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11-14-2012 at 11:43 AM
stewz
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stewz is not online. Last active: 05-18-2013, 4:13 PMBronze

? about home birth

I am not planning on having a home birth but i have a question that I do no mean in any controversial way. aka…i'm not trying to stir the pot I am truly curious. What happens if there are complications? Do you call 911 and go to the hospital? 
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11-14-2012 at 11:48 AM
lucy460
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It's called a "home birth transfer." As I understand it, the practitioner who is delivering you at home (usually a midwife) typically has a relationship with an OB with admitting priviledges. The midwife calls the OB and/or the hospital, and they arrange your transfer.  I suppose if there were a catastrophic emergency they might call 911, but I think most home birth transfers are more for reasons like failure to progress, maternal exhaustion, etc.

I did read a blog the other day about an HBAC (home birth after c/section). I guess if you were doing that (which I think is super rare) and had a rupture, that might be a time for 911.

I'm sure the ladies over on the natural birth board could answer this question far better.

Mama to 2 late-term preemies (7/10 & 11/12) due to HELLP Syndrome. 
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11-14-2012 at 11:48 AM
Nericole
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We are planning a home birth. If there are any complications that the midwives cannot handle they will make the call to transfer. We live less than a mile from the hospital. They told us that most of the time they transfer women for pain management. They have an established relationship with the on-call doctors and childbirth center staff. 
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11-14-2012 at 12:28 PM
jeggomyegg...
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So I think it's important to note here that the midwives that attend home births usually come equipped with more than just themselves and a blow up pool. :) They have oxygen, pitocin shots (for after birth to help with clotting, usually), fetal heart rate monitors, etc. They are taught to recognize signs during labor and delivery that call for an OB and will transfer at that time. If there's no time or the conditions aren't right for transfer to a hospital, 9-1-1 is called. Hospitals have OBs on staff that rotate shifts so going in last minute is not an issue.
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11-14-2012 at 1:43 PM
Taylor11
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I have heard of several cases recently here in GA where the baby actually died at the home during homebirthing, regardless of 'emergency transport' or whatnot.  Seconds are critical if there is a serious birth complication, and a transfer vehicle is not a safe bet based on these instances :(  I am so grateful to be delivering at a hospital with the top level IV NICU in the southeast, and amazing children's hospital literally feet across the street.  I can't imagine not taking advantage of this and eliminating any potential risks to our baby's health.  There is also a hospital here with a water birth center next to the NICU, which is a great alternative.

I say this, b/c our first DD would most likely not have survived, or would have had major longstanding complications had I not been in a hospital.  I understand 95% of the time, the midwife can handle the circumstance, but I am not willing to chance the other 5% personally.  Not trying to stir the pot either, but just giving my personal experience and 2 cents for whoever cares. 

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11-14-2012 at 2:13 PM
bandwife
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stewz:
I am not planning on having a home birth but i have a question that I do no mean in any controversial way. aka…i'm not trying to stir the pot I am truly curious. What happens if there are complications? Do you call 911 and go to the hospital? 

Yes.

Often if there are complications or the Midwife feels one will arise (prolonged labour, early indications of possible fetal distress) they transfer to a hospital. The most common reason to transfer to a hospital from a planned home birth is for pain relief.

If you're really interested in this go and read up. Because home births usually have a set criteria ie. can't be high risk, have complications, etc and limited or no interventions (no pitocin, cervadil, epidural, etc) the rate of complications is much lower than the incidence of complications in hospital births. 

You can read a study comparing birth/labour complications between low-risk hospital births and planned home births here. and an article about the study here.

 
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11-14-2012 at 2:20 PM
bandwife
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Taylor11:

I have heard of several cases recently here in GA where the baby actually died at the home during homebirthing, regardless of 'emergency transport' or whatnot.  Seconds are critical if there is a serious birth complication, and a transfer vehicle is not a safe bet based on these instances :(  I am so grateful to be delivering at a hospital with the top level IV NICU in the southeast, and amazing children's hospital literally feet across the street.  I can't imagine not taking advantage of this and eliminating any potential risks to our baby's health.  There is also a hospital here with a water birth center next to the NICU, which is a great alternative.

I say this, b/c our first DD would most likely not have survived, or would have had major longstanding complications had I not been in a hospital.  I understand 95% of the time, the midwife can handle the circumstance, but I am not willing to chance the other 5% personally.  Not trying to stir the pot either, but just giving my personal experience and 2 cents for whoever cares. 

There are risks with giving birth in a hospital as well.

Interventions like pitocin, cervadil, getting an epidural, artificial rupture of membranes, etc all increase risk of complications.

I based my decision to have a home birth with my first baby off of scientific evidence and research - not anecdotes.

If you'd like to read about the science behind home birth risk and safety see my previous post. 

 
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11-14-2012 at 2:50 PM
sschwege
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bandwife:
Taylor11:

I have heard of several cases recently here in GA where the baby actually died at the home during homebirthing, regardless of 'emergency transport' or whatnot.  Seconds are critical if there is a serious birth complication, and a transfer vehicle is not a safe bet based on these instances :(  I am so grateful to be delivering at a hospital with the top level IV NICU in the southeast, and amazing children's hospital literally feet across the street.  I can't imagine not taking advantage of this and eliminating any potential risks to our baby's health.  There is also a hospital here with a water birth center next to the NICU, which is a great alternative.

I say this, b/c our first DD would most likely not have survived, or would have had major longstanding complications had I not been in a hospital.  I understand 95% of the time, the midwife can handle the circumstance, but I am not willing to chance the other 5% personally.  Not trying to stir the pot either, but just giving my personal experience and 2 cents for whoever cares. 

There are risks with giving birth in a hospital as well.

Interventions like pitocin, cervadil, getting an epidural, artificial rupture of membranes, etc all increase risk of complications.

I based my decision to have a home birth with my first baby off of scientific evidence and research - not anecdotes.

If you'd like to read about the science behind home birth risk and safety see my previous post. 

Well said!  

As with anything there are risks and benefits.  The job of parents is to weigh those risks and find what makes the most sense for their family.  Glad you found a situation that is best for you.   
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