After our appointment with my midwife this week, C and I have finally begun to grasp just how different our birth experience with Z will be from the one we had with Wild Man. As I have said many times, I experienced a number of medical interventions with Wild man, but given the circumstances of the birth, I really think all the interventions were necessary. Further, I had as close to the birth experience as I could have hoped for given the distress that Wild Man was in throughout labor. I have never felt unsatisfied or unhappy with our experience in anyway. In fact, I have always felt very glad I had such a great nurse who advocated so strongly for me and helped ensure I was able to have an unmedicated, vaginal birth.
Despite that, we've recently been considering a home birth for a lot of reasons. For me, I was primarily concerned about the amount of rest I would get in the hospital. With Wild Man, I managed to get some, but I still left the hospital exhausted, as did C, who was able to stay with me because we were given a birthing suite (we got this because the maternity floor was packed, and it was the only room available; I'm assuming the couch in the room made it a suite!). From what my friends have told me, private rooms in Canada are rare and come at a very high premium (about $250 or more a night). C has, however, declared that I get a room at any expense (we're paying nothing out of pocket for my prenatal care or for Z's birth; that's the benefit of socialized insurance), assuming there are any available after I give birth. If there are none available, I will be sharing a room with 3 other women. I don't mind sharing, but it doesn't seem conducive to rest at all. Giving birth at home seems much more restful to me.
On Wednesday, we asked my midwife about home birth, and she answered a few basic questions. When I expressed the above to her, she said, "Well, there is another option. Since you're under a midwife's care, you can actually leave the hospital as soon as 3 hours after you give birth (asuming, of course, it is a normal, uneventful birth and she has no concerns for me or the baby)." C and I must have looked completely flabbergasted because she went on to explain that the reason for this is the after care Z and I will receive with her. She will visit us at our home 24 hours after Z is born, and at least 2 more times in the first week. If she needs to come more she will. I will then see her in her office at 2, 4, & 6 weeks after giving birth; she will also give Z check-ups. Women using OBs don't have this option because they, typically, don't see their doctors until 6 weeks post-partum. After she then explained this, I was still puzzled, so I asked "Do you mean that the baby isn't sent to the nursery for tests?" It was her turn to look flabbergasted. She said, "No, as long as there are no complications, you will have the baby with you at all times." I know I still looked puzzled because she then said, "We don't have nurseries in our province; we only have NICUS. As long as babies are healthy, they are with their moms the entire time." She then asked about our experience in the States. When we explained that Wild Man had been in the nursery for at least 3 hours following the birth (we were allowed to have him with us for almost an hour), she looked aghast. She actually checked my chart to remind herself when I had given birth. She asked "You mean this practice was still going on in 2006?" C laughed and said that our experience was fairly typical, at least for our state. I told her what she described is very similar to a what I've read about birthing center births, not about hospital births. Needless to say, C and I left her office feel very reassured about the sort of hospital birth we will likely have, and unless we can get a private room, we will likely leave the hospital as soon as we can--provided that I don't give birth in the middle of the night. Then I think we'd stay just so we wouldn't wake up Wild Man with our arrival home.
We did discuss the option of home birth for a while on Thursday, but we have one major obstacle: what do we do with Wild Man? My mom will be here about 4 days before Z's due date, but I fully realize Z could come much earlier. My sister, who lives about 6 hours away, has offered to get on the road as soon as I go into labor so she can be with Wild Man, but given how fast my first labor went (just under 5 hours), there is no guarantee she'll be here in time. I really don't want Wild Man to be around when I've giving birth, and I especially don't want him in the house. With a hopsital birth, we will have to make arrangements with our friends to watch him, but neither of us will have to worry about his presence in the house. Given everything we'd just learned about a hospital birth in Canada, we think it seems like the right option for us, so I am fairly certain that is what we will do. I am feeling very excited about this birth and the fact that we will have Z with us at all times.
Showing posts with label midwifery. Show all posts
Showing posts with label midwifery. Show all posts
Saturday, February 14, 2009
Tuesday, February 10, 2009
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.
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.
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