What Does A Home Birth Look Like?

Most of us know what a hospital birth looks like. There is medical equipment strapped everywhere. Women generally keep the lights dim, except for the bright spotlight shining at the birth canal welcoming her baby ever so boldly from her warm dark sanctuary. There’s bleached white sheets, that don’t fool anyone for a second into thinking that hospital room is anywhere near safe from germs. There’s machines with beeps and lights and wires.

My cousins, Chris and Krystal Hohn, have been an amazing team since they first fell in love. They are both chiropractors in Goleta, CA. They supported each other through chiropractic school and now own and operate their own chiropractic office in Goleta, CA.  Most recently though, was their greatest team effort and payoff  as Krystal gave birth to Chris’ daughter in the home that they made with the help of a midwife.

Chris and Krystal Hohn have graciously offered their photos to Everything Birth’s Blog so that more families will be able to witness the loving and safe environment that a midwife assisted home birth can provide.

In early labor, Kristal Hohn decides to make a birthday cake to celebrate the birth of her daughter.

Since Krystal didn't have to spend her early labor getting situated in a hospital L&D room, she had time to decorate her cake.

Instead of walking the germy halls of the labor and delivery floor at the hospital, she eased into contractions in the comfort of her home.

Krystal can feel confident knowing that wall she is leaning on hasn't been thrown up on. Chris, her husband, finds it easy to make himself at home... since he is.

As labor gets more intense, Krystal was able to relax in a birth tub right in her own house.

I've tried being comfortable with my husband in a hospital bed and it just doesn't work. Being comfortable makes labor go much more smoothly.

A midwife assisted birth means that the initial exam is less disruptive for the child. Instead of the baby going to meet the doctor, the midwife, comes down to the baby. None of the most crucial and precious first few moments are lost. Bonding can begin right away.

After proper bonding time has happened, the baby is weighed in total comfort, not on a metal scale.

Krystal kisses her new baby girl. My cousin (once removed) was born in peace and will know nothing of the birth trauma that my children went through in the hospital. That is one lucky little girl.

My children were born in a hospital. So, I’m not about to challenge a woman who delivers in a hospital. I delivered there out of fear. My first daughter was stillborn because of a fluke chromosomal anomaly and for years, I lived in fear. I feel that my own hospital birthing puts me in a unique position to allow the Everything Birth Community to witness the gentleness of a home birth.

I’m not forcing anyone’s opinion. I’m not judging anyone’s choices. I just wanted you to see… because when I saw, tears of happiness flowed down my cheeks. Not because my cousin’s daughter was born, but because a little baby was born… gently.

-Dawn Papple

If you have your own birth photos, we’d love to see them. You can post them in our community forum, The Village. We’re not judgmental, we want to see your hospital birth pictures too!

Give Birth in your own Bed.

I am a homebirth advocate.  Women experiencing childbirth need to feel safe, wherever that is.  Women should have the right to choose where they feel most at ease.  The western medicalized birth mentality has drummed up powerful fears in childbearing women.   The majority of women have lost trust in their ability to give birth unmedicated.  Something we were built to do.

Advertising and the media play a huge role in our loss in faith.  It is a proven fact that if you tell someone over and over again that they are unable to achieve something, than regardless if that person can do whatever that task is, the doubts they have will overcome their ability to perform.

Such as childbirth.  Most american media imagery surrounding childbirth perpetuate a myth that childbirth is painful and a woman needs to be rescued by a doctor.  Unless our daughters are protected from having the image of  a woman strapped in stirrups laying on her back in some sterile hospital room, the cycle will continue.

[youtube=http://www.youtube.com/watch?v=4PTXD9FbPDA&feature=player_embedded]

Here is a lovely video of a woman having a homebirth.  This is a television commercial from Barcelona.  This is what real childbirth looks like.  This is the way we were meant to bring our babies into the world.  If you have a daughter, please show this to her.  The more we spread word to our daughters that they can give birth naturally, the more we empower them.  Women do not need to be rescued from having natural childbirth.

Bless,

Jess

Barbara Katz Rothman.

What a surprise I had this morning when I opened my e-mail.  I had a reply from no other than Barbara Katz Rothman.  I am still buzzing from the excitement.

Recently I have been sending out requests for midwives,birth educators, and birth enthusiasts to answer some questions.  Today we are lucky to have a response from such an esteemed writer and educator.

What is your favorite waterbirth story?

I don’t have a favorite ‘waterbirth’ story — water can be lovely and restorative and helpful for labors, but I’ve seen too many people turn ‘waterbirth’ into a goal, or a plan, as if the water itself mattered.  It’s the birth that matters, and the woman should have access to whatever makes her comfortable and birth well.  If a tub of water might help, it’s nice to have around.  But once it’s there, it’s often like some magnet — you spent money on it, put in time installing it, have it there and feel you ought to use it.  It is,  in its own ironic silly way,  much the way that so many medical technologies work.  Once they are there and so convenient to use, people feel obligated to use them.

What is your favorite homebirth story?

Home birth is not about the place — it’s about the control and comfort of the woman.  For most American woman, home is the perfect place to give birth, the place she will be most ‘at home’  and can have real comfort and control.  But not always — take an extreme example of a woman in an abusive relationship.  Or any woman who doesn’t feel like she has power in her own home –many cultures have moved the birthing woman to the midwife’s home, the equivalent of a ‘birth center’ run by midwives, because a woman in her own home might have to bow to the wishes of her husband or her mother-in-law, might have to show restraint in front of her children or others in her home.  So when I think of ‘homebirth’ I think of a place where a woman is truly at home, truly in charge of her setting.  I’d like her mothering to take place with that level of control too — I want every woman to be ‘king of her castle,’ ruler of her own space, to birth, to mother, to live.

My favorite home birth story is, as well it should be, my own two home births.  I’ve written about them — they formed the ‘prologue’ and ‘epilogue’ to my first book on birth, IN LABOR, and continue to influence my thinking about birth right through to my most recent book, with Wendy Simonds, updating that into LABORING ON.  Birth is so powerful an experience, that doing it in a way that lets you own it, do it, not have it done to you, is inevitably going to make women feel powerful.  I took that power and let it shape my work ever since..

Barbara Katz Rothman, Ph.D.(NYU, 1979) is Professor of Sociology at the City University of New York and the author of numerous books. Her work is interdisciplinary and international; its scope encompasses medical sociology, childbirth and midwifery issues, bioethics, race, disability, and the sociology of knowledge.

Books

  • In Labor (Norton, 1982 and 1991), updated and rewritten as Laboring On with co-author Wendy Simonds (Routledge, 2007)
  • The Tentative Pregnancy, originally published in 1986 (Viking, Norton edition 1993) the first book length study of women’s experiences with prenatal testing, was published in Germany in 1991
  • Recreating Motherhood (Norton, 1989 and revised, Rutgers University Press 2000) was the 1991 recipient of the Jessie Bernard Award of the American Sociological Association
  • Centuries of Solace: Expressions of Maternal Grief in Popular Literature (Temple University Press, 1992), co-authored with Wendy Simonds
  • The Encyclopedia of Childbearing (Oryx Press and Holt Publishers, 1993), named an Outstanding Reference Book by the American Library Association
  • The Book of Life (Beacon, 2001, originally titled Genetic Maps and Human Imaginations, Norton, 1998)
  • Weaving a Family: Untangling Race and Adoption (Beacon, 2005)
  • Advances in Medical Sociology, series editor
  • Bioethical Issues, Sociological Perspectives (Elsevier, 2008), editor with Elizabeth Armstrong and Rebecca Tiger

Bless,

Jess

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.

"There's No Place Like Home" For Childbirth

    • A healthy pregnant woman should be birthing at home. I don’t understand the response “I just feel safer in the hospital”.  When your chances of a hospital cesarean are closing in on 35% in this country.  One of the highest cesarean rates of civilized countries.  The homebirth cesarean rate is lower than 2%.  What most people don’t realize is that midwives are trained professionals, and they have a more optimistic outlook on your birth.
  • My first pregnancy we chose to only see a midwife.  We did not see an OB until I was at 39 weeks.  For my second pregnancy I had full health insurance, and although we were choosing homebirth again, I wanted to have a better relationship with an OB because I was going to have a VBAC.  Either at home or in the hospital.  I was not going to be persuaded toward an elective cesarean, but I wished to have a relationship with an OB just in case I needed to change my plans last minuet like my first birthing experience.  My point is that most women feel they need to be in the hospital to be safe.  But the fact of the matter is, if you are healthy and your baby is healthy, there is no reason you shouldn’t birth at home.
    A homebirth is defined as any birth which does not take place in a facility, such as a birth center or hospital. It doesn’t actually have to be your home, it could be your parents’ or your best friend’s.

    Natural Parenting Toolbox: Reasons to Have a Homebirth

    A homebirth is defined as any birth which does not take place in a facility, such as a birth center or hospital. It doesn’t actually have to be your home, it could be your parents’ or your best friend’s.

Reasons To Choose Homebirth

  • It is the birthing environment you will have the most control over. In your own home you have the best shot at deciding what visual elements, sounds, smells and faces will surround you when your baby is born. You can lower the lights, play Reggae music, or invite anyone you want to have around you to attend, if you like. Women who give birth at home do report a greater sense of control over the experience and this sense of control generally contributes to greater overall satisfaction with the birthing experience.
  • At home you avoid unnecessary medical interventions such as episiotomy or constant fetal monitoring. A carefully conducted study compared the cesarean section rates between patients who used midwifery services for their homebirths from The Farm, a well-respected birth center in Tennessee, to physician-attended hospital births. The hospital c-section rates were 16.46 percent of all the births. The Farm had a c-section rate of only 1.46 percent! Many other studies have confirmed the markedly lower c-section rates in homebirths. With homebirth, your baby’s birth will proceed gently and naturally unless a real emergency occurs. If you are transported to a hospital during a homebirth, statistics indicate that you and your baby are just as likely to have a good outcome as if you had started out in a hospital setting.
  • Many experts believe that you, and your baby, will have a reduced chance of getting an infection if you are not in a hospital. Hospitals are notorious for spreading staph, and other infections, around to patients. You are already used to the bacteria present in your home and have probably developed some immunity to them.

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.

How to Explain Homebirth to a Toddler.

Or anyone else that just does not get it.  Adults included.

If you have a toddler and you are planning a homebirth, look no further for a simple way to explain what is happening.  Kelly Mochel has written and illustrated a wonderful children’s book that explains everything.  The illustrations depict the anatomical realities of a woman giving birth and nursing her newborn.

We’re Having a Homebirth is all about explaining that homebirth is a natural process not a medical emergency.

In a societiy that makes it difficult to find real images of the birthing process.   It is refreshing to find a children’s book about the realities of childbirth.  And that it is normal to birth at home.

Everything Breech.

Part of the reason I was risked out of the homebirth of my first pregnancy was because one of my twins was breech and twisted in the umbilical cord.  When we went in to see the OB he told us that if I went home to wait for natural labor I would end up in the emergency room and I would get doctor du jour.  I would or would not be allowed to try a vaginal delivery with twin A, but twin B would most likely need to be delivered by cesarean.  Our reasoning for going in to have the cesarean that afternoon was so I would not have to recover from vaginal and cesarean delivery and have twins to nurse and care for all at once.  This was all a major diversion from any birth plan I had ever imagined.

The OB told us that there are so few doctors willing to even attempt a breech delivery that the art of breech delivery is dying out.  None of the young doctors are getting to see breech delivery so they are reluctant to do them as well.   Not all breech babies need to be delivered cesarean.  Go here to read 17 ways to turn your breech baby.

The medical professional’s reluctance to deliver the breech baby is well founded. Based upon their experience, this delivery is fraught with danger. How can we expect a physician to handle the unusual delivery when he has not been trained to allow the normal delivery?

Indeed, complications may ensue in the process of labor and delivery, and in no way do I wish to disallow them. Yet I believe that many of these complications may be avoided with competent knowledge of the mechanics of the breech labor and appropriate delivery technique.

Physiological reasons for breech presentation:

  • Prematurity
  • Placenta previa
  • Hydrocephalus
  • Multiparity
  • Hydramnios
  • Uterine abnormality
  • Tumors or fibroids
  • Multiple gestation

Other than these obvious physiological reasons for breech presentation, I believe the baby chooses the position that is most comfortable and that will guard him against oxygen deprivation. For example, I have delivered three breech babies who had complete knots in the cord. If they had been born vertex, they may have suffered hypoxia or been stillborn. Also, it is not unusual to find that the placenta, though not a previa, is somewhat low-lying (most often delivering Duncan), which leads me to wonder if the baby assumes the breech position to avoid the greater weight of his head pressing against the placental site, thereby reducing oxygen flow.

When considering a vaginal breech delivery, it is imperative that the mother is emotionally stable, has a high degree of confidence in her body as well as in her midwife, and has a high degree of motivation. In attempting breech delivery, excellent communication and cooperation between the mother and her birth attendant are crucial. Allow extra time for a careful discussion with the parents so they will know what to expect.

— Valerie El Halta
Excerpted from “Normalizing the Breech Delivery,” Midwifery Today, Issue 38
Order the back issue
Order the video Normalizing the Breech Delivery

Homebirth in California

It takes me by surprise, moments when i think about the births of my children.  My first was born in California.  Legally in Oakland, but on the map in Berkeley!  Our apartment building straddled the line, and although our apartment was on the Berkeley line, the mailbox was in Oakland.  Ha!

I don’t know that homebirth was even an option in my mind before my first pregnancy.  It’s amazing what the instinct to protect will suddenly do to all of your ideas on “normal”.  So once i decided that homebirth was my first choice, I suddenly became aware of a whole community in California that I hadn’t yet seen.  The midwife/homebirthing network was vast, and kind, and incredible!

My midwife, Lucero, was fabulous!  Perfect for me, and my babe.  Having left California to come back east, i long for those connections again.  Maine has a fantastic homebirth network too, but not so much actively going on at your fingertips(or within walking distance!)

In working with midwives through Everything Birth, i am happy to see that network just keeps growing.  I love all of the blogs out there- reading the birth stories…here are just a few:

Dancing with the Moon, Birthing with the Sun-  midwives, Racha and Maura

another set of fabulous birth stories in the California cove- from Rites of Passage, Women’s Health and Home Birth