How common is it to transfer during a home birth?
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(29 Posts)
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It seems everyone I know who has attempted a home birth has transferred. Granted, most of them were first-time mums so that might have had something to do with it (not knowing what to expect, midwives more pushy to transfer since they have an 'unproven pelvis', etc..) but it's really getting me down. It's made me feel that I should prepare to transfer and then be glad if I don't but I don't want to go into it thinking that way. On the other hand, I don't want to be really disappointed and feel silly if I do end up going into hospital.
If you had to transfer do you wish you had considered the possibility so you weren't so disappointed or do you believe that 'keeping the faith' is important?
I'd heard that transfer rate is higher among 1st time mums too because of needing stronger pain relief (you can't have epidurals at home etc)
I'm hoping for HB for my 1st baby but will pack a bag in case - and also as others have said so everything is in one place at home anyway (DH won't remember where anything is!)
amitymama, i had my first baby at home, it all went so beautifully, no interventions, or tears, just partner, independent midwife and me camped out in our bathroom with a single candle...
yes a bag was packed, but we were blessed not to need it... our independent midwife was such an angel - totally 100% belief in my ability and power to birth at home...
finding support from doula or independent midwife would really help you in your home birth quest.
good luck
x
turtle23, i sympathise... 36 hours at home, just me and tens machine, with 9lbs back to back ds2's head wedged sideways and thus not able to descend(transverse arrest i believe they called it!). eventually waved the white flag and transferred to hosp for c-section. but like you will try for home birth again if there's a baby3. maybe felt a bit disappointed but i did give it my best shot...
I wish that I hadn't had my hopes so high for quite a lot of my labour/birth. I have to admit that I was almost relieved, in a way, that they transferred me after 32 hours. I was stubborn enough to keep going with no pain relief just to stay at home, despite having back to back baby who had his hand wedged by his head and elbow out. I will be trying for home birth again, though. So much nicer than hospital!
i think the higher transfer rate on first time births is the length of time that a woman can labour for, tiredness and generally not coping with the pain.
i had my second at home and hospital was never ever mentioned. my pulse did start racing for a short time and they did discuss keeping an eye on it but once i had some tea and toast i was fine.
Celery, no it's my second birth.
maxbear, thanks for those stats, that makes sense. I thought I had read 10% somewhere but I didn't realise that was for non-first-time mums and so that's why I thought all of my friends transferring seemed high. But like I said, all but one of them were first-timers so it makes more sense now.
I have just had a think about the mums I know who wanted homebirths for first baby.
There are seven. All in London.
Five of them were transferred in to hospital. Two had c-sections.
Of the two who had their babies at home, both went on to have their second babies at home.
Of the five who went in to hospital: three had second babies, none of them at home.
All ended up with living healthy babies.
So that is 4 home births and 12 hospital births. And 16 healthy babies. (I think???)
HTH.
Amitymama, you also take out travel insurance in case you fall ill abroad and mortgage protection in case you lose your job. That is life.
Generally about 30 - 40% of first time mums need transfer, usually for a slow labour or a long second stage, so usually not an emergency. Second and subsequent timers who have had normal deliveries before are much less likely to need transfer, about 10 %.
It's much more common to transfer with first babies than subsequent babies. It's 40% for first babies, I wonder if anyone knows what the stats are for subsequent babies? First births are often longer and more complicated, but not always. You don't say, amitymama, is this your first birth?
Had I planned a HB with my first, I am certain I would have transferred, due to circumstances. I went on to have two perfectly normal, much faster, homebirths.