Choosing a Homebirth
Across the country, pregnant people are entertaining an idea they might never have considered before COVID-19: the possibility of giving birth at home. This post is not for those who have always dreamed of having a home birth (as you have likely already considered all of these things), but more for those who are just recently considering home birth as an option.
We know that birth isn't a medical ailment. Still, the current birth culture and the possible risks associated with childbirth makes laboring in hospitals the preferred place for pregnant people in this country. While less than 2% of the population uses home birth as an option in the United States, that number is on the rise as hospitals change their support guidelines for labor and delivery floors amidst the COVID-19 health crisis.
With the new changes to hospital visitor policies having one person, or no support people present, families are struggling to weigh the risks of home birth with the potential emotional trauma of laboring with strict guidelines and familial access.
How do you know if home birth would be a safe option for you?
Most providers agree about the critical markers for home birth candidacy. For instance, high blood pressure and other high-risk indicators would mean that home birth would not be a good option for you. But, for those who do not go into birth wanting to give birth at home, there are many additional factors to consider when deciding if you are a good candidate for a home birth. Talk with your partner and support people, your care provider, and with yourself, and take into account the following:
Health considerations to discuss with your care provider:
Your age
If this is your first birth
If you have previously delivered by cesarean
If you have gestational diabetes
If you have any illnesses or medications that thin your blood or prevent it from clotting
Can your provider explain what necessitates the need to transfer to a hospital?
Does your home birth provider have any emergency equipment they carry to every birth?
Location Considerations:
How far will your birth team be traveling to reach you?
How close is your transfer hospital in the event of an emergency?
Do you have the support of your partner/housemates/property management to birth at home?
Personal Considerations:
Can you relax and feel safe laboring at home?
Does your insurance cover home birth?
Is home birth financially possible?
How do you imagine coping with pain at home?
Do you have a home birth plan?
Are you comfortable with the known risks of home birth?
In the Kansas City area, home birth is an option that you can explore if you are interested. Making the choice of where to birth your baby is always important, as is the relationship you form with your provider. I hope at this unique time, you feel empowered to make the choices that will be best for your family, and that helps you feel safe and supported as you welcome your baby.