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Discussion Starter · #1 ·
Would you attend a homebirth with someone who had a previous case of shoulder dystocia and big baby at her last birth (baby was 10lbs4oz).<br>
I am 16 weeks pregnant and I was told at my initial midwife visit that they were not willing to attend a homebirth because of the liabilty of it happening again and being on record.<br>
The outcome last time was positive aside from an episiotomy but baby was fine!<br>
I really felt that the whole situation could have been handled differently.. i started out hands and knees and pushed like crazy, i didnt even know when the head came out, so I didnt realize the urgency to push and that he was stuck so I didnt really try.. They had me flipover and tried supra-pubic pressure and tried tobreak the clavicle but couldnt, so they did an episiotomy while his head was out and reached in with both arms and pulled him out while holding his chest. He didnt breathe right away untill they rubbed him with towels and then he was fine.<br>
I had a perfect pregnancy health wise, easy labour, no gestdiab.. I just felt great and ate tons so I had a big baby, my previous baby was 8 pounds.<br>
So I am REALLY discouraged that homebirth is not an option for me already so early in the game, I understand if it is a huge baby again that they are concerned but i cant help thinking they should have tried having me stand up and squat or mcroberts position. I felt ill prepared for the shoulder dystocia and all they said was hands and knees was the best position . They also knew he was 8 pounds at 36 weeks sooo they could have suggesting trying to encourage labour before freaking out the day before.<br>
I asked them about really watching my diet etc and getting exercise and they still said dont get your hopes up..<br>
What would your reaction be?<br>
This is my last baby and I would really like to see the birth happen in the comfort of my home where i would be the most relaxed and focused.
 

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I would take you as a client. I would ask that you watch your diet and we would keep a close eye on the baby's growth.<br>
But I don't see a previous shoulder dystocia as a reason to risk a client out of a home birth.
 

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I, also, would not hesitate to take you as a client & i would also having you watch your diet closely & activity level. Karen of BirthTender
 

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I also would feel comfortable. Every baby, every pregnancy is different. Even if you were to grow a baby the same size, there is nothing definite that would say that you would have a shoulder dystocia again.<br><br>
I feel very strongly about mother-centered pushing in ways and positions that you feel guided to. I wouldn't <i>expect</i> a shoulder dystocia with a client like yours - I would expect things to go well and normally. I guess I would talk to you about your expectations - and the processes that occurred with your last birth.
 

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We have taken mama's like yourself before too. Is there another MW you can look into?<br>
I had a shoulder dystocia with my 2nd and would hate to think that my midwife would not attend me again!<br>
Good luck!
 

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Discussion Starter · #6 ·
Where I live we have two midwifery practises, they work entirely seperate from each other and never collaborate on cases. I did call the other practise initially and they said that they couldnt comment on my case over the phone and they didnt want to get in the middle of things with the other practise. I tried calling them again last week and explaining my problem and they said they were willing to have an interview with me and go over my case and that they did have room for a client due in February so I was really hopeful, and then they called me the day before and cancelled saying that they had realized they didnt have room for me<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> .<br>
So other than really arguing the point with my current midwives and really watching my weight and diet (currently I weigh 170lbs) at 17weeks. I usually gain about 25-30 lbs in pregnancy.<br><br>
I appreciate their concern and I totally understand not wanting to risk their career and practise over me but I just feel that at this time making a decision like this is unjustified. Unfortunatley the midwife who was my primary care has moved across the country and she would be willing to attend me but is way too far away.<br>
I know with my last pregnancy I was home alone with my kids alot because my husband worked long hours and was away travelling for work so I was pretty tired and got in the bad habit of snacking on sweets for energy so to me that really adds up to the 10lb4oz baby for me. This time I have promised myself to be alot more disciplined.<br>
I also feel that if the same situation were to occur again it would be all the more challenging on a hospital bed with a hard floor beneath it to get in a better position. And really if it happened again what would be different in the hospital? Another episiotomy? Well they can do it at home again, I dont care!!<br>
I also totally cannot imagine travelling in the winter while in serious labour to the hospital (with my 3 kids) ha. I am also concerned about germs as well since the whole SARS thing etc and all the current information on the spread of germs in hospital.<br>
Also I am majorly uncontrollably loud when in labour, I howl through each contraction to make them more bearable. My husband says I sound like a Tibetan nun. Its amazing how strong my voice can be because I usually am such a quiet person!<br>
My next appt is nextweek Tuesday with another midwife from the practise so we will see what she says. They share care in the practise and you see all 4 mw's equally then get whichever two are available when you go into labour.<br>
Looking back to, I wish they hadnt broke my water at 9cm because I have a feeling it would have been alot easier if they hadnt. Things got Very painful after that.<br>
I totally appreciate all your input and adviceand it is encouraging for me to gather more information and pursue this further.<br>
THankyou so much wise womyn!!
 
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