Should I consider home birth?

Should I consider home birth?


I decided I wanted a home birth when I
realised that all my Labour’s were very quick and my midwife explained to me how
much easier and nicer home births were. [MIDWIFE] The really important thing is that you
are suitable for a home birth. Home births are intended for women who are
considered low-risk who don’t have any medical complications and that their
baby is well grown. [MIDWIFE2] Planning for a home birth what is that involves is we make
sure that we do a home visit on you that’s really important we go through a
list of what to expect from home birth who to call what sort of equipment you
need to prepare for so that will all be done it’s 36 weeks so you have plenty of
time. You get a good relationship with your community Midwife have a word with
her because it it feels right to be at home a lot of us now do continuity of
care so we like to be with our own women where we see before during and after
that’s what we’re aiming for. [HOMEBIRTH MUM] My influences for home births were my
midwife the safety of my labour and just how much nicer they were. [MIDWIFE] Your community
midwife is a great resource she is more than happy to spend time talking to you
about your options for birth they can also give you a leaflet and we have a
leaflet on birth places in Oxfordshire and that’s available from them or that’s
available from our website and there’s also social media where you can gain
more information and especially places like the positive birth movement. My
advice to a mum who is thinking about home birth is to try and get as much
information as possible to have the conversation with your community Midwife
understand what it is that you want to do and then talk to your family and
friends about it because everybody always has their point of view on it but
it’s making sure that you have the right information to enable that decision. [MIDWIFE2] When
you go into labour we would like you to call us
as soon as possible if it’s in the day time the community team might come and
assess you at home, check that everything’s all right and then leave
well alone until that labour progresses and then you have phone again you’d
phone through to the Wallingford community unit they will put the call
through to the Midwife who’s on call and then they phone back and make a decision
then to come out and see you if it’s needed and we work out from that phone
call how how you’re feeling in labour if we’re feeling that you’re progressing
very quickly it might be one Midwife comes to you straight away and then a
second Midwife goes to get all our equipment so at least you’ve got
somebody with you. [MIDWIFE] Home birth is a very safe option it’s generally as safe for
you to have your baby at home as it is in in a midwifery led unit or in an
obstetric unit where there are doctors and that’s a common misconception that
it isn’t as safe. [MIDWIFE2] Think about the people that you want around in your home
to support you. People who bring that positive influence to you you might also
want other people in your home because if you’ve got other children you might
want somebody there to look after them in case they wake up in the middle of
the night in my experience that it’s amazing how children sleep through
everything but you may want somebody else there to look after the children.
The equipment that you need for a home birth is not a lot the main things is to
think about protection for your bedding for your settee for your cushions your
pillows but that can be as simple as a cheap shower curtain, you don’t need
to go out and buy anything specifically beg steal and borrow is my term. [HOMEBIRTH PARTNER] So when
Krystal asked me about the home birth a bit worried to start with some cream
carpets and white walls didn’t know if there’s going to be any mess but there
wasn’t at all, got shower curtain and it’s towels and it’s quite straightforward. [MIDWIFE2] One
thing you get at home birth it’s definitely one-to-one care the
monitoring that we do is no different than if you would have at the hospital so
we have the handheld monitor that we use when you come to the clinic appointments
we’re listening in to the baby every 15 minutes obviously when you start to get to a
second stage and you’re pushing that will become more regular and then we
keep an eye on your blood pressure and your temperature and pulse so we’re
looking at the overall well-being of you and your baby during your labour no
different than anywhere else. Everything is there your comfort zones
are all there to help you cope in labour and then if you need any further pain
relief then the community midwives do bring in Entonox –
the gas and air. [MIDWIFE] What the Midwife is doing when she’s with you is she’s constantly
risk assessing to make sure that you’re safe and your baby’s safe and that home
birth is still the right place for you to be if the Midwife feels that things
aren’t going the way she would expect them to go things aren’t progressing
with your labour and and that she would need some further support she would she
would recommend transfer into the hospital. [MIDWIFE2] Transfer into hospital is in
the majority of cases you’re fine, baby’s fine but we need to have that extra
input from delivery suite and the beauty of it is that we phone ahead to the John
Radcliffe and they know that we’re on our way we’ll be we’ll have specified
the reason why we’re on our way when you get to the John Radcliffe the room is
already set up the colleagues up there are brilliant so they’ll have if we need
an obstetrician they’ll be ready to see us and your pain relief continues when
you’re in the ambulance, the beauty of it is though you you’ve done most of
your labour at home you’ve been assessed at home you’ve had one-to-one care and
if you feel that this is not right for you you don’t feel comfortable in your
home you can go into hospital so you can change your mind at any stage. [MIDWIFE] If this is
your first baby the transfer rate is around 45% which people feel is quite
high but if there’s still more people that will give birth at home than
need to be transferred if this is your second labour in birth then the transfer
rate is around 10% the reason it’s less second time around
is that you’ve been through labour and birth before your body remembers what
it’s done and second labours and births are generally less than half the length
of a first labour and birth. [HOMEBIRTH MUM] The best bits of me having a home birth is the comfort
being able to have your own shower having a warm cup of tea having a chat
and just being able to have your Midwife is a one-to-one rather than having to
share with other women on the ward now that I’ve had my baby I think I made
a hundred percent the right decision to have them at home. [MIDWIFE] There’s a lot of
evidence that says women prefer a home environment their labour progresses much
better and they have a much more positive birth experience
and transition into Parenthood. [HOMEBIRTH PARTNER] So if anyone asked about having a home birth I
definitely recommend it being in your own home being warm just
being together. [MIDWIFE2] If you’re thinking of having a home birth look at all the
evidence out there it really does back up home birth do discuss it don’t just
think it’s not for you because we really do support you in Oxfordshire and
it is definitely an option for people. [HOMEBIRTH MUM] I’d say to other women that were
thinking of home births that it’s just nicer more personal and just a lot
happier

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