Forum: Labor and Childbirth
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March 9th, 2010, 08:49 AM
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Platinum Supermommy
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Join Date: Jul 2008
Location: Small Town, Iowa
Posts: 14,916
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How do you feel about having (midwife assisted) homebirths? is it something you would consider?
Is there any situation in which you would absolutely want to stay out of the hospital?
Would your SO be supportive?
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March 9th, 2010, 12:40 PM
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Platinum Supermommy
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Join Date: Feb 2008
Location: Michigan
Posts: 7,089
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I am MOST definately considering this for our next pregnancies...
I did talk with DH and he is on board, he isn't a fan of hospitals and well I know his views on Dr's so I know he is all for this...
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*9 weeks *
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March 9th, 2010, 01:09 PM
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Platinum Supermommy
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Join Date: Jul 2008
Location: Small Town, Iowa
Posts: 14,916
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I considered a homebirth with Brylie but no CPM will take us on as a client because we're in the middle of BFE. The closest hospital with a NICU is 30+ minutes away by helicopter, and the closest hospital I would transfer to (I wouldn't go to the one in town) is 45 minutes away driving 90mph.
I think if I were ever to get pregnant with multiples (twins and possibly triplets) I would look into it more, and see about home birthing somewhere besides my house...I know of a woman who home birthed her triplets with no complications so thats pretty inspiring to me!
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March 9th, 2010, 02:34 PM
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It's what I'm doing this time. I believe that it is just as safe as a hospital birth, if not a bit more safe considering the cascade of interventions.
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March 9th, 2010, 04:28 PM
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Platinum Supermommy
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Join Date: Jul 2008
Location: Small Town, Iowa
Posts: 14,916
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Quote:
Originally Posted by lilflower
It's what I'm doing this time. I believe that it is just as safe as a hospital birth, if not a bit more safe considering the cascade of interventions.
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I totally agree with you! I want one soooo badly But we weren't able to find a CPM that would take our insurance because of where we live (literally in the middle of nowhere, our closest neighbor is 3 miles away) I'm so jealous of you!! Will you be sure to share pics after!!!!
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March 9th, 2010, 06:40 PM
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Danielle
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Join Date: Nov 2008
Location: Northern Virginia
Posts: 8,409
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I'm definitely considering. More than considering. I'm pretty sold on the idea. I had an emergency transfer to OB care with my 1st delivery so the thought of ending up delivered by a stranger (which scares a lot of women) is not scary to me at all. It is also definitely my best chance at a VBAC.
I'm honestly not sure if my DH will be supportive. I'm worried he may be too traumatized by our dd's birth to want me out of a hospital. And my family will NOT approve or even be kind about it. Sooooooooo. It's a lot to consider.
__________________
My daughter is perfect, but her birth was not. If you or someone you love is struggling to cope with a traumatic childbirth experience, please visit http://www.solaceformothers.org/ |
March 10th, 2010, 10:35 AM
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Quote:
Originally Posted by ChicaChels
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I will definitely share. And I'll have lots of them to share. I will possibly be videotaping the birth too, so I'm excited! I couldn't find a midwife that would take my insurance either, but honestly with co-pays it ended up being cheaper to pay out of pocket anyways!
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March 10th, 2010, 11:19 AM
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Platinum Supermommy
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Join Date: Jul 2008
Location: Small Town, Iowa
Posts: 14,916
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it would have cost us almost $6,000 to use the one homebirth midwife who was willing to take us on - she was 2 hours away and my insurance 100% covered my hospital midwife birth, so we just can't swing it. the cpm is no longer taking clients now either
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March 10th, 2010, 08:24 PM
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Platinum Supermommy
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Join Date: Sep 2006
Posts: 7,039
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I'm curious why you would do a homebirth for multiples but not for a singleton pregnancy. Does the hospital have an automatic c-section for multiples policy or something?
__________________
Mama to a lower elementary school boy, preschool girl, and my miracle baby girl.
Two 10w losses (11/2010 + 8/2011)
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March 11th, 2010, 07:29 AM
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Wow. I can't believe it would have cost that much, but the hospital was 100% covered. That kind of sucks. (sorry lol)
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March 11th, 2010, 09:09 AM
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Platinum Supermommy
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Join Date: Jul 2008
Location: Small Town, Iowa
Posts: 14,916
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Quote:
Originally Posted by silverlife
I'm curious why you would do a homebirth for multiples but not for a singleton pregnancy. Does the hospital have an automatic c-section for multiples policy or something?
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Hospital doesn't have an automatic c-section, but you have to see an OBGYN and deliver in an OR. "just in case" and they really push epidurals, so I don't think I could even TRY to safely progress in that situation. Good to see you here btw!!!
Quote:
Originally Posted by lilflower
Wow. I can't believe it would have cost that much, but the hospital was 100% covered. That kind of sucks. (sorry lol)
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It would have been $3500 if we would've been within 40 miles, but it added so much per every 10 additional miles, and it came out to like $5985 with the difference
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March 12th, 2010, 07:02 AM
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Danielle
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Join Date: Nov 2008
Location: Northern Virginia
Posts: 8,409
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For multiples, my hospital requires: OB delivery; continuous EFM; induction at 40 weeks exactly if no spontaneous labor; epidural or spinal at 5cm dilation; pitocin augmentation if dilation drops below a rate of 1 cm per hour after 4 cms; and delivery in the OR. I learned this on our tour. I asked the nurse how many women elect a trial of labor under those conditions and she said that most women prefer the c-section "for safety" She has attended 3 vaginal twin births in the 10 years she has worked L&D in that hospital system (there are multiple locations all with the same rules).
One thing I've always wondered: at my hospital you have to sign the consent forms for anything that's mandated by hospital policy before they will admit you. But I wonder what happens if someone signs it and then refuses. I mean are they really going to hold you down and give you an epidural? Seems very unlikely. I'd love to be a fly on the wall for one of those encounters!
__________________
My daughter is perfect, but her birth was not. If you or someone you love is struggling to cope with a traumatic childbirth experience, please visit http://www.solaceformothers.org/ |
March 12th, 2010, 08:37 AM
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Platinum Supermommy
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Join Date: Sep 2006
Posts: 7,039
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Yikes, Danielle!
I have no clue what my hospital's policies are on multiples. I do know that they have special rooms that are similar to normal delivery rooms but are large enough to be an OR if an emergency c-section is needed on a mom of multiples.
__________________
Mama to a lower elementary school boy, preschool girl, and my miracle baby girl.
Two 10w losses (11/2010 + 8/2011)
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March 12th, 2010, 12:54 PM
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Platinum Supermommy
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Join Date: Jul 2008
Location: Small Town, Iowa
Posts: 14,916
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Danielle, my L&D Nurse and I talked a ton the first night I was in the hospital - and she said she has seen several women refuse epidurals. She also said she has seen one set of quadruplets delivered vaginally with no pain medication or intervention. My hospital really is very ncb friendly, but I just don't want that environment (OR delivery mostly)...last night I found a midwife in Des Moines, IA (about 2 hours from me) who specializes in twins and will see up to triplet patients (you have to see a high risk ob also)..so I told Sam if we ever get preg with twins, that's where we will go! She seems really amazing!
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March 12th, 2010, 01:06 PM
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Platinum Supermommy
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Join Date: Feb 2008
Location: Michigan
Posts: 7,089
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Quote:
Originally Posted by ChicaChels
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Do you know of a website that you are able to search for CPM??? I found one the next county over from us but not sure if she is totally legit or not...
Quote:
Originally Posted by WhoaMomma!
For multiples, my hospital requires: OB delivery; continuous EFM; induction at 40 weeks exactly if no spontaneous labor; epidural or spinal at 5cm dilation; pitocin augmentation if dilation drops below a rate of 1 cm per hour after 4 cms; and delivery in the OR. I learned this on our tour. I asked the nurse how many women elect a trial of labor under those conditions and she said that most women prefer the c-section "for safety" She has attended 3 vaginal twin births in the 10 years she has worked L&D in that hospital system (there are multiple locations all with the same rules).
One thing I've always wondered: at my hospital you have to sign the consent forms for anything that's mandated by hospital policy before they will admit you. But I wonder what happens if someone signs it and then refuses. I mean are they really going to hold you down and give you an epidural? Seems very unlikely. I'd love to be a fly on the wall for one of those encounters! |
My other thought is... if you refuse any of those "policies" will the insurance company cover you or consider it something like going AMA and picking up the tab?
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*9 weeks *
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March 12th, 2010, 02:11 PM
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Danielle
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Join Date: Nov 2008
Location: Northern Virginia
Posts: 8,409
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I do know you are considered AMA and will not be covered IF the hospital carries through with their threat to report it as such. That's the threat they used to get me to agree to an induction
__________________
My daughter is perfect, but her birth was not. If you or someone you love is struggling to cope with a traumatic childbirth experience, please visit http://www.solaceformothers.org/ |
March 12th, 2010, 04:43 PM
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Platinum Supermommy
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Join Date: Jul 2008
Location: Small Town, Iowa
Posts: 14,916
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I just googled homebirth midwives, Kelley and interviewed them
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March 12th, 2010, 06:49 PM
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Platinum Supermommy
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Join Date: Feb 2008
Location: Michigan
Posts: 7,089
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What is different from a homebirth MW to a Hopsital MW... aren't they both CPM?
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*9 weeks *
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March 12th, 2010, 07:02 PM
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Mega Super Mommy
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Join Date: Oct 2006
Location: Texas
Posts: 3,090
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Well, I think it's obvious how I feel about homebirths.
Quote:
Originally Posted by MedicBaby21
What is different from a homebirth MW to a Hopsital MW... aren't they both CPM?
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It depends where you are. Hospital MWs are always going to be CNMs. A homebirth midwife can be a CNM, CPM, or LW. Some states have laws not allowing CNMs to do homebirths (I've even heard of them making them give up their CNM license if they want to do homebirths).
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March 12th, 2010, 09:47 PM
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Platinum Supermommy
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Join Date: Jul 2008
Location: Small Town, Iowa
Posts: 14,916
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CNM usually can lean more toward the medwife side of things, since they're trained as nurses first and usually work in L&D under the care of an OB. I was very cautious of my midwives, since they're CNM but they're anti medwife (except one, I hate her)...CPM are trained only as midwives (same with LW I believe but idk much about LW)
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