Okay so on home birth............ Trying to keep this as short as poss!!!!
I am really-really scared of having an instrumental delivery. I won't go into much detail but I had an unpleasant experience with someone doing an intimate exam when I was 12 (!) and also I have a friend whose instrumental delivery did not go so well and has had longlasting effects. I also tend to get stressed and defensive in hospitals, partic with gynae procedures, which I think is due to history.
So I'm looking to do as natural a birth as poss, and am seeking to avoid epidural, stress/ anxiety, being on my back, or anything else that might increase risk of instruments. Would love water birth. BUT if the baby really is stuck I could cope with a C sec, though would prefer to avoid. Would freak at forceps.
My choices are:
- local hospital D-- which is a big teaching hospital. Very overstretched. Only consultant led unit. 1 birthing pool but the word is it's hard to get it, as there are so many women in. People say the MWs are lovely but very 'stuck' in medicalised mode. Their rate of instrumental deliveries is 10-15% above national avg, depending on whose stats you look at, and only about 25% of their women give birth without instruments or epidural.
- home. MW so far supportive of HB, we would have a pool, 2 MW from dedicated local team. Transfer time to hospital with blues-n-twos poss 15 minutes. Maybe more or less depending on how fast they can drive. I have a referral to HB team so they should be in touch for a chat; transfer time is something I will ask about. Also the obvious usual worries about what if there is a real emergency like cord prolapse, PPH, cord around neck etc. I would plan to have a private scan shortly before due date to try to identify malpositioning and cord around neck but don't know if these things are likely to change at that late stage.
- local birthing rooms N A which look fabby: they are small but will open for you, they have multiple birth pools and v dedicated to natural labour. 25 minutes away by road but with a first labour that's probably okay, I'm guessing. Trouble is: the nearest hospital, where you'd transfer if there was a problem, is Very Crappy Local Hospital, T, which is in 'special measures'. I would be very scared to go there so think N A-- is out.
- Slightly further away hospital E--, which is about 45-60 minutes away on big A road, but has an excellent MW led unit plus, as a full hospital, a CLU and emergency team, operating facilities etc etc. Downside is, would they take me as out of catchment area, and is c. 60 minutes on the roads in late Jan/ early Feb really feasible whilst in labour? What if there are roadworks on the A road? Etc.
My current feeling is get assessed for a HB and see if a) they think I'm a good candidate - I trust them to be honest and know what they are doing, and b) go for local hospital D-- but do hypnobirthing to combat my anxiety, leave it as long as possible to go in so I'm pretty much ready to go when I get there, minimal hanging around, and then have stuff about past trauma/ no instruments if poss ALL OVER my notes.
Does this sound sensible? Boom thanks so so much for any advice :) Would welcome others' thoughts too! And sorry for monster post 