Parenting – Place Of Birth – Birth Options
Editor | Aug 03, 2009 | Comments 0
Place of birth
As parent you’ll generally have a variety of location for the birth. There may perhaps be a number of maternity units in your area, or a birth centre, or you could wish to have your baby at home.
You must consider:
- Whether this is your first baby
- Whether you’re having one baby, twins, or more
- How any previous pregnancies and births went
- How your pregnancy is going at the moment
- Any special health needs
- Where you’d like better to give birth
If you’re above 40, several doctors and midwives might underline your age in discussions, but age in itself needn’t change your decision.
Consider circumstances that may possibly have an impact on your choices. If you go into labour early, for example, or if it becomes clear your baby isn’t growing well, you may be better off at a consultant-led maternity unit as small babies may need immediate paediatric care.
Hospital birth
Normally, you ‘book’ your birth at your chosen hospital near the beginning of your pregnancy, although you can change your mind later on if you like. This booking appointment may take place with a midwife, at your doctor’s surgery or at the hospital.
If you have a selection of hospitals, think about the distance of the hospital from your home, not just for the birth but also for any antenatal clinic appointments you may have there. Ask other mums about their experiences.
Carry out some research on the policies and practices of hospitals in your area. The BirthChoiceUK website might help if you’re keen to avoid a particular type of birth.
Home birth
If you’re not expected to have any problems with your pregnancy or birth, there’s no evidence to suggest that a planned home birth is any less safe than a hospital one.
You can book a home birth with your doctor, a community midwife or an independent midwife. You’ll have to pay for the latter, although the fee may be on a sliding scale according to capability to pay.
If you discover you’re having problems arranging a home birth, or are being pressured to choose a hospital birth, talk it over with your health specialist.
Birth plans
Writing a birth plan helps you to focus on the various aspects of your care throughout labour and birth. Your midwife might ask you questions regarding your plan as you get towards the end of your pregnancy, and she might be able to help with any information and advice you need. Ask as many questions as you want to work out what you’d like.
A duplicate should be kept with your notes. Take your own copy to hospital when the time comes.
Nothing in your plan has to be fixed. You can change your mind at any time, even at the very last minute. Circumstances might change, too, which could make you see things differently or change your needs.
It’s best to think of the plan as a guide for you and the people caring for you, rather than
Think about:
How you feel about the induction or acceleration of labour
- Who you want with you throughout labour
- Whether you’d like the option of a birthing pool for labour and/or birth, for some of the time or all the time
- How you want your baby’s heart rate to be monitored
Your pain relief options
- For a hospital birth, how long you want to be in for (although you may not get the choice)
- Having someone who can support you emotionally all the way through your labour and birth is very beneficial.
- Study has found that mothers who have permanent support throughout labour have less need for pain relief, fewer interventions (including a caesarean section), shorter labours and high levels of satisfaction. Their babies were less likely to be born distressed, too.
Special situations
If you have any potential difficulties with your labour – an underlying medical condition, you become ill or your baby develops a problem – you may be advised to go to a hospital where there’s more specialist care on offer.
Questions to ask
Antenatal care:
What are my choices for antenatal appointments? Are they all at the hospital clinic or just some?
- Does the antenatal clinic run an appointments system?
- If I decide to take antenatal classes, where and when are they held?
- How likely is it that I’ll have met the midwife who will help me in labour?
- Will I be shown around the labour and postnatal wards before the birth?
- Is there a chance for me to discuss and work out a birth plan?
- Can I be seen by a doctor of my choice if I prefer – for instance, a woman?
Labour and delivery:
Who can I have with me in labour?
- Will I be helped and encouraged to move around in labour?
- Can I pick my own position for the birth?
- Will my partner be able to cut the cord?
- Are we allowed to take photos/film of the birth?
- What’s hospital policy on induction, pain relief, routine monitoring (or any other aspect than concerns me)?
- Will I be supported if I don’t want to follow the routine policy?
Postnatal care:
Are babies given every opportunity to enjoy skin-to-skin contact after the birth and throughout the hospital stay?
- What services are there for babies who have to be separated from their mothers because of illness?
- Who’ll help me breastfeed my baby?
- How long can I expect to stay in hospital?
- What are the visiting hours?
- Are there any special rules about who can visit?
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