Home or the hospital

(87 Posts)
jessnoble Sat 21-Dec-13 18:25:29

I was just wondering, what are peoples opinion on giving birth at home or in a hospital e.g. advantages/ disadvantages

It would be a great help smile

msmiggins Mon 23-Dec-13 19:44:33

LaVolcan are you suggesting then that acute emergency care is better accessed at home than in a hospital?

Before women had the luxury of childbirh in hospital many women and babies died.

Home births are more dangerous than hospital births. I don't understand why women would want totake these chances.

TheRaniOfYawn Mon 23-Dec-13 20:01:17

If you are have already had a baby before and have had a straightforward pregnancy, home is actually safer than hospital for both mother and baby.

So in theory, people are taking needless risks by having hospital births if they fall into that category. But nobody ever seems to disapprove of those second time mothers birthing in hospitalsmile smile

LaVolcan Mon 23-Dec-13 20:04:31

No,msmiggins - I am not saying that acute emergency care is better accessed at home. What I am suggesting is that sometimes the one to one midwifery in a home birth can anticipate problems so that help can be obtained before the acute emergency care becomes necessary. I am also quite happy to state that acute emergency care depends on the staff being available.

I don't think we should get bogged down with one case, because we weren't there and don't know the circumstances, but I do note that you mention how the midwife said she didn't like home births. Maybe she wasn't the best person to have been attending your friend? Who knows whether someone committed to them would have anticipated a problem or dealt with it better? It's impossible to say.

Statistically, as mercibucket says, for multiparous women, it is as safe for the baby to be born at home as in hospital. For a multiparous woman's own health, it seems to be safer, there is less morbitidy for her, with a home birth.

drivinghomexmas Mon 23-Dec-13 20:36:38

I had two very positive births at the midwife led unit of my local hospital. Fantastic care both times (I know I am very lucky). When it came to DC3 all of the midwives suggested a home birth and in the end as I had had such good experiences in the midwife led bit, I went back there. On paper it should have been very straightforward. However, it wasn't and DC3 went into distress and it all got serious very quickly. We were fine in the end and were well looked after, but I suppose the point I'm making is that something which should be fine doesn't always go to plan. Even for a third timer like me. Good luck whatever you decide.

princesscupcakemummyb Mon 23-Dec-13 21:55:14

ive experianced both home and hospital births x2 where hospital

advantages of hospital birth
*your in safe hands if theirs a emergancy

disadvantages of hosp birth i found are

*midwives where very busy both times
*didnt get much one on one care
*postnatal wards where awful
*couldnt wait to leave discharge took hours
*being away from my other child
*lack of decent food but that is me being picky on that 1

my (1) homebirth

advantages
pregnancy care was amazing i got all my mw appointments at home
had the same small team of midwives throughout
plenty of one on one care
postnatal care was excellent
i loved every moment of it all
i was advised if i needed to transfer during labour the mw would remain with me
i got to stay close to my other children
homebirth was much nicer then hospital getting in my own bed after birth

disadvantages

NONE

bottom line is homebirth would be my top choice again hope that helps

brettgirl2 Tue 24-Dec-13 14:08:54

Mrs miggins homebirths years ago:
- Without electric lighting
- no phone in the house
- no hot water/ heating
- no scans so placenta could be in the way, twins could be arriving, lots of possible complications which would now be picked up
- Midwives were often unqualified, always if you go back far enough
- If you were poor up until 1948 you gave birth at home regardless of the risk (which due to lack of scans they couldn't even assess accurately)

So perfectly reasonable to compare that to a low risk modern homebirth and conclude hospitals are safer hmm

LaVolcan Tue 24-Dec-13 14:56:18

brettgirl2 - quite so, although we have had qualified midwives for more than 100 years. Whether everyone could avail themselves of them is something I don't know about, but I suspect not, because you had to pay.

You could also add, that richer women used expensive nursing homes to give birth in. It probably didn't go wrong because they were generally better fed and healthier, and not as overworked. IMO the idea grew up because of these factors that institutional births were safer.

selfdestructivelady Tue 24-Dec-13 15:20:06

I have had two hospital births and one home birth.

Even though the home birth was the longest at 43 hours and hardest of the three it was the only one I managed to do totally pain relief three. I was able to move round as I pleased I was more comfy I was able to bath when I wanted and at no point did it feel unsafe as I was monitored earlier and more thoroughly.

The first hospital birth (24hours)I was strapped to a bed and ended up having a quarter dose of pethadine and about twenty minutes of gas and air. When I wanted to go pain relief free.

Second was a hospital(12 hours) and although I was allowed to move more freely I still wasn't as relaxed as at home and had about twenty minutes of gas and air.

If I were to give birth tomorrow I'd choose a home birth easily. It never felt unsafe there was constantly a mw there where in hospital I was left alone for 6 hours at one point during which anything could have happened.

selfdestructivelady Tue 24-Dec-13 15:21:37

My home birth was my third btw in case my post is confusing on that.

msmiggins Tue 24-Dec-13 15:26:08

I managed to do totally pain relief free births in hospital. I was able to move round as I pleased I was more comfy I was able to bath when I wanted and at no point did it feel unsafe as I was monitored earlier and more thoroughly.
I was happy also to have paediatricians on hand within seconds to save my baby's life.

selfdestructivelady Tue 24-Dec-13 15:42:41

But as you've never experienced a home birth Mrs miggings you can hardly compare.

brettgirl2 Tue 24-Dec-13 15:49:44

Yes quite, I'm sure the monitoring was much better than your average 1930s home birth wink

msmiggins Tue 24-Dec-13 16:22:43

No I haven't experienced a home birth but I have experienced two very comfortable supported hospital births.
Despite "better monitoring" my first birth resulted in a baby born with unexpected life threatening difficulties- the midwives quickly alerted the pediatric crash team who were there within seconds giving my son the best expert critical care, specialist equipment in an adjacent room, medications, and within an hour my baby was returned to me pink, healthy and with no lasting damage. The midwife team were visibly relieved.
You can talk about statistics, choice and risk, but i am very glad I didn't have a home birth.
The outcome may have been very different if I had my son at home.

msmiggins Tue 24-Dec-13 16:58:34

*selfdestructivelady"
But as you've never experienced a home birth Mrs miggings you can hardly compare.

But as you have never had a birth where the edge of your baby's life was on the line how can you compare?

selfdestructivelady Tue 24-Dec-13 17:08:32

They fetch resuscitation equipment to the house.

WidowWadman Tue 24-Dec-13 17:12:53

"and hardest of the three it was the only one I managed to do totally pain relief three."

Why is that even seen as desirable?

msmiggins Tue 24-Dec-13 17:20:48

selfdestructivelady
They fetch resuscitation equipment to the house.

Big deal- how can that compare to a specialist pediatric crash team? Community midwives dont have the knowledge,, expertise or training to provide critical care.

msmiggins Tue 24-Dec-13 17:22:18

* WidowWadman

"and hardest of the three it was the only one I managed to do totally pain relief three."

Why is that even seen as desirable?*

Totally agree.

selfdestructivelady Tue 24-Dec-13 17:23:12

Because pain relief is more likely to lead to interventions which make it more likely something 'll go wrong with either mum or baby plus it was good that even n a hard birth I felt in control and relaxed enough to enjoy my birth and not need pain relief in order to get through. Of course there are reasons by it is desirable.

selfdestructivelady Tue 24-Dec-13 17:29:33

There are also advantages to having relief of course.

LaVolcan Tue 24-Dec-13 18:07:56

I thought that all pain relief went through to the baby, and that unbeknown to many epidurals contain narcotics?

It's OK to say for example, that if pethidine is given too late, an antidote can be given, but is that the best start for the baby to have?

TheSporkforeatingkyriarchy Tue 24-Dec-13 18:54:55

I've had a bad hospital birth, a nice homebirth, an awful homebirth, and a good hospital birth. All four were 'natural' (it's very medically risky for me to have an epidural), one resulted in me almost dying and ending up in an high dependency postnatal ward.

Nothing about it had to do with the location at all, it all had to do with the people involved. That's a far harder factor to control though.

LaVolcan Tue 24-Dec-13 20:24:16

Nothing about it had to do with the location at all,

That's how I feel TheSporkfor - I think we took a wrong turning in maternity care by concentrating on the place when instead we should have been concentrating on the number and quality of attendants.

yes gospitals are good if things go wrong, but in hospital, everything is more medicalised, meaning you're less at ease and things more likely to go wrong.
even if things do go wrong at home, you'll get to the hospital in plenty of time.

I would do home everytime - more in control, you're in your own comfort zone, you don't have to go anywhere (I miles of A road at rush hour? no thanks!) you can eat and drink whatever you want whenever you want and you can send people off to make tea when they piss you off.
and it's easier to keep mumsnet updated grin

atomic, I had a dedicated midwife throughout (incidentally, this relies on your length of labour because hospitalnor home they're only allowed to be on duty for a certain lengthvof time).
I didn't have an ensuite, but my toilet was my own and I didn't have to worry. when I transferred in after the birth I was very conscious of the fact it wasn'tvmy own toilet, andvindeed, once I was on the ward it was a bloody long hobble to the very shared toilet.
I also didn't have to clean anything - midwives sorted all that out, even as far as washing my sjeets and changing the bed.

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