re: Who has had a homebirth?

Quoting Colt's mommy:" I don't have any input in to this conversation, but I was just wondering when/if the baby gets seen by ... [snip!] ... the baby gets seen by a doctor. I mean, obviously if there's not complication or issues they don't need to be seen right away?"

We're only taking this one in if/when he needs to be seen.

Quoting Ailey+Lennon+Renner's Mom:" there is just so much that could go wrong that i never would. theres the normal worries like bleeding, ... [snip!] ... tho. my doc is already pretty much like a midwife (shes a DO) so my birth experiences from that point have been beautiful"

Many of those issues can be caused by doctors though. The fact that statistically home births are just as safe as hospitals if not safer should be proof.

Quoting Punk Rock Princess {EBFT}:" Many of those issues can be caused by doctors though. The fact that statistically home births are just as safe as hospitals if not safer should be proof."

i dont see how a low blood sugar or heart defect would be caused by having a hospital birth.

meconium aspiration, maybe, due to excessive pitocin use.

Quoting Ailey+Lennon+Renner's Mom:" i dont see how a low blood sugar or heart defect would be caused by having a hospital birth. meconium aspiration, maybe, due to excessive pitocin use."

The post I quoted said "like bleeding, the baby getting stuck, constant decelerations that you dont catch because of not being on a monitor, meconium aspiration".

Bleeding because of induction/pitocin/purple pushing/low blood pressure do to an epi, baby getting stuck because doctors still force women to birth on their backs when it closes the pelvic outlet by up to 30% compared to squatting, according to ACOG intermittent monitoring is fine and decelerations are fine as long as they recover, meconium aspiration I don't believe is as much of a big deal. Drs assume if there is mec in the water that the baby aspirated and automatically treat as if they did, if it was so common it would happen at home births at a similar rate.
Blood sugar and heart issues would mostly likely be discovered at prenatals.

Quoting Punk Rock Princess {EBFT}:" The post I quoted said "like bleeding, the baby getting stuck, constant decelerations that you dont ... [snip!] ... it would happen at home births at a similar rate. Blood sugar and heart issues would mostly likely be discovered at prenatals. "

i dont know much about home births but do they monitor for decels? would the catch it if the baby was having decels?

meconium can cause breathing issues very easily if actually aspirated, i do think they over treat for it tho.

and low blood sugars and heart defect can be a issue instantly and result in death if not aggressively and rapidly treated.

ive gone thru a tramautic birth is why i think this way. with my first 2 normal births i did not have nearly as grim as a outlook on homebirths and would have gladly had one.

Quoting Ailey+Lennon+Renner's Mom:" i dont know much about home births but do they monitor for decels? would the catch it if the baby ... [snip!] ... way. with my first 2 normal births i did not have nearly as grim as a outlook on homebirths and would have gladly had one. "

They monitor according to the recommendations of ACOG or more often if you or the mw want. I believe it's every 20-30 min during labor and every 5-10 during pushing. Decels are fine as long as they are recovering quickly, I mean the baby is being squeezed by a lot of power..a problem is if the heart rate doesn't go back up.

Hypoglycemia:
Newborns at risk of hypoglycaemia
• Preterm (<37 weeks gestation) Can't home birth that early
• Low birth weight (< 2.5kgs at birth)
• Maternal diabetes You'd know beforehand
• Sever intrapartum asphyxia,
resuscitation at birth You'd be transferring with a quickness anyway
• Ill babies ( e.g. infection) Same as above
• Hypothermia Warm them up
• Maternal use of ß blockers You'd know beforehand


So the great majority of the time you'd know it was possible and be prepared to treat anyway.

CHD:
If it's severe enough to be fatal within minutes surely they would notice something wrong with the heart rate during prenatals. They check for several minutes every visit with a doppler.
Otherwise they would be caught when they see a pedi within 24 hours.


I understand how our past issues can change our outlooks, I'm not trying to be argumentative or anything just sharing my thoughts on the various subjects.

Quoting Punk Rock Princess {EBFT}:" They monitor according to the recommendations of ACOG or more often if you or the mw want. I believe ... [snip!] ... can change our outlooks, I'm not trying to be argumentative or anything just sharing my thoughts on the various subjects."

CHD:
If it's severe enough to be fatal within minutes surely they would notice something wrong with the heart rate during prenatals. They check for several minutes every visit with a doppler.
Otherwise they would be caught when they see a pedi within 24 hours.

i can only give you information on this because its all i have experienced but ALOT of chd babies do absolutely fine during labor and delivery because the circulation is different when a baby is inside of you. PFO and PDA are open when in the womb, allowing the mother to oxygenate the baby thru the umbilicus and bypassing the lungs. however, once the baby takes its first breath, these rapidly close, allowing the lungs to do the work, and this is where the babies run into issues (the term blue baby comes to mind)

my son was a blue baby, a very very very blue baby whos 02 sat was 30 within 15mins of birth, and who would have died had i not been at a hospital, thats why im totally against homebirth now, but like i said, i thought totally differently before hand.

keeping in mind that CHD is the most common birth defect, that 1 in 100 babies are born with a heart defect, and up to 80% of them are undiagnosed until birth, THAT is enough, for me, to not have one. but thats c oming from personal experience now. i never thought that way before i had him. im very glad he was born in a hospital, or he wouldnt be here now.

he tolerated labor just fine tho, no decels, even had 8 and 8 apgars. thankfully i didnt have a epi and was able to transfer with him when he was lifefleeted a few hours after birth to a bigger hospital better suited to care for him. but it was within 15 mins that he became critical. and needed to be ventilated.

i just wanted to add, most of the defects that are commonly not caught prenataly (D-TGA, L-TGA, critical coarcs, critical valve issues, TAPVR, ALCAPA) are the ones that are going to be critical at birth, and are the "blue baby" defects. HLHS and HRHS are most commonly caught, along with VSDs/ASDs because during a normal 20 week anatomy scan, they are focusing on the chambers, and thats it.

I don't know much about CHDs but with a positive pressure oxygen bag wouldn't you have enough time to get to a hospital, providing there is one close by? I know here there are several hospitals within 10 min drive..

Quoting Punk Rock Princess {EBFT}:" I don't know much about CHDs but with a positive pressure oxygen bag wouldn't you have enough time to ... [snip!] ... time to get to a hospital, providing there is one close by? I know here there are several hospitals within 10 min drive.."

no, they also need a medicine to stop the pfo and pda from closing (prostaglandin) venting is useless unless that stays open, and like i said it closes very quickly. some also need immediate caths, which is why early detection is so vital. my son was life fleeted directly into the cath lab, do not pass go, do not collect 200 dollars. he was born in a hospital without a nicu, so were at a dissadvantage tho. he coded 3 times on the way to the bigger hospital , and was in the cath lab by 7am. he was born at 454am. he also suffered a stroke sometime that day, and has permanent left side weakness..

however he is a thriving 15 month old now   OHS #3 is probably going to be this spring/summer

Quoting Ailey+Lennon+Renner's Mom:" no, they also need a medicine to stop the pfo and pda from closing (prostaglandin) venting is useless ... [snip!] ... a dissadvantage tho. he coded 3 times on the way to the bigger hospital , and was in the cath lab by 7am. he was born at 454am"

That's crazy, but it's surely not too common..I mean like I said, statistically home birth is just as safe or safer than hospital birth..

Quoting Punk Rock Princess {EBFT}:" That's crazy, but it's surely not too common..I mean like I said, statistically home birth is just as safe or safer than hospital birth.."

its not uncommon either tho, it happens ALOT more than you think. 1 in 100, and when you think about half of them are undiagnosed...

this week is actually CHD awareness week