All rights reserved.
To my husband, Bill, who sees me and loves me as I am.
To my son, Josef, who made me a mother and changed everything.
To my daughter, Sofia, who journeys with fierceness in her heart and inspires me to be more.
I love each one of you as you are and more than you will ever know.
Introduction
Are you health conscious, aware of food choices, questioning norms at times, and entering the world of pregnancy and birth? Then this book is for you.
Have you given birth before and felt harmed, hurt, or simply not well supported by the medical system? Then this book is for you.
Have you been informed that your family member is choosing to birth their baby in a home birth setting, and you want to know more? Then this book is for you.
Are you a medical practitioner who has heard about home birth but is not sure what to make of it? Then this book is for you.
Each year in the United States, around four million babies are born. Fifty - five thousand of those babies are born at home into the hands of midwives.
There are two models of care under which we can birth our babies. The one most people utilize is called the medical model of care for childbirth. The lesser - known model is the midwifery model of care for childbirth. You are likely not as familiar with the midwifery model of care.
I am a midwife, and I am inviting you on a journey with me into the world of home birth. This book is written from my personal experience and expertise in accordance to the midwifery model of care, which should be reflective of how home birth midwives practice in states where midwifery is legal.
First, I will debunk the incorrect association of home birth with death and despair. Then I will explain the history of home birth and the history of midwifery. I will explain our credentials. I will give you access to my work as a home birth midwife and explain in detail what prenatal care with a midwife looks like. I will cover the work midwives do during the birthing process and the comprehensive care we provide in the postpartum period.
Most importantly, this book will help you understand the midwifery model of care so that you are able to talk to your family members about it and guide you toward finding the right midwife for you.
I have absolutely no intention to discredit the medical model of care. I am deeply grateful to work in a city where I have access to the medical system and its providers when I need them. This access makes me a better provider and makes home birth safer.
My desire in writing Why Choose Home Birth is to open the door to home birth to a greater population. Women and families have choices in childbirth. How can they choose if they do not understand their choices?
Women, babies, and families deserve to have choices in childbirth. The health and well - being of the mother and baby are my number one priority.
The main purpose of this book is to bring awareness to home birth and to normalize home birth as a viable option for women and children. This book will give the reader tools to find a professional, skilled midwife.
Is Home Birth Safe?
Lets address the elephant in the roomthe safety of home birth!
I like to address home birth safety with the following statement: Just because you are choosing a home birth does not mean you are reckless and putting your safety and the babys safety at risk. Your safety and the babys safety are my number one concern.
There are numerous quality studies confirming that home birth is a safe birthing option for mom and baby. The fact is, home birth is very safe.
The problem is not safety. The problem is that midwifery and home birth have an image problem.
For many generations, we have been told that home birth is a thing from the past, associated with death and despair, and that a hospital is the safest place to birth a baby. In chapter 1, I discuss the history of hospital birth, which shines a light on the evolution from home birth to hospital birth.
The unspoken truth is that women and babies are harmed in hospital settings as well as out - of - hospital settings. The US has the highest rate of maternal death in the Western civilized world. These statistics are related to hospital births. This fact is underreported, yet when out - of - hospital births have negative outcomes, the story is easily picked up by the media.
We have a double standard. It is more likely that you will find negative press on midwives who provided poor care in their out - of - hospital work than on a doctor who provided poor care in a hospital setting. The press leads us to believe that midwives are solely responsible for bad outcomes. The reality is that we have obstetricians who provide poor care with bad outcomes as well.
Pregnancy and birth are two of the most emotionally charged events in ones life. And yes, its truewomen and babies can be harmed and/or die in pregnancy, in childbirth, or postpartum no matter where the babies are born . I will absolutely not argue with this reality.
Just as there is bad hospital care, there are also midwives who provide poor care and have bad outcomes. It is important to understand that the midwifery profession is not immune to the reality of unprofessional providers.
So I ask you to please keep an open mind. Midwives are a small group with very little power, attached to a strong image problem, and therefore are an easy target for an emotionally charged article in the Sunday morning paper.
The midwives in my community do their work to make a difference in a womans life. They serve selflessly and with passion. Midwives dont become midwives to harm and hurt women and babies. Midwives become midwives to listen, respect, love, and provide excellent care to women and babies.
Women who seek midwives are often well - educated , informed, and looking for alternative care. Some have been hurt and/or disillusioned by prior hospital births, and while searching for another way to birth they came across midwifery. There are many reasons women seek midwives.
I wrote this book to shine a light on the midwifery model of care to give you unprecedented insight into my work as a home birth midwife. My hope is that you become informed about your choices in childbirth and that you go on to make an informed decision about the setting and provider that is best for you.
Two hours after giving birth at home, this mom requested to be standing in the picture. She had her first baby via C-section and two vaginal births afterwards.
Part I
Part I : Know Your Options
Chapter 1
What a Hospital Birth Looks Like
Amys Story
Amy cries out with relief and joy as the nurse lays her baby boy in her arms.
After twenty - four hours of labor, her birth journey has ended with the big moment of meeting her baby. Her doctor, whom she met only a few minutes earlier, flashes a quick smile and busies himself with delivering the placenta.
Lets have a look at Amys story from the beginning. She is a healthy mom in her thirties, had no trouble getting pregnant, and was surprised how quickly she became pregnant. She went regularly to her well woman exams and had a doctor she liked. She was happy that she had found someone years ago that she trusted for this pregnancy.