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dannii minogue baby family photo 400x300 380x285 Is hating hospitals a reason to give birth at home?

Danni Minogue with newborn baby Ethan and husband Kris Smith

Why any right-minded person would watch an episode of Grey’s Anatomy of their own free will defies comprehension. Ditto All Saints, House, Chicago Hope or any other medical drama ever made.

Not even the prospect of a young George Clooney was enough to entice me to tune in to ER.

No amount of implausibly beautiful actors and soap-sudded storylines can disguise the fact they all take place in hospitals. Yes, hospitals – those buildings filled with bad food, overworked nurses and sick people.

Fictional or otherwise, surely a place best avoided wherever possible.

So I can sympathise with Dannii Minogue when she claims an aversion to hospitals was her motivation in attempting a home birth for the arrival of her son almost two years ago.

Speaking out recently in defence of the controversial practice, Minogue cited her older sister Kylie’s high-profile battle against cancer as the first of two harrowing experiences that left her wary.

“The second time I was in hospital for a friend who died of cancer,” she added. “She never came out again.”

Growing up with a mother who was fighting aggressive cancer I lost count of the afternoons my siblings and I spent perched at the end of her hospital bed for an after-school visit.

The corridors of her ward, staff in the radiotherapy unit and well-worn gossip magazines in the oncologist’s waiting room are among the familiar fixtures of my childhood.

Although I didn’t realise it at the time, hospitals became inextricably linked with feelings of helplessness and fear.

Then, when I was 17, my mother died and for several years those once-regular treks to hospital became confined to my paying the occasional bedside vigil to a friend or relative.

But the moment I would walk through the doors, and breath in that distinctive smell of disinfectant, the memories would come flooding back.

It was not until I reached my thirties and my husband and I decided to start a family that I was forced to confront my fears. I suspect this probably isn’t the technical term, but basically I had to “get over myself”.

This wasn’t just about me anymore – there was now a baby involved. And it is here the home-birthers and I part ways.

Advocates of shunning hospitals are fond of arguing that as a natural act, giving birth should not require medical intervention. Well don’t look now but “natural” doesn’t always equate to safe.

While pregnancy is not a disease – several months of nausea notwithstanding – it is a condition that requires close monitoring and professional care.

Scenarios peddled by home-birth lobbyists, wherein hospital patients are routinely bullied by unsympathetic surgeons, sit at odds with the dominant presence of midwives and the happy medium of birthing centres.

Another popular tactic is to point out, as Minogue was quick to do, that “Things can go wrong anywhere”.

Well of course they can. Nobody ever said checking into the maternity ward came with a problem-free guarantee. Human beings are fallible and sometimes, tragically, mistakes can happen.

But in the event of unexpected complications, a baby’s best chance at survival is in a hospital – as is Mum’s.

Despite the feelgood platitudes parrotted by home-birth champions, women in this country already enjoy a good deal of choice regarding where and how to deliver. And rightfully so.

But that should not extend to the right to give birth at home.

While heavily pregnant with my first child almost three years ago I was diagnosed with a rare condition that made a caesarean delivery the only option. If I’d attempted a natural birth without medical intervention both my son and I would have died.

For that reason I am particularly mindful it is a privilege to be living in a country like Australia where mothers-to-be are able to access hospitals with modern equipment and highly trained staff.

Why would anyone turn their nose up at that?

I must confess even two decidedly non-traumatic stints in hospital following the arrival of my beautiful sons has failed to soften my loathing of medical dramas.

But I’ve certainly learned that when giving birth, there’s no better place to be. To insist otherwise would be both reckless and selfish.

Sarrah Le Marquand is an Associate Editor and columnist at The Daily Telegraph. Visit her blog here.

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589 Comments so far

  1. wow!

    wow! am new to MM, not sure I will come back. Please be aware of how influential your words can be! this report is opinion only despite the authority you seem to write with. I followed the link to your other article on the subject and by your own admittance you know little of the subject and comparing Australian home births to those in Somalia is just ridiculous!

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    • Anonymous

      I had the ob at the hospital pull out statistics about babies dying in somalia when I was overdue with my first, I found it so absurd I actually laughed and said well thank god I am not there then!!

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  2. KatieJones

    Before I got married and started a family I would have been supportive of any friend who wanted to have a home birth even though it was not what I would choose personally. (I choose to deliver in a birthing centre with a giant birthing pool, bean bags, a double bed and a midwife for support. No doctors, no bright fluro lights, no medical equipment … Felt pretty close to being at home if you ask me!!) BUT since having children I would be very scared if one of my friends wanted a home birth.

    My first child would have died if I was not at the birthing centre and seconds away from medical assistance. My second child DID die during the birth.. Imagine having that happen while at home?!? How would you ever forgive yourself and how would you ever walk into your own home again?

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    • Anonymous

      I’m so, so sorry for your loss. Xx

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  3. Anon

    Faybian …. heaps further down you asked if I really think ‘c’ sections are the way to go.

    Well, naturally, I wouldn’t make them compulsory but they are my first choice for a safe and healthy baby.

    I know you’re a mid so you’ve seen a lot. I’m also older than most of the girls here. I had four babies with quick labours, two delivered by Graham Reeves (another story) My fifth was a mid-life surprise and an elective caesarian.

    It was brilliant and the baby was taken two weeks before term which saved her life – knotted umbilical that we didn’t know about. I was up and about and overjoyed not to have gone through labour!!

    When I had my first child there weren’t ultrasounds or anything! I was young and arrogant and thought that being an earth mother who ate tahini paste was enough to guarantee a healthy baby.

    Of course, the years smack the ‘arrogant’ out of you and the older I get, the less I take for granted.

    For me, my perfect world would gently lift every precious baby carefully and healthily into the world at 37 weeks.

    The womb can be a dangerous place and labour has it own set of damaging outcomes.

    But to each her own. Maybe that’s why it’s young women who have babies – the older you get the more you’ve seen.

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    • trixie melodian

      Ummm, there is a reason that gestation is roughly 40 weeks you know… Every week earlier that the baby is born brings about a whole new set of problems – breathing issues, brain development, weight issues. Delivering a baby prior to 39-40 weeks in the absence of other indications is really not a good idea and I think you would struggle to find any responsible obstetrician who would support that.

      Also, the first c-section is incredibly safe (especially if it is a planned one, not an emergency). And if you are only going to have one birth, or if it is your last baby, then it can be a good decision to make. However every subsequent c-section increases the risks substantially – far more than the increase in risks with subsequent vaginal births. There is higher risk of uterine rupture, of adhesions, of haemorrhage.

      Your situation – having a single c-section at the end of your childbearing years, especially as an older mum, was possibly a good idea, but your suggestion that every baby would ideally be delivered by c-section at 37 weeks is incredibly dangerous and uninformed, especially for women who intend to have more children.

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    • Jen

      A woman after my own heart. I have no doubt in my mind that a caesar is the safest option for both mum & baby. 100% safer for baby actually.

      So, that’s the choice I made and am making again (due in three weeks). Would I push this view on a vaginal birther? Never!

      I wish I could have the same respect. No doubt that the opinions always come from those who are more naturally inclined yet you so rarely, if ever, hear us pro-c-section mums saying a word to make other feel bad.

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      • Anon

        Geez trixie melodrama … my opinion is not dangerous or uninformed – ill informed. I nurse children with disabilities caused by disastrous births. I’ve also had a premmie baby – I’m not advocating ALL women have six ‘c’ sections and the baby be ripped from the uterus at 20 weeks for gawds sake.

        I’m fully aware of the dangers of multiple and unnecessary surgery. ALL I said was that in an ‘ideal world’ disasters would be avoided.

        It’s not like smashing your waterford crystal glasses. This is a baby that you can’t replace.

        Geez you’re a judgmental and aggressive lot here.

        And Jen, all the very best for you and your baby. I think ‘c’ sections are a valid choice. Be comfortable with it and don’t apologise for it. Ultimately, every woman will do what she wants and we are blessed beyond imagining to be born at a time and in a country where we have so many.

        All this talk of warrior women being empowered by the birthing process falls a bit flat on this poor jaded nurse as I change teenagers nappies and wipe the drool from their dear faces. So much promise that will never be fulfilled and so many of their parents dreams shattered.

        At the end of the day there is one goal only and that is the birth of a healthy baby.

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    • Faybian

      Well, we’ll have to agree to disagree. I’m also older than a lot posting here and have also had 4 kids of my own vaginally, as well as seeing and hearing of some very varied experiences as a midwife and child health nurse.
      Ithere are risks to both mother a baby with a Caesarian. They are not risk free procedure either. Yes, they save lives, but if we did all caesarians, imagine the skills that would be lost. People always deliver unexpectedly. We already risk losing our skills at dealing with breech births as it is.
      To me it just feels a bit arrogant to assume we can always do a better job than mother nature. There are times when she needs help, but when she does well, she really does well.

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      • Jen

        You are right, when motheer nature does well, she does really well!

        Very happy to agree to disagree! For me, it’s my first choice (also basing it on personal & professional experience). Perhaps I’ve just seen too much go wrong. But, it’s not for everyone.

        Either way, all I want is for everyone to get the birth experience they want, truly. Be it a water birth or a planned caesar or anything in between. To me that’s what mattere most (combined with great outcomes for mum & baby of course).

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  4. myblueeyedboy

    Hi Mia and the MM team,
    I don’t usually comment on these things but I just wanted to thank you for doing what you do and being thick skinned enough to keep doing it.
    It is always disappointing to read comments after you post articles such as these and to see so many people personally attacking the author, staff, or other subscribers who voice opinions rather than having an intelligent and interesting debate on the topics you publish.
    I really enjoy the variety of articles posted by MM and the mix of serious topics together with a bit of fun.
    Thanks for such a great site x

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  5. Amy

    Mia & Team: I love your site, I really do. But I feel like publishing these articles is just promoting bitching between your readers, rather than a healthy debate. Everyone has opinions, but when it comes to parenting in particular you can’t post something so opinionated and not expect it to get nasty. Mothers are always going to defend their parenting choices, because we are all doing what WE feel is in the best interests of our families. I’m not advocating home birth, I had one hospital delivery and am not intending to have any more children, but if I did it would be another hospital birth. Because I feel like that is the right thing for ME and MY FAMILY. I would never tell another mother she doesn’t have the right to choose. Parenting is hard enough without all the judgement. When are mothers going to start supporting each other?

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    • Mia

      Hey Amy,
      I hear what you’re saying. It’s something we consider very carefully every day and with every post.
      The thing is that there are sooo many issues that people feel strongly about and we’re always careful to pace ourselves so that we don’t overwhelm our readers (or ourselves).
      But the most interesting discussions are often the most passionate ones. And we can’t shy away from those just because they can be intense.

      There’s always a reason we post something – usually it’s hooked on something that’s been in the news. In this case it was Dannii Minogue’s comments from a couple of weeks ago that prompted Sarrah to write this piece.

      We don’t always get it right but Mamamia is an energetic, vibrant and dynamic site. People don’t always agree – in fact they often don’t. But in the vast majority of cases, they do it respectfully…

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      • Sally

        Amy’s comment reminded me of the article you wrote a few weeks back, Mia, where you complained about how it’s become frowned upon to judge anyone’s parenting when clearly there are some issues that aren’t just a matter of personal choice and we should speak out about.

        I think home birth is one of those issues. Personally I don’t think this article sought to pit women against one another in any way. It wasn’t shrill or hysterical and I think the prickly reaction of some of the more defensive home birthers here says more about them than the content on Mamamia.

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        • AM

          Right, it wasn’t shrill or hysterical, it just said women’s rights should be taken away…

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  6. Nic

    Homebirth, with a qualified, experienced midwife, isn’t unsafe. Homebirth midwives even carry equipment to resuscitate newborns if necessary. WA has an excellent public homebirth service to give women who want to birth at home a safe option.

    I’ve had two hospital births. My first was physically and psychologically traumatic. It was awful. The midwife was a bitch and the obstetrician was negligent. Although the birth resulted in a healthy baby, I wasn’t alright. I needed surgery after the birth and developed post natal depression as a result of the experience. My second birth was beautiful and empowering because I was well supported.

    I wish that, instead of attacking homebirths, this article had looked at why so many women feel violated or traumatised by their hospital births and what needs to change in the hospital system so that women feel that a hospital birth is an empowering choice.

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    • Jen

      Do the midwives carry blood product, fluids, IV equipment? I’m not being passive but genuinely curious. It’s one thing to get the baby breathing but another to treat a haemorrhaging mother. It scares me! I think I’d be more open to the idea (not for me though) is they did have this all available + a second pair of hands. One to cannulae, one to push the fluid, etc.

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      • Nic

        I know someone that haemmorhaged following a home birth. An ambulance was called and she was transferred to hospital. She’s fine, the baby’s fine and she wants a home birth next time.

        There are usually two midwives attending the birth of a home birth in WA and they carry oxytocin to administer if there is a haemmorhage. They obviously don’t carry blood, but they may carry fluids – not sure.

        In any case, if the mother has weighed up the risks and benefits of a home birth, and is prepared to risk a haemmorhage, shouldn’t it be her choice?

        The point I was trying to make is that, rather than attack home birthers and make them defensive, why not look at the hospital horror stories and try to improve the system so that less women are compelled to home birth? Childbirth is such a vulnerable experience and insensitive or unsupportive hospital staff can really affect a labouring mother. It would be so simple to implement a few small changes (like aiming for continuity of care by a small team of midwives during pregnancy and labour) and the outcomes for women would be improved dramatically.

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        • Lu

          Surely thats an unecessary use of an emergency service and a traumatic experience that need not have happened though. That situation could have been avoided completely, had the woman chosen to give birth in an environment that provided appropriate of backup emergency care in the first place. Instead she took a risk with a home birth, got into trouble and then relied upon an ambulance, a vastly over stretched emergency service that may have also been needed somewhere else, to get her out of trouble.

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          • Nic

            Aren’t hospitals a vastly overstretched resource? Only a proportion of home births require an ambulance – the rest take pressure off the hospital system. Not sure what the statistics are, but I figure that they balance each other out.

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            • Anonymous

              Have you read the various reports on the WA homebirth service? They do not follow guidelines, their death rate is 3*the hospital rate despite only dealing with low-risk. Google the reports and read CAREFULLY.

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        • Sandi

          I am a midwife and have been for the last 19years. I can attest that home birth midwives definitely carry all manner of emergency and resuscitation equipment, including cannulas and fluids, drugs etc. Whilst giving birth in a hospital would also give you access to blood product, it would arrive no faster than it would if you were taken to the hospital in an ambulance having been fluid resuscitated at the scene.
          I think home births, if appropriately decided, are no more dangerous than birthing in a hospital and should be the choice of the woman and her partner, with consultation with their midwife and/or obstetrician.

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  7. the Original Camille

    i prefer to bleed all over the NSW Health’s linen than my own…
    Superficial, but, there. You have it.

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    • Coco nut

      ROFLMAO

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    • ellam

      I said this to a person I know who homebirthed (which I have no issue with, each to their own), she asked me if I really remembered the mess to which I replied “Hell yeah, it was a blood bath!” I am so glad I was in the hospital as I haemmoraghed – after a wonderful, empowering drug-free birth.
      So glad someone else cleaned up that mess!!!

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      • Junebug

        I had a bloody HB and the 2 MWs in attendance cleaned everything up before leaving. I never saw a single bloody sheet :)

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  8. Doc Milly

    I dislike hospitals as much as the next person. I work in one (as a doctor). And as much as a homebirth in your own comfortable space does sound enticing, I would never have a homebirth. It just seemes too risky for your own life and for your baby’s. There is an interesting study in the most recent ANZJOG (ANZ journal of obstetrics and gynaecology). It looks at the perceptions of women, midwives and doctors of birth (in a first-time mum). Essentially, we all underestimate the need for medical intervention.
    Birth, while it is an amazing natural process, can be super risky- and the consequences of not responding (in a timely manner) are life-changing (and potentially life-destroying!). Mums and Babies die in horrendous numbers in countries where perinatal care is limited.
    So please think seriously about having a homebirth. I’d love to say it was a safe and trusted method, but I can’t!
    (And I’ve been up all night looking after 1- a woman with eclampsia, 2- a woman with pre-eclampsia and a very unhappy pre-term baby, 3- a woman who needed immediate instrumental delivery due to fetal distress. She had a very floppy baby, who with immediate intubation and nursery support for a few days will now likely have a happy healthy life! All who were previously well women with their first pregnancy. So I’m not biased at all! :P )

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  9. Anonymous

    In the same article, Dannii also explained that another reason for her choice, was the media circus surrounding her sisters hospital visits. She wanted to avoid the same hype.
    If u have read her autobiography, you will also know that the special moment of telling Kris face to face, that she was pregnant, was taken away from her because of media intrusion. She was forced to tell him the happy news over the phone.

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    • Sally

      Oh please it’s not as though Dannii Minogue is some tortured artist who loathes the limelight. She makes her living these days appearing on various reality TV shows. Good for her but don’t go crying privacy when it suits you. There are people a lot more famous than her (and even her sister for that matter) who manage to give birth in hospital all the time. It’s a ridiculous excuse. If you’re not ready to grow up enough to put your health first then you’re probably not ready to have a baby

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  10. Snap!!

    Don’t like the thought of hospitals? Well it’s time to be a big girl & get over it. As a parent there are MANY things you would prefer not to, but this is what a responsible parent does so you may as well get over it!

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  11. Anonymous

    “But that should not extend to the right to give birth at home.”

    Really? Mamamia, perhaps you should have tried a more thickly veiled attempt at pushing an anti-home birthing agenda.

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    • Mia

      Hi Anonymous,
      Mamamia as a website does not have an agenda. Nobody conspires to write a party-line.

      The vast majority of women in Australia reject the idea of home birth so it’s not surprising that many of our writers feel the same way.

      As I have stated below in response to other comments, I would be happy to consider any submission by a home-birther.

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      • Jen

        As a reader I am always aware that each piece is simply a matter of opinion. You can take it or leave it! I do both though mostly I agree :)

        But, even if I don’t, I love that I get to hear and learn about opinions that differ to mine.

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      • Emily

        Please publish a piece by a ‘home-birther’ Mia. I think a better term is probably, ‘a woman who chooses to birth at home’- rather than pigeon holing and suggesting that all women who birth at home are the same. Just a thought.

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  12. Lu

    I’m sure most women in third world countries who hear about women in developed countries like ours choosing to homebirth, would think we were being ridiculous and pretentious to reject the luxury of state of the art medical care. If not for ourselves, our innocent babies who dont have the same luxury of choice.

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    • Anonymous

      We also have better nutrition rates than third world countries. Your point is invalid

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      • Anon

        What has nutrition got to do with the birthing process?

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        • Anonymous

          Really? You are actually asking that?! Oh lord!

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          • Mia

            I think the point here is that it is slightly ironic that some of us in western countries fight so hard to give birth in particular ways and places when the vast majority of women in the world wish only for mother and baby to get through the process alive.

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            • Cazz

              Too right. There are thousands of women giving birth at the moment who would give anything to be having a conversation about the choices we take for granted.

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  13. JaneD

    Another one of those anti home birth opinion pieces by someone who has not experienced a home birth. I had my first in hospital- nightmare long labour attached to monitors, left alone for long periods, given oxytocin, frightened to death, treated like a slab of meat and forced onto bed flat on back legs up in stirrups for delivery. I was low risk and had prepared for an active squatting birth to avoid tearing and assist with delivery (gravity!) so consequentially I tore…followed by a pelvic infection from an enema they gave me because of the crappy hospital food! Then mastitis. Looking back I had depression later at home with my son and feeling like I’d been through a traumatic experience…and completely violated and dehumanised. I also saw a video of my son being cleaned, measured and weighed in another brightly lit room and felt the way he was being handled was traumatic too. He was screaming, shaking and throwing his arms out as he was moved around quickly and handled like sack of potatoes…in hindsight all this should have been done in same room as me.

    So baby number 2 planned home birth…easier back when we had a home birth association in the 80s. Our insured midwife with years of hands on experience met me, partner, son and birth helpers at our home and asked me to get my birth report from the hospital from my son’s birth. She came to every docs appointment during my pregnancy so I felt completely supported and without fear. I read everything I could lay my hands on again to prepare. Yes we do see the obstetrician regularly during pregnancy who will come to the birth if needed and if we want ultra scans and any other tests you can have those too.
    My midwife came to the birth with oxygen and everything they use in the hospital to monitor etc though not electronic monitoring. Midwifes use years of experience and hands and ears, stethoscopes etc to feel and listen to the baby and check dilation etc. She also had drugs to stop bleeding. Active births eg walking squatting hanging off partner with contractions hot nappies, hot baths, home environment, birth helpers etc all help with the pain so you don’t need drugs.
    My daughter was born 6 hours after labour started ( the doctor didn’t attend as no problems etc) and as soon as I had her in my arms I felt like wanting to do it all over again! The atmosphere in that room was electric with my birth helpers and partner crying. I felt like I had been through this amazing transformation and felt so empowered with the ability of my body to just work. My abdomen was massaged to encourage uterus to return to normal size after the placenta was born. Her father gave her a first bath in front of the fire with her brother there. The midwife stayed for the next 4 hours and then came back every day for 2 weeks to see me, check the baby and how she was feeding etc. One of the best thing was getting into our bed after the birth and having our 2 year old son at home with no upheaval and doing the usual things that would have been impossible in a hospital and life just felt normal…with an addition to our family. I wasn’t “sick” so I did not need to be in a hospital in a noisy ward getting no sleep.
    By the way I would not have another homebirth without all the above support, insurance and planning. It is sad now that women and babies may be dying because of the Government’s refusal to recognize birth choices and put the support women need in place like in other countries. This can be done safely with the right support.

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    • Melissa

      What a beautiful birth story! Thanks for sharing!

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    • Tina Sparkle

      Jane D I’m a bit confused. You say that “women and babies may be dying because of the Government’s refusal to recognize birth choices and put the support women need in place like in other countries”

      So it’s the government’s fault that women are choosing to reject hospitals and take the risk of giving birth at home?

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      • trixie melodian

        I think the point is that if there was a better support system in place, if midwives weren’t effectively banned from performing home births, if midwives had the chance to become more highly skilled BY performing more home births, if hospitals were more open to a “shared care” system with midwives, mums and hospitals sharing information and providing an easy transition where necessary, if low-risk, suitable women weren’t scared away from home births by scaremongering from obstetricians, then perhaps homebirths would be a better, safer option than they currently are in this country.

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      • Jane

        I was referring to the free birthers who do it it alone maybe because midwives can’t be covered by insurance or they can’t find midwives or a supportive doctor? Much harder now to do it like I did with full support back in 1987. All we had to do was pay our midwife $500 before the birth.
        By the way my daughter was born in the lounge room and there was plastic sheeting on the floor and it just felt so normal.
        All those comments about mess, water and blood in the bedroom and on the carpet and sheets make me wonder if they think birth is like a scene from The Exorcist!

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        • Jane

          Yes Trixie absolutely. All that too

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  14. Georgina

    Wow, a columnist at the Daily Telegraph, that doesn’t surprise me, that “news”paper indulges in some of the worst, most biased and at times hateful “articles” on homebirth I’ve ever seen. When diagnosed with your condition, if indeed caesarean was the only option, of course people who were planning a homebirth would have switched their plans. Der.

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    • Sally

      “If indeed caesarean was the only option” – Too right, Georgina, maybe you should demand to see a doctor’s certificate. You probably think any woman who disagrees with you is too posh to push, right?

      And if all else fails then blame the media. Could you fit any more cliches into one comment than this?

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  15. kateb

    appendicitis is natural, food poisoning is natural: all are greatly improved by hospital or modern medication.

    why is something “natural” suppose to be a good argument

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    • Sally

      Exactly, kateb

      Maybe the difference is that there’s not so much self-obsession regarding those health issues as there is in giving birth? The pro home birth people here speak with such a sense of entitlement and arrogance. It’s all about THEM, which is why I think they get so angry when they are subjected to valid criticism

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      • Vic

        Sally, just what is this ‘valid’ criticism? All the comments I read from you all seem very defensive and derogatory to anyone with a different view to you. Why? What is your story?

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    • Anonymous

      Have an infection and your body trying to rid is not normal though, really? I am having trouble trying to see how you can equal food poisoning to birth.

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    • Walk the Talk

      Death is natural too….
      “natural” is such a weak argument.

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  16. anon

    where is your evidence that hospital is safer than home?

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    • Anonymous

      Birthplace study 2012, BMJ. Low-risk women. Established homebirthing services in the NHS. Double the deaths.

      The best evidence yet. It’s good to be informed.

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      • crystalanne83

        Is that the study which the key findings state:

        For women having a second or subsequent baby, home births and midwifery unit births appear to be safe for the baby and offer benefits for the mother

        Source https://www.npeu.ox.ac.uk/birthplace/results

        Further –
        The study supports the policy of offering low risk women a choice of birth setting, adding that the continued provision of a home birth service is important so that … [they] can plan to have their baby at home.

        Source: https://www.npeu.ox.ac.uk/birthplace/results

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  17. Frangipani

    There is a lot of talk on this post that equates the role of mother as being an incubator for the baby and that the baby is paramount in the situation of birth and I’m really uncomfortable with this. The mother is a person too – as much as the baby is – and must have the final say as to what happens with her body, even when it comes to birth.

    Some will yell and scream about this and champion the rights of the child, but the rights of the mother absolutely must be respected as well. She is a person, not merely a vessel for the production of a child.

    Once you relegate the role of women in this situation to that, you begin to affect a change that affects all women’s rights, not just the ones that are associated with birth.

    On the topic of homebirth, part of the reason that it has received so much criticism recently is that health care staff and midwives are not adequately set up to support it in many instances. This is a political issues in many ways.

    In the same way that I believe that a women should have access to a hospital for a delivery, I also believe that a women should have the right to deliver at home if she chooses to do so and fits the low-risk criteria. There should be an emergency plan, several qualified birth attendants and specialist equipment needed for the event. We should not be attacking or criticising women who choose this path.

    The line for me is “freebirth” where a mother delivers at home, without specialist knowledge herself, or specialist attention. This is reckless and is not acceptable in terms of risk for mother or child.

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    • Milly

      Its not just babies that are at risk. There are lots of risks to Mum: one example is Post-partum haemorrhage (ie a massive bleed following delivery). It is not uncommon, and needs urgent management. Predicting who will have PPH based on risk factors is difficult because two-thirds of women who have PPH have no risk factors.

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      • Anonymous

        maybe if they werent so managed during the third stage, PPH may not be as frequent.

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        • Lana

          The tone of your comments is becoming increasingly abusive and as such some of them have been deleted. You are more than entitled to your point of view but you cannot abuse the readers who do not agree with you

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  18. :-)

    Thought bubble coming from the Mamamia Offices:

    “Damn those home birther hippy-types and their spawn! Them and those people who don’t eat this and that and who think they can go and start popular websites on making life better and sweeter… They get on our nerves, that bloody brainless lot! Let’s all push the abortion angle they might agree with that one and our problem is halfway solved!”

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  19. Tleaves

    My dear friends baby would be dead right now if not for the routine monitoring done at her public hospital obs visit. Three weeks from her due date a routine check of her baby’s heartbeat found it lacking and within 90 mins she was having an emergency caeser.. Thankfully, due to modern technology and monitoring, my friends baby is alive and thriving, allbeit with slight heart problems, that claimed my friends baby sibling and nephew at their births.

    I agree we live in a priviledge society where this care is safe and free. It would be wonderful to think that we could birth at home with no intervention like the body so intended.. but I am grateful that we dont have the maternal death rates that we did in the dark ages when it was all ‘very natural’!

    Having a few traumatic births (and neonatal deaths) in our family, as far as I’m concerned I’d rather have a caeser in a hospital than a stillborn.

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    • Georgina

      If your friend’s sibling and nephew were stillborn from a heart condition (which is very tragic, and I am sorry for those babies and their families) that would be a pretty good reason for extra monitoring and specialist medical attention.
      For most people, this is not the case.
      I’m glad that your friend’s baby is thriving.

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    • Tink

      But what does that have to do with home birth???????? Any high risk pregnancy ends up at a hospital. And all mums get routine checkups regardless of where they have their baby.
      Some of the posters on here need to stop flapping their gums and get down to basics. If the pregnancy is not high risk (i.e. known issues) there’s no problem. It’s kinda stupid to talk about hospitals being awesome for the birth of a baby with a low heartbeat…ummmm DUH!

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    • Jenny

      Homebirth midwives provide quality antenatal care and monitor the baby’s heartrate (using a doppler or fetoscope) and so would also have picked up the problem.

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    • Junebug

      Women who choose to HB usually also choose to attend routine monitoring. If anything adverse shows up, they transfer to hospital. When I was planning to HB, I was also booked into a hospital and monitored by an OB there.

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    • Junebug

      In addition to that, some women who plan to give birth in hospital avoid routine monitoring. Some demographics, such as teenage girls and women in rural areas, it is more common than other groups that the first time they show up at the hospital is when they’re in labour.

      My point being – with this and my last post – that the issue of routine monitoring in pregnancy is different and separate from the issue of birth place choices.

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  20. Anonymous

    When pregnant with my daughter, I was induced (at 3pm on a thursday and was told that I had to be induced), had my waters broken, had the synto drip inserted (and turned up frequently), was told that I could not move from the position they had put me in on the bed (despite the fact that I was most comfortable labouring on all fours), at night my support team were forced to leave the hospital and return in the morning, the midwife would only come in once an hour (to turn the drip up), and only once did I see the doctor.. When did I see the doctor you ask?? When it was 3pm on the friday when he decided he wanted my baby to come out, because well it was friday afternoon and he did want to go home and therefore came to take me away for an “emergency c-section.” My baby and I were fine, there was no reason for any of the above interventions to happen.. I had no control that day, and have been scarred physically and emotionally from that day.. Yes, my daughter was born healthy, but I believe that women should be able to labour and birth with power and control, it is our body, and our baby.. If a woman chooses to birth at home (and after my experience, it is something I would consider next time) then that is her choice, there are profesionals avaiable to support women and make that call if the baby or the mother are in distress.. No one should ever go through the trauma I experienced…

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    • Faybian

      Well, I don’t know where or when you had your baby, but none of what you describe happens in a modern hospital.
      Support people are encouraged to stay with a laboring woman for one.
      Labour obs are done more than once an hour for another.
      Syntocinon drips are not just continually turned up either.
      Drs don’t just hang about the hospital. If they have private patients, they go home until they are called to come in, in late 1st stage labour.

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      • Payasa

        Who do you think you are to say that none of this happens in modern hospitals. this is the experience this woman obviously had. Just how you are in disbelief..obviously this is why it was traumatizing for her. This DOES happen. modern hospital or not.

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        • Faybian

          Of course it’s a possibility, but seeing as I’m a midwife I think I’d know, hmmmm?

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          • Payasa

            It’s completely ignorant that because you are a midwife you think this is too odd of an occurrence to have had happen to this lady

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            • Faybian

              Didnt you read where I said it was a possibility?
              Yeah, it is an odd occurrence that this happened because I know how labour care is done and how the system goes, even if birth suite was busy and understaffed.

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      • Anon

        I agree Faybian. I lived in America for a while and this is fairly common there but i haven’t heard of this happening here. Did this happen in Australia? Genuinely curious.

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      • Anonymous

        ROFL of course it does!!

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      • Melissa

        Way to completely devalue and minimise this woman’s experience. Sheesh!

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    • Anonymous

      You shouldn’t have signed the consent form if you didn’t want the operation. No surgeon is allowed to operate on you if you don’t give consent. So you did have a choice – you could have said no and continued to labour. I think there are plenty of people around who would like to “go through the trauma you experienced”. You got to go home with a healthy baby – something that a lot of women desperately wish for and can never have. Perhaps it is time to focus on the good that came out of your experience – your healthy child – cause I am assuming that is why you got pregnant in the first place.

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      • Payasa

        A woman is extremely vunerable during her labour, so yes, whist we do have a choice to sign papers or not, one may not be in the right state of mind to do so!

        And every trauma is valid. period.

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    • Jen

      I am so sorry you had this awful experience :( xx

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  21. Vic

    I find this a very a very one sided, unbalanced and patronising view of women who choose homebirth. How about respecting a womans right to chose where she feels safest and best cared for to give birth, and empowering all women to have knowledge and strength in their decision making about their birth and their baby. Everyone ultimately wants a healthy mother and baby and no professional, competent midwife would risk that- in a hospital or home environment.

    In the case of your first pregnancy, no registered midwife would have agreed to deliver your baby at home, given your diagnosis, and hopefully no woman would have taken that option on herself.

    Have some respect for all the professions involved in childbirth, both midwifery and obstetrics, and for women everywhere taking responsibility for educating themselves and making choices that are right for them. Mistakes, complications, and unforeseen events happen in both hospitals and home environments during birth, hospitals are not without risk in childbirth, and home can be as safe a place as hospital to deliver a baby, under the right circumstances.

    For the record, I have given birth 3 times, my first was a planned home birth, with an emergency transfer to hospital where my baby arrived safe and well, and is a healthy thriving child today. After that experience I realised I never really felt comfortable enough at home to ‘let go’ enough to give birth at home. My next two children were born in a birthing centre, where I felt safer, and best cared for, with my care completely looked after by midwives.

    In my own family I have women who have birthed at home, drug free, one who birthed in the bush, completely free of any medical assistance, others who have birthed in a hospital under obstetric care, and others via cesarean section. None of these choices are mine to make or judge, it is important to be respectful of other womens views as you would like your view here respected.

    I would not choose homebirth again, but I do absolutely believe it would be a wonderful environment to birth in, and respect the choice of women who chose it to do so. As long as we are educated, informed, and responsible, we should all be allowed to choose where our children are born.

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    • Sally

      Vic, you sound very sensible and this is a very reasoned and well thought out response. But the bottom line is you are still insisting that the issue being debated is only about what want mothers want.

      Well sorry but it’s also about their babies. For a lot of use, that is ALL that matters and so the risks associated with home birth are seen as insurmountable. This seems to be the thing nobody who argues in favour of “choice” and home birth as a viable options seems to appreciate

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      • Sarah

        why is this all about the baby? When push comes to shove (pun intended) a mother can have another baby, but a baby will never have another mother. My husband and I discussed this while I was pregnant and it’s a terrifying thing to think, but I know who he would have been fighting for if it was a choice between baby or me.

        So while the baby is important, if a woman feels disempowered and disrespected during labour, they are more likely to develop Post Natal Depression and the outcomes for both mother and child will suffer.

        Everything needs to be done in an emergency to try and save both lives, but as in every other medical situation it needs to be done in such a way where the patient (ie the mother) feels they are respected and involved, to ensure the best possible outcome for everyone.

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        • Sarah

          I don’t disagree with a lot of what you say but I do have to wonder why in a country where there is top level maternity care, and birthing centres are widely available, there is such a presumption that women will be subjected to insensitive care unless it’s done in their own home. Really isn’t it quite reasonable to suggest the best possible outcome for everyone can be achieved through the many safe options available?

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          • Sally

            Sorry Sarah, that was actually from me, Sally. I typed in your name by mistake

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          • Sarah

            Even birthing centres have rotating staff and you never know who you will have caring for you during your labour and delivery. If you want continuity of care, which has been shown to give better outcomes for both mother and child, you need to choose either a OB/GYN or a private midwife. OB/GYN ‘s typically have a high level of interventions/caesarian and private midwives aren’t insured by the hospital, thus cannot practice there. If you want continuity with the highest chance of a natural delivery, private homebirth midwife is your best option.

            I was lucky and both my attending midwives at my birth were people I had seen during my checkups, but that’s not the case a lot of the time.

            A good midwife will not let a woman proceed with a homebirth if it is risky. I know more women who have wanted a homebirth, but have ended up with a hospital birth than I do who have actually homebirthed. But the difference is that they were consulted about each step, they understood the risks and made a choice, thus even though they did not get the birth they had envisaged, they know why and are comfortable with the outcome.

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        • Anonymous

          Wow a mother can have a another baby?
          That kind of thinking is scary..

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      • Vic

        Thanks for your comments Sally,
        In fact I’m not insisting that the issue being debated is only about what want mothers want, in fact quite the opposite. I am absolutely in favour of what is in the baby’s best interest, and quite often that is to be born with as little medicalisation as possible. It is a fact that the rate of infection of patients, including newborn babies is significantly higher in a hospital environment than at home ( and that is just to name one of the many things). There is no evidence that birth at home is unsafe, or that a hospital birth is safer than home birth. Every birth/pregnancy/woman is different and needs to assessed so.

        I’m encouraging all women to be fully aware, researched and educated about the risks to both mother and baby, associated with birth in any environment, and the choices they make – hospital/birth centre/home/obstetrician/midwife/drugs/no drugs/ induction/ no induction. There are implications for both mother and baby in any decision, some related to the birth, others regarding the long term health and safety of the mother and/or baby. Both have their risks, and both have their positives, and it is each mothers responsibility and right to make the safest and most appropriate decision for her AND her baby.

        Just because women choose different options, doesn’t mean any option is better than another – we women have the right to choose for ourselves AND our babies… whether you (or someone else) agree with a womans assessment of risks, and decision on birthing options isn’t really here nor there, it’s not up to you to decide for another woman, it;s up to her. And likewise, it’s not up to anyone else to decide for you, it’s up to you.

        It frustrates me that some people are blindsighted by media into thinking that hospital births are always safer, it’s simply not the case. I’m a medical professional,and am widely read, and it is a big decision either way regarding birth when you truly are informed about the pros and cons in each direction…

        To be simple, be well read, be informed, do your own research (do not just take the word of a doctor (who will generally give you only their opinion, and preference) or any other person, and at the end of the day, if you don;t agree with a womans birthing choice, at least have full respect for her, that SHE has made the decision that is right for HER baby, family and self.

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        • Anonymous

          what kind of medical professional are you?

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          • Anonymous

            So only a medical professional can have an educated opinion. What is this, the Victorian Era? Quick! Pass me the ether. Pfft.

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            • Vic

              I am a Nurse. It seems you’ve misunderstood my view. I do not believe only medical professionals can have a view. My point is that as I have worked within the medical industry, I am aware of things that some people may not be aware of. I am merely trying to empower women to make a free choice to have their own opinion and follow it if right for them. I am advocating that everyone have an educated opinion, not just medically trained. Even those within the medical profession disagree on many issues, it is not one size fits all. I’m sorry if I’ve offended anyone or suggested that only a medical professional can have an educated opinion, it was not my intention.

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  22. Aylyese

    I have had six hospital births, none at home. Three required monitoring because of the botched third cause by an overworked, understaffed and Inattentive delivery ward. If I was at home with the exclusive care of midwives on the third, it would have ended very differently. No, I wouldn’t have been dead, or anywhere as close to it as I was being left to bleed out for over an hour in a hospital bed. I would have stood a better chance of avoiding many long term problems I have in my future from undiagnosed hyperemesis and catastrophic blood loss.. Because I had no continuity of care, no one that knew me, and a room full of birthing women and not enoug staff to go around.

    But at the end of the day, this matters not.

    If you want to advocate for women to have NO choice over who has access to their vaginas, you go right ahead. See how that works out for us.

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  23. Elizabeth

    Its interesting that most comments here are from a city perspective. Maternity care in their town is not even an option for many families in rural areas. In the town I grew up in the hospital closed its brand new maternity ward. Now women have to travel at least 45mins to a hospital. One woman was driven around for nearly 3 hours before the 3rd “nearby” hospital would let her come in. The others were full. So there are not always as many options in Australia as city folk take for granted.

    I had an unplanned home birth with my second child. She came very quickly. Her water broke as her head delivered and it was stained with thick meconium. The only equipment we had to deal with “situation” was a cloth nappy. It did the trick and she is a perfectly healthy 1 year
    old.

    We now live in new York (manhattan) and are having our third baby. We are planning our homebirth this time. The team of midwives will come with oxygen, resuscitation equipment and drugs to use if I start bleeding. They will have everything I would have if I was in a hospital with the obvious exception of an operating theatre and obgyn. Oh and the nearest hospital is visible from our apartment. Closer in an emergency than the woman driving around rural Australia would have been.

    The final, and most important point. When did we start finding it so necessary to beat up on each other so harshly? This parenting business is the greatest challenge I’ve ever faced and would really like to think that we girls have each other’s backs!

    What happened to the sisterhood?

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    • Faybian

      Elizabeth, someone as well supported as you and as close to the hospital for you, is the ideal candidate for a homebirth. You are close to extra help if needed, unlike, as you pointed out, in rural and outback Australia, where there is f*^+all help, or even services. Personally, I think the fact that a lot of rural women have to move into a different town at the end of pregnancy is appalling.

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  24. Anonymous

    Wow – way to go with helping promote birth choices being taken away from women.

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    • Lu

      When its all about women, go for it, freedom of choice all the way. This also involves babies who cant speak for themselves. They deserve their rights to be protected.

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      • Anonymous

        Personhood of the fetus is not a legal term in Australia. FYI

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  25. JosieY

    For another point of view, I strongly suggest you check out http://thefeministbreeder.com/

    I would love to have the chance to give birth in a birthing centre or at home. I’m all done now, and I had a high risk pregnancy the second time which meant I had to be in a hospital, but please don’t knock those of us who really believe the best thing for themselves as mum and bub is to labour and give birth at home. Have a go at me if you must because I fought for a natural birth vs. ceaserean – I weighed up the definite of major surgery with a CS with the possibility of major surgery with a VB and came down on the side of a VB.

    For those of you having a go at Mia for not presenting a more ‘balanced’ viewpoint (oh how predictable) this is an opinion piece. If you would like to present another view write it, email it in and maybe we’ll see it soon!

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  26. Anonymous

    At the end of the day ,does it really matter how bub comes out ? At home , in hospital, in water ect ect . i have given birth six times , one c- section ,two spontaneous and three induced , and the way they entered our world was through the safest and most efficient for them.I find it a bit odd that the mothers to be put so much empathis on the big day , such as i want to be in a birthing pool surrounded by candels and positive energy ,when realy the only thing you need to do is manage the pain and dilate to the magic ten centermetres and push, rergardless of where you are home or hospital , the fundermentals are not going to change.My oldest is 20 yrs old and i feel no differently about him nor do i have a lesser relationship with him than my other” less intervention birthed children “.What goes in must come out , the safest way.I can not understand why any woman would risk the we being of their children simply for an experience .There is no medal at the end,

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    • Curioser

      Don’t get me wrong I support hospital births and I would never have a home birth. But, to a point it does matter how a baby is born. My doctors tried to force me to be induced and after some research (baby sitting up high in the womb, me having advanced pneumonia and a few other things) I decided being induced was not the best choice for me.

      I know being induced could cause complications (prolapsed cord) and my own doctor admitted there was a 50 chance I would end up with a c section anyway. I demanded (nicely) a c section and got one and I really feel I did the right thing even though I yearned for a natural birth. Go with your instincts and try to make the best choices for yourself. Doctors can be pretty pushy and when it’s your first and your scared it’s easy to be persuaded.

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    • Georgina

      Have you ever heard of post-traumatic stress disorder? This is very real for manywomen who have suffered traumatic births. It’s not something we can just switch off, oh it doesn’t matter that people have done this to me.
      I am very glad that none of your birth experiences were traumatic, but please don’t dismiss it as “just” an experience for those of us who have suffered trauma. Furthermore, inductions and caesareans carry health risks for babies too, although sometimes it is the safest way in many cases it is not.

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  27. Can't wait

    My Niece or Nephew is due now and I am eagerly awaiting the call from my sister to tell me she’s in labour.
    She has chosen a home birth and I will be attending as support person along with her partner and 2 midwives.
    I would be happy to report back after the experience!

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  28. Larry

    After reading nearly all the posts on this topic one thing I have realized. There are many women and babies who may have died without medical intervention during childbirth. Go doctors you do a brilliant job delivering babies and saving lives everyday!!

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    • Georgina

      Pizzas are delivered, babies are birthed. Don’t reduce the role of the mother to just a vessel.

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    • Anonymous

      Its not Fed ex Larry. Women birth their own babies. By giving kudos to doctors, you are taking away the active role of the birthing woman.

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      • Kris2040

        Pretty sure it was a doctor who cut my stomach open to get my daughter out. It wasn’t me!

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  29. Emily

    Mia in the interests of balance, can you please get someone to write an article on home birth for you? I had a wonderful home birth 5 months ago and it would be lovely for people to hear some positive stories! This is very one sided. You openly support same sex marriage and abortion yet make out that women who home birth are horrible people who put their own needs in frond. of their child’s. I can assure you this is not case.

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    • JosieY

      Write it and send it in!

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    • Laws for Clouds

      I’d love a post about homebirthing. A lot of the comments today seem to be confused with freebirthing. I’d also love to know how much planning is involved, how risks are assessed, how much medical equipment is available in the home and who cleans up!

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    • Mia

      Hi Emily – by all means write and submit it!

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  30. Karen Tippett

    Everyone has the right to choose where to deliver their baby. There is a spectrum from freebirth to non-medical elective caesarean. I fully support the woman’s right to choose where she feels comfortable on that spectrum. However, every woman has to take responsibility for the consequences of their choices. If things go well – fantastic! If things turn to shit and they have a bad outcome because of the choice they have made, tough. No woman should be criticised for the choices they make, but no-one should have to listen to their lamenting their choices through the filter of hindsight.

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    • TLeaves

      Agree.. problem is that some people with exteme views get into the heads of those more vulnerable than others……

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  31. jasz_altaz

    I am a Woman
    I am a Mother
    I am a Homebirther

    More importantly, I maintain autonomy over my body, my baby & my birthing experience.

    The decision to birth outside the “norm” has not been made lightly. It was however made without fear based, biased opinion & pressure.

    I am empowered.

    Wherever you CHOOSE to birth is as personal as the moment of conception.

    We each have very personal, individual reasons for where and how we CHOOSE to birth. The important factor is that we, as birthing women, make this CHOICE with sufficient information and support. Free from fear, intimidation and judgment by our peers.

    I AM A WOMAN
    I AM A MOTHER
    I AM A HOMEBIRTHER

    All my decisions are my own without fear, intimidation or judgement. That is my right as a citizen of democratic society. I do not take this lightly. I embrace its potential.

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    • Anon

      oooooo kay

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    • Anonymous

      Fine, make a decision that’s not “fear based, biased opinion & pressure”…but just do it with the facts. Which say that homebirthing is far more dangerous that hospital birthing.

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      • Anonymous

        Proof? Got any? Or just hot air?

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    • Michelle

      *eye roll*

      That was ridiculous.

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    • ClaireC

      To me you sound totally self absorbed. It’s not actually all about you, your experience and your empowerment, there’s actually a baby involved too you know.

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      • Miss B

        Eeeek, I’m scared. Sounds like home birthing is the new cult!

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    • Emma

      Vomit.

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    • Anon

      That time of the month?

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    • Helen Reddy

      Yes, you are woman ! We get the message !!

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      • Nadine

        LOL!!!!!!!

        Excellent. I needed that laugh.

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    • Home birth is dangerous

      You forgot ” I am deluded”

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  32. Baby Nightingale

    Why should she have to have a “good enough reason”? No woman should have to answer to, or justify her educated decisions, to anyone.

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    • Anon

      I don’t care what she does but if she chooses to risk the health and future of her child and something goes wrong she should be prepared to accept the consequences and not expect the tax payer to foot the bill for the hundreds of thousands of dollars worth of care that the child will require.

      Make any choice you like, just make sure you accept the consequences of it.

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    • Sally

      Except to her baby of course…

      How would you explain to your child that you denied them access to hospital care if things did go wrong?

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  33. Ponykid

    I have no doubt that hospitals are the safest place for many women to give birth, but I argue that this level of monitoring and intervention is certainly not necessary for all. Coming from a country where the government supports home birth by making midwife access completely free for it, I feel sad for those women in Australia who are perhaps contemplating home birth and who depending on their circumstances, would otherwise be perfectly safe doing so but are instead put off by the climate of fear generated by the media and articles like this. I’m absolutely not arguing against hospital birth. However I absolutely am arguing FOR my right to give birth at home. If Mammia is truly interested in women’s opinions they would offer a greater variety of them in their lead stories.

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  34. Wait, I thought Danni Minogue did have her baby in hospital, in Melbourne? I thought I remembered heaps of photographers getting snaps of Kylie going in and out?

    I don’t think her and Kris Smith are married either – the caption says ‘with husband Kris Smith’, but I don’t think they are married.

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    • Anonymous

      She wanted a homebirth but ended up having her baby in a hospital.

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    • Sally

      You’re right she was transferred to hospital when things didn’t progress at home. That’s why it says she “attempted” a home birth. But she’s come out saying since that she will try for home birth again next time

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      • Whippersnapper

        Oh right! I was a little confused there, thanks for clarifying!

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      • Emma

        The last thing I would want to do while going through childbirth is move! Umm PAINFUL!

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        • Anonymous

          No you are wrong. Lying flat on your back unable to move is far more painful.

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        • Junebug

          I think I know what you mean. It’s one of the many reasons I chose HB – I didn’t want to spend half-an-hour plus labouring in the car!

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    • TLeaves

      and at age 39 she would have been considered high risk..

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  35. Cordeline

    I HATE hospitals. But I never even contemplated having my babies anywhere but in a hospital. Thank god as well, the birth of my first child was horrid and I ended up as a code blue patient after the delivery. If it hadn’t been for the immediate attention of a dozen doctors, I wouldn’t have survived.

    And actually, the maternity ward is a whole lot different to other wards in a hospital.

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    • Cordeline

      I just wanted to add, that I was a ‘low risk’ patient. Clockwork, textbook pregnancy. You just never know how it’s going to pan out.

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  36. Valerie

    Logically, if you are experiencing any sort of complications during pregnancy your experienced, qualified midwives will encourage you to birth in the hospital. The problem is here that people who would like to be able to choose homebirth are being presented as dogmatic, selfish women who are happy to put their babies at risk. The fact is that the majority of homebirths and homebirthers listen to their medical advisors and birth accordking to their experienced, qualified advice.

    If you are having a homebirth and the slightest problem arises midwives will get you to a hospital lickety split. Also, if you have high blood pressure or any other problems hospital births are advised. These are not women playing fast and loose with their children’s lives. I hate that portrayal.

    My personal choice was a hospital (and I’m glad I did choose this as I had a massive pph and would have died at home) but I fully support women who choose to birth at home, with qualified midwives who are prepared to transfer as need be. It is very, very rare to lose a life at home in this scenario. We’re not talking about radical free-birthers here. That is another kettle of fish altogether.

    At the end of the day, women should make wise, informed choices about all aspects of birth. Induction will often lead to c-section. Epidurals can have all sorts of side-effects. C-section is not necessarily a great option for everyone. None of these are bad things – make these choices if they work for you and sometimes you have to go down these routes – that is how it works out! – but allow women to make informed, safe choices without condemning them. Labelling women who choose a homebirth in a bullying fashion as selfish and stupid will never cause them to make a different choice.

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    • Holly

      So very well said Valerie, I agree completely. Enough already with the negative portrayal of mums who choose home births, I am really over it.

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    • LJ

      I think most of us agree there are degrees of commitment to homebirthing. Most women I hope take this responsible approach and are guided by their midwives. If hospital is the go then that is it. However there are a number of women who are so hell bent of having a home birth they do ignore advice, even to the point of having no midwife at all, thus putting themselves and their child at great risk. I am not at all an advocate for homebirthing.

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      • Valerie

        I could be wrong, but I see a subtle agenda not just here but on the media to push for making homebirth illegal. The problem I have with this is that you WILL get woman who will fight for their rights to birth in the way they choose and give birth without medical support. This is a very dangerous scenario.

        The irony here is that it is the same women who are so strident about a woman’s right to choose abortion – her body, she should be able to choose, etc etc – that seem to want to shut down women’s choices in regards to how to birth these very babies they had the right to terminate a few months earlier. A choice is a choice. I personally would not choose homebirth but I would love to be able to have the option.

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  37. Anon

    Someone further down has bought up ‘induction.’ This is about the only procedure I have a problem with. I don’t like it – without having scientific evidence to back it up – but I’d much prefer a ‘c’ section be carried out than an induction.

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    • Happy mumma

      May I ask why? I have had two with no problems

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      • Anonymous

        I absolutelyhate the thought of induction. It was the only thing I feared about giving birth, thank God I didn’t have to do it. In saying that I can see that sometimes it might be needed, i just hope I never need it.

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      • Valerie

        I was supposed to be induced (but went into labour naturally, thank goodness) and the midwives/doctors told me that for every woman they induce they prepare for c-section as it often leads to this.

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  38. Guest

    I feel as if some are confused as to the mission of this site. Some seem to believe it is purporting to be a credible news source and is failing. Others browsing habits would reveal that it is the closest thing to news coverage in their lives.
    I would have thought that this is more like an opinion/personality column on steroids. In which case people can use it in conjunction with “hard” news consumption to glean some of the diverse opinions out there (and what better way than by studying the reader responses!)
    Seeing as there seems to be a great many reading this: even though you may not want to, try defaulting your browser to a local or international newspaper site. And enjoy Mamamia for what it is and what Mia and co keep saying it is…

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    • Petal

      Yes, I agree Guest. You know what I do? I treat this site like a magazine. You know how you read magazines and skip the articles you don’t like? Well, that’s what I do. I don’t write to the magazine every week saying that article was crap, not up to standard etc etc. Readers here I think, should turn the page, so to speak, if an article pops up that they’re not interested in.

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  39. LJ

    Apologies for not reading all the posts but after a few I must admit I was a little gobsmacked. At no point did Mamamia state Sarrah was an expert in this topic. Yes it is an opinion piece and therefore subject to debate. This is actually why I read Mamamia. If I need cold hard facts I will do my own research. I do not expect this information from this forum.

    Now on to home birthing. What you do that effects your own body, health and potentially your life is your own business. However once you add another person (a baby) into that mix your decisions are not yours alone. The outcomes of your decisions do not just effect you it effects them as well. I have had good and bad experiences with the hospital system. The good was the birth of my two children. Private hospitals, fantastic OB and great midwives! The bad was seeing my mother struggle with cancer. The people who work in this area still impress me as it is a no win in many cases. You cannot use one experience to completely cloud your view on the hospital system as a whole.

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  40. Anon

    It is just a shame that people who walk away from a bad hospital birth experience often don’t get enough of a ‘debrief’ with doctors and nurses who were there with them. It often means that they go away thinking that because they had such a horrible experience, somehow it was the hospital’s fault and next time they will try a home birth. It often means they go into a home birth in a higher risk category and don’t read information that is relevant to their particular situation. Thus an informed choice is not always informed as accurately as one might hope. It would be much better if a woman could walk away from a traumatic experience thinking that whilst it was awful, it is great that mum and bub are both alive, and fully knowing that there could be complications with the next pregnancy. It’s just a different way of thinking about that experience.

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    • Anonymous

      Rubbish. Would a load of rubbish. Homebirthers do research. They are informed. They do know the risks. They have to because hospitals do not inform you of the risks of interventions they do. They are secretive. I didn’t need a “debrief” to know the OB at my child’s birth was the reason he was injured. It was blindingly obvious a case of obstetric negligence. This article is bias piece of garbage.

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    • Anonymous

      I totally agree with this. The handful of people I know who have had homebirth have gross misconceptions about the interventions they had in their first hospital births. And they are so sure about it they won’t listen to any explanations about the potential reasons behind them.

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  41. Alice

    I’m a medical law lawyer, and I can tell you that only 21% of births DON’T require obstetric intervention. While a midwife will be present at a home birth, an obstetrician (not to mention a gynecologist, paediatrican or any other doctor) won’t be.

    Many people have wonderful, peaceful, uncomplicated home births. But if you fall into the 79% of women who require obstetric intervention during birth, you could be putting yourself and/or your baby in serious -possibly fatal – danger. I just do not understand – regardless of how much you hate hospitals or the over medicalisation of birth or whatever else – why anyone would choose to put themselves or their baby at that kind of risk.

    It might go fine, but if anything goes wrong – the baby isn’t breathing, you start hemorrhaging, etc – you may not have time to get to a hospital and get proper treatment before you or your baby suffers serious harm.

    PLEASE educate yourself properly before deciding to homebirth. Seeing the facts (and the injuries) every day, I believe that if people educated themselves properly on the facts (rather than looking for research that confirms what they want to hear – that homebirthing is great) then no one would choose to homebirth.

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    • Anonymous

      You deal with homebirths in your firm or merely the obstetric negligence at the hands of document falsifying doctors?

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      • Alice

        I’m not sure who the ” document falsifying doctors” are – that very rarely occurs.

        We deal with claims in both hospitals and at home. A lot of the birthing injuries we see are horrific – not because there was negligence, but because birth can be extremely dangerous at times.

        What we see in homebirths is women haemorraghing to death and leaving the family without a mother, or healthy babies developing cerebral palsy because they didn’t get enough oxygen during birth. Sure, these things can happen in hospital to, but you exponentially increase the chances by choosing to give birth in a non-medical environment without at-hand access to the appropriate professionals (eg not just midwives).

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        • Anonymous

          rarely occurs? Want to back that up with some facts? You saw one homebirth death in 12 years. You didnt see “women”, it was one recently. Where is your accuracy? Yes, it is unbelievably sad for her family, but it is still a better maternal morbidity result than in a hospital! CP babies happen in hospitals too. Drop your blinkers

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          • Sarah K

            How about you back yourself up with facts anonymous – where are all these doctors falisifying doctuments that you seem to have the inside info on?

            And if more women and/or babies die in hospital it’s because far more attend hospital – duh! More women birth in hospital, and homebirthers get referred to hospital if they’re in trouble.

            Anonymous, you’re just an idiot – you take your blinkers off.

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    • Carolyn Hastie

      Alice, I’m not sure what medical practice you are lawyer for – sounds like private obstetrics to me, those figures fit with that.

      Midwifery led care outcomes are very very good, you need to read the stats. I have set up and managed a unit and did the figures. Our service also provided midwifery at home for those women who wanted that – yes, as a public hospital service – yes, our figures there are excellent as well. 95% normal birth rate – low post partum haemorrhage rate (in fact, far better than the tertiary referral hospital for a matched group of women – we wrote a paper on that). Now having said midwifery – led, it is about a holistic approach with seamless transfer to medical care if indicated – that is what makes the situation safe for women and their babies.

      Intervention if indicated, not because the woman is ‘there’ and 9-5 practice is preferred.

      The safest thing for all women and their babies is where the woman feels safe. For some, like the writer of this article, that’s a hospital. For others, it’s a birth centre, for others, it’s their home. Freedom to chose is a basic human right. For those who talk about how fortunate we are in this country to have access to hospital care, that’s true, very true.

      Women in developing countries are better off in hospital for birth because they do not have skilled help at home; they are malnourished, anaemic (often very anaemic) no clean water, and have often, far too many children already, no access to family planning services of any kind, live with violence and the threat of it hanging over their heads constantly – harsh living conditions, their houses are not clean, they do not know or understand basic hygiene and their lives are ‘nothing’ in terms of cultural attitudes about women. Having said that, there are pockets of change in different countries in that a local trained midwife is setting up a small community homelike birthing units where the woman can get skilled help for birth. The one thing that makes a huge difference to maternal/infant morbidity and mortality across the world is midwifery care – having a skilled birth attendant.
      So back to the western world – we have everything at our fingertips, so women have the ability and the right to choose the setting that is best for her. I’m grateful that women like Sarrah can find the place to birth where she feels safest. However, to say that women who choose to birth at home are reckless and selfish is incredibly ignorant and downright rude.

      Everyone has the right to choose what is best for them.

      Interestingly the statistics show that women who have midwifery care are more likely to have a normal birth, more likely to feel good about themselves, more likely to breastfeed, their babies are less likely to need nursery care and they have fewer interventions.

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    • Faybian

      Alice, I’d love to see your stats. Your figure of only 21% of births not needing obstetric help implies that over 3/4 of all births are complicated by some sort of problem. This just doesn’t seem right. Part of the problem is that sme intervention is done, where possibly it didn’t need to be. For example thhe Caesarian rate is between 30-40% and the WHO reccomendations are for a rate or between 10-15%.
      Your view may be skewed due to the nature of your work.

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    • Siobhan

      It may indeed be true that 79% of births INVOLVE obstetric intervention – but that is not the same as saying that 79% of births REQUIRE obstetric intervention. If it is true that 79% of births involve obstetric intervention, then you are providing clear evidence for why so many women look for an alternative to the hospital system, as there is no way that 79% of women NEED obstetric intervention during childbirth. If that were the case, then you’d expect that around 80% of mothers and babies would have died during labour before the advent of obstetrics, which didn’t exist as a profession until relatively recent times.

      Unfortunately, the choice to birth in a modern Australian hospital does in itself greatly increase your chances of facing unnecessary medical intervention, which can lead to its own (sometimes serious) problems for both mother and baby. I am a supporter of a woman’s right to choose homebirth (as distinct from freebirth, which I oppose), but also believe we need a stronger midwifery-led model in hospitals, so that more women might be encouraged to birth in hospital or in a hospital-attached birth centre (where I gave birth to both my children).

      On another note, for anyone interested in the fascinating history of childbirth, I would highly recommend reading ‘Birth: A History’ by Tina Cassidy. It’s an illuminating read.

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      • Aussie Doctor reading Aussue Doctor

        The stats are in Australian Doctor Magazine this month, so that might be where Alice got her info from. It’s a very reliable source, and should be easy to get your hands on if you want to read up on it.

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        • Siobhan

          Thanks – I’d be interested to read the article, but I just searched their online site and couldn’t find it – would you know the title of the article? I do find it inconceivable that 79% of births require obstetric intervention – there’s no way that’s true. As I said, 79% of births may in fact involve obstetric intervention, but that’s not the same as 79% of births requiring obstetric intervention.

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  42. Larry

    Good riddance ! By the way you do sound well educated yourself in the way of Facebook, today tonight!! Obviously some sort of office job hence the spare time on the computer!! And you’re talking about uneducated. Funny really.

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  43. Natasha

    Tipping Dannii Minogue will have to swallow her words when it comes to her next pregnancy if she chooses to go down that path. With her being over 40 & an emergency trip to hospital the first time, no doctor will allow her to try for another home birth. Dannii it will be a trip to the hospital for you.

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  44. justvisiting

    I’m a great believer in choice, so I think its ridiculous to suggest women shouldn’t have the right to birth at home (or wherever they damn well please).

    For me, I would be deeply concerned that a midwife who attends a home birth won’t be covered by professional indemnity insurance.

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    • Natasha

      I am a great believer in choice too. Safe choice

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  45. Carolyn Hastie

    What a biased, ignorant piece. I’m so disappointed with this article and it’s message. I somehow expected better of this site :(
    Yes, I’m a midwife

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    • D

      This is an opinion piece, and I believe it’s a widely held opinion – that however much you dislike hospitals, they are the safest place to be when giving birth. I don’t think this is meant to be a balanced review of the evidence, but rather the writer’s beliefs. And I share them – personally, I would always choose to give birth in hospital. With my first child I had dangerously high BP requiring IV medication to prevent eclamapsia, picked up at a routine ob visit two hours before my membranes (spontaneously) ruptured prematurely and my daughter was born premature with IUGR. I had pre-eclmapsia with my second child too, and my third child (in utero) has a high risk of anaemia and kernicterus due to red cell antibodies that I have developed and requires immediate paedicatric care when she is born later this year. Childbirth may be natural, but it is potentially dangerous for mother and baby.
      I do believe in a choice, and women who choose to give birth at home are of course entitled to and should be supported in this, but i don’t think it’s appropriate to say that the writer is ‘ignorant’ of the issues.

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    • elizabeth

      Carolyn, how can someone’s opinion NOT be biased? If you believe in God and write a piece about that belief, it’s not biased, it’s just what you think.
      Just because you disagree with someone’s opinion, doesn’t mean they’re necessarily wrong or ignorant.

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    • Anon

      I see this piece as heavily biased as well. I understand it is an opinion piece but I would expect better nonetheless.
      I for one do believe that birth is meant to be simpler than it’s usually being done these days. I gave birth last year in a hospital, a public yet very cozy hospital and I was assisted by my wonderful midwife.

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      • Sally

        I didn’t see anything unkind about midwives in this article – why are you and Carolyn so upset?

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        • Carolyn Hastie

          Sally, this article calls women who choose other than the author selfish, irresponsible and other nasty comments.

          The article in a popular and influential blog is an ‘opinion piece’ that is judgemental and is inaccurate with its statements about birth at home. Birth is the most emotional issue on the planet, it’s meant to be that way to fuse mother and baby together as a peak emotional experience.

          Fear is easily generated. Fear translates physiologically as chemicals. These chemicals disrupt birth physiology and causes labour and birth to go haywire. Articles like this spawn judgement, blame & fear among women instead of support and kindness.

          The whole cycle of fear, blame, judgement around and around means modern women are being increasingly ‘disabled’ to birth normally. Does that matter? Yes it does. There are a zillion reasons why and the literature is full of those reasons. Women need to feel safe, secure and supported for birth to go well and babies to emerge healthy. The current birth climate is inhospitable – birth ecology is seriously undermined and at risk. I said I was a midwife because I sought to show my interest – having said that, I support a woman to give birth where and how she feels safest, for some, that’s an elective caesarean, for others, it’s to birth at home. What matters most and leads to the best outcome for both woman and infant is the woman’s feelings of safety and support together with a skilled birth attendant aka midwife.

          and why oh why is there plenty of support when a woman has no control over what happens to her and yet nothing but judgemental and disparaging remarks when she claims autonomy over her body?? Bizarre.

          Women have enough negativity and social condemnation to deal with in the media without this blog adding to it.

          Those are the reasons I chose to respond to this offensive piece of work.

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          • Crystalanne83

            Carolyn, can I suggest that you write an article for Mamamia? I for one would be really interested in it from your point of view :)

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  46. Laws for Clouds

    In 1994 my stepmother attempted a home birth. She had a deep fear of hospitals and her midwife suggested she give it a try, as the hospital could slow or stop her labour. She lived within 3kms of the hospital.

    I know the author feels it’s choosing your own wants over baby. My stepmother felt her chances of a c-section were increased. Choosing a natural birth over major abdominal surgery seems okay to me.

    The midwife that guided my stepmother through her homebirth was the head of the birthing unit of the local hospital once it opened. She brought with her monitoring equipment and made it very clear that it was HER decision if/when they would go to a hospital, not the patients. My stepmother wound up in hospital after her labour never started.

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  47. Frustrated

    Please stop equating home birth with having no professional care.

    Women who home birth (as opposed to free-birth) use midwives, the same as public patients in hospital and are referred to a higher level of medical care if required, the same as public patients.

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    • Speakeasy

      Fair point Frustrated but I think the argument is the level of medical care (midwife vs doctor) and the speed at which you can get to it (hospital vs at home).

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      • My mum's a midwife

        Exactly, speakeasy. Frustrated – Midwives can assist with the birth but they are not medically trained to deal with the kind of complications that pose the risks people are talking about.

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    • Jaz

      Thankyou Frustrated… you took the words right out of my mouth!! Homebirthers are not checking in their access to a high standard of professional care… quite the reverse!

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      • Kris2040

        So you have an obstetrician on hand with theatre ready to go in the spare room should the need arise?

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  48. Beck

    When I read statements from home birth lobbyists criticising GP’s, hospitals and “intervention” processes – I can’t help but think of the women I lived and worked with in East Timor. Most women there don’t have a CHOICE – they must give birth at home. They have one the highest infant mortality rates in the world, and many women die in childbirth and leave their large families without a mother. If it wasn’t for their wonderful First Lady – Australian born Kirsty Sword-Gusmau – and her magnificent efforts to help with the construction of Maternity hospitals – there would be far more. I am reminded of the slogan “First World Problems”. Quite simply – Get over yourselves.

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    • Downtown

      Yes! How lucky and pampered are we that we can choose to shun medical support? When did doctors and hospitals become the enemy?

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    • Petal

      I agree. If a woman wants to give birth at home – good luck to her, but I don’t think we should ever take for granted the first rate medical care this country offers – and all for (practically) free. We are truly lucky to live in this country.

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  49. Ponykid

    For anyone knocking homebirth, check out the state of New Zealand ( my home country) where you are allocated a midwife who visits you regularly at home, most women choose to birth in a midwife led birthing centre attached to a hospital and the home birth rate is three times that of Australia. Pre and post natal care is among the best in the world. My mother gave birth to all of her children(5) in a birthing centre with us children allowed to watch our siblings being born. To this day it is one of the greatest experiences of my life watching my sister being born when I was thirteen. My siblings, including my brother concurr. Obviously it set us up for a positive mindset towards the whole process which is why my sister opted for two homebirths with her girls. Now that I have moved to Australia I am shocked at the controversy home-birthing causes here. Do your research. The statistics show no difference in mortality between homebirth and hospital birth (. With the exception of one recently conducted and GRAVELY FLAWED study that showed an increase in neo natal mortality) I for one will be opting for home birth with a highly experienced midwife when my own wee one is due later this year.

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    • Laws for Clouds

      I gave birth in NZ and only saw a doctor once. I certainly never saw one while I was giving birth. I went home within a couple of hours and a midwife came and spent an hour or so with me every day for ten days. A midwife I had developed a relationship with over the previous months. She did shared care with my GP.

      It was a-ma-zing!

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    • LJ

      I just noted in your post that these birthing centres are attached to hospitals? That is NOT a home birth. That is a delivery by a midwife until problems occur and you go next door to the hospital. What are the statistics regarding how many women are referred to the “attached” hospital during their labour?

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      • Laws for Clouds

        The one is Auckland isn’t attached actually, it would be 5kms away maybe? I can’t speak for the other cities.

        I think Ponykid might have been trying to say that these choice as are more supported in NZ. I know when I had my son in Australia was basically told I’d be lucky if I got the homebirth suite because they only had one. That’s not really offering an alternative (although I just had a regular hospital birth).

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    • bushpiglet

      Off topic I know but when did NZ become a state?

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      • Ponykid

        The state of, as in, the status of.

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  50. becsparrow

    A really, really great book on this topic (for anyone interested) is “Birth Wars” by Mary-Rose Maccoll. Mary Rose looks at the divide between doctors and midwives and also the home birth advocates and the medical system. It’s fascinating reading.

    http://www.penguin.com.au/products/9780702237225/birth-wars

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    • Faybian

      Ive got that one.
      Misconceptions by Naomi Wolfe is another one. Far more personal, it talks about the US maternity system. I shudder to think that our system could become like it.

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