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I didn't seat at all until it was time to push and the baby came out quick....
In a homebirth, you'd probably have given birth upright or on all-fours (I'm not sure if you mean by seated, you were in lithotomy or birthing stool). Upright positions have been shown to prevent tearing. Also, episiotomies often cause some of the worst tears. However, tears still do occur sometimes. A life-threatening hemorrhage from a perineal tear is extreamly rare. If it was beyond what the midwife was capable of suturing, then you'd be transported to the hospital while midwife applied pressure to the area, and treated for shock. In some states, midwives are liscensed to give IV fluids if necessary.
I had a tear on the top rather than at the bottom...I lost a lot of blood.
A full 25% of babies are born with cords wrapped around their neck. That means, even at home 1/4 of all babies are born with cords wrapped around their neck, and homebirth is still shown as having at least as good safety outcomes as hospitals. Nuchal cord is really not a birth complication. The midwife simply slips the cord from around the baby's neck. In rare cases, it might be too tight to do that. The cord is clamped and cut then.
My second had the cord arounbd his neck...so they took him away for 2 hrs.
Midwives carry O2, as well as other emergency medications and supplies.
A baby with little oxygen is something to think about....
European research is just as valid as American, and in some cases, countries in Europe actually surpass America in types of obstetric outcome reporting. True obstetric emergencies are rare. For the most part, they can be caught early by midwives, and the patient is transported before any issue arises. Transporting for any issue beyond failure to progress is unusual, but it happens. I think everyone is glad that hospitals are there when they're needed.
Sure, other countries support home birth, but I'd love to see how many women had to be rush to the hospital and how many babies had emergencies. US keep good track of numbers--maybe that's why they like to cover their backs so much.
I think this should be done. But a woman shouldn't be forced to birth in a hospital if she doesn't want to. Many women find the environment scary and disempowering. Hospital staff can be paternalistic and disrespectful. And frankly, giving birth at home is simply nice! Your own bed, your own germs. If a woman is fearful, labor is inhibited. The bottom line is that women should maintain the right to choose - not obstetricians, not politicians, not ACOG. Laws should safeguard a woman's choice, and allow midwives to provide safe care.
I think that technology has evolved so much, why can we instead change how we have our babies in a hospital? Like letting the mom walk, stand...and support her choice of no drugs?
I agree. I think womankind would really benefit from more obstetricians who understand midwifery philosophy, and can support midwives both as overseeing practitioner in states that require it, and to lobby for women's right to choose when lobbyists work against those rights. It's my personal theory that if obstetricians borrowed from some midwifery knowledge in their own practice, childbirth morbidity rates would improve.
mbp said: I've thought a lot about going the midwife route instead of med school and I can't think that there can't be some nice balance.
It's very difficult to conjecture - especially since I'd need to read your medical chart. You need to understand that midwifery and homebirth work on the assumption of cascades of intervention -- meaning for every routine obstetrical intervention, there are many possible complications and risks. Many traumatic births can be linked to interventions that probably wouldn't have occurred at home (ie. chemical inductions, lithotomy position at birth, cord tractions). Normal interventions used to get the placenta born ASAP have been linked to hemorrhage. From your post, there's no way I can conjecture what happened. Chances are, your baby would not have died at home. Midwives carry emergency equipment and rescuistation. They, too, have efficient techniques to get a baby out quick, if necessary. In an extreamly unusual pinch, an ambulance can be at the ready, or the hosptial can be called straight away with OB and OR at the ready.
How do you think my births would have been handled as a homebirth?
Is this the second time you've used those stats? I'd like to see where you're getting them from, because those percents are nowhere near what I've seen in the literature.
Maybe 99 of the cases go flawlessly, but for that 1 that wouldn't, I'm glad that there is an ob there.