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Childbirth

Share experiences and get support around labour, birth and recovery.

almost convinced by homebirth article in the Guardian this weekend...

485 replies

elportodelgato · 23/08/2010 15:34

I don't know if anyone else saw this article by Sali Hughes about homebirth on Saturday in the Guardian Family section? probably there is a whole thread about it somewhere but I can't find it...

I've never considered homebirth before but this article has really made me think again. I had a straightforward pregnancy with my DD but she was induced at 41+3 so I was in hospital so they could monitor the induction. Besides, it was my first baby and I would not have wanted to be anywhere except hospital. The whole labour was 7 hours in total and I did without any pain relief (not out of choice btw, would have loved something to take the edge off) until G&A for the pushing stage - I tore and had stitches but otherwise all was normal. It's entirely possible that I will be induced this time around too but if I'm not then I am really considering homebirth - can someone come and tell me if I am being silly and it's my hormones?

I almost cried when I read the bit about her being tucked up in her own bed in nice clean pyjamas with her new baby. It has made me really realise that my hospital experience last time was 'OK' but not amazing - busy London hospital, laboured for the most part behind a curtain in a ward which was not at all private or pleasant and I remember being hugely embarrassed when my waters broke on the floor. In the night following the birth the call button in my cubicle didn't work and no one came to help me. Because of my stitches I needed help to get to the loo etc but no one did this. I'd like to avoid all these downsides if possible and suddenly homebirth looks attractive. Can anyone offer a view?

OP posts:
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ThatVikRinA22 · 24/08/2010 20:52

i loved my home birth - i had one in hospital and one at home and the experiences were very different. i loved having a home birth, it was relaxed, no pain relief required because i felt safe and relaxed the whole time. and it was wonderful to hop into my own bath, then back into my own bed with clean sheets, clean pjs, and my new baby, DH, and family around. it was magical and totally a different experience to the clinical hospital birth id had first time around with midwives who didnt even know my name.

given the choice id have another at home in a flash.

tittybangbang · 24/08/2010 20:55

"but if you have experienced complications during a home birth, you would be unlikely to take the risk again. So - no surprises there then!"

Research suggests that this isn't the case actually. The majority of mothers who book homebirths end up but end up transferring into hospital would choose to give birth at home with a subsequent baby.

On a personal note, I experienced a shoulder dystocia at home when pregnant with my ds and my baby had to be resucitated by my midwives. At one point there were 2 ambulances outside and 4 paramedics in the house (though baby and I were fine within 10 minutes and neither of us needed to transfer to hospital). I booked a homebirth with my third baby. Go figure!

TBH experiencing the way an obstetric emergency was dealt with in an out of hospital environment by very well-trained midwives was if anything reassuring. Particularly as the ambulance was with us within 3 minutes!

I mean, we're not talking about giving birth out in the bundu, accompanied by an old lady with a piece of tin-can to cut the umbilical cord and a rusty old bike to transfer you to a hospital 20 miles away down an unlit track in the case of a dire emergency!

(I'm joking, but when I think about it - OMG there are women in some countries giving birth like this. Sad)

Bumperlicious · 24/08/2010 20:58

Well MissBonpoint ruins any valid point she may have with the language she uses for me I'm afraid. Happy to read different opinions, supported by evidence, but her judgypants are getting in the way.

tittybangbang · 24/08/2010 21:02

"I think the perception of too much unwarranted and negative medical intervention in hospital births is a fear, rather than a reality, for many people"

The majority of women in the UK give birth with some or all of the following:

forceps
ventouse
c/s
a drip
continuous monitoring
fetal scalp monitor
episiotomy
augmentation (ie, synto drip)
a catheter
an epidural
opioid pain relief
lithotomy stirrups

....and most will give birth in a supine or semi-supine position.

A vast number of women who give birth in hospital will leave with breastfeeding complications which are caused by unskilled support and inappropriate supplementation with formula.

It's not an illusion that birth in hospital is disproportionately medicalised. It's a fact.

NoSleepTillWeaning · 24/08/2010 21:14

Go for it novicemama. I've had one hopsital birth (the first) and two home births and the home births were wonderful. Hospital was ok but I am sure would have been quicker/easier if I was at home just for the simple fact that at home you have so much more space to move around/walk up and down stairs etc - or rather in hospital you have so much less space to move around so you tend not to.

Bumperlicious · 24/08/2010 21:18

I gave birth in a supine position as I had to stay on the bed 'because of the carpets' due to the labour unit being full so I had to give birth in a room on the antenatal ward, on a bed not designed for delivery.

I also had to practically fight off one the midwives who kept trying to give me syntoncinin (or whatever) to deliver the placenta after a completely natural straightforward delivery.

MissBonpoint · 24/08/2010 21:22

Bumperlicious - 'judgypants' - I like it, thanks.

babybear5 · 24/08/2010 21:30

Hi...just read your thread and wanted to say to you...GO FOR IT!!! While i understand that a homebirth is not for everyone..i have had 3 homebirth and one hospital birth and the difference between the two is amazing. I to had stitches etc with my first birth in hospital but no problems whatsoever with the 3 homebirths, no stitches etc and only gas and air for pain. Being at home really relaxes you reducing the need for pain relief and intervention.

I was able to shower as soon as i was ready to in the privacy of my bathroom, eat when and what i wanted and just chill out after the birth, having friends and family in whenever i wanted...plus my elder children where there minutes after each birth so they never felt left out throughout the whole birth. I would recommend it to anyone who has a straight forward pregnancy and what i can say is "trust your midwife implicitly". They would never put you or your baby in danger.

I hope you have the birth you want and have a memorable experience Smile

babybear5 · 24/08/2010 21:35

Have to add all my births at home were less than 3 hours long as apposed to 24 hours in hospital.

I also had a slight complication in that there was meconium before birth and the paramedics were on standby for baby number 2. All was fine as the midwives are trained for these emergencies.

I still opted for a homebirth for baby no 3 and all was fine. The atmosphere, i think relaxes you and often makes birthing easier and quicker Smile

elportodelgato · 24/08/2010 21:38

Just coming back to say thanks for all the input - I feel like I have a lot to think about but having always said 'no way!' to HB in the past, I am now completely reassessing. My pregnancy and birth with DD was so straightforward I think my mw would support my choice for HB and as a lot of people have said: I can always change my mind even on the day and go to hospital.

My fear now is I will go way overdue again (it runs in the family), have to be induced and therefore have to be in hospital for monitoring...

OP posts:
thesecondcoming · 24/08/2010 21:39

This reply has been deleted

Message withdrawn at poster's request.

Karoleann · 24/08/2010 21:43

Personally, I wouldn't even contemplate it - things happen during labour (I had a huge placental abruption during mine) luckily because I was in a good hospital both my very blue baby and me avoided complications.
The consultant who was called in said he would have suffered oxygen deprevation had he not recieved special care immediately after birth.
Maternity units exist for a reason - birthing babies can be a very complex procedure and there's not always a way of telling prior to birth who is going to suffer.
Prior to hospital births thousands of women and babies died, even after the advent of antibiotics in the 50's.
Most homebirths do go fine, but it is a risk and - and its not a risk I would every think about taking with any child of mine.

silverten · 24/08/2010 21:47

It never even crossed my mind to think about a homebirth. I'm too much of a wuss and wanted to ensure that, for the complete unknown factor of my first childbirth, that all options were easily and quickly available.

In the end I had 8 out of the 13 things that tittybangbang lists. So pretty medicalised, especially since I was hoping to manage with a birthing pool (which turned out to be closed) and G+A.

And I couldn't have had a more positive experience. Honestly. I don't regret any one of those things for a second.

Not all hospital births are horrid. I felt totally respected and cared for by everyone who looked after me.

I do think what makes all the difference is thinking carefully about what really matters to you and having your opinions straight in your mind before you are in pain and under stress.

Poohbah · 24/08/2010 21:48

My friend has two lovely safe homebirths in Shrewsbury. I had a horrible time in hospital but had pre eclampsia so grateful to be in hospital. I think if there are no problems and you are not very remote from a hospital and if you can you should have a go!

violethill · 24/08/2010 21:48

I have to say I am shocked reading that list tittybangbang - that the majority of women give birth with one or more of those interventions. The majority of pregnancies are 'normal', as in 'no complications' and have the potential for the woman to give birth naturally without intervention. It is truly shocking that in that context, the majority actually don't.

mamatomany · 24/08/2010 21:49

I had 3 very straight forward pregnancies and felt almost pressurized into the 4th being at home by the local midwives.
I had the full kit, gas and air, birth pool everything at home ready for the big event.
Labour went well, not even painful, managing brilliantly in the pool at hospital for 4 hours and then he got stuck.
All my other baby's shot out with one push, this fella's shoulders got stuck and I was glad to be in a hospital.
All ended very well but it goes to show you never can tell even with number 4.

Magnima · 24/08/2010 21:52

I had my first baby at home in March. I knew I wanted to have my baby at home as soon as I got pregnant,and researched my options.
I know myself well enough to realise that I would have felt very uncomfortable in hospital and believe this may have led to failure to progress and possibly intervention.
As it was I had my little boy after 5 hours, in a birthing pool,in our living room.Had G&A for the pain. Had no stitches and had a natural 3rd stage.
Just over an hour later I was sitting on our sofa breastfeeding our son with tea and toast waiting for me,waving goodbye to our fantastic,supportive NHS midwives.
I know it's not for everyone but do believe in our right to chose.

LittleMumSmall · 24/08/2010 22:23

Another advocate of homebirth here! Had my first at home nearly a year ago now and it was wonderful. I never anticipated wanting a hb, and was quite happy when my GP booked me into a large central London hospital. Then I visited it....the minute DH and I got through the doors I knew it was time to explore homebirth options!

I had a five-hour labour, no pain relief, with DH and a wonderfully supportive midwife by my side. A totally calm, positive experience. I was the only woman in an NCT class of 7 to have an hb - everyone else chose hospital births and only one other woman reported being happy with her birth experience. What I found most odd was all the 'aren't you brave?' comments beforehand - but every woman has got to push out a baby wherever she gives birth! I think the climate of fear surrounding childbirth and misconceptions about homebirths need to be challenged - glad to see the Guardian article addressing these issues.

JustAnotherManicMummy · 24/08/2010 22:24

Just wanted to say that amongst the masses of kit the MWs brought to my hb there was a full resus kit.

Nothing to add as have said my piece further up the thread.

mamatomany · 24/08/2010 22:36

I have to say I was happy with my hospital birth this time but i put that down to confidence and experience.
It's not an easy decision by any means either way.

MadameBelle · 24/08/2010 22:41

Another pro homebirther here. AFter 2 hospital births where I felt like a I was in a factory being processed, with interventions galore, forceps, drips, drugs etc etc, with my third I really wanted to take back control.

So I hypnobirthed, in my bedroom, midwife arrived for the last 2 hours (she has been doing homebirths in the area for 17 years and had never had to bluelight anyone to hospital although plenty had been tranferred).

My dd arrived after 4 hours of calm labouring (having had one 36 hour stint in hospital for ds1, and a horrifically fast hour long labour with ds2). I had gone into labour at 11pm, she was born at 3am. My other dc were asleep in their beds and woke up in the morning to a new sister.

I will never forget any detail of her birth, it was a wonderful, enriching experience and I feel utterly priviledged to have had it.

Bellepink · 24/08/2010 22:48

I've got the rest of my life (hopefully, touch wood) to sit in PJ's eating tea and toast in my own bed.

It's not an important consideration to me as much as ensuring (to the best of my ability), the baby's physical health, taking advantage of all the expertise/knowledge/equipment on hand at most hospitals.

I would love to give in to the idea of a HB. But I can't, as if it went wrong for the baby I would feel terrible about it and I know I'd feel I'd selfishly put my own wants first, on the day I'd become a mum too. The irony and the guilt would be huge. I think there's a sense of entitlement and control in our lives today, so we expect to have the very best experience or we feel cheated.

NHS care might not be a fabulous experience for everyone, it's not fancy, there's other people there (gasp!)Wink; however, it's highly advanced especially compared to many other places in the world.

There's only so much midwives can do at a HB and with the advent of lawsuits, I imagine a lot err on the side of caution so a good percentage of HBs may end up in hospital halfway through the birthing process anyway, feeling uprooted and unsettled.

It's absolutely amazing that women have struggled in childbirth for XXXX centuries, it still goes on today in the 3rd world, and here we are, with the latest medical advances at our fingertips. Yet some of us reject all of that to go back to what would be considered by some, the dark ages of birthing, at home with basic medical equipment. Less than 100 years ago in the UK there weren't officially medically recognised MWs, there were "handywomen" who just left labouring women if it all went wrong.

I personally am very grateful that there's such good medical care out there for myself and baby and I'm happy to take it.

ChoChoSan · 24/08/2010 22:55

thesecondcoming the medics waiting with Bumper at her home birth would still have been available gor other emergencies; often any spare units will attend an emergency call out unless needed else where, and then leave from there.

As it happened, it appears the all did their jobs so well that avtransfer was not required. What an excellent outcome, for which we should all be happy...or perhaps you think there are more worthy emergencies?

comixminx · 24/08/2010 22:57

thesecondcoming - surely bumperlicious was dissecting MissBonpoint's post not yours? And surely your comment about "you seem to have had half a hospitals worth in your lounge - just because your birth looked to be going a bit wrong" should be directed to tittybangbang not bumperlicious? (I must say I think the tone of that comment is a bit needlessly inflammatory actually.)

Look, sure, a home birth is not for everyone and people have to make up their own mind about what risks they want to take. But the MWs are trained in resuscitation techniques, they are trained to recognize what situations require a transfer to hospital, and the risks are very low. There are still risks, and we as humans are not very good at assessing the real level of risk - we're very likely to fall prey to errors like confirmation bias. I'm sure I have, though I've tried to be as open-eyed about it as possible. Nevertheless, after thinking about it, my choice is to (try to) have a home birth. Saying "rights over responsibilities and some big risks taken imo in order to get your rights" - a) well that's your judgment of the level of risk, not mine (having looked into the risks), plus b) the "rights over responsibilities" bit sounds a bit snide to be honest.

tittybangbang · 24/08/2010 23:01

"Prior to hospital births thousands of women and babies died, even after the advent of antibiotics in the 50's.

Most homebirths do go fine, but it is a risk and - and its not a risk I would every think about taking with any child of mine."

Much larger number of babies in the UK were born at home in the 1960's, when the c/s rate was less than 5%. Mortality and morbidity rates for childbirth actually dropped dramatically before this, after the advent of the welfare state. What made a real difference to maternal and neonatal mortality was women getting proper medical care prior to pregnancy, antenatal care during pregnancy and the attention of properly qualified midwives in labour. Yes, maternal and infant mortality were higher then than they are now, but most of the decline in maternal and infant mortality today is down to prenatal diagnosis of disease and disability, prevention of blood clots and advances in emergency care for mothers with pre-eclampsia. If you want to know more you might want to read this - it's very illuminating:
analysis

Thousands and thousands and thousands of babies are born at home every year in Europe - only about 2000 in the UK, but many, many more than this in Holland where one in three babies are born at home. If homebirth was truly as risky as you say you would expect to see much worse outcomes for babies born during planned homebirths than for babies born in hospital. In fact the evidence from this country and from Holland suggests that babies born at home are no more likely to die or have a serious birth injury than babies born to low risk mothers in hospital. In fact current research shows they're more likely to be born with good apgar scores and less likely to need admission to SCBU if they're born at home.

They're also more likely to breastfeed (and breastfed babies are less likely to die from cot-death, the most common cause of death in babies under 1). Mothers who have their babies at home are more likely to have good mental health after birth, and we all know how important this is for babies. And mothers are far more likely to escape from the whole affair without a serious birth injury.

"this fella's shoulders got stuck and I was glad to be in a hospital"

I looked at my experience of shoulder dystocia a different way. I was profoundly glad NOT to be in hospital when exactly the same thing happened to me and my baby. My reasons for feeling this are that my midwives were unusually calm and well prepared for dealing with a s/d. As homebirth midwives they knew that there was no one to pass the buck to, so they were very, very well-drilled and prepared with their strategy for resolving this problem and were able to spring into action straight away. Unlike in hospital where you get often get people running into the room, a sense of panic and a giant episiotomy (don't know if this happened to you but in many hospitals it's normal protocol with a S/D), my experience was much less adrenaline fuelled and frightening. I also didn't get cut, which is pretty remarkable with an 11lb baby.

Would also want to flag up that s/d is probably MUCH more prevalent in hospital births because of its association with augmentation, induction, epidural and supine birth, all of which are common features of hospitalised birth. Yes - if you had a catastrophic and difficult to resolve s/d then having a paediatrician on standby could be a life-saver for your baby, but this event is very, very rare. The vast majority of s/d's are resolved without medical input, which means they can be dealt with as well at home as in hospital. And of course you're putting yourself more at risk of having an S/D in the first place by walking through the door of the labour ward to give birth to your baby.

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