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In home birth with dula or midwife vs. hospital

posted 1 year ago in Babies
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    Blushing bee
    blacktiebride01    May 20, 2011  

    My FI and I are shopping around for heath insurance, and something that was very important to us is that our coverage would cover my pregnancy and labor..(We don't plan on having a baby anytime soon, but just in case we want to be ready) We were getting super frustruated becasue we were having trouble finding plans to cover the labor and all that good stuff. Come to find out that the State of Kansas no longer has an insurance company that covers maternity!!!! WHAT??? What the heck do we do??? Our income is high enough to where we wouldn't apply for any assistance but we sure as heck don't make enough to pay for the delivery of a baby...

    SOOOO...On to my real question...I thought that an in-home child birth would be way less of a financial burden than having the baby in a hospital...I started doing some research and it actually showed that if you have a low risk pregnancy it is just as safe to have it at home than in a hospital....Anyone have any experience with this???

     
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    Helper bee
    CheesetomyWhine    10/30/10   Rhode Island

    I suggest reading thatwifeblog.com she had an in-home birth with her son :) You would just need to go to the archives. She has great information regarding it.

     
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    Newbee
    aneley89    July 17, 2010   CT

    I don't have any personal experience with this, but I watched "The Business of Being Born", and it presents some very interesting points to support home-births :)

     
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    Worker bee
    teampike    January 28, 2011   Huntington Beach, CA

    I had two home waterbirths, my second and third children. I wouldn't trade them for the world and you couldn't pay me (barring complications) to give birth in a hospital. Been there, done that, no thanks!

    I actually had some complications with my homebirths (one dystocia...basically she was stuck) and one posterior presentation that would have landed me with interventions in a hospital, but my highly skilled midwives handled them like they were nothing. 

    Start researching now, talk to midwives and other mothers who have gone that route in your area and good luck with your decision!

     

     

     
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    Busy bee
    s_h_e_l_b_s    May 8, 2010  

    I had a midwife and a doula but chose a hospital birth. I would have had to go to the hospital anyways because I wouldnt dialate and my son pooped inside of me so the midwife had to give care over to a doctor and I had to have an emergency c-section. If we have another I definitely loved having a midwife, but I would do hospital again because of my situation. I think homebirths are awesome but it always depends on if you have a high risk pregnancy. I just found that I felt more in control with a midwife and they discussed everything with me throughout my pregnancy. I found the doctor I had when I first got pregnant very pushy (which is why I switched to a midwife).

     
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    Helper bee
    MissDallasCowboy    October 2011  

    The one thing I would check is your background.  Since you haven't had children yet you don't know how you'll be able to deliver.  My mom is very narrow, and after an unhealthy amount of hours of pushing with her first they had to do a crash c.  After my brother was born they said the size of his head was simply too large to fit, and with the rest of us she had to have c-sections as well because we all had large heads (haha).  This might not be a popular view because the use of home births are rising, and when they're great, they're GREAT.  But when they're bad, they're catastrophic.  Not all women are able to have easy deliveries, back in the day they were the ones that died.  I'd be afraid to do it with my first, personally, but if you have no apprehension or reason to think you'll have difficult labor it is a great option.  FWIW one of my good friends had all her children at home without any complications. 

     
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    peaches1038    July 9, 2011   Southern Tier, NY

    Just an FYI: doulas are not medically trained, so you would have to have either a midwife or an OB-GYN as well. So if you are trying to do a cost-benefit analysis, just remember that a doula is an 'extra'

     
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    Miss Frenchie    December 2009  

    In our state we are in the same situation, when we started looking into upgrading our insurance to include maternity covereage we were shocked that the private plans are not required to cover maternity. (we own our own business so no employer sponsored plan)  So i decided to call around to local hospitals to see how much it would cost to pay out of pocket.  We want to be able to begin saving and not be stressed. For the hospital it was around $2750 to 3500 for a normal vaginal birth (this amount however needed to be paid in full by the 7th month), If you want an epidural the cost was $500 additional, then for the OB it would be around 3900 (2,000 upfront and then monthly payments and balance must be paid by the 37th week, again for a normal vaginal delivery), then for additional lab work etc about $1,000 to 2000. Of course i am sure we will have other costs as well but we know now what we are looking at needing to save.

    Home birth would not be an option due to our rural location. I would go for that option if i had it, i looked into midwives and their services seemed to be about 3,000 and of course other supplies you would need for a home birth.

    Hope this info helps.

     

     

     

     

     
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    Helper bee
    MissDallasCowboy    October 2011  

    @Miss Frenchie: What state are you in?  I have to admit I'm completely appalled that private companies aren't legally forced to cover maternity.  It's not like its an elective nose job! ick

     
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    Honey bee
    MademoiselleL    August 24, 2012   Vancouver, BC (wedding in Maui)

    I would probably go to a hospital because as another poster said, my mom had quite a bit of difficulty delivering me and had to have an emergency c-section.  I might not have made it otherwise. 

    Even though it's not really related, I wanted to say that I was pretty shocked when I read you would have to pay to have your baby in a hospital.  I just don't think that's right!

     
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    Sugar bee
    Jenniphyr    February 2, 2013   Alberta, Canada

    While I agree home birth is a GREAT option, it seems that you want to do it primarily for monetary reasons. Have you actually looked up prices for midwives/doulas in and around where you live? I'm pretty sure they're not cheap. (That said, I don't know whether a hospital or home birth is cheaper.) (Plus, considering you live in Kansas...ARE there any midwives/doulas available?) 

     
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    Sugar bee
    Jenniphyr    February 2, 2013   Alberta, Canada

    @peaches1038: Important point! Doulas are meant to be a support person, a sort of labour coach either to build on or make up for support you do/don't have, but they do NOT provide medical care like a midwife/OBGYN.

     
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    Busy bee
    Miss Pinup    July 13, 2011   Australia

    I had a low risk pregnancy yet there we complications during labour. I was progressing too fast (meaning bub was coming out too quickly, but my body didnt have a chance to dilate and 'open up') so he was getting distressed. There ended up being a so many doctors and midwives in the room in the end, so I am so glad we went to a hospital- I could never imagine doing that at home with only a midwife/ doula.

    We had our baby in a public hostpital (so it was free) and the doctors and midwives were AMAZING. Even if you have to pay to go to a hospital, in my mind it is worth the cost in case anything happens. I'm sure for some people home births are a great option, but for my I would hate to chose to not go to a hospital purely because of cost. My child being delivered safely would be worth any amount of money- no questions asked.

    heavily research homebirths before making any decisions- make your decision based on more things than just the cost.

     
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    Blushing bee
    elivt    June 16, 2012  

    you're absolutely correct in you research: as long as a birth isn't "high risk" there are no studies that have found its safer to have the baby in the hospital. My best friend is a home-birth midwife, and my partner is in medical school (sort of two sides of the coin)- he did a ton of research and that was what he found. The American Acadamy of OBGYN (or whatever its called- sorry, its early) is the only group to say that a hospital birth is safer, and that is a political statement.

    So, they choice should be yours. Consider where you feel most comfortable. Consider where YOU feel safest. Visit the hospital, meet with some midwifes, read some birth stories online. I am an "all natural" hippy kind of girl, but I am going to try to find a birthing center wherever we are living. I'd prefer to avoid the hospital, but know that I wouldn't feel as comfortable at home. Birthing Centers are sometimes extensions of the hospital, or a group of midwifes together, that can provide a comfortable, non-medicalized place to give birth.

    There are pros and cons to both. If you do decide to go with a hospital, you should be very clear about what you want and don't want. The common concern with hospitals is that often control over the birth is taken out of the mother's hands and put in the medical professionals hands. I'm sure that isn't true everywhere, but its been documented in a variety of ways.

    I think that some people have already shared their experiences around having a low risk birth that had complications- this is rare, but can happen. Some complications home-birth midwives are prepared to deal with, but any good midwife knows her limitations and will get you on the way to the hospital as soon as she thinks something is wrong. My best friend hemoraged during her home birth, but the midwives were able to stop it with some injected medication.

    I'm not sure how you make choices for yourself- if its through hearing other people's experiences then read lots of them. I'm sure that some of the home-birth midwifes in your area would be willing to have a "consult" with you so you could ask questions and get to know them.

     
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    Honey bee
    kitzy    June 2011  

    @MissDallasCowboy:exactly! ask your mom and fi's mom how their deliveries were, and if any other women in your family had birth complications.

     
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    Honey bee
    TheFutureMcBride    August 2010   Virginia

    I looked into this, but the only midwives I could find didn't have any medical training. The best they had was an expired infant CPR certification. I truly wanted a home birth, but you must be careful in picking who helps you deliver. They need to have some kind of medical training other than "I've delivered ## babies."

     
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    Helper bee
    angela85    August 25, 2012   Iceland

    I would just like to add that even if your mother or other relatives have had a bad birthing experience it doesn't necessarily mean that you will.

    My mother had 3 children. She was induced with 2 and laboured for almost 24 hours. She says that giving birth was the most traumatizing thing she has ever done and really scared me about it before I gave birth.

    I laboured for 6 hours from start to finish and seriously, I have had worse pain at the dentists than giving birth. Everything went smoothly and I would have gladly done it again the next day if given the choice.

     
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    Blushing bee
    Miss Frenchie    December 2009  

    @MissDallasCowboy i am in texas, but private maternity insurance aka "maternity riders" for individuals is a dying policy, some people may be grandfathered in with their policy but my policy is only about 18 months old, the other maternity only plans were kind of pointless and very expensive. I was happy and suprised about how willing the hospital was to negotiate prices and pre-payments. When i worked for a company i had great coverage, but never needed it.

    When i spoke with my insurance company they said, they do cover emergency c-section on a case by case basis, only if the mothers life is in danger, the child is only their customer after it is born, so if the baby is in danger it does not warrant a c-section to be covered. They simply do not cover other routine pre-natal maternity care, birth, etc. They cover some complications but only on a case by case basis, with all proper supporting documentation etc. Then after the child is born we need to call asap and pay a start premium and then well baby and other coverage for the child will begin.

    I just made sure i got everything in writing so i can let my physician know all of this when the time comes, if we have to have a c-section i want to make sure we have the supporting documentation etc, becuase a c-section will probably at least double the cost.


     
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    Busy bee
    harmonyeee    May 8, 2009  

    i echo @peaches1038,i'm really interested in having a doula but they are definitely not covered by insurance. you may do just fine without a doula as long as you have someone (a partner, a sister, a mom) to be with you throughout the pregnancy to really help you focus and support you through the pain. since they're an extra expense, i'll only be getting one if i absolutely feel like i need it.

     

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