Frequently Asked Questions about Home & Water Birth

1. How many hospital transfers have you had?

I have been in practice in Southern Utah since August of 2009. In that time, I have had to transfer three clients. Only one of the three was considered a more "urgent" situation, though she and baby were just fine at the time of delivery. I strive for prevention, and avoiding intervention in labor and birth that can cause problems to arise. 

2. Who cleans up the mess? 

This is possibly one of the most commonly asked questions - and the easiest! Birth at home is not very messy at all, especially if you give birth in water. In the hospital, the fluid and blood that is normal during and after birth drops down about 3 feet into a metal basin. This makes it look like much more than there actually is. At home, women usually deliver in the waterbirth tub, on their bed, or on the floor. This eliminates most messes from having fluid drop into a hard container several feet below. We also use absorbent pads and towels underneath birthing women to further decrease any mess that might be made. As for the cleanup - my apprentice and I take care of any cleaning that needs to be done. Your house will be returned to its original state before we ever leave. We also put any soiled laundry into your washing machine. 

2. What if an emergency occurs during labor or after the birth?

One of the key components of Midwifery is preventative care. We strive to reduce risk as much as possible through nutrition, optimal fetal positioning, and supplements to reduce the risk of hemorrhage during or after birth. It is pretty rare for a complication to arise that cannot be handled at home. In the event of one we could not handle at home, we would immediately transfer care to the hospital where I have a wonderful Obstetrician who will take good care of any of my clients. 

3. Can you have a home birth if you have had one or more prior c-sections?

Absolutely! Being a VBAC (Vaginal Birth After Cesarean) mama myself, I am extremely educated and researched in VBAC. ACOG even recommends a trial of labor for women who have had up to three prior c-sections, though they recommend to do so in a hospital setting. However, in my personal opinion, home is one of the best places for a VBAC to occur for many women; simply because there are more options and less restrictions which often lead to an unnecessary repeat cesarean in the hospital. 

4. Do you attend twins? 

Depending on the type of twins (safest is dichorionic diamniotic: twins with their own placenta and amniotic sacs), yes.  I was fortunate enough to have experience in my apprenticeship with twin births. We would closely monitor the positions of the babies, as well as watch for any possible issues that may arise. As long as the babies are in good positions and in good health, we could continue the plan to birth at home with continued close monitoring.

5. What do you consider to be "high risk"?

There definitely are circumstances in which a hospital birth would be safer. A woman with uncontrolled diabetes (not the same as gestational diabetes), one who has been diagnosed with placenta previa (where the placenta is partially or fully covering the cervix), one who is carrying a baby with a known congenital defect that would necessitate immediate care after birth, one who has been diagnosed with AIDS or HIV, etc. In these situations, I would be more than happy to serve as a Birth Doula, to help you achieve the type of birth you desire in a hospital setting. I also offer necessary cesarean doula services - please see the services page for more details. 

6. Do I need to see an OB throughout my pregnancy as well?

This is up to you, but it is not necessary for most women. I provide the same diagnostic prenatal care, with exception to labs and ultrasound, as an OB every month. You can see the OB in town that I refer to, who will happily complete lab and ultrasound requests for me, or you can see your own for these two services. Other than that, I provide full prenatal care on the same schedule as what you would typically see in a OB office.

Midwife in Southern Utah