in my decision to homebirth.<br><br>
Sarah
 

·
Registered
Joined
·
3,479 Posts
<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;">
<div>Originally Posted by <strong>prothyraia</strong> <a href="/community/forum/post/11628111"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I'm going to flip this on it's head and argue that the farther you are from the hospital, the better it is to plan a homebirth.<br><br>
When you live close to a hospital, you can wait until the 'last minute' to go in. If you know you've got to drive for hours to get there, you'll want to leave early on in labor and getting the hospital too early really stinks as far as both comfort and interventions go.<br><br>
If you have a midwife who lives closer to you than you do to the hospital, you're closer to basic "labor and delivery" care if you go with her. If she's as far away or farther than the hospital, it's still easier/better to call and have her show up a little early at your house than to leave and sit around in a hospital. If I was worried about possible complications, I'd want to get checked out/get a fetal heartrate/etc. sooner rather than later, and having a midwife able to come by and assess the situation could probably happen more quickly than getting to the hospital.<br><br>
Distance from the hospital would definitely drastically change my comfort level as far as when to transport, though.</div>
</td>
</tr></table></div>
I agree with this.<br><br>
Personally, I live 1 hour from a L&D hospital and we're having our 3rd HB in october. I couldn't imagine driving that far in labor. Also, if you consider why most women transport, time is usually on your side. If the case was life threatening...you probably won't be driving, you'd be lifted by helicopter so the time is drastically reduced.
 

·
Registered
Joined
·
5,492 Posts
so you live there everyday. you are taking that risk for yourself and children already- how does pregnancy change that for you?<br>
here they have centralized regional services and there are a few small local hospitals where women still give birth at, and because births are done in those hospitals they are safer for babies and moms, because nurses and equipment and training are all available, even if it isn't state of the art , or not everything that might be used--- or that a c-section can't be done in 15 minutes ---<br>
what is more worrisome are places that have hospitals that don't do births at all- who knows when the last time the staff has had neonatal resuscitation or how to insert an IV into an infant--- in any case , they can usually stabilize and transfer via ambulance or heliocopter-- here they actually have neonatal units that go to the local hospitals and pick up babies in incubators and they have trained neo nurses onboard with all the equipment... find out if you have that available to you. they will fly in high risk moms as well-- you know women who go into preterm labor or become eclamptic or any other problem....<br>
take care
 

·
Registered
Joined
·
3,964 Posts
I would give birth far far far from a hospital.<br><br><br>
Alaskan Bush, Amazon, Siberia, Machu Pichu, Africa, Antarctica? Yeah, I would.
 

·
Registered
Joined
·
3,428 Posts
I prefer traditional midwives above all others, personally. I wouldn't go to a hospital because of geography unless I had some clear risk factors. I don't consider normal, low risk birth to be something that requires a hospital next door.
 

·
Registered
Joined
·
1,252 Posts
I'd homebirth that far away. Right now we live about 30 minutes from the nearest Trauma hospital and our next one will be another homebirth. We do have an ambulance garage about 1 mile away though.
 

·
Registered
Joined
·
4,519 Posts
Discussion Starter · #19 ·
It seems like most people who've responded think I'm over reacting. That makes me feel better, actually. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">
 

·
Registered
Joined
·
762 Posts
We are having a homebirth (our third). We live on a farm, 30 minutes from our nearest (rural 3rd world) hospital. My back-up Dr practices from the same town as the hospital is in. Our nearest private hospital is about 60minutes away, but the Dr's there are a nightmare and if I were to transfer I wouldn't go anywhere near it. The hospital I would need to transfer to is about 1.5 hours away.<br><br>
All of this was a consideration when we decided to homebirth #2, and now #3, but I would rather be at home where I feel safe and relaxed and the risk of complications is far lower than in hospital, I would also not want to risk birthing in the car on the side of the road. Also our midwife lives 1.5 hours away, so I have done a lot of research so that we are prepared should baby arrive before the midwife does, HB#1 was very quick and had we been out here where we are now, she would not have made it on time - but I am OK with that.<br><br>
All things considered, I still feel safer here at home than I could ever feel in hospital. In the unlikely event that an emergency should arise, I can always be airlifted to hospital. I would definitely prefer a traditional midwife, my mw is rather too medically oriented for my liking, but a wonderful MW non the less, she is backed up by a doula who also lives about 1.5 hours away.<br><br>
Guess what I am trying to say is that distance from hospital has influenced my planning and how soon I will phone my MW, but will definitely not prevent me from having a HB, but then I am one of those women who would sooner UC than go to hospital....<br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin">
 
1 - 20 of 27 Posts
Top