What criteria do I have to meet for homebirth?
How does the midwife manage complications for me and baby?
During your initial consult, the midwife will ask for a brief history of your past births, any health problems, and your personal situation regarding choosing homebirth.
Although some midwives may choose to serve any women who makes a free choice to birth wherever she pleases, at Moonlight Midwifery we are practicing according to the global standards of criteria that keep mothers and babies safe- starting pregnancy healthy, and ending it without problems that have significant risks of complications.
Homebirth is for healthy women who start pregnancy without medical problems, maintain healthy nutrition and lifestyle, and have well-grown babies that tolerate contractions happily.
“AP testing” usually involves several methods, typically after 32wks:
-NST (Non-stress test)- fetal heart rate monitoring x20min. This can be done in my office.
-Growth scan ultrasound- monthly after 28wks to monitor changes in fetal growth percentile. Done at perinatal MD.
-BPP (Biophysical Profile) ultrasound- checks placenta, cord flow, amniotic fluid amount, fetal wellbeing. Done at perinatal MD.
However, based on what I read in natural momma facebook forums about women's complaints about even midwives' coercing them into care, please understand that we, midwives, are amongst all doctors and medical providers, practicing according to our training, our experience, and our liability risk... and therefore, I do try to convince clients of what we feel is best.... that's the informed part of "informed consent." I'm not a free-for-all midwife. That's why I'm on the internet here... trying to explain to you how and why I practice... I want to keep my record of outcomes clean and not cross into crazy. Thanks for reading all this-Crystal
I recommend the 36 week perineal swab for Group Beta Strep testing, and offer standard treatment protocol with IV Ampicillin during labor. If you decline testing, or test positive, I monitor baby closely for signs of sepsis, and parents must complete their part in monitoring baby's vitals and reporting to me. Baby needs to be seen at 24hr and 48hr by myself and/or pediatrician.
Learn about how birthing at home can be not only a Safe, but the safest option.