So I just read the ACOG opinion on Planned Home Birth for 2011… The fact is that I am a little bewildered by the audacity for ACOG’s opinion to not support planned home births…

If ACOG does not want to support planned home births… then why don’t they work with midwives whether CPM or CNM to allow midwives to attend natural births in hospitals with all the birth props, necessities, and support a women who seeks natural birth desires…

Will that make it safer to have babies in a hospital vs the home if everything required for a natural birth is available at a hospital?…

What about the risk of infections in hospitals?  Much higher than in your home due to exposure…

Here’s the other thing… The majority of OBs in the US are not well versed in natural childbirth… They are well versed in childbirth with interventions… so how can natural childbirth be safer in a hospital when midwives whose expertise is natural childbirth are generally not allowed to attend births in a hospital…

In the rare cases midwives are allowed to attend births in a hospital they are working under an OB who is more of a boss than a consultant for the case… Meaning in most cases the midwives hands are tied to her Supervising OB’s views and perspectives even if she is not hundred percent in agreement…  To me that’s not consulting that’s an OB telling a midwive what to do…

I believe there is a difference between a consult for a high risk pregnancy or a low risk pregnancy which has become complicated or high risk… In those cases… wouldn’t the midwife transfer or refer her client to an OB anyways… Isn’t that the point of OB’s… to attend high risk, complicated births…

What’s the difference between a birth center and a home birth really?  I mean most birth centers in my area are in old victorian homes anyway… they basically rent you a bedroom and bathroom and allow you to get there when you are in active labor and birth your baby… You are allowed to stay in the room for approximately 6 hours or so after the baby is born… Unless of course, another mom comes in who is labor and needs the room… Usually there are 2-3 rooms in these birth centers…

Now in your home you get labor and birth your baby and then stay there after the baby is born… No driving anywhere unless a transfer is necessary…

If you are in a birth center and require a transfer then you would be driving as well…

Since when is a VBAC or HBAC a high risk pregnancy?  The risk for uterine rupture is 3% for a c-section and 1% for a VBAC… so to me the risk is about equal… why not give the pregnant mother the option and allow her to decide for herself…

By the way in case you didn’t know… even first time pregnant moms have uterine rupture risks…  What do you think about that?

Here’s the other thing… ACOG’s recommendation for finding a suitable midwife provider… No one ever tells a pregnant mother to find a suitable OB/Gyn and ask the OB/GYN for references, certifications, etc, etc… Usually they go with whomever is doing their women’s wellness checkups… no questions asked.

ACOG should recommend pregnant mothers to interview their OB/GYN to determine if they are a suitable provider for the birth of their child… What is the difference here between interviewing a suitable midwife vs a suitable OB/GYN?

By the way… In my journey of finding a suitable provider for my planned HBAC… I interviewed several midwives and a OB…

Every single one of the midwives stated they would offer and discuss all the standard components of prenatal care with me… Ultimately it was my decision to waive or authorize every single component based on the pros/cons and risks of each component…

Shouldn’t that be standard with OB practice as well… Why do newborns get Vitamin K shots… Too bad I never knew or thought to ask when I gave birth to my first child…  We just accepted that’s what needs to be done…

As mothers and fathers we need to question every practice regarding our prenatal and postpartum care for mom and baby… just like we question every teacher, recommendation, grandparent, friend, aunt/uncle, family member, etc who tells how we need to raise, parent, feed, clothe, teach, and expose our child to society…

What are your thoughts on this?  I want to know…