An Update

Lucky for us, our midwives have a couple OB/GYN’s that back them up, so to say. This, in and of itself, says a lot about not only what they do but how they do it. I definitely have my issues regarding trust of the mainstream medical field when it comes to labor, but seeing an OB that I know my midwives trust helps soothe some of my anxiety.
Since our appointment with our midwives, I’ve done a lot of reflection regarding what’s important to me and what I feel is best for myself, this pregnancy, and this baby. Keeping to my New Year’s resolution, I reached out to positive, educated, and encouraging individuals and what I got in return was just the support I needed.
I had one friend from High School that put me in contact with her sister-in-law who has had a home birth and is preparing for her second, also to be born at home, in March. She shared a story with me of a friend that also planned a home birth, labored at home for 22 hours, and ultimately transferred to the hospital where she underwent a medically-necessary c-section. It happens. It was her perspective that I found enlightening. She said: medical intervention helped her in the end, laboring at home helped her in the beginning. This same friend went on to have her second baby at home, in a pool in her living room, with no complications.
Always up for a good debate, I like to play the devil’s advocate. I sent an email to our OB, Dr. K, who delivered Hooper on the operating room table. Here’s what he had to say:
As we talked about in the office, I think your odds of an uncomplicated delivery are extremely high. Second labors tend to be faster and easier than first labors and less second pregnancies go past the due date. I do not, however, have a crystal ball and there are certainly patients attempting home births who need to be transferred in labor due to some issues that arise. I do not think your chances are any higher than anyone else just because of your first labor. I do back up midwives because I think it important that patients have options and choices. I am also very up front if I think that choices should be limited because of circumstances.  I see no such issues with your pregnancy at this point.  My agreement with the midwives that I back is that I will agree to care for patients that they feel are no longer low risk. I obviously do not tell my patients to seek midwife care but I would always agree to back them if that is what they chose. You have become my patient and I would always try to give you advice that keeps you in the realm of safety while trying to allow you to ‘get what you want’. I think you are an excellent candidate for a home birth if that is your choice. If you choose that, I will be happy to serve as your back-up MD in case there are issues that require my attention or your transport. I hope this helps you.  
And help me it did. 
With Willy on board as much as he’s gonna be on board and with the support I so desperately needed, I’m feeling good. I feel more confident than ever about my decision. 
A special thanks all those who have reached out to show their support, espically to Ali for putting me in touch with Abby, to Dr. K, to Janet for listening to me vent when things needed to roll off my chest, to my midwives whose patience, support, and love for what they do seems otherworldly, and to my lovely husband who listens to all my crazy shenanigans and trusts me enough to join me on this journey. Willy, you are the crispy pickle to my sandwich. Oh gosh, now I want a pickle. A really crispy pickle. 
Photo credits: source 1, source 2

7 Responses

  • Ew, pickles. I fully support however you decide to bring the little one into the world. You’re a tough cookie and I really respect your resolve and the way you’ve educated yourself on this subject.
    Love you.

  • Assuming this is a story from the LA area (not sure, but I landed here through Google search), any chance you would be willing to share the full name of Dr. K? I am trying to find an OB who is open to co-managed care and my wish to have a home birth, if it looks like I am in a good position to have one come full term …

    • He is no longer with us 🙁 For my second birth, however, Dr. Chin served as my backup. I only saw him once or twice, but he backs up midwives as well. He works in the same office as Dr. Crane, who I’ve heard great things about (Crane doesn’t accept insurance, so there is that hurdle, but if you can swing it, I’ve heard he’s great). Good luck!

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