Starting with March 2006, the midwives are supposed not only to help the mother to be in making a decision about the type of birth she wants, but to support them all the way if they opt for giving birth at home. Home birth can be a wonderful, immensely rewarding experience that some mums have always dreamt about. Thankfully, with today's means you can live this experience with no problems.
Most women opt for birth at home due to the benefits of the familiarity of their environment, the comfort of their home, the support of their family. Some of us can't put up with the impersonal treatment of the hospitals and some of us frankly don't like to be told what to do in such intimate circumstances. 'I wanted my experience to be as natural as possible. I didn't want any drugs to speed up my labour and I didn't want my baby to get distressed because of them. I knew I could do it, I just felt it!', says Paula, a mother of two home born babies. 'I dreaded the bugs in the hospitals. It's true what they say about nesting: I was polishing the third time the kitchen table when my contractions were two minutes apart. It couldn't bear thinking of leaving my home for a hospital where my newborn could get a bug or an infection", says Rachel, mother of three. "I had the most awful experience in the hospital with my first baby. I would never, ever go back to hospital to give birth. It was crazy!', adds Ruth.
To arrange a home birth, you need to first book it with your Community Midwifery department or hire a registered independent midwife to assist you. Before you do that, she should be able to provide you with her qualifications and discuss insurance agreements with you. This booking is based on your due date. If you find out that it is not possible to book an NHS midwife for that period and cannot afford an independent midwife, ask advice from organisations able to assist you in your efforts. (www.homebirth.org.uk and www.aims.org.uk could offer real advice and support).
You need to give birth in a hospital, if: You or your family have a history of heart disease, high or very low blood pressure, diabetes, anaemia, kidney disease, any genital infection, if you smoke, if the baby is expected to be born with a certain condition, if you give birth prematurely (before 37 weeks), postmaturily (over 42 weeks), if it is a multiple pregnancy, in the case of placenta praevia (placenta lies in front of the baby) or breech position.
You need to talk to your antenatal midwife about this choice and she will advise you if giving birth at home is suitable for you or not. If you had a complicated birth before or if you needed a caesarean section, it's highly unlikely that a homebirth is suitable for you. On the opposite, if you had one or more easy births before, this increases your chances of getting your choice approved.
However, there are a few things you should consider before making your choice. One of them is that you might want more pain relief during birth. Your midwife can offer you Entonox (gas and air) and a Pethidine injection if she appreciates there are no risks involved, but she cannot administrate an epidural. If you could cope on your own with the level of pain you experienced during previous births, it's likely that this time it will be the same. If you want to have an epidural, you have to be transferred to hospital. You might need ventouse or forceps assistance; in this case, you will have to be transferred to the hospital as well. If you labour doesn't progress or progresses very slowly, again, you will need to be transferred to the hospital.
If your baby's cord is around his neck, the midwife could probably resolve this problem and deliver the baby with no complications. However, in every case, it's her who decides if you need to be transferred to hospital or not.
This is a guidance list and it does not imply that your midwife will bring this exact amount of things. It would be wise to check with her when arranging the birth, perhaps using this list as a guide.
If you are interested in a comparison between the pros and cons of a home birth and a hospital birth, check out our article on giving birth in hospital for more ideas on how to make your hospital birth experience as personal as a home birth.