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Finding myself in need of homebirth rather unexpectedly <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
We moved to a new area recently after our last baby was born at home with an awesome CNM (hi awesome CNM if you read this!). We are too far away to have that option.<br><br>
My insurance will cover a hospital birth 100% except a $20 copay. There is only one CNM doing hospital birth and she is particularly un-awesome. The local hospitals are totally awful- I have worked in all of them in various roles in the OB units.<br><br>
There is a birth center with CNMs that seems great about 2.5 hours away that would also be just a $20 copay.<br><br>
My insurance covers homebirth with a CNM except there are no CNMs doing homebirth, in-network or out.<br><br>
There are some CPMs in the area (not legal). One in particular seems great and we have a consult set up for next week. Birth with her would all be out of pocket.<br><br>
There is another birth center run by CPMs about 1.5 hours away and it seems great but also out of pocket.<br><br>
I am not opposed to the idea of UC but personally I would like to have someone available in the event that the baby needs rescusitation or I need stitches. This is my fourth baby with really no previous issues. I do seem to have loooong labors- my homebirth was about 13 hours of active labor and that was my third baby.<br><br>
Need some ideas!<br><br>
Money is tight right now and the 100% paid birth center birth is tempting. But we live in a rural area and I would rather stay home and UC rather than risk UCing on the side of a dark country road on the way to the birth center. But with my long labors it might not be an issue other than being miserable.<br><br>
One thought I have is to see if the local CPM would be open to the idea of me getting most of my prenatal care from a covered provider and paying her a fee for minimal prenatal care and the delivery. I realize the prenatal care she would provide would be superior to what I would get from an OB and I don't want to insult her so I wanted to see what the opinion on that is before I ask.<br><br>
I was considering posing the same question to the birth center run by CPMs that is not covered but is slightly closer.<br><br>
Or is a 2.5 hour drive to a birth center reasonable? I would also hate to either ride in the car with my kids that long or have them miss the birth completely (don't necessarily want them in the room, but within short distance would be nice). Child care isn't an issue.<br><br>
So thanks for reading and please bring any and all suggestions and advice!
 

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The thing I would try would be to see if the CNMs with the birth center would be willing to talk about doing a homebirth. I would even be willing to pay some out-of-pocket expense ($1000?) for their trouble, in addition to filing the insurance. Unless their insurance prohibits them from doing so, I would think someone there might be willing. And, they already have someone who files their insurance for them, I imagine.
 
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