Having a dream [Birth]
What if you didn't have to compromise safety, respect, or support of your body's physiologic process? What if you formed a relationship with one midwife, your midwife, who guided you through pregnancy and all the questions you have, instead of turning to google for answers? What if, during labor, you just focused on the journey of becoming a mother, rather than getting in a car and not knowing if you'll be sent back home again, while trying to convince staff that you were in labor before the car and hospital stress stopped your contractions! Imagine no admission questions at the hospital, because your midwife already knew you. She knows you, your family, your baby, your desires, your home, your faith, your fears, your past trauma, and... she knows what to do, because she's been at the side women of birthing women a thousand times before. Sounds kind of life a dream, right?
Homebirth is the most simple, and most luxurious, way to birth.
In your tub, on your bed, backed into a corner, on a couch, in a fishy pool, under the stars.
Whatever way. Your way.
Top reasons women birth at home:
You birth in your element, with a midwife who is near, observing but not disturbing.
You are doing your thing. Your unique labor will unfold.
You are at the top of the power chain, not a nurse or doctor.
Shared decision making model of care allows you to have information to make choices that I would respect.
"First, do no harm." -Hippocratic Oath taken by doctors.
A basic principle of safety is that, for a normal physiologic event, the body knows best.
The body is most comfortable in it's element and can complete it's physiological process best when at home.
A skilled midwife is present and vigilant for deviations of normality, and implements what is needed. Read more
Total expenses will be less than $5000. Your insurance may cover all of this, and my biller will apply for an in-network exception for you.
Comparatively, if you owe 20% of in-network bills that average 12-25,000 for most births (also, more likely to have cesarean without midwife care), you may pay $5000 anyway.
CNMs are more likely to be insurance-covered than CPMs
Why I choose to attend homebirth-
Most of my midwifery career has been spent delivering babies in birth centers and hospitals. I even spent a year and a half in African maternity wards. Many of my patients have not been low-risk, and many have benefited from hospitals and medicine. Pregnancy and birth can have a lot of complications. But, after thousands of patients and cases, I know deeply and importantly that the best I can do for mothers and babies is to guide a healthy pregnancy and birth, protect a space for God's intelligently designed female body to work, and just be a vigilant midwife who gently facilitates interventions when needed. I believe starting with medicine is not best; starting with normal is best. And the most normal thing is for a woman to have a midwife, and to not have to get in a car when she is in labor. So, I think midwives like myself, licensed and experienced Nurse Midwives, should be among the community midwives attending homebirth. I'm really exciting to be focusing on this "dream" practice of mine, and hope it goes as smooth as it can in a country to makes midwifery and homebirth difficult. -Crystal
How homebirth prevents complications-
1. Women should have consistent care with a provider, or a small enough team of providers, so that they are known. Most OB practices, and some birth centers, are large enough and busy enough that when a woman arrives in labor, or simply for a problem, the doctor or midwife caring for her does not know her "normal" and often doesn't have time to review her records. This is one of the main reasons I have left busier practices that can allow midwives the luxury of being "off call." When you are on-call, you are busy, don't feel you can provide best care, and its easy to not only miss things, but to not treat people as well as they deserve.
2. Starting with early prenatal visits, much time and focus is given to promoting health & preventing problems. Nutrition, herbal support, emotional wellbeing, and exercise are essential to preventing conditions that could complicate birth. My experience with women choosing natural birth is that they often grow healthy babies and healthy placentas. Many times there is an area of health that we have continuously worked together on during her pregnancy to help keep herself, her baby, and her placenta healthy- preventing complications from anemia, gestational diabetes, fetal malpresentation, and hemorrhage risks. Homebirth prenatal visits are typically up to 1 hr long so that we can address these many wellbeing issues.
3. During a homebirth, a woman begins and ends her labor in the most comfortable environment to her- her home. This helps her to "go deeper" in the subconscious, primal state of birth. Labor procedes faster because healthy, physiologic birth is supported. She moves according to what her body tells her. Women usually learn forward in labor, preventing the obstructed flow to baby that occurs when women lay on their backs at the hospital. The constant movement help baby to rotate and navigate the birth canal, increasing chances of successful vaginal birth. Without external contraction augmentation, her labor waves are spaced, giving baby a recovery time between them, and these healthy, resilient babies that are attached to healthy placentas can therefore tolerate the more stressful final pushing stage of the birth process. In my many years experience at birth centers, I have never had to resuscitate a baby in secondary apnea, the type where a baby is compromised and needs more than a few initial breaths. The rarity of significant complications in appropriately-risked natural out-of-hospital birth is astounding to me, and why I continue to believe birth center and hospital should be standard care. To read about our preparedness for complications, go here (need to add link).
Reasons women choose homebirth over birth center
I love birth centers. They offer a middle ground between home and hospital. But still, most of us who work at birth centers choose to birth our own babies at home. Why? It's because the security of having the same care and birth team is offered while allowing the woman to remain in her space.
The main advantages over birth center are:
- Connection to a solo midwife rather than a large group
- Personalized attention during birth since midwife isn't between multiple labors
- Faster labor, most likely, when you don't get in a car
- Being at your cozy and sweet home-sweet-home
Safety & Security
By bringing my birth center protocols and training to my homebirth practice, I am able to offer you safe, evidence-based care. Using these standards, collaborating with perinatologists and obstetricians is smoother, and no mother would be abandoned during a hospital transfer.
These standards do obligate my contracted birth clients to comply with screening labwork, anatomic ultrasound, and other testing and monitoring that are deemed medically important.
Homebirth requires a trusting, collaborative relationship between family and midwife. Therefore, I offer a free consult prior to establishing care, and am attempting to make my protocols and philosophies transparent.
I am experienced, trusted, and reasonable. When you choose me as your midwife, you are choosing a safe team that is interested in your wellbeing and experience.
If Home-Sweet-Homebirth is your dream, then Moonlight Midwifery is here for you.
The Caveat: Don't make plans and birth dreams that override the importance of responding to the needs of you & baby's wellbeing
There's no guarantee!
Plan for natural.
Prepare for anything.