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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Don’t do it

Too much risk

Why chance it ?[/quote]

Why not educate yourself? There's very little risk involved with a homebirth, they will calculate your risk and determine if you're a candidate.[b] You're far more likely to pick up sepsis in the hospital than have a problem with your homebirth.[/b] [/quote]

Hello, made up statistic! (a/k/a lie)

Risk of maternal sepsis - 4%

Risk of needing a transfer to the hospital during home birth: 10-37%[/quote]

The vast majority of transfers are for failure to progress or because the mom needs medical pain management.  For example, my 3rd was a "failed" birthing center birth because I didn't continue dilating after my water broke and needed pitocin.  The numbers you're siting here are comparing grapefruit to eggplant.

A lot of people in this thread are also lumping together unplanned outside of hospital births with planned homebirths with a medical professional.  Those are not the same thing at all and the risks are much higher with unplanned out of hospital births.  Similarly, you can not assume emergent situations that are the result of hospital practices would also result at home -- e.g. complications of epidurals, while common in a hospital, do not happen during homebirths.  You're effectively trading risks.

The one factor that is most worrisome to me is that the hospital system in the US consciously persecuted midwives almost out of existence and the legacy continues today where it's basically unheard of to receive continuity of care during a transfer from a planned homebirth with a CNM to a hospital birth.  So even if you do transfer for something as simple as hydration and pain management, your established care provider may not be allowed to stay with you.  The other failings of the British medical system aside, this is one thing I wish we could model in the US.

I've had both homebirths and a planned freestanding birthing center birth with a midwife that turned into a hospital birth with a midwife.  While birthing in a freestanding birthing center attached to a hospital is probably the best of all worlds, IMO, you have to recognize that the practicing midwives will be bound by agreements they've made with the hospital that will guide what they are or are not allowed to do.  For example, almost all of these birthing centers won't allow you to birth in a tub due to these types of regulations on the CNMs.

OP, I'd recommend you contact BirthCare in Alexandria and see if they are running info sessions or can set up an info appointment.  They are all CNMs and have a relationship (though of course not privileges to practice) with a hospital.  While you can choose a birthing center birth, their birthing center is not attached to a hospital.  It is more akin to having a homebirth in their "home".
[/quote]

Actually midwife practices are making a huge return in the USA. Among other things, midwives are cheaper than OB-GYNs.[/quote]

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