HOMEBIRTH FACTS

Thank you for visiting this page. If you are planning a homebirth or are a concerned family member or friend you will find answers to most, if not all, of your questions here. Families that have chosen homebirth are oftentimes overwhelmed by the many questions they receive about their choice. Consider that you are not the only one asking them these questions and they may be left feeling defensive and unsupported. Thank you for taking this time to learn about homebirth. If your question(s) are not answered here please connect with me directly and I would be delighted to speak with you.

What is Homebirth?

Evidenced Based Birth explains who chooses homebirth, the parameters for safety, and some statistics with plenty of links. 

Homebirth safety:

Planned home birth: benefits, risks, and opportunities

Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician 

A new era of home birth research - Science and Sensibility

American College of Obstetricians and Gynecologists has an opinion: “…proportionately more home births are attended by midwives than planned hospital births, and randomized trials show that midwife-led care is associated with fewer intrapartum interventions.”

Comparing the odds of postpartum hemorrhage in planned home birth against planned hospital birth: results of an observational study of over 500,000 maternities in the UK

ACOG may deem the hospital the safest place to have a baby yet they fail to support their claim.

New Home birth study for the MANA Statistics Dataset shows that planned home birth with skilled midwives is safe for low-risk pregnancies. 

Midwives:

Different states have different requirements.  Even if a midwife is Certified by NARM the state, such as California, may require a separate license.  I am both a Certified Professional Midwife as well as a Licensed Midwife.

Types of midwives : Certified Professional Midwife, Certified Nurse-Midwife, Traditional Midwife

California State Medical Board Licensed Midwife 

What supplies do Midwives carry?

Although each midwife will have slight variations most all will carry the following: 

  • Doppler and Fetoscope to monitor baby 

  • Sphygmomanometer (blood pressure cuff) 

  • Stethoscope 

  • Hemoglobinometer (checks iron level in blood)

  • Thermometer

  • Sterile instruments

  • Topical and injectable anesthetics for suturing

  •   Homeopathic remedies and herbal remedies

  • Medications for hemorrhaging

  • Oxygen tank

  • Resuscitation bag/masks

  • Suction device for baby for mucous,

  • Vitamin K (injectable/oral) 

  • Erythromycin eye ointment 

I also carry a Rebozo, a Kaya birth stool, a blow up neck pillow, knee pad, TENS machine, flashlights, light for the birth pool, and other miscellaneous items.  Many midwives have their clients purchase a Birth Kit that includes items such as gloves, pads, maternity pads, cord care items, trash bags, fish net, and other varying products. I provide a custom assembled Birth Kit for each family.

Reasons to transport:

The number one reason we transport to the hospital is when labors are taking very long and there is a need for pain relief, more common amongst first time birthers. Emergency transports are very rare and should one be necessitated I travel with my family and stay until the birth of baby, if possible.

A full description of various reasons we may transport

Study on hospital transports

Doula's thought on transferring to the hospital 

“We believe that collaboration within an integrated maternity care system is essential for optimal mother-baby outcomes. All women and families planning a home or birth center birth have a right to respectful, safe, and seamless consultation, referral, transport and transfer of care when necessary. When ongoing inter-professional dialogue and cooperation occur, everyone benefits.”

Best Practice Guidelines: Transfer from Planned Home Birth to Hospital 

Homebirthsummit.org

Regarding Waterbirth

Barbara Harper is my mentor, friend and the founder of Waterbirth International. She is a Waterbirth expert and has spent her life gathering the published research on Waterbirth, studying it and interpreting the results. Here are some helpful link to some of the research:

Birth, Bath, and Beyond: The Science and Safety of Water Immersion During Labor and Birth - Barbara Harper

Neonatal Outcomes of Waterbirth

The Effect of Waterbirth on Neonatal Mortality and Morbidity


ACNM Hydrotherapy During Labor and Birth, April-2014

Pregnant Pause – Midwife Delivers 50 Years Experience


Cochrane – Immersion in Water in Labour and Birth (Review)

Reevaluating Waterbirth Temperature Guidelines

What prevents baby from taking a breath while being born in water? This link has other common questions people have about Waterbirth in general.