ABOUT HOME BIRTH
Curious about home birth? Talk to your midwife to find out more. We have books about home birth in both of our clinic lending libraries and and our resources section is full of safety evidence, home birth videos and helpful information. The College of Midwives of BC's Planned Place of Birth handbook is a particularly good resource. The midwives at Plum are all experienced out of hospital birth providers. Two registered midwives attend every home birth. Home is also currently the only location where you can have a water birth in the Comox Valley. See below for frequently asked questions about home birth.
FREQUENTLY ASKED QUESTIONS ABOUT HOME BIRTH
IS MY HOME TOO SMALL FOR A HOME BIRTH?
It is very unlikely that your home is too small to give birth in! Having a baby does not require a lot of space. You need a place large enough to lie down and space around you so your midwives can access you and set up their equipment. The size of your home isn’t important; what matters is that you feel safe and comfortable there.
WHAT IF MY HOME ISN'T SUITABLE FOR A HOME BIRTH?
Many people worry unnecessarily that their home is not suitable for a home birth, but if you are considering having your baby at home, your midwife will plan a home visit with you before your due date to discuss how best to prepare to give birth there. For example, during this visit, your midwife will assess the best ways for Emergency Medical Services (EMS) personnel to access you in your home environment in the rare event that you and/or your baby need to be urgently transported by ambulance.
WHAT SUPPLIES DO I NEED FOR A HOME BIRTH?
Midwives come with all the necessary medical equipment and medications for you to safely give birth in your home. The British Columbia government supports home birth and recognizes that people who choose this option should not have to pay for the disposable items that would be available if their baby was born in hospital. Your midwife will provide you with these supplies at your prenatal home visit if you choose to have your baby at home. You may be asked to have additional items available, including diapers and receiving blankets. You can also check out our home birth supplies list to help you plan.
WHAT IF I LIVE FAR AWAY FROM THE HOSPITAL?
When discussing whether a home birth is right for you, your midwife will take your home’s distance from the hospital and additional factors (e.g. rural roads, weather conditions, potential traffic, etc.) into consideration. Part of what makes home birth safe is prompt and seamless access to hospital in the unlikely event of an emergency. At Plum Midwifery, almost all locations in our catchment area are safe for home birth.
WHAT IF I DON'T HAVE A HOME?
If you do not currently have stable housing, you can still have an out-of-hospital birth or give birth in a home-like setting. If you are travelling outside your community to give birth in the Comox Valley, there are options and funding available. Your midwife will talk to you about your personal housing situation, your wishes for your birth and will help you determine what out-of-hospital options are available to you in this community.
WHAT ABOUT THE MESS?
People often worry that home birth will be messy – midwives hear this a lot! Your midwife will provide you with large, absorbent, disposable underpads to help prevent soiling materials and surfaces during labour and birth, and you will receive clear instructions about how to further protect your mattress and floors. After the birth, when it’s time for your midwives to leave, you can expect to be tucked into a clean bed with a load of laundry running and one bag of garbage. What’s more, you will receive practical instructions on how to care for your laundry, put your garbage out and safely store and/or dispose of your placenta.
WHO CAN BE AT MY BIRTH?
When you plan a home birth, it is up to you to decide how many (or how few) birth companions, family members and/or friends are there with you. As midwifery is a growing profession, many midwives teach and supervise students while providing care. When midwifery students are welcome to be involved in aspects of your care they may also attend your birth. Your midwife will always have primary responsibility for your care.
BUT WHAT ABOUT GERMS?
Birth is not an illness. Having a vaginal birth does not require a spotlessly clean setting because birth itself is not free of germs. Unless you give birth by C-section, you do not need a sterile environment to have your baby in! You do not need to clean your home using the same infection prevention measures they do in the hospital to avoid getting an infection. If your midwives feel a cleaner environment is needed, they will come equipped with the supplies required to help prevent infection. At first glance, a hospital may look cleaner than your home, but research shows that Canadians get infections from being treated in hospitals every year. Even with strict cleaning and disinfection protocols, it is very difficult for hospitals to control infection risks because of the large number of sick people who pass through them every day. That doesn’t mean that you or your baby will get an infection if you go to the hospital. Healthy people are at lower risk of infection than sick people in hospitals. It does mean, however, that you and your baby are less likely to come into contact with infection in your home than in a hospital.
WHAT WILL THE NEIGHBOURS THINK?
Some people are vocal during labour, and many people in labour make loud humming or moaning noises as shown in this video. In some cases, people make louder sounds for a short period of time as they are pushing their baby out. Most neighbours don’t find this too disruptive. However, it is a personal decision whether you inform the neighbours in advance about your planned home birth. Some people also put a sign on their door to alert concerned people that all is well.
WHAT PAIN RELIEF OPTIONS ARE AVAILABLE TO ME AT HOME?
Midwives are skilled in providing comfort measures to support you in labour. Giving birth at home does not mean you are without pain relief options. Comfort measures available to you at home may include:
relaxation and breathing techniques
hydrotherapy (using warm water like taking a deep warm bath or shower for comfort and pain relief)
transcutaneous electrical nerve stimulation* (TENS)
sterile water injections
*Not all midwives carry this equipment. Ask your midwife what pain relief options they offer.
WHAT IF I WANT AN EPIDURAL?
Pain relieving medications such as epidural analgesia are only available in the hospital. If you choose or if it is recommended that you have an epidural, you and your midwife will make a plan to move to the hospital to access it.
(Excerpted from the Ontario Association of Midwives)
Still have questions? Watch the video Choosing Home Birth below or check out our Resources section.