Hi,
Lee, my homebirth plans are not moving as i haven;t seen my midwife in 7 weeks! LOL! I have a letter from the head of Midwives asking me to discuss what i want at my next appointment so that'll be on Monday.
I basically read an awful lot about childbirth and pregnancy before i ever fell pregnant, including books such as Spiritual Midwifery by Ina May Gaskin. She is a very down-to-earth American midwife, and has been delivering babies since the 60's. She basically writes about the Farm, the birthing centre her and her (midwife) colleagues run. Their c-section rate has never, in nearly 40 years, been above 2% (they transfer to hospital for these, and the reasons have been prolapsed cord through an undilated cervix, brow presentation in an exhausted woman and locked twins (where the twins are both head down and both are trying to come through the bones at the same time)) Breeches, face-presentations, long-labours and twins have all been birthed perfectly safely on the Farm. It is 40% in the rest of the American hospitals. Her secret is that they interfere physically as little as possible (no drugs, no hormones, no forceps, no excessive examinations) and support and encourage the woman tirelessly, helping her to change positions to be comfortable and coaching on how to handle the energy of the rushes (they feel "contraction" is filled with enough negative conotation to scare a woman who just thinks "oh, another contraction") to minimise pain. SHe has found through this work that the vast majority of problems which lead to forceps, ventouse and cesaerean deliveries (all of which involve cutting and stitching of some sort and a longer recovery and often more difficult bonding process for the mothers and babies) stem from uneccesary medical interferance.
SHe points out not only the obvious things (like if you lie flat on your back you have to push your baby out UPHILL, and if you have an epidural then you'll have to be flat on your back) but also things i never thought of (like birthing when your assistants shout to push is the same as trying to do a poo with a team of strangers shouting "push push" at you from a few feet away!). She basically points out that, in AMerica especially, the proportion of maternal and infant death is not falling enough when you consider the level of medical expertise. When women in remote areas of Africa bleed after birth, they die because there is no blood to give them. In the Western world they are probably only bleeding because their exhausted uterus, which has been contracting almost continuously under the direction of the drip feeding artificial hormones to the mother, is too weak to contract and stem the bleed caused by a impatient doctor yanking on the cord to "help things along" in the 3rd stage. She feels that the medical care looks at fixing a problem and that, with encouragement loving support and skilled sensitive care a long labour, a breech presentation or a shoulder dystocia (when a shoulder gets stuck) needn;t BE a problem. She points out that though it is one of the most challenging, physically demanding and miraculous things a woman's body does, it is no more abnormal an occurence than pooing, peeing, orgasming or breathing - none of which i turn to my doctor for help with!
I don;t want to go in hospital because in my house, it will be me delivering my baby with help from the welcome visiting midwives. I will do things the way i want to because i am in a safe warm familiar environment. In hospital i will not feel in control, i will have to fit into the schedules and expectations of the hospital. When my sister-in-law delivered i was there with her, and after she had been pushing, with an epidural (so she couldn;t feel very well) for just 20 minutes a consultant came into the room with a massive pair of forceps and said "If you don;t get the baby out soon i'm going to use these and you and your baby don;t want that". The insensitivity of this man, to waltz into the room and THREATEN a woman at the most vulnerable point in her life (immobile, numb from the waist down, as "open" as she had ever been in her whole life, her baby in her BIRTH CANAL!) by waving frankly terrifying-looking metal surgical tools at her. I was shocked and knew right then and there that i would NOT be going into hospital unless i had to.
In the UK homebirths are around 1% and the NHS doesn;t like doing them because they are expensive, but the law states a woman can deliver where she wants. I am getting my way by flattery. I said at my first appointment, to my team midwife "i think between your skills and my uterus, this baby is perfectly safe to be born in my home". How could she argue?
Hana
