Home birth, Hospital, or Birth Center? OBGYN breaks down your options for prenatal care and birth!
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- Опубликовано: 13 окт 2020
- Ever wondered about your options for where to give birth? For our Week 6 pregnancy update, we are discussing all of your options--the pros and cons of each--as well as what kind of OB provider you can choose from. OB/GYN, midwife, family doctor...we talk about them all, their medical training, and good questions to ask about the prenatal care and labor and delivery experience you will get. In this pregnancy guide we also review baby's development during the 6th week of pregnancy and have our first ultrasound!
**Weekly pregnancy update on Wednesdays! We will be covering everything from TTC, infertility, prenatal care, labor and delivery, best baby gear, your baby's week by week development, postpartum concerns, and other pregnancy tips and tricks!
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Intro Music: A WAY FOR ME - Nicolai Heidlas by Chem Ocampo
Planning to give birth at home. We have an amazing midwife who has delivered between 3k-4k babies in her 28+ year career and has never lost a mom or baby. Any hospital transfers were bc the mom decided she wanted pain meds. She has life saving equipment, the idea that midwives cannot deal with any emergent situations is not true, there are many situations they are trained and equipped to deal with and depending where you are they may be licensed to use certain medications (although where I am this part is limited). Many midwives are able to successfully deliver babies naturally in situations where OBs would simply choose to do an “emergency” c-section bc they are primarily trained surgeons and that’s their speciality. They didn’t sit through an extra 4 years of medical school just to watch you breathe and push lol. This includes breech births, stuck shoulders, and other situations where many (though not all) doctors will simply go for the surgical solution. There is also the issue of time, and many doctors will want you to move through labor at a certain pace otherwise they will suggest interventions that are often not medically necessary, but are convenient for them. Lastly you have the issue of birth position, and the fact that pushing on your back is encouraged because it makes THEIR job easier, but makes your job as the mom harder. Thank Louis XIV!
We are also near a hospital but they have huge rates of interventions and traumatic births including someone I know, so that was not my first choice whatsoever. The “cascade of interventions” is a real problem esp in the US where many providers never see a fully physiological birth that isn’t heavily medicalized. We treat pregnancy and giving birth like an illness here instead of the natural process it is. Probably why almost every other 1st world country has better maternal and fetal outcomes than we do in the US. I would personally never birth in a medical environment unless there was a true, actual emergency or literally no other options available.
Just make sure if you do use a midwife they are fully trained and accredited and have a long track record of experience in various situations. A good midwife can see problems coming before they become emergencies.
My husband and I just moved far from family to a very rural area. We are at 5 weeks with our first pregnancy. I have so much anxiety as my nearest hospital is an hour and a half away and I know absolutely nothing about child birth or children. Your videos are helping alleviate my worries. (I have been binge watching your videos since I found out I was pregnant last week 😅)
You may want to explain the differences between types of midwives. A lot of people don’t realize that some midwives are masters trained (MSN) with experience as an RN in labor and delivery and others just have a certification but they both call themselves “midwives”. There’s a BIG difference in their education.
You’re thinking of a doula. All midwives need schooling.
Wow, way to shit on the art of traditional midwifery. Many practices in my area are CNMs and CPMs working together. Unfortunately, there are people like you that perpetuate the nonsense that contributes to lack of integration in the US. Congratulations, you’re part of the problem 🎉
How does the statistics and ACOG recommendation of having babies in hospitals align with the statistics that the US has the highest maternal-infant mortality rate among all the developed counties? The Dutch have most of their births attended by midwives in a birthing center and have one of the lowest maternal infant mortality rate in the world.
Hey! Mama Dr. Jones made a video addressing this: ruclips.net/video/5XF0XkISTwg/видео.html
I think it has something to do with how shitty and unguaranteed maternity leave is in the US. At least that's my understanding, because it's way better for mom and baby to have critical time to bond.
I was wondering why they are soooo bent on the idea of giving birth in hospital and having a doctor. In the UK you see midwives unless something goes wrong. And we have way less medical intervention, fewer appointments, scans etc as well as less intervention during labour. Funny that idea about trusting women’s bodies rather than trying to add unnecessary medical intervention to try to make more money. What is sad is that it does lead to the US having the highest infant mortality in the developed world.
@@meganclarke3947 well because they're doctors lol. They're gonna be biased despite the statistics
I think it’s because the US is big on inducing deliveries. Healthcare here is a for profit business so hospitals want deliveries to happen as quickly as possible so they can get onto the next one.
I've had two free standing birth center births and one home birth. All have been amazing experiences! I've been under the care of amazing CNMs and have had low risk pregnancies.
That is wonderful!! I have worked with some amazing midwives and think birth centers are such a great middle ground for women who want a more home-like experience but still want to be near-ish a hospital. You are one strong mama for having 3 births without pain meds!! I feel like I'm ready for my epidural now. ;)
Do birth centers have the ability to perform C sections if necessary?
@@sabl6381 They do not, but the two birth centers I have used are literally across the stree from the hospital and practice drills regularly for emergency situations. They also do have resuscitation equipment and other items that may be needed in emergencies.
I'm curious how you found your CNM? Was it through the birth center or did your CNM just go to the birth center when you went into labor?
@@courtneyvargas17 For the two birth center births, the CNMs directly worked for the birth center. For my home birth, I found somebody on my own that primarily did home births and had an independent company.
I would love to hear you talking about costs.
I'm so glad that we have a medical system that supports midwifery care in Canada. My in-hospital midwife births were so much better than the ones with doctors/OB's and the postpartum in-home support is unmatchable.
I’ve read about this a bit. In your experience, what things made them better?
@@renovamobilespa8260 everything! From the large, family friendly rooms and in home pre-natal visits to the support during labour and birth to the 24/7 postpartum support for 6 weeks. Being able to go home a few hours after giving birth and have the midwives come to my home is big deal for me. It's so much more comfortable than staying in a hospital.
What’s the name of the midwife clinic did u go to? If u don’t mind sharing?
@@kezamua5415 you will need to find one near where you live.
Glad I stumbled across your videos! Your topics touch on things that I have not even considered- thank you!
Thank you guys for mentioning family medicine doctors! My family doc delivered my baby and I had such a wonderful experience. I feel like they often get forgotten and people just talk about OB vs midwife.
Birth Center all the way! I hated hospital births with a passion! I’m low risk and already had two without epidural or c section.
It's just blowing my mind how different this all is in the Netherlands versus the US. Here in the Netherlands pregnancy care is done by a licensed midwife unless any medical issues developed in which case you'll be handed of to an OBGYN. And home birth in the Netherlands are just as safe as hospital births and usually ended up needing less medical interventions
Congratulations!!! I must be a few days behind you. I go in for my 6 week appointment and ultrasound tomorrow. Equally nervous and excited! Thanks for these videos! These are a huge help.
Aw thank you so much! And congrats! How did the ultrasound go? Sending luck and hoping there is a cute little ultrasound picture for your fridge.
Very helpful, thanks so much
You guys are awesome !
I’m so interested in a nurse midwife if my next pregnancy is just as straightforward as my first. But I love the NP I see at my OBGYN office.. but she doesn’t do deliveries and can’t do all the OB appointments. So hard to know.
Should OB/GYNs have personal statistics of their rates of c section and induction that I can ask for?
Yes
Thank you doctors.
Hey sis hey! Just stopping through to give your page some FABlife support!
I appreciate it!! Thank you so much 🤗
I plan on having gastric sleeve and trying to get pregnant after around 2 years. Would I be able to have a regular birth center birth? Or would I be considered high risk and have to go to the hospital?
We are in a different situation... My husband and I are moving provinces in 2 months (which we will be there for only a couple months), I just found out I am pregnant, and I currently have COVID. Soooo, I have not been able to see a doctor because I have COVID, also I’m not sure who my doctor or OBGYN is going to be when we move. Lastly, once we have our second move after a few months of my husband’s training we will be moved to an unknown new place. Therefore, everything is up in the air (LOL, my husband is training to be a pilot…so that’s a good pun :’D). Anyway…I am hoping the baby comes before we have to move again, so it doesn’t come in the middle of our move, but I have no idea where we are going to be when the baby is born.
What exactly is the difference between an OBGYN who is an MD, and one who is a DO? Should I consider one over the other when searching for my provider?
My hospital has a birth center in it so I guess that’s the best of both worlds!
Hey do you know if it’s possible to have and obgyn AND a midwife? I’m doing ivf so they are automatically considered high risk and I have PCOS so I’m high risk for GD. I definitely want the full medical side of care But I like the idea that the midwife incorporates some holistic care and they have so many tips tricks to help get the baby into go position etc without forcing c section without trying anything. I guess I kinda want it all lol is that even a thing?
Sara... Not to be nosy but how old are you? Just curious.. Also how long were you on BC? But as a obgyn I forgot I can just ask you 🙂 do you think being on bc has a difference with conceiving? Just wondering if it's a real factor & myth. I am 35, overall healthy, never really used BC, TTC 💖 THANK U
Partner restrictions during COVID-19 scared me into avoiding getting prevent in 2020.. Also no medical insurance..
I like the home birth experience idea. I like the comfort of home vs. hospital. But I'm over 35 and need to be induced so can't do the home birth option. The hospital has some major advantages with NICU and emergency care if needed. Low risk mothers can still deal with complications.
It's impossible to get that appointment here, most obgyns want to see you until 10-13 weeks. I was lucky that I finally found one that would see me at 8 weeks. And none of the ultrasound imaging centers will take you at 6 weeks for a confirmation of pregnancy, they will only do it if the doctor orders one.
I know, right?! Im European (Polish) and its totally different over there. Here in US they seems to have less serious approach to 🤰🏼 woman…
I wonder if that’s related at all to states with “heartbeat” laws where they won’t provide an abortion past the time they can detect a heartbeat, or 6 weeks, making it more difficult to get one.
Im going for a natural birth like i did in 2019. It wasn’t that bad and i didn’t have side effects from the epidural like i did with my second delivery. I had the worst headaches for about 2 weeks. I was told that the epidural caused it
Makeda! Congrats on your pregnancy--such wonderful and exciting news. I hope you rock your birth and have an awesome experience. And yes, a headache after an epidural is rare, but possible. It is called a spinal headache and they can be miserable and debilitating. The risk is about 1 in 200, and it sounds like you were that 1 unlucky person. I have a few friends who refuse to get another epidural because they said the chance of a repeat headache like that was far worse than the pain of childbirth!!
@@TheDoctorsBjorkman Thank you so much! And thanks for sharing that information. Yes the headaches were painful and last longer than childbirth. I pray everything is smooth sailing. This pregnancy will make Baby #4. Im excited. You’d think I’ve feel used to pregnancy but every pregnancy i had felt different
I’m five years out and I still have numbness on my right side because of mine. 😭
@@Black_Samurai-fish Really sorry to hear that. Are you referring to epidural or natural birth?
@@MakedaRucker-rf8ws An epidural. I had no idea that could even happen.
I've had 5 hospital births, not great experiences but definitely want a epidural!
Partner restrictions such bs!
In the US, what do you suggest for the 6 weeks appointment? Going to an ob/gyn or should you go to a sonographer first, and then with an ob/gyn for the 12 weeks appointment.
Most ob/gyn have sonographers in office in the US.
I don’t love hospitals but I’m high risk, so it sounds like that’s the safest option
Actually you need to find out first what is in your area. No one does home births here. No one has an outside of hospital center in the whole state. So I’m forced into the hospital option because that’s all there is. Wish I did have the choices discussed but legal proceedings think they know better than moms.
is the 6 week counting from your first day of the last period?
Yes! Your "due date" is 40 weeks after your LMP. (1st day of your last menstrual period). And the weeks in pregnancy are counted from that LMP as well! So 6 weeks pregnant is 6 weeks after your LMP. :)
My wife just tested pregnant yesterday! But we are really unsure how many weeks she is. When is the earliest she can go to an ob/gyn to confirm and/or perform the necessary tests?
Hi Kevin, congrats! You would count how far along she is starting with when her last period started. There are also some calculators online where you enter the date of last period and it will tell you how far along you are plus your predicted due date! As far as when you can go in for confirmation, that seems to vary depending on the area and doctor, but the earliest I’ve seen is 6 weeks.
Can birth centers do epidurals?
No they only want a natural birth no pain meds they give water births for your pain and other things to help they are against medications and c sections and all of that
What about cost?
This is highly dependent on your insurance. Home birth services are always out of pocket expenses. Certified birth center and hospitals should have insurance coverage, so talk with your insurance company about co-pays, deductibles, and out of pocket maximums. I have already called my insurance to figure out how much this birth is gonna cost us so we can start saving lol!!
Why couldn’t team Bjorkman be our providers?? 😘
The way your labors go you would NEVER make it to Iowa in time. I'd be watching a news story about a lady having her baby in her car. :D
Homebirth should always be the first choice. Women should learn how to give birth naturally without interventions, well before birth. Complications are extremely rare when natural births are done. As soon as there is interference with the natural birthing process, more and more intervention is needed to birth the baby. These are facts. I have had 9 births myself, with being unassisted, OBS and midwives. The rate of maternal death and newborn death is the 11th HIGHEST in America!!! This is because of the backwards system that the medical practices follow. GOD GIVEN ABILITIES TO BIRTH ARE INSIDE EVERY WOMAN! Yes, see a dr during pregnancy to have tests run to see you are healthy. But dont rule out homebirth for some of the small stuff! There are many ways of natural pain relief and help for delivery. Babies have been born for THOUSANDS of years before hospitals existed. TRUST YOUR BODY!
My brain understands the logic of what you're saying, but as I'm facing my first pregnancy, I'm terrified of what the experience entails and how painful it will be if I go natural. Do you have any educational resources to share related to the points you're making? Genuinely curious.
@@briananunez5970 go check out Bridget teylers RUclips channel! I spent so long just trying to get pregnant and once I finally conceived I poured over everything there is to know about birth. I’m 20 weeks and I feel so freaking empowered about giving birth at home. She has free RUclips videos, a class you can buy online and she has a video of her home birth experience. From my understanding so much about how birth goes comes from how you prepare and take care of your body. Good luck momma!
@@Mama_H22 Thanks! I'll check her out!
@@briananunez5970 Go listen to the Doing it at Home podcast as well as the Happy Homebirth podcast (on Spotify or wherever podcasts stream). There are hundreds of episodes absolutely chock full of resources for natural birth!! Good luck on your journey! You can totally go natural if that's what you want to do
@@briananunez5970 watch a bunch of home birth, free birth and hypnobirthing videos…it solidified my decision to have a freebirth with just my husband here ☺️
Lol I dont like my current provider but the nearest other options are all an hour or more away :/
This is my first time pregnant but I would say that hour drive is prob worth it. You don’t want to have a continual bad experience with someone that is supposed to be providing care for you. Not worth it in my opinion.
@@stella6283 idk the gas money adds up :( i wish i could have a choice
@@pariss2416 I def understand, do what you can, wishing you all the best!
You should really not be using relative risk when sharing information that has such as small risk. You know the difference between relative and absolute, I’m sure. I’m surprised that you’re not utilizing the proper methods of counseling for things with a low risk - using the appropriate method: absolute risk.
I want you to be MINE!!
That would be the best--you're just too far away!!!