If you’re currently considering home as your ideal location for the birth of your baby, you may have received unsolicited comments like...
"You're brave"
"I’d NEVER have a home birth”
“Home delivery is for pizza, not babies”
"I wouldn’t take the risk”
Often these comments are said without malicious intent and are instead a reflection of that individuals own fears and beliefs formed over their lifetime. However, comments like this can sow seeds of doubt in your mind and start you questioning your choices and what's best for you and your baby.
If anyone, be that a doctor, family member, friend or even a stranger, pipes up with one of the above statements, or similar, here are three questions you can ask yourself:
1. Are these statements based on any evidence?
The statement "I'd never have a home birth" (or similar) often comes from the assumption that a hospital setting is the safest place for everyone to birth their baby, and that birthing at home is deemed "unsafe". However, I blooming LOVE a study (any of my clients know this) and a large systemic review and meta-analysis (looking at 14 studies including data from more than 500,000 intended home births) published in The Lancet in 2019 found that “The risk of perinatal or neonatal mortality was not different when birth was intended at home or in hospital.” (Hutton et al 2019)
Another large scale systemic review and meta-analysis (looking at 16 studies and more than 500,000 intended home births), also published in The Lancet in 2020, found "among low-risk women, those intending to birth at home experienced fewer birth interventions and untoward maternal outcomes" (Reitsma et al 2020)
There are plenty of studies showing that home birth is indeed a safe and beneficial option for many. The widely respected Dr Sara Wickham has collated the most recent study evidence in her blog "Is home birth safe?".
2. Do they understand how birth works?
Understanding how physiological birth works can be a game changer when it comes to tackling birth fear (it certainly was for me). Birth involves muscles and hormones working together efficiently and effectively. There is a cocktail of hormones needed to start and progress labour (the muscles contracting or surging) The most important hormone in labour and birth is oxytocin, more oxytocin = stronger more productive surges and shorter labour. Less oxytocin = weaker less productive surges and a longer labour. It’s that simple!
Oxytocin is a shy hormone that thrives when you feel warm, safe, unobserved and calm. Here is a blog explaining the importance of oxytocin in labour and how you can help boost your natural oxytocin levels. There are loads of ways you can adapt any birth environment to boost your oxytocin (I've included 7 Practical tips for creating your best birth environment in another blog) You can use these tips for any birth setting, home or hospital.
Birthing at home allows you to have the most control regarding your environment and who is there. Naturally, it's private, familiar and feels safe, all things that benefit your oxytocin hormone to birth your baby. There's a reason midwife led units, like the Lotus Suite at Leeds General Infirmary, are designed to be 'homely' with low lighting, cushions, and pools, because this all helps boost your birth hormones and assist normal birth physiology.
3. Is this person expert in what is right for you?
No, even if they are very close family or friends, YOU are expert in what is right for you. You know what feels best for you and your baby. You are the one who makes the decisions about your birth.
I talk at length during Positive Birth Leeds Hypnobirthing courses about using informed decision making tools to help you work out what is and isn't right for you e.g. knowing your birth choices and rights, asking "Why?" anything is being offered or restricted, using the BRAIN (Benefits, Risks, Alternatives, Instinct / Information, Nothing) mnemonic and asking for evidence in actual figures not simply relative terms (e.g. 'risk' increase from 0.1% to 0.2% vs being told "twice as likely"). I've also explained them in more details in this induction of labour blog.
Ultimately, it is not your job to convince anyone else what is right for you. You have the right to do what feels best for you and your baby. You know what is best for you. Trust yourself.
If this all feels a little overwhelming, it's okay! a doula or hypnobirting teacher, like me, can support you to discuss and process the evidence and information and work out what feels right for you.
4 Tips if you are considering a home birth:
Get informed. Know your options and use the decision making above tools to make an informed decision that feels right for you.
Talk to women and people who have birthed at home, this can be helpful for both you and your birth partner. I have shared my own home water birth story on my blog.
Read / listen to evidenced based information to help you decide what is best for you. Resource suggestions below.
You can always change your mind. It's ok to plan to birth at home and then change your mind, for whatever reason, and decide to birth in hospital at any point before or during labour. However, it's easier to book a home birth and change your mind to go into hospital than the other way round.
The safest place to birth your baby is where you feel safest. No one can tell you where that place is for you, it's up to you to work that out.
I hope you found this blog useful. If you want to find out more about home birth below are some resources I regularly recommend to clients. I'm also happy to talk more about my own personal experience of planning and birthing my baby at home, just get in touch with any questions. You are welcome to book a Birth Prep Power Hour if you wish to discuss anything more in depth or a group or private hypnobirthing course. Visit the website for details.
Sources for more information:
Podcast: The Obs Pod: Home Birth Hosted by NHS Obstetrician Dr Florence Wilcock
Book: Why Home Birth Matters - Natalie Meddings ISBN: 9781780665559
Blog: www.sarawickham.co.uk
Birth Video: Daisy's HypnoBirth Homebirth Waterbirth: https://www.youtube.com/watch?v=RNhVLKU6zF8
Birth Video: Birth / a homebirth with siblings: https://www.youtube.com/watch?v=VOri45kiYQg
I can help you get informed and feel confident, nurtured and empowered for your baby's birth.
I offer Full, Essential and Refresher Hypnobirthing courses as well as Hypnobirthing for a Planned Caesarean Section and Birth Prep Power Hour sessions.
Visit the Positive Birth Leeds website for the latest group course dates.
Or get in touch to ask about private one-to-one course availability.
Charlotte x
Studies:
Perinatal or neonatal mortality among women who intend at the onset of labour to give birth at home compared to women of low obstetrical risk who intend to give birth in hospital: A systematic review and meta-analyses: DOI:https://doi.org/10.1016/j.eclinm.2019.07.005
Maternal outcomes and birth interventions among women who begin labour intending to give birth at home compared to women of low obstetrical risk who intend to give birth in hospital: A systematic review and meta-analyses: DOI:https://doi.org/10.1016/j.eclinm.2020.100319
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