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Home childbirth: pros and cons

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Home birth - childbirth that takes place at home, unlike childbirth in a maternity hospital or hospital. Home births are planned and unplanned, with or without obstetric care. Usually, home birth is accompanied by a midwife, less often by a family doctor, an obstetrician-gynecologist or a doula. In countries where home birth is regulated, domestic midwives receive special education, suitable precisely to take birth at home.

In countries where it is customary to give birth in clinical hospitals, women choose home births for several reasons. The most common ones are: safety considerations, the desire to avoid common medical interventions in childbirth, the belief that childbirth is an intimate, spiritual, or social-family event. Until the beginning of the 20th century, all or most of the clans were at home. Mass transfer of labor to hospitals occurred at the beginning of the 20th century.

There are laws in different countries that regulate the legal framework for helping women who give birth at home. [one]

Today, home birth is an acute political issue. For example, in the United States, the freedom to choose home birth varies depending on the state’s legislation. In Europe, home birth is supported by a midwife. In developing countries, most women give birth at home with traditional midwives, midwives, nurses, or with the help of relatives. In these countries, there is a varying degree of risk of perinatal and maternal mortality. Unfavorable socio-economic conditions, cultural characteristics and the lack of medical care, if necessary, explain the degree of risk increase.

Content

Home births are divided into planned ones, when a woman and her family plan to give birth at home in advance, and unplanned ones, when a woman gives birth at home, because she did not have time to get to the hospital or hospital.

Home deliveries are divided into childbirth with professional and traditional help. Professional care during childbirth mainly involves childbirth with midwives, who are legally recognized in the area, less often - childbirth with family doctors, and extremely rarely - childbirth with an obstetrician-gynecologist. Traditional birth attendants include traditional midwives. Childbirth with a husband, relatives, friends, doula, or experienced women may fall into the category of childbirth with traditional help, and sometimes solo childbirth.

In the article “Home births in Russia” [2], doctors of the Kazan State Medical Academy Khasanov A. A., Maltseva L. I., Khamitova G. V. cite the results of their research:

Convinced of the trauma of some generally accepted obstetric benefits, we became interested in the condition of children born not only without any obstetric manipulations, but also without medical care at home, without a doctor or midwife.
To clarify this issue analyzed 110 so-called home birth.

Comparing the results obtained, we found an unexpected pattern: where mothers have no obstetric care, there is not a deterioration (logically expected), but an improvement in the outcome of labor for the mother and fetus. Improvement of the outcome of labor is observed in all parameters, except for one thing - at home birth, the average blood loss increases

However, 20 years later, in 2011, the author of the research is A.A. Khasanov. gives the opposite opinion. In the article “Home birth is madness!” [3] he notes:

I admit, they (supporters of home births) put forward my book, written in 1992, where I described 100 cases of home births. Yes, they all ended safely. But since then much has changed. I repeat, now giving birth at home is a crazy decision!

Now in Russia, home birth management is insane. This is an unwarranted risk to the health of both mother and baby. Be careful with home childbirth and abroad. If earlier, for example, in Holland about 60% of births were carried out at home, now this percentage has dropped to 20. Moreover, half of the women in labor are subsequently hospitalized due to various complications. And this is despite the fact that a skilled midwife is giving birth, an ambulance is on duty near the house, and the hospital is ready to receive a woman at any time. In the United States and England, three percent of home births. But even there, one and a half percent of pregnant women who chose to give birth at home complete them in a hospital.

While a woman in developed countries can give birth to a child at home, in a maternity center or in a hospital, legislation can influence her choice.

Australia Edit

In April 2007, the Western Australian government expanded coverage for home delivery for the entire state. In other states in Australia, including Northern Territory, New South Wales and South Australia, there is also government funding for independent home birth.

The 2009 state budget provided additional funds for Medicare to allow midwives to work as private practitioners, allowing midwives to prescribe medicines that are covered by Medicare and helping them to include medical expenses in insurance programs. However, this plan covers only hospital deliveries. There are no plans to expand Medicare and PBS for home births in Australia.

As of July 2010, all people working in health care must have liability insurance policies. Midwives who take birth at home will be excluded from health insurance programs for two years while the government is looking for an opportunity to make insurance available to them.

Canada Edit

Health insurance covering medical services related to home birth varies from province to province, as well as the number of doctors and midwives who provide such services. The provinces of Ontario, British Columbia, Saskatchewan, Manitoba, Alberta, and Quebec currently cover the cost of medical services related to giving birth at home.

United States Edit

In all states, you can hire a certified obstetrician nurse (CCA), who are qualified nurses, although this rarely happens, since most often CCAs work in hospitals. In 27 states, you can hire a nurse who graduated from an obstetrician. Some unskilled nurses continue to practice in the other 23 states, for which they can be prosecuted and arrested. In these states, measures are being taken to change the laws.

The activities of midwives are still (as of May 2006) illegal under certain circumstances in Washington and the following states: Alabama, Georgia, Hawaii, Illinois, Indiana, Iowa, Kentucky, Maryland, North Carolina, South Dakota and Wyoming. Certified midwives can help with home births in these states, although due to pressure from insurance companies and problems finding doctors who will agree to accept new mothers when they are transferred to the hospital, certified midwives rarely take birth at home.

Mothers who give birth outside hospitals are not threatened with punishment.

Aina May Gaskin Edit

Aina May Gaskin, certified professional midwife in the United States. It is considered the mother of revived obstetrics in the United States. The author of the book "Spiritual Obstetrics." He is the founder and director of the Farm Midwifery Center in Summerstown (USA, Tennessee). The center was founded in 1971, and by 1996 there were more than 2,200 deliveries, with Aina May Gaskin taking part in 1,200 deliveries. [eight]

For many years she lectured around the world at obstetric conferences and medical schools for students and doctors. She led the largest organization of obstetricians in America (Midwives 'Association of North America Midwives' Alliance of North America). She is also the founder of The Quilt Project [9], designed to draw public attention to maternal mortality associated with pregnancy.

Michel Oden Edit

Dr. Oden is the founder of the Primary Health Research Center in London, the author of over 50 scientific papers and the author of 12 books. For 21 years (1962-1983) he worked as a full-time surgeon and obstetrician in the state hospital of Pithiviers in France.

Books by Michel Auden:

  • "Revived childbirth" (1984)
  • "Scientific knowledge of love" (1999)
  • "Farmer and midwife" (2002)
  • Caesarean section (The Caesarean, 2004) and others

We were very active during the whole pregnancy: we went skiing, went climbing, dived in the pool and - no doctors or tests. There was an inner feeling, if nothing bothers, then everything goes as it should. In the seventh month they came to the parent school "Jewel".

Our baby Miroslav is 6 months old, and while he is snuffling in his bed, I want to tell you about our home birth.

We were very active during the whole pregnancy: we went skiing, went climbing, dived in the pool and - no doctors or tests. There was an inner feeling, if nothing bothers, then everything goes as it should. In the seventh month they came to the parent school "Jewel". Thank you so much - they can instill confidence in moms. But we must understand that all responsibility is only on parents.

The birth began with the discharge of the cork after the call of our instructor, who said that he would not go to the birth to us, because husband almost did not go to school. I assumed that we still have 2 days left. In the morning there were contractions, not constant - for 10-15 seconds. The abdomen sank, but almost not noticeable for 2 days appeared frequent urination. Let's go do ultrasound, to know what to expect at the birth, because decided to give birth on their own. Ultrasound showed that it would be a boy weighing 4,600, headache, no entanglement. The feeling all day was unusual. She walked as if she was afraid of losing or spilling something. After lunch, we went to the market to buy food just in case for the coming days. Fights were rare, and I did not know that it was them.

During dinner, I ate a little bit and at about 9 o'clock I felt like it was pouring out of me, I ran to the bathroom. Struggles began that could no longer be ignored. The first 3-4 contractions were after 10 minutes, and then I did not follow. I lay in the bathroom or stood on all fours, and Sergei watered on the waist or abdomen. It took about 2 hours. A travel mat was very useful here, otherwise I would have been bruised all over. Sergey persuaded to go to the room and when the break came, I got to the bed. At the beginning of active fights, there was a panic: what if we could not cope. The thought of the hospital did not arise, but to call the instructors in the "Jewel" pondered. But to wait and hope for someone would take a lot of energy. Fights have already gone after 2 minutes. I thought that if this was the beginning, what would happen next? I asked Sergey not to let me panic. I remembered the phrase that every woman is given as much as she can stand. We were taught to use the voice. I could not only sing, but even to speak was not possible. But this is good, because unsuspecting parents and a brother slept in other rooms.

Between contractions, I turned off completely. She stood on all fours on the floor, and her hands and head on the bed. There was no power to watch the disclosure, I began to pause during the fights. At 3-4, such a fight struck me that it was not the beginning of labor, but already attempts, or rather, a transitional period, all as the courses said. Sergey persuaded me to lie on the bed. I looked disclosure, and was shocked, groping head child. 2-3 attempts lay on the bed, breathing like a dog, and Sergei restrained the pressure of the child. We did not have time to dilute the salt beforehand, so we climbed right up. Lying in the bathroom, I breathed 3-4 attempts, and then decided to push. Sat across the bathroom and for 2-3 attempts the head was born. We waited for her to turn to her thigh. It was 1 minute, 2, and she did not turn. I kept asking, "Turned?" There was no potug too. After 5 minutes, maybe less, the attempt began to roll up, the head turned to the right thigh, and everything else was born. While we were waiting for the birth of the body, Sergei was afraid that I would sit on the head of the child. After birth, we held it under water for about a minute. He did not cry. There was not a lot of blue. I decided to throw cold water on him, and only after it he began to cry. Immediately attached to the chest. It was the most wonderful child in the world.

I never thought that I would give birth on a crib - a notebook with a course was lying on a washing machine, we periodically looked into it. We did not note the time, approximately 4.40 in the morning. In my inner time it was no more than 2 hours.

The placenta itself was not born, I had to push without attempts. The placenta caught the film, called the instructor, said to pull, and did.

After 2 hours, he arrived. The most annoying thing is stitching.

Many thanks to my Seryozha, he was very calm and patient, although it is not peculiar to him.

Childbirth at home: arguments "AGAINST"

    1
    VARIOUS CASES

Any sensible woman, even being pregnant, must understand that it is dangerous to give birth at home! No even the most qualified and experienced doctor, and even more so a midwife, will replace the medical team and special equipment available at the hospital. Difficult births should be attended by at least an obstetrician-gynecologist, midwife, anesthesiologist, neonatologist or pediatrician, as well as an operating sister.

Expert opinion: I, as an obstetrician-gynecologist with more than 15 years of experience, are totally against home birth. In the process of childbirth, any accidents can occur. In our time, only 30% of pregnancies are uneventful. In addition, according to statistics, maternal mortality in 90% of cases is completely unpredictable. Often the minutes decide whether the mother and the baby will survive during the birth. It is possible that a cesarean section is urgently needed, and it is almost impossible to make it in home birth conditions.

    2
    COMPLICATIONS NOT RARE

The most terrible development for the health of the woman in labor is a strong blood loss immediately after childbirth. In such cases, an emergency operation is often required, a transfusion of several liters of blood, which is always available in the maternity hospital.

A woman may experience weakness in labor. In this case, thoughtful stimulation with the use of drugs is necessary.

With a vigorous labor activity, it is also impossible to do without the intervention of qualified personnel. In almost all maternity hospitals, fetal heartbeats are monitored every second with cardiac monitors. If something changes, the necessary measures are taken immediately. In a very short time before a child is born, anything can happen to him. Placental abruption causes fetal intrauterine oxygen starvation. And if the aid to the newborn is not immediately rendered, it will lead to brain hypoxia. If the child has inhaled the amniotic fluid - this is almost one hundred percent pneumonia. To put this diagnosis without radiological examination at home is impossible.

The staff at the hospital is regularly examined for the presence of infection. A doctor or midwife who takes birth at home, as well as relatives and relatives of the woman in labor can be carriers of an infection that is dangerous for a newborn baby, even without knowing it.

Currently, in many hospitals during childbirth, relatives are allowed to attend and create good, almost “home”, conditions for women. In some maternity hospitals, vertical childbirth and waterbirth are practiced. Therefore, to risk, giving birth at home, in our time there is no need. It is better to pre-select the appropriate hospital and go to school for future mothers.

Natural home birth

Paradoxically, significant progress in medicine led to the fact that serious complications from the mother or fetus, both during the birth itself and in the postpartum period, became almost the norm. This should include the widespread use of episiotomy (dissection of the perineum to facilitate the exit of the fetus), and the use of stimulating and anesthetic drugs. The process of childbirth is now so worked out and technized that it is difficult to believe that a woman is able to cope with it herself, without any equipment and presence of doctors of various specialties - anaesthesiologists, resuscitators, neonatologists, etc. It is not surprising that many women are convinced that childbirth is an extremely difficult, painful process and almost impossible without the help of a doctor.

Meanwhile, a properly prepared and thoroughly examined pregnant woman can give birth to herself, and at the same time quite easily. If after all tests and research the obstetrician came to the conclusion that the pregnancy is developing correctly, and there are no concerns about the life and health of the fetus, as an option, natural home birth can be considered.

However, it must be remembered that the first birth is almost always harder than all subsequent ones. Therefore, specialists of obstetric hospitals recommend carrying out home birth only to resurgent women. Of course, primiparous can also claim to give birth at home, but the risks increase and the likelihood of complications increases significantly.

Now there are a variety of family centers, clubs and schools that are engaged in preparing pregnant women for the birth of the baby at home. Правильно подготовленная и обученная женщина значительно легче переносит весь период беременности, а роды у нее протекают менее болезненно.

Нужно сказать, что готовиться к домашним родам должна не только женщина, но и ее супруг, а в некоторых случаях и другие домочадцы.

A rather weighty argument in favor of home birth is an individual approach to each woman in labor, confidential relations and moral and psychological support of midwives during the most crisis periods of labor. These midwives want to come back again, and from memories of childbirth in the hospital, many have a nervous tremor running through their bodies.

Of course, some maternity hospitals today practice the joint stay of mother and newborn. However, this practice is rather an exception to the general rule. At home birth this problem does not arise in principle. The baby is inseparable from his mother from the very first seconds of his birth. And this moment is very important for the health of the newborn. It has been scientifically proven that early attachment of an infant to the maternal breast and close skin contact at the time of birth contribute to an increase in the immunity of the child, as well as an improvement in the quality of milk in the mother.

Do not forget about the participation of the father at the birth of a child at home. As a rule, he plays an important role in this process. For example, he can independently (under the control of a midwife, of course) cut the umbilical cord or provide moral support to his wife, help him breathe properly, etc. Thus, the man is being prepared for the fact that he is not an outsider, but a direct participant in the birth of a new family member. In the future, these men become caring fathers, and they have close psychological contact with their children.

Artificial home birth

What is artificial labor? It would seem that in the phrases "natural childbirth" and "artificial childbirth" there is a key word - childbirth. But, if the first process is aimed at the birth of a child, then the second is intended for the opposite action - termination of pregnancy ahead of time. About artificial childbirth is said in the case when the terms of an unwanted pregnancy exceed 20 weeks, an abortion is performed earlier.

In addition, occasionally artificial births imply childbirth during a post-term pregnancy (for more than 41 weeks). Also, artificial labor is resorted to in cases where more than a day has passed from the moment of discharge of amniotic fluid, and the labor activity has not begun, or during cesarean section. Both in the first and in the second case, labor is stimulated for the birth of the fetus. In caesarean section, the term "artificial birth" emphasizes that a woman does not give birth independently, but with the help of an operation.

Whatever the reason for the use of artificial labor - with the aim of abortion or due to complications of its occurrence, it is absolutely unacceptable to make it at home. In case of artificial childbirth, in order to abort pregnancy, medical assistance and strict control are necessary for safety reasons for the health and life of the woman. In cases where birth is artificially caused in order to give birth to a child, the presence of doctors is all the more necessary, because we are already talking not only about the well-being of the woman, but also of the newborn.

In addition, we should not forget that even natural home births in Russia are treated as a semi-official process, and then what about artificial births, especially with a view to abortion. Such a procedure will be regarded as a criminal abortion, and, I must say, quite rightly.

If artificial labor is used in case of a post-term pregnancy or with a weak labor, then there is a rather high risk to the life and health of the fetus, and special tools and / or equipment may be required for a safe delivery. Naturally, it is impossible to bring all this to the house, and you can't even count everything. That is why the birth at home in this case can not be considered.

Contraindications to home birth

Any birth is a physiological process, but rather unpredictable. In modern women in labor is quite common - a weak labor activity, or vice versa, rapid delivery. No doctor can predict this in advance.

In this regard, a woman who has decided on alternative (home) childbirth, first, should be ready for an unforeseen turn of events, and second, she should undergo a thorough and thorough examination. If, on the basis of the data obtained, abnormalities are detected in the pregnant woman or the fetus, then it will be necessary to forget about home delivery.

Contraindications for home birth:

  • Arterial hypertension,
  • Diabetes,
  • Pre-eclampsia and eclampsia,
  • Risk of miscarriage,
  • Pregnancy, obtained by IVF,
  • Renal failure
  • Diseases of the cardiovascular system,
  • Pathology of the uterus or failure of the cervix,
  • Surgical interventions on the genitals in the past, including caesarean section,
  • Multiple pregnancy
  • Abnormal previa,
  • Genetic mental illness in a woman
  • Tendency to spontaneous bleeding or poor blood clotting,
  • The presence of acute diseases and fevers at the time of childbirth,
  • Genital System Infections
  • Fetal malformations in the fetus,
  • Placental insufficiency, fetal hypoxia.

In fact, the list of contraindications is much more. In fact, only absolutely healthy women, in whom pregnancy proceeds smoothly, and no pathology in the fetus, can resort to home births.

By the way, an equally serious obstacle to giving birth at home is the negative attitude towards them of the husband or other members of the household. When home birth requires maximum coordination of the actions of not only the medical staff, but also relatives of the woman in labor. If this condition is not observed, a situation is quite possible when relatives cannot (or do not want) to respond adequately to the instructions of the midwife and create a situation that is dangerous for the life of the woman or child.

Preparing for home birth

Preparing for home childbirth should be in advance, ideally, from the moment of occurrence of pregnancy or the decision and conclusion of a contract with the institution that will provide a home allowance. With future parents will be held (and more than once) confidential conversation. From this conversation, the spouses will learn about how different types of home births proceed, what are their differences, how a woman feels, how a spouse can help her, what needs to be prepared for the birth - things, medicines, auxiliary materials. A list of all the necessary will surely tell the midwife who will help the woman in labor.

During the rest of the pregnancy, a woman should pay special attention to her diet - you can not overfeed the fetus, so that at the time of birth it is not very large, and also overeat itself, because overweight can significantly complicate the birth of the baby. It is necessary to eat a pregnant woman with natural food that does not contain preservatives, dyes and other "chemicals"; canned food, pickles and pickles are also not recommended. Shortly before the expected term of labor, a woman should reduce foods rich in carbohydrates and fats in her diet and reduce the amount of fluid consumed to 1–1.5 liters per day.

The daily habit for a pregnant woman should be light physical exercises and water treatments. The most beneficial effect on the physical form of women swimming in the pool. During swimming, almost all muscles are involved, they are strengthened and prepared for the upcoming loads in labor. It is noticed that floating women give birth much easier and faster.

A prerequisite that future parents must agree on is regular attendance of practical classes, in which both women and men during all deliveries teach all the subtleties of behavior. In addition, the spouses are very carefully prepared in a psychological aspect. This is very important because An embarrassed father may not react at the right moment to the team of the midwife, and thus harm the health of the child or the mother. Another reason for the compulsory psychological preparation is the exclusion of postpartum mental injuries of the spouses. Most often this applies to men who have not calculated their mental strength, but occasionally there are psychological trauma in women who fall into postpartum depression.

For childbirth at home, you must have at least a separate room in which a woman can be during labor. There should also be always hot and cold water and electricity. If childbirth is planned to be carried out in water, then they can be carried out only if there is a pool of sufficient volume or a bath of a certain size.

Midwife

The fact that at home birth should be resorted only to the services of experienced assistants who have medical (obstetric) education, it would seem to speak and unnecessarily. But, unfortunately, some women, succumbing to the trend of fashion or persisting for any other reasons, agree to escort the birth of "midwives" without proper knowledge.

Before you enter into a contract for home birth, do not forget to ask the institution for appropriate licenses, and most importantly - certificates or diplomas of medical education for workers who will directly take your birth.

In addition, the midwife is not assigned to the married couple, and future parents carefully choose it. After all, the success of the upcoming labor will largely depend on how close and trusting relationships we have with the midwife. By the way, those couples who were able to find "their" midwife subsequently have a repeated desire to give birth at home. Yes, and according to the institutions themselves, providing this kind of services, those who were satisfied with the work of a midwife, in the future give birth to two, and even three times.

At the time of home birth, a midwife is the only specialist with a medical education who has the necessary knowledge in this area. Therefore, it should strictly comply with all its orders and instructions. In the event that the midwife does not cope with their work, or unforeseen complications arise, do not hesitate and think - call the ambulance! Remember, the speed of medical care by qualified personnel depends on the life of the mother and baby. Be sure to select in advance the hospital, which, in an emergency, you will call.

Stimulation of childbirth at home

Stimulation of childbirth in obstetrics refers to the introduction of medicinal substances to enhance labor activity in the event of prolonged labor or early discharge of amniotic fluid and the absence of regular contractions of sufficient strength.

Whatever the reason, no stimulation is used under natural conditions in natural childbirth. There are only two reasons for this. First, proponents of natural childbirth, and especially at home, consider childbirth solely as a natural phenomenon that does not need any stimulants. Secondly, any intervention in labor activity should be carried out only in medical institutions, i.e. in maternity homes. Therefore, if the midwife sees that childbirth cannot occur normally without stimulation, she not only has to, she must inform the woman and her spouse so that they immediately call an ambulance to deliver the woman to the maternity ward.

All women who decide to give birth at home should be remembered - it is allowed to stimulate childbirth only in maternity hospitals! After all, rodstimulation implies continuous monitoring of the condition of the fetus, and not with the help of a stethoscope, but with the use of special equipment, which no home care institution has. Otherwise, the woman and, above all, the midwife, take on excessive responsibility for the life of the child.

Reviews of home birth

We will not argue that in our country everyone responds exclusively in a positive way about the possibility of giving birth at home. There are women who are deeply convinced of the absolute impossibility of such a responsible process at home. In contrast to them, other women talk about their experiences of alternative childbirth, which ended successfully, and the women themselves were satisfied with the way the childbirth and preparation for it were going on. There is another category of people who did not give birth at home, but they believe that, under certain conditions, this type of birth is the best option of all.

In support of all of the above, we cite several comments from women on this issue.

Svetlana, Perm:
“I knew about the possibility of giving birth to water for a long time and this idea was incredibly inspiring to me. After all, a child is in an aquatic environment for 9 months and being born to him is also more pleasant and more natural in water. Kids also experience much less stress, pain and they happen significantly less complications. A woman also feels better during childbirth if she dives into water. There she barely feels pain, it is easier for her to take a comfortable posture, and when the baby passes through the birth canal she can hang in the water so that the baby with the least an obstacle They passed them. In general, I was so fascinated by this idea that I decided to give birth at home without fail and always into the water. And then the time came when I became happy pregnant. My husband immediately said that I would give birth to water, he Strangely enough, not only he did not object, but he supported me. We found the only center at that time providing such services in our city. We talked to the staff, picked up the midwife. We were told that we definitely have to go to classes on psychological preparation for childbirth . My husband and I went to each lesson in good faith. I must say, it was very interesting and informative. By the time I gave birth, I clearly knew that, how and when I should do, my husband was also 100% prepared. A midwife came to our house as soon as my water broke. We prepared the pool water in advance. Used filtered water from the tap, and also added a little sea salt to it (that's better for the baby). My delivery was really very easy, almost imperceptible to me. There was no pain at all. My son was born healthy. By the way, when he came out to some water, he began to swim there, well, just like a fish. So touching was watching. After my placenta was born, and all my blood was laid, the midwife tied the umbilical cord and removed the baby from the water. I put it to my chest and he immediately began to suck. This is an incredible feeling! The midwife stayed with us for about 4 hours and, making sure that everything was fine with me, she left. Later, when the umbilical wound healed in the sonulka, we registered it. The decoration was a bit troublesome, but the workers of the center, with whom we signed a contract for home birth, helped us a lot with this, so everything went fairly quickly. In conclusion, I want to say to all women, do not be afraid to give birth at home, it's not scary! But at the same time, I want to add, take the selection of a midwife very responsibly, and be sure to check that she has medical education and experience in this field. We were lucky and everything went very smoothly with us, which I wish for all the other women. "

Maria, Novosibirsk:
“I’ll say right away that I myself belong to supporters of childbirth in the classical way, because I think it is safer to give birth in the maternity hospital. Yes, maybe not so comfortable, but surrounded by a large number of specialists in their field. And at home the woman is left alone with the midwife And what if she doesn’t have enough experience or knowledge? And what if, in principle, the birth goes wrong? And this means that - you will have to go to the maternity hospital, only urgently, and only when the water is gone and the cervical dilation begins uterus. Isn’t it better to solve problems at the maternity hospital right away. , To negotiate with kakoy- the midwife that she is taking birth. Well, yes, it will have to pay, but do home deliveries we free? But she will give birth under the supervision of doctors and midwives, and not one midwife from the center. "

Irina, Volokolamsk:
"I believe that home birth is not an option for everyone. It can only be used by practically healthy women, who develop everything correctly and there is no threat to the fetus. And if a woman with health problems is going to give birth at home, this option is more like suicide , and even with the risk for the child. I myself would not give birth at home under any circumstances, but one friend of mine gave birth at home in the water and was satisfied. She gave birth without problems, the child was also born without complications. But, again, this a lot like a lottery, someone is lucky, but to He will have to go to finish the delivery in the maternity hospital. Where and how to give birth is decided by the spouses, but you must take it very seriously and carefully, otherwise you can ruin your whole life and the child. "

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