Is it safe?
Yes! Planned homebirth is as safe as or safer than in-hospital birth. A 2005 study of over 5000 planned home births found that planned home birth is as safe as hospital birth, and that with a home birth, women were much less likely to have medical interventions. A recent study of around 17,000 women in the U.S. (the largest analysis of planned homebirth, yet) found that low-risk women who chose homebirth “experienced high rates of physiologic birth and low rates of interventions without an increase in adverse outcomes” to mother and/or baby.
I’m still not sure where I want to birth – who can answer all my questions? My partner isn’t sure about home birth – is there someone they can talk to?
I would love to meet with you to answer any questions you or your family may have about home birth. Call or email to set up a free consultation…with The Nest Midwife, I’ll provide you with resources and discussion to help you make the decision that feels best for you!
What about pain relief?
We do not provide medical pain relief (narcotics, epidurals, gas, etc.). We are experts in providing comfort measures to laboring women. We use water, massage, positioning, affirmations and many other techniques so that the pain of labor and birth is manageable for you. During your prenatal care we will spend a lot of time discussing the manners which you foresee managing pain and/or pressure during your labor/birth.
Pain during labor is most often associated with tension and fear, so our care and support for you involves a great deal of addressing any sources of tension or fear that you might face.
Will my insurance company cover homebirth and/or midwifery care?
We work with a biller to bill all insurance companies. Some families receive 100% coverage their care, while others may fully pay out-of-pocket. Most insurance companies request that we bill them after all care has been provided.
Why a midwife?
We feel honored to be following the Midwifery Model of Care. With a midwife you receive continuity of care, which means you will see the same midwife for all of your care and you will know the midwives attending your birth. You will be surrounded only by people of your choosing, people you trust and who make you feel safe. Your baby will be welcomed gently into the world in whatever position you choose, and you will not be separated from your baby.
Midwives also use far fewer unnecessary interventions and practice informed consent, which means that they will inform you of all risks and/or benefits of any step of your care, so you can make the most informed decisions possible about your care. When you choose us as your midwives, there will be no “routine” interventions – you will always decide how your care and that of your baby will proceed.
I already started prenatal care with another practitioner; can I still change to a midwife?
It is very common to begin care with another provider and realize that the Birth Center or a homebirth may be a better fit. Transfer of your care, which will include records from your previous provider, will assist in a seamless transition. If you have any questions we’d be happy to schedule a time to meet with you to discuss them.
What happens in case of emergencies?
As a midwife I realize that many people have a lot of fears concerning birth. Most of the time, birth is perfectly safe and few interventions are needed; however, when a birth related situation requires skill our midwives are well trained. Emergencies can present themselves in any birth location, both in and out of hospital. Our experience has proven that fewer emergencies happen with less intervention such as induction with pitocin and epidurals. One situation that can be concerning is a mom bleeding too much after the birth. Midwives are trained to manage this with quick skills, as well as herbs, medication and iv fluids. Another area of concern involves the baby and his breathing following birth. What if the baby has breathing issues? Midwives are required through their licensure to be certified in neonatal resuscitation and therefore are qualified to aid the baby if this situation arises. Midwives also have oxygen available at every birth. If a situation arises in which a hospital transfer is necessary or requested by the client, a midwife or birth attendant will accompany the client to the hospital to transfer care.
Is waterbirth safe?
Water has long been known as a comforting place to be during times of physical discomfort. During labor and birth, both mom and baby feel the support of the water and enjoy its ease. During birth, the differential pressure between inside the uterus and outside the uterus is balanced by mom’s tummy being submerged in water. The reduced pressure makes birth gentler for both mom and baby. As a baby’s head emerges, the glottis (back of the baby’s throat) automatically closes so no water enters and then when the baby’s face comes in contact with the air, baby breathes. www.waterbirth.org gives more information about waterbirth.
How can my midwife help me handle the pain of labor?
First of all, don’t believe everything you see on TV. Labor without an iv drip of pitocin is dramatically different than a natural labor. (Natural labor is much less traumatic!) Besides the difference in the intensity of labor with and without pitocin, women are often surprised at their strength and how capable they can be of dealing effectively with the discomfort of labor in a supportive environment. During labors overseen by a midwife, women are encouraged to: stay nourished and hydrated, remain active by walking and dancing, use hydrotherapy (tub or shower), and, most importantly, given space to birth in her own way and choice. When you’re in control of your own environment, with the nurturing help of your support team, you’re able to manager the hard work of labor, and will be surprised at your inner strength!
If I use a midwife for my birth, do I still need to see my doctor for my prenatal care?
Midwives are licensed healthcare providers in the state of Texas and can provide prenatal, birth, postpartum and newborn care for you and your baby without needing additional care by other healthcare providers.
Can I have a vaginal birth if I had a previous c-section (VBAC)?
VBACs (vaginal birth after cesarean) can be an option for women. A more current description is HBAC (Home Birth After Cesarean) and our midwives are experts in HBAC! It is important to know the reason for the c-section and to know how the surgery was performed. Empowering yourself with information can expand your options. An informative site to visit www.ican-online.org, which is an online resource for moms considering a vaginal birth after a c-section.