thread: Case load - home births via Southern Health?

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  1. #1
    Registered User

    Oct 2007
    Middle Victoria
    8,924

    The case load programs have many requirements that you have to meet to be accepted. There are conditions that an independent midwife will be happy to manage at home, that a midwife working through a caseload program may be obliged to advocate you to transfer to hospital. Have a read of the homebirth general discussion thread, there are women going through both hospital homebirth programs and homebirths with independent midwives or other supports.

    For me, it was worth paying the costs of an independent midwife because i did not want to transfer unneccessarily. There were things that came up in my pregnancy and labour that would have gone differently had i been with a hospital program, and i am so grateful that i had my experienced midwife with me.

  2. #2
    Registered User

    Mar 2008
    North Northcote
    8,065

    The case load programs have many requirements that you have to meet to be accepted. There are conditions that an independent midwife will be happy to manage at home, that a midwife working through a caseload program may be obliged to advocate you to transfer to hospital. Have a read of the homebirth general discussion thread, there are women going through both hospital homebirth programs and homebirths with independent midwives or other supports.

    For me, it was worth paying the costs of an independent midwife because i did not want to transfer unneccessarily. There were things that came up in my pregnancy and labour that would have gone differently had i been with a hospital program, and i am so grateful that i had my experienced midwife with me.
    Yes to all this!

    Although I think that it is wonderful that FINALLY there are homebirth programs running here, they do tend to have strict guidelines that are in place to suit/reflect the policies of the hospital. This can lead to unnecessary transfer of care and/or labour into the hospital system. I am hoping that with new 'all risk' programs starting up in WA and the NT that Victoria can soon follow suit.

    If it were me and were able to get the cash together and/or work out a payment plan for an independent midwife, then i would opt for that hands down. there is nothing like having an IM by your side. she/he is there only and exclusively for you and baby. not also for the hospital.

    BUT, if the program was the only way to achieve your HB then totally totally go for it. there is nothing quite like bringing baby into the world in the loving supportive environment of your own home

    and come along and join us in the HB general discussion thread! love to have you in there!

  3. #3
    BellyBelly Life Subscriber

    Feb 2006
    South Eastern Suburbs, Vic
    6,054

    Agreed that policy is super strict - it's a great program but I guess they really don't want to do anything to jeopardise the program so they seem a bit nervous when it comes to policy. You really will need to be super low risk.

    When are you due? They fill up pretty fast, so my advice would be to have your booking in appt, ask lots of questions about the homebirth program, and then decide from there if it happens to be offered to you. For what it's worth, if I could afford it I'd probably choose private over public, just for (as the others have said), someone who works for you, and not the hospital.
    All the best with deciding (and congratulations).