A little less flummoxed

Tonight at dinner, amidst Wild Man's ongoing discussion of his events at school (it seems that his buddy Theresa chased him around the room yet again), C and returned to our conversation of home birth. I asked him point blank how he feels about it. He said he many of his original feelings still stand, especially given the emergency nature of Wild Man's birth and how close we came to having a C-section. But he also said he feels like our situation in CU Land is somewhat different.

If we had wanted a home birth in Southwest College Town, we would have been hard pressed to find a midwife to work with us. We would have had to pay all expenses out of pocket, as our insurance didn't cover home births. Add all of this to the general anxiety we felt because we were having our first child, and a home birth just wasn't something either one of us was willing to consider. This time, however, if we choose a home birth, we will have two certified midwives attending us, both of whom we've already met and really like and trust. In C's mind, this changes the game a bit. These are women who have credible degrees in midwifery from highly respected Canadian universities. Both have been practicing for some time, and both have attended numerous home births in the past. While he still has lots of concerns, C also made it very clear that he is more than willing to discuss this with our midwife and consider this as a real option.

For my part, I'm still uncertain. I don't know if I can even articulate why the idea of a home birth is appealing to me this time around. I don't feel that I had an unsatisfying birth experience with Wild Man. Given the issues surrounding his birth, I really believe I had as close to the experience I wanted. My midwife and I have already talked about Wild Man's birth, and she has assured me that she will not perform several of the interventions that my OB just routinely did. I will not, for example, have an episiotomy this time around; if I tear, I tear. But I've done some research on this, and apparently the rate for tearing is greatly reduced when a woman uses a midwife--at least this is what the stats I've found for the province we're living in indicate. I did some quick research on home births earlier today, and I was reassured by what I learned. The survival rate for moms and babies are actually slightly higher in a home birth environment than in a hospital--it is around .25% difference. Midwives are required by provincial law to stay with the family for a minimum of 2 hours after the placenta is delivered, but most stay at least 3 hours if not more. Midwives are also required by law to visit the mom and baby the day following delivery, and most visit a minimum of 3 times in the first week (and my midwife will do this regardless of whether I give birth at home or in a hospital). As I wrote in my earlier post, midwives bring all necessary equipment with you, although families are responsible for any extras they want--like renting a birthing tub.

I feel at least somewhat more knowledgeable about this, and tomorrow we're going to ask my midwife some questions about home births. We both still have lots of questions and some concerns--like what do we do with Wild Man, for example. He gets upset when I throw up and tells Baby Z to "leave Mommy alone"; I don't think he'd react well to hearing me in labor. Clearly we have a lot to figure out, but it is really cool to know that this is something we can think about now.