Risked Out.

    A safe and healthy birth is what is most important to us here at Everything Birth.  We do encourage childbearing women to make informed choices and never compromise the health of herself or the baby she is carrying.
    Less than 2 percent of American women birth at home.  And when you ask most women why they want to birth in a hospital, the most stated reason is safety.  Although, there is no data supporting the fact that you are safer in the hospital as long as you are low risk, your homebirth is planned, you will have a trained birth attendant, and you have a modern hospital within a reasonable distance.
    When you start your process of putting together a birthplan you should remain open and accepting of changes that may occur along the way.  If you do choose to have a homebirth you should only work closely with a trained birth professional.  Someone who is in support of normal birth.  Someone who believes that the majority of women can labor and give birth to their babies with a minimum of intervention.
    Being risked out of a homebirth is something that does and can happen.  High blood pressure, and the baby coming early are two risk factors that would send you down the path to the hospital.  Depending on the advisement of your birth attendant, a previous cesarean may not be a risk factor.   Going to the hospital is not the end of the world.  Medical support is there for a reason when you need it.
    You should rethink your decision to birth at home if you have any risk factors, do not have a trained birth attendant, or you think you will want pain medications.    Here is the dilemma, on the one hand, having a hospital nearby should there be a problem may make a difference.  On the other hand, a low risk woman runs risks in a typical hospital that she wouldn’t at home.  A trained midwife would be able to spot potential complications early, be able to head  most of them off, and she wouldn’t potentially be causing complications by inappropriate use of procedures, drugs, and restrictions.
    Bless,
    Jessica

Do Your Research.

I am not a sheep.  I do not just do things because everyone else is doing it.  I guess that is why when I got pregnant I needed to know everything I could learn about what I was going to experience.  After scouring through book after book, I realized that my best chance at having an intervention free birth was going to be at my home or a birth center.

If you have been reading this blog for a while you will know that my first birth did not wind up at home, but in the hospital.  I am thankful that the medical assistance was there when I needed it, but when it came time to have my next birth, I went back to the homebirth plan.  Why, because I did my research.  I didn’t want to have another cesarean just because I had one the first time.  And according to the statistics at the hospitals where I lived, that was most likely what was going to happen.

Here are a few book titles that I think are essential reading if you just found out you are pregnant, or if you just want to read up on this topic.

Ina May’s Guide to Childbirth,

by Ina May Gaskin.

Discover the proven wisdom that has guided thousands of women through childbirth with more confidence, less pain, and little or no medical intervention.

The Thinking Woman’s Guide to Better Birth

by Henci Goer

Certified Lamaze instructor and activist Henci Goer brings women the carefully researched facts they’ll want to have–the complete rundown on modern pregnancy and childbirth.

Gentle Birth Choices: Book with DVD

by Barbara Harper

”Should I give birth at home, in a birth center, or in a hospital? Should I see a midwife or an obstetrician for prenatal care? What approach to pain relief should I use during labor? How does a waterbirth work?”

Expectant parents are faced with a daunting array of choices to make about prenatal care, labor, and birth. InGentle Birth ChoicesBarbara Harper, renowned childbirth advocate, nurse, midwife, and mother of three, explains all the available choices and shows how to plan a truly meaningful, family-centered birth experience. She dispels the medical myths that so often shift control of birth away from women and reimagines birth without fear or violence and with minimal pain. Harper reveals the abundant range of gentle birth approaches, including:

•giving birth in an independent birth center, at home, or in a hospital birthing room
•finding a primary caregiver who shares your philosophy of birth
•deciding how to best use current technologies

She also provides practical advice for couples wishing to explore options such as hiring a doula or laboring in water to avoid the unwanted effects of drugs and epidurals.

Change in Plans.

My birth plan was thrown out the window as soon as we were risked out of home birth at 39 weeks.  I thought we had everything in place.  Even though we found out we were having twins when I was 37 weeks, our midwife assisted  home water birth was still the plan.  Until……I just never went into labor and the second ultrasound revealed twin b was breech and cord wrapped.  At 39 weeks and no signs of labor plus a heatwave we were having, we needed to make some decisions.

We were offered two choices.  The first was to go home and wait for labor to start(it was 106 degrees that day), go to the emergency room and get doctor dujour.  Whoever was working that day may or may not let me labor and attempt vaginal delivery.  Most likley twin b was going to be a cesarean delivery.   The second choice was to go strait to the hospital and have a cesarean with the on call doctor who my midwife was familiar with.

Not having to recover from a vaginal and a cesarean delivery with twins to nurse and care for won out. We called our families and headed over to the air conditioned hospital.  I just knew I was making the right choice for everyone involved babies included.  I was dissapointed that my birth plan was not fulfilled, but no matter the circumstances I was overjoyed the moment my babies were out.  There is no better moment in life.

The lesson learned was that you can have the most comprehensive birth plan on the books, but you need to be willing to go with the flow.  I am appalled at the high cesarean rate in this country and never in my wildest dreams imagined I would head down that road, but when life happened and I hopped in that car I was glad that the mechanics were ready at the shop.

Three years later I had the opportunity to have a pregnancy that ended the way I envisioned.  I had the midwife assisted water home birth.  Only this time it was a HBAC.  Home birth after cesarean.  This experience was so empowering, but no more special than the first.