I see a lot of misconceptions out there about homebirth and the people who choose to plan a homebirth. We're not all anti-modern medicine, anti-science, or anti-vax. At least I'm not.
I've had a natural-ish hospital birth and a homebirth. We're planning for our second homebirth with this next baby.
My homebirthing is more proactive than reactive. Less about avoiding interventions and more about choosing what has proven to be more effective for me. Here are the real reasons I homebirth.
It's the best way for me to get good postpartum care
I wish this was not true but it has been for me. I was absolutely shocked with the lack of postpartum care, medical or otherwise, to be found using the traditional hospital system. You cannot drop kick moms from a tiny stay in the hospital to a six week check up and expect there to be a smooth transition. With home births I'm guaranteed in home visits by my midwife at 1 day, 3 days, and one week postpartum with a 2 week visit if needed. That's in addition to phone contact, doula visits, and other help.
It's respectful
Through so much of my hospital experience I did not feel heard - even though I had a CNM. My homebirth midwives have been very clear that we have a midwife/client relationship not a midwife/patient relationship. What that means is that I am legally and factually much more in control of my own birth and pregnancy experience. The difference is subtle but the shift in attitude is huge!
I am encouraged, and allowed, to take responsibility for my own birth
Part of agreeing to a planned homebirth is signing a form that states that I will take responsibility for my own education about birth choices, do my part to stay low risk, and prepare as well as I can for the birth and postpartum period. Planning is not an afterthought with a homebirth, and I have experienced much better support prenatally for making those plans with homebirth midwives than I was ever allowed with hospital midwives and OBs. In fact my visits with hospital based practitioners were more focused on breaking attempts at planning than support in planning.
I know who will be at my birth
Even if you have the best OB or midwife ever, you will still be at the mercy of the hospital on-call list when it comes down to who will actually be there when your child is born. I hated that I had to look up my son's birth certificate to see who actually attended his birth since I was never even introduced to the woman - before or after the birth. Giving birth is an intimate event and it is important to me that I at least know the names of the people who are there!
I am allowed to rest
I have absolutely no idea how anyone gets any rest in hospitals after having a baby. Getting woken up every 4 hours for vitals checks, no help caring for the baby, constant lights and noise, and uncomfortable beds are just not my idea of restful. Getting to sleep in my own bed, being left alone to sleep when I can, and to have a room be fully dark has done wonders for my postpartum health!
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These are my biggest reasons for continuing to choose homebirth.
No, I don't think hospitals are evil, they are just not a good choice as a birthing place for me.
We still see regular Family Medicine doctors for check ups and illness. We get all our shots on schedule, and believe in evidence-based medical decisions.
Having a planned homebirth is no guarantee of having the bestest-most-amazing-birth-experience-ever! It is important to be honest and realistic about when the plan needs to change or if homebirth is not a good option.
In the coming weeks I can do more posts about things like preparing for a homebirth and tips for picking a midwife. I do think postpartum preparation, homebirthing or not, is one of the most overlooked aspects of preparing for baby. Here are my best tips for preparing for avoiding postpartum depression. I'll have to write one about preparing for postpartum more generally!
What questions do you have about homebirth? Is it something you would consider doing or have done?