I am due in [name_u]November[/name_u] and planning to deliver at a local birthing center with easy access to a great [name_u]Baby[/name_u] Friendly hospital. [name_u]Baby[/name_u] Friendly is a kind of hospital rating system having to due with various policies and practices of the hospital.
The birthing center does have tubs in each room, so I can do a water birth if I want. This is my first pregnancy, so I don’t know what I will want when it comes down to it, but its nice to have the option.
I actually chose the birthing center for the prenatal care, though. This might sound dumb, but I don’t care as much about the birth itself. That is just one day (or so.) My main concern with that is a SAFE birth. This place is all certified nurse midwives with full hospital privileges. So if I need to transfer, it is easy to do so and the midwife will come with me, even to a c-section. So I feel good about all of that. It is a good balance if western medicine and midwifery woo, if that makes sense. They show you studies there to back up everything they recommend. I love that. I’ll let you know how the birth part goes in [name_u]November[/name_u].
There are a TON of prenatal appointments in any pregnancy In this practice, I get there at my appointment time, I get to see the midwife immediately, and she is with me throughout the 30 minute appointment. I can bring my son with me to all my appointments. [name_m]Just[/name_m] not having to line up babysitters for him is huge. They are very respectful and thorough and they listen well. Seriously, I wish I could find a regular doctor this good.
As to cost: honestly, that is another reason I chose them. I have really lousy insurance, waa never expecting tp get pregnant, and thus will be paying a lot out of pocket. To be clear, my insurance DOES cover just as much of the birthing center expenses as it would a hospital birth. I just still have to pay a lot.
Everything all together (all prenatal appointments, the birth, postpartum visits, etc) is about $7K. I checked at the local hospitals, its more like $7K just for a normal, unmedicated vaginal birth. Its more if you need an epidural or anything. And the prenatal appointments, etc, would be more on top of that. So cost was another of my non-idealistic reasons for choosing them.
Homebirths are actually illegal in my state. I don’t know which states they are legal in, but this would be something to look into. I know several moms who have had them anyhow, including a couple who had unattended births (“freebirths”) on purpose. You can get a direct entry midwife to attend homebirths, even here. It is pretty hard to enforce this being illegal bc you can always say that the baby came more quickly than expected. My problem with this is that if you do end up needing to transfer to the hospital, the midwife won’t have privileges there and it can be difficult to transfer. And I have heard of hospital staff being somewhat hostile to women who transfer.
Since you aren’t pregnant yet, my biggest advice is to research your insurance options. Check out what they cover and what they don’t. Some carriers won’t cover home birth, others will. They won’t cover it if its illegal in your state, so check and see what your state laws are.
Finally, both birthing centers and home birth midwives take only low risk patients who probably will not need any interventions during labor. Being higher risk is often completely out of your control, but to help your odds, make sure your BMI is within a healthy range (this was one of the requirements of the practice I am with.) Exercise regularly, eat healthy foods, don’t drink excessively, don’t smoke- you know the drill. Again, high risk is very often entirely out of your control, but you can do what you can do ahead of time to help up the chances of being able to have the birth you want.