Home Birthing

There are plenty of people in this world who wonder at my deep commitment to having my babies at home. They question the safety and comfort, and sometimes my sanity.

As I wrote in this post, I was privileged to attend my mom's two home births; the hospital as a 'normal' place to birth didn't really occur to me. Additionally, in my late teens I developed a close relationship with a woman who was, and is, an outstanding midwife. She has been my midwife through this pregnancy, both my other pregnancies and home births (you can read Brother-Bug's story here), a couple of early term miscarriages, and continues to be a force of love and support as my kids grow. But besides this early education, I have my own reasons I have my babies at home, and I thought I would share.

While birth can become a medical event, I believe that a healthy birth is pretty much non-medical and should be treated as a family event instead of a medical situation. I trust my body and my midwife to be aware of the situations that would lead us to seek hospital assistance, and much like my position on ultrasound, I would transport to the hospital if my midwife, my body, or the baby, told me that transport was the best plan.

I want to decide who is with me during each passage and who helps me welcome the baby to our family. This includes siblings (not allowed in hospital delivery rooms usually), my husband, my sister, and a close friend or two to help the kids - and our midwife. It does not include strange nurses, a doctor I've potentially never met, or any other hospital staff. This is the most amazing and intimate thing I am ever going to do with my body; this is the most vulnerable I will ever be. I don't want to share it with just anyone. And that's just during the birth! After the birth there are nurses that have to bathe my baby, test it, photograph it, and poke and prod me and my knitting body.

At home, the midwife and all other non-immediate family members leave the room once the baby is out and obviously well. We just sit in bliss with our baby from somewhere between a half-hour and eternity - time is irrelevant. Eventually the birth team returns to clean things up, help me deliver my placenta, see that the baby nurses well, and check its vitals. We don't bathe the babe for several days, letting its skin gradually sluff off vernix while loving that fresh-baby smell. Papa-Bug holds our baby skin-to-skin while my sister washes my aching and exhausted body in the shower. We sleep naked with baby on my chest, still a part of each others' breathing and heartbeats. Siblings cuddle parents and support people, we all marvel at the details of a newborn, everyone takes candid pictures. Soon after the birth - 2-3 hours maybe - everyone goes home and a magical post-birth stillness descends on our home. We have time and deep peace to get to know our new person; to watch our family structure stretch and change.

I believe that babies need the minimal amount of stimulation and interaction during their first days. Except for our midwife doing important baby-wellness checks, no one touches or holds our baby except for Mama, Papa, and Siblings for the first several days. We never pass a baby from stranger to stranger (because even if you are a grandparent or bestest friend, you are still a completely strange situation to a newborn), respecting a time of adjustment for both Baby and Mama.  We have no visitors besides the people who attended the birth for several days. It's just US, extending that post-birth time until we are ready to open up. We can't know a newborn's perspective on things, but I try to think about what each new experience might be like for this being, and we adjust our behaviors to encourage comfort for this new person. Slowly family begins to hold baby for short times, with us watching for its communications that it is looking for Mama/Papa/Boob.

Besides that, I know that home birth is safer for me. I'm an introvert. I dislike strange situations and interacting with strange people. I tend to shut down in these situations, going on a polite auto-pilot until I feel safe or return to my place. This is not a good thing to do if you are giving birth - nor a good thing to have to override during the intensity of helping a person into this world. I want to feel safe - physically, emotionally, spiritually - and I do that best at home. The very idea of getting in a car when contractions are rocking my body seems insane. There are lots of statistics and studies done on the safety of home birth, and you can look those up. It is statistically safer provided that you've made the decision to stay home, gotten good support from a knowledgeable person, and are prepared for the adventure.

Women birth in all positions, making all kinds of noises. Myself, I seem to like hands and knees and lots of lion-esque roars. I prefer my bedroom, but have found that I like to be in different areas early on in labor. I don't like people to touch me much, I don't want to be forced to eat or drink or rest (unless things are going on and on and its for my & baby's well-being), I don't want to be confined to a single room or position - especially one based on a monitor's best position. At home, I am free to find the most comfortable postions, make as much noise as I want, use whatever space I want, and generally go deeply into my experience with the level of interaction from other people that is right for me. The people with me know me very well, have known me for many years, and can be flexible with my needs in each moment.

These are my reasons for home birthing, and what works for me might not work for everyone or anyone else. I think the most essential aspect of home birth - or any other birth - is that it comes from a place of informed choice. I don't think everyone should default to hospital/doctor assisted birth OR home/midwife assisted birth. I fundamentally believe that babies will come best when the mama feels good about her situation and is able to labor and birth with support, as opposed to falling into a decision based on assumptions or pressure.

Birth is radical and wonderful. I wouldn't say I'm looking forward to the deep, aching pull of contractions that are coming in a couple months... But at the same time, I kind of am. It's an amazing experience and I feel so lucky to have had that experience twice, in my own time, way, and space.

Why No Ultrasounds?

I have never had an ultrasound during a pregnancy. Happily, my babes have so far grown perfectly without any need to check and make sure that they are okay. I have nothing against someone else having an ultrasound for whatever reasons they deem fit, but they just aren't for me.

I would have an ultrasound if the health and well-being of me or the baby were in question and I wouldn't hesitate. I am fully in support of using the magic of technology and modern medicine to prevent problems and save lives. In this writing I am considering only the routine ultrasounds done throughout a pregnancy.

There are a number of questions surrounding routine ultrasound, and you can read about them in Mothering's article here, if you are interested. I'm writing about why I don't ultrasound my pregnancies.

My superficial hesitation - those ultrasound images are kind of creepy and alien. The images of the standard ultrasound are odd enough, but the newer 3-D images look to me like someone has tried to sculpt Winston Churchill out of pudding and failed...I don't really want that to be a "first" visual of my baby.

Sister-Bug has a cuddle, hoping to be kicked in the head. 

I've been surprised at every pregnancy the amount of judgement extended to a family who chooses not to find out the baby's gender. You, random stranger in the grocery store, need to know the gender of my baby for what reason? We should know the gender so we...know what to buy? Additional judgement is extended when it's revealed that we don't have any ultrasounds, with or without gender. It's as though I am intentionally endangering my baby because of sheer pig-headedness, as though I'm a bad parent for not counting the baby's fingers and toes before it joins my reality.
I marvel as my belly grows each time. I wonder if it's a boy or girl...but even more I wonder what idiosyncrasies, what personality quirks and traits have manifested as this baby grows inside me. I wonder if it will have a secret dimple like it's sister, or the funny ribs that Brother-Bug inherited from me. These things won't be revealed by an ultrasound, and I wouldn't want them to be.

We do use an ultrasound doppler with our midwife to hear the baby's heartbeat, and without fail all three babies have, as soon as they were big enough, moved away from it's waves, deeper into my cavities. They don't like it (how I can tell they don't like it is a topic for another post). The doppler is a very low-level wave, much lower than the wave needed to see the outlines of a baby. If my babies don't like this little wave, if we can tell that they are distressed by it, how much more might they be distressed by the larger sonics of a visual ultrasound?

But ultimately what it comes down to is this: My body has made this dark and protected cave in which my baby takes its first movements, begins its heartbeats, and turns to the gentle stimuli that come through the layers of my skin and muscle. It is the quintessence of private and intimate. The idea of ultrasound penetrating this privacy just doesn't work for me; it violates something sacred.

There are lots of people in the world for whom ultrasound is an important part of their journey through pregnancy, and I applaud their decision and ability to choose what is right for their body and baby. But it's not a route I plan on taking - for a third time around.

A Little Pregnancy Post

I'm 17-ish weeks pregnant with my little new one. Things are going well, growing as they should, and evolving nicely. Baby-Bug can hear a little, and seems to be something of a kick-boxer. We have had two prenatals with our midwife - the same midwife who was present for the delivery of the Little-Bugs - and have heard a strong heartbeat both times. It's nice to know that Baby has a circulatory system!

I thought an peek into my style of pregnancy might be fun...

*We do no internal investigations. No ultrasounds, no tests, nothing that invades the baby's special space. We would do these things if the midwife or my intuition suggested that it might be important for my and the baby's safety. But as things are progressing normally, we see no reason to fuss this very busy little individual. Baby knows what it's doing and we're trusting the process.


*We are planning to have a homebirth. I will write a longer post about chosing homebirth sometime in the near future, as well as sharing Brother & Sister-Bug's birth stories. We will transport to a hospital if the midwife or my intuition recognizes that as the safest option, but with two wonderful and successful homebirths behind me, I am confident in my body's ability to do this thing.


*Brother-Bug and Sister-Bug will attend the birth, with loving support from a couple key members of friends and family to care for them. I deeply believe that the presence of siblings at births makes the birth a normal part of their lives and the expansion of their family. I loved having Brother-Bug present for Sister-Bug's birth, and now I am delighted as he shows his sister the ropes - explaining the prenatal process to her, telling her it might be loud while I'm having contractions, and generally supporting her. He is owning his knowledge and that is awesome.


*I am still nursing Sister-Bug and will continue to nurse her and the new baby. I am, in fact, nursing while I type this post. This is called Tandem Nursing. Brother-Bug nursed till Sister was almost one. It's a wonderful way to teach sharing, and the connections that they had early on (holding hands while nursing) were magical. There will be a longer post about Tandem Nursing coming soon.

Those are the essential points. Some of them are considered controversial by some people. I'm not writing this to cast judgements on those who make different choices than me, and I hope you keep any judgements you make to yourself. These are choices that work for our family.

And now that the interminable morning-noon-and-nighttime sickeness is done, I'm looking forward to growing bigger and loving the many adventures that each pregnancy brings with it.

And...We're Back!

I didn't really mean to take that break during the past month. But that's the way it went and I'm here to tell you that there will probably be other random breaks coming up in the next year.

We are expecting a Baby-Bug will join our family sometime around Thanksgiving.

For the past month I have been nauseated during all waking hours, as well as completely drained of all my energy. As I know from my other two pregnancies, the first trimester is really hard on me. It's been enough to keep up with my Little-Bugs and do a dish or two...let alone find any mental reserves for writing,

However, there are a number of pregnancy related posts floating around in my head, and hopefully a few of them will make it onto this blog.

And of course, eventually, baby pictures!