Labor and Birth – Choosing Where to Deliver
According to the U.S. Department of Health and Human Services, newborns need many important tests and procedures to ensure their health. Some of these are even required by law. You should find out how to preserve the precious few moments of life for you, your partner and the baby. Most women carefully choose the kind of environment in which to deliver their baby. You will need to contact your spouse’s health insurance to find out what options are available. Not all companies will cover care given at a birth center and fewer will cover planned homebirths. In general, women can choose to deliver at a hospital, at birth centers or at home. Most hospitals and birth centers, nowadays offer birthing classes like Lamaze and breastfeeding support. Hospital Women with health problems, pregnancy complications or those who are at risk for problems during labor and delivery should give birth in a hospital. Hospitals offer the most advanced medical equipment and highly trained doctors for pregnant women and their babies. In a hospital, doctors can do a cesarean section if your spouse or your baby is in danger during labor. Women can get epidurals or many other pain relief options. Only certain doctors and midwives have admitting privileges at each hospital. So before you choose your doctor or midwife, remember to learn about their affiliated hospital. When choosing a hospital you might consider:
- Is it close to home?
- Is an anesthesiologist present at the hospital 24-hours a day?
- Does your spouse like the feel of the labor and delivery rooms?
- Are private rooms available?
- How many support people can you invite into the room?
- Does it have a neonatal intensive care unit (NICU) in case of serious problems with the baby?
- Can the baby stay in the room with the mother?
- Does it have an on-site birth center?
More and more hospitals are adding on-site birth centers. At these hospitals your spouse can choose to deliver the baby in the comfortable, intimate setting of a birth center. If something goes wrong, your spouse and your baby have the added security of already being in a hospital.
Birth Centers
Healthy women who are at low-risk for problems during pregnancy, labor and delivery may choose to deliver at a birth or birthing center. According to the U.S. Department of Health and Human Services, birth centers give women a “homey” environment in which to labor and give birth. They try to make labor and delivery a special, warm, family-focused process.
Usually certified nurse-midwives, not obstetricians, deliver babies at birth centers. Birth centers do not do any “routine” medical procedures. So, your partner will not automatically be hooked up to an IV. Likewise, she won’t have an electronic fetal monitor around her belly the whole time. Instead, the midwife or nurse will check in on the baby from time to time with a handheld machine.
Once the baby is born, all examinations and care will occur in the room. By doing away with most high-tech equipment and routine procedures, labor and birth remain a natural and personal process. Women can not receive epidurals at a birth center although some pain medicines may be available. If a cesarean section becomes necessary, women must be moved to a hospital for the procedure. Basic emergency care can be done on babies with problems while they are moved to a hospital. Many birthing centers have showers or tubs in their rooms for laboring women.
They also tend to have comforts of home like large beds and rocking chairs. In general, birth centers allow more people in the delivery room than do hospitals. Birth centers can be inside of hospitals, affiliated with a hospital or completely independent, separate facilities. If you and your partner are interested in delivering at a birth center, make sure it is accredited by the Commission for the Accreditation of Birth Centers. Accredited birth centers must have affiliated doctors at a nearby hospital in case of problems with the mom or baby.
Homebirth
According to the U.S. Department of Health and Human Services, healthy pregnant women with no risk factors for complications during pregnancy, labor or delivery can consider a planned homebirth. Some certified nurse midwives and physicians will deliver babies at home. If your partner is considering this choice she should ask the insurance company about their policy on homebirths. Some health insurance companies cover the cost of care for home births and others don’t. Homebirths are common in many countries in Europe. But in the United States, planned homebirths are still a controversial issue. The American College of Obstetricians and Gynecologists (ACOG) is against homebirths. ACOG states that hospitals are the safest place to deliver a baby. In case of an emergency, says ACOG, a hospital’s equipment and highly trained physicians can provide the best care for a woman and her baby. If you and your partner are considering a homebirth, you need to weigh the pros and cons. The main advantage is that your partner will be able to experience labor and delivery in the privacy and comfort of her own home. Since there will be no routine medical procedures, she will have control of her experience. The main disadvantage of a homebirth is that in case of a problem, your partner and the baby will not have immediate hospital/medical care. It will have to wait until she is transferred to the hospital. Plus, women who deliver at home have no options for pain relief. To ensure your spouse’s safety and that of your baby, you must have a highly trained and experienced midwife along with a fail-safe back-up plan. Your wife will need fast, reliable transportation to a hospital. If you live far away from a hospital, homebirth may not be the best choice. Your midwife must be experienced and have the necessary skills and supplies to start emergency care for the mother and the baby if need be. Your midwife should also have access to a physician 24 hours a day.
Also See
· Helping your spouse prepare for delivery
· Who Should Deliver Your Baby?
