I tried to broach this topic on somebody else's blog. I only received one response from an anti-homebirth troll and another defending me from the troll :-),,,,but still no answers. (The very act of a woman weighing her birth options can elicit some pretty strong emotions!) I'll try again here, hoping for only polite and informative answers. :-)
The two biggest reasons that "concerned" individuals try to talk me out of homebirth are post-partum hemorrhage and the need for neonatal resuscitation. From having had two homebirths, I know directly and personally that my midwives are capable of handling both. I'm preparing to give birth to my third and will most likely use these midwives again.
But specifically how do the protocols for each scenario differ in home v. hospital settings?
For PPH, my midwives used active third stage management that includes immediate clamping, Pitocin, methargine, and misoprostol (in that order, depending on severity). Clients are free to decline these interventions hassle-free. The one difference that I can think of is the lack of access to an immediate transfusion. How *immediate* does a transfusion have to be? Am I at any disadvantage not having that immediate access?
For neonatal resuscitation, I know that they use suctioning equipment and positve-pressure oxygenation. Am I at a disadvantage not having immediate access to intubation?
Are there any other differing protocols/procedures/equipment that I would experience in a hospital setting, and would I be at any disadvantage not to have them employed?
I'd love to hear what you--and the data--have to say on this matter. Thanks.