Home Birth FAQ

Mothers love to share birth experiences with each other. Actually, everyone loves to share birth experiences with mothers. I've heard birth stories from husbands and parents and siblings of mothers. As soon as I share that I've had two natural home births, people usually have one of two reactions: the minority are genuinely curious about how I liked it and how it worked. Sometimes they've even been looking into home birth themselves. The majority, though, look at me with horror, like I'm some kind of negligent hippie freak, and after a few condescending questions try to nervously redirect the conversation. Here are some of my most frequently asked questions about home birth:

Q: Home birth? Ugh, I could never do that. I wanted pain meds.
A: If you wanted them, then I'm glad you had them! I wish every woman's birth experience would go the way she wanted, if it was safe for the baby.

Q: Wow. I couldn't have done that. I wanted the option of professional medical care right away if my baby or I needed it. 
A: So did I. That's why I chose a midwife to attend my births who is a Licensed Direct-Entry Midwife (LDM) and a Certified Professional Midwife (CPM) who has attended over 1000 births and has only excellent recommendations from other mothers in the area. Oregon LDMs are trained in and authorized to use oxygen, IV therapy, anti-hemorrhagic medications, local anesthetics for suturing and vitamin K and ophthalmic antibiotics for newborns. Oregon LDMs can order lab work, obstetric ultrasound and newborn metabolic screening. And she has the experience to know when it's time to take a woman and her baby to the hospital, where she is a wonderful patient advocate for both mom and baby. If I hadn't wanted experienced professional medical care, I would have just had my babies at home with my husband. (That actually never would have worked. He was an EMT and had possibly a negative amount of interest in delivering babies himself.) Or I would have built a mud birthing hut in our back yard. (And, realistically, everything still would have been fine, though a lot less comfortable.)

Q: Home birth wasn't an option for me. I had medical problems/ My baby had medical problems/ I have a family history... it's a good thing I was in the hospital.
A: Then I am glad you were in the hospital too. I have known people with "family histories" who had successful home births, and I've known women who were otherwise healthy and wanted a home birth and ended up needing to go to the hospital. If you wanted or needed to be in a hospital, I'm glad you and your baby were there.

Q: ...It's a good thing we were in the hospital: the cord was wrapped around my baby's neck!
A: I know, right? Mine too. What with not having any room and moving all those little limbs out of a relatively tiny space, umbilical cords get tangled all up in babies' business all the time. Diana was born with the cord around her neck- Lisa just unwound it. She's seen babies born with the cord wrapped multiple times around necks, shoulders, etc. It just has to be untangled. It's usually not as big a deal as the movies would have you think it is.

Q: So what about all the required tests/examinations/vaccinations you/your baby gets at the hospital? Does your midwife perform those? 
A: Yes, she performs the newborn screening "heel prick test" that is required in Oregon to check newborns for a host of potentially worrisome conditions. She can do vitamin K injections and newborn eye drops. I think you have to take your baby to a pediatrician to do most of the other vaccinations a hospital would perform right after birth. She tells you about what vaccinations and procedures newborns would normally have performed on them in hospitals, and you can opt out of some of them, I just can't remember what they are right now.

As you can see, most of the questions I get aren't questions at all. In fact, mostly people get very defensive when they hear I've had home births. Look, babies are born every day naturally, by C-section, by VBAC, in hospitals, in taxis on the way to the hospital, breech, with epidurals, in a yurt, etc. I'm not trying to convert people to a home birth mentality. Sometimes when I'm in groups of other mothers, if someone shows an interest in home birth, the other mothers will actually rally to try to dissuade them from it, saying they can have natural-birth options in a hospital or birth center setting. Of course that's completely true, but honestly it feels like I am spreading a dangerous idea that other women need to be protected from. Seriously. The prevailing unspoken response I get from most people is that I am a selfish idiot having children via witch doctor in a mud hut. Are they worried I am trying to trump their birth experiences by saying I've gone all-natural and not even in a hospital?

Personally, I think we're completely indoctrinated throughout our lives with the idea that women and babies need professional medical intervention during pregnancy and the birth process. There is an overall feeling of fear about the whole thing. (Not that it's completely unwarranted- the United States does, after all, even with it's advanced medical system, account for more than half of all first-day deaths of newborns in the industrialized world. That's about 11,300 babies. In addition, American mothers have the same maternal death rate as mothers in Iran, according to the most recent State of the World's Mothers Report.) New moms and dads are consumed with worry about birth, as if babies and women's bodies weren't made for it. When we interviewed the midwife who has delivered two of my babies, many of my nieces and nephews, and even some Joseph's siblings, she described herself as a lifeguard, which is exactly what she acted like during my births and was exactly what we wanted. I liked that every step of the way during pregnancy and labor, she only ever made me feel confident that if I kept myself healthy physically and mentally, I would have no problem having a baby.

Here are some questions nobody ever asks me:

Q: Why did you choose home birth?
A: I chose home birth because I believe women's bodies were designed to handle childbirth. I am a private person and I hate doctors, examinations, and hospitals, but of course none of that would have mattered if I had thought that a hospital birth would be best for my babies. I don't like the idea so prevalent in the American medical system that everything is a dire problem coupled with my experience that doctors never have a solution or really any idea what the problem is exactly. If I didn't have to be a part of that system, I wanted to try a peaceful experience with a few people I trusted because I feel that childbirth is an intensely personal event that I want to own, instead of being in the passenger's seat directed by doctors who are probably more comfortable with medical intervention.

Q: Did you enjoy the experience? Would you do it again?
A: I enjoyed it so much I did it twice and hope to do it a third! I don't have a hospital birth experience to compare it to, but I can say that it worked for me and it was exactly what I hoped for. Someone put on peaceful music, I never felt rushed, I received a few words of encouragement and some helpful suggestions, and I was left to do my own work. My EMT husband was impressed by my midwives' knowledge and medical expertise and my mother (who was amazingly skeptical of home birth during my first birth) was impressed by how beautiful and peaceful the whole process was. (She even told me she wondered why she hadn't done that with her kids!) And can I say again how much I loved my midwives? Lisa was amazingly supportive and knowledgeable. She checked my babies' heart rate throughout labor to make sure they were doing well. I never worried about my kids with her around. Her assistant, Rachel, (who is now a licensed midwife herself) was also sweet and supportive. I had various complications with healing and nursing in the early weeks of having newborns, and I called Lisa day and night to ask her questions or just talk.

Q: How did you evaluate the pros and cons? Weren't you concerned for your baby in case of an emergency?
A: Especially during my first pregnancy, we worried (like most new parents) that there would be some medical emergency and we would lose precious minutes needing to transport to a hospital to get more care than the midwives' could offer. However, when we evaluated the likelihood of a medical emergency, it seemed like we were taking a comparatively small risk having our baby at home. Once we saw how "normal" my births were, we became more confident that we had made the right decision. And in the intervening years we've had the opportunity to hear from friends and family members how Lisa reacted in the event of medical emergencies during birth and I'm pretty certain that we'd be in good hands.

Anyone have any questions? Did you get the birth experience you wanted? If you had a home birth, have you had the same experiences with other people and mothers? Am I really just a selfish hippie freak who consorts with witch doctors and preaches heretical ideas about birth at the risk of my children's health? Comment below!