One of the first decisions you have to make after finding out you are having a baby is the type of birth you are going to have. There are many options, from a traditional hospital birth to one in a birthing center. Some mothers even consider a home birth if complications don't seem to be on the horizon. Either way, choosing one right for your situation could be a daunting task. Joining us this week on "Take Care" is Dr. Jill Hechtman, she is the medical director of Tampa Obstetrics. We'll breaks down each birthing method, plus the advantages and disadvantages of each.
Birthing center and home births
If going to the hospital seems too impersonal to you, there are options to go to a separate birthing center or have your baby at home. While both options offer a more private and personal experience that more of the family can participate in, there are draw backs to them.
Birthing centers often a middle ground, between having a hospital birth and a home birth. While the birthing provides things like forms of pain management, they are relatively low tech so they are limited in the type of services they can provide, our guest says.
“They don’t usually do inductions or caesarian sections there. But they do have the basics like oxygen, IV, medication, and infant recitation equipment that can help while you await transport to the hospital,” said Hechtman.
Unlike hospitals, birthing centers and home births don’t necessarily come with a team of doctors. In birthing centers and most planned home births, midwives usually deliver the baby.
There are three different types of midwives that can assist in the birth of your baby:
A certified nurse midwife is a registered nurse that has completed an accredited nurse midwifery program and can be certified in every state. A nurse midwife graduates from an accredited program but does not have the nursing credentials as well. Finally, a lay midwife has no training. The midwife and the lay midwife are recognized in very few states and hospitals.
Due to the low medical supervision that occurs, it is really only recommended that women with very low risk for complications opt for a birthing center or a home birth.
“Multiples, so twins or triplets, if you have a history of a prior caesarian section, if you have a known high-risk pregnancy like with preeclampsia, high blood pressure, thyroid you know anything high risk, or malpresentation so if your baby is breech,” said Hechtman.
While birthing centers and home births have a medical intervention rate, there are still serious risks involved with them. Hecthman says that the risks are so serious when it comes to home births that she does not recommend them at all.
“There are fewer medical interventions with birthing centers and home births but it is associated with than a two-fold increase in neonatal death. That is one to two per thousand. And a threefold increase in neonatal seizures and neurological dysfunction,” said Hechtman.