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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. Unsubscribing to the Today Tonight of online media

    Dear Mamamia, thank you (yet again) for wasting space that can be filled with well rounded, well informed and evidence based conversation on my Facebook newsfeed. As of today I am no longer a subscriber to your page, if I wanted biased “news” stories I would watch Today Tonight or some other form of rubbish produced by commercial TV. I must add, I feel very sorry for any children that any of you “journalists” have, I hope they are intelligent enough to seek knowledge and evidence for themselves rather than take on your one-sided uninformed, opinion pieces as fact. By the way this has nothing to do with this particular article and I won’t even bother commenting on this particular piece, as it’s obvious you’re really digging for one-sided material to write about these days. Appealing to the masses of uneducated, gossip magazine reading, (did I mention uneducated?) citizens is not an achievement, of course you will win the popularity contest most of your articles contain nothing more than opinion that is not backed up by ANY evidence and in purely entertaining(well not the articles, just the predicably uninformed comments it incites).

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    • 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 your’re talking about uneducated. Funny really.

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      • Unsubscribing to the Today Tonight of online media

        If you count arming a future generation with well rounded evidence based knowledge an office job, then no. Not that it matters where one works but where are you currently working, maybe on your couch collecting dole payments (hence the spare rime on the computer/phone/iPad or whatever else you have purchased with our tax dollars. Tough job that one.

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        • LJ

          I was not going to respond to your comments, but after reading it a few times I felt I needed to. Your comments are patronising and illconceived. You have clearly missed the point of what Mamamia is about. Not sure if you will read this as I assume you have unsubscribed by now.

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        • Anonymous

          Why are you back? Goodbye and please go this time! And honestly I believe you are the one spending my tax dollars!!

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        • Anon

          I can see your point. This is a very ‘opinion’ based site – where the opinions are nearly all the same.

          I’ve yet to read a political piece of any merit and the thought that Julia Gillard is held in esteem simply because she’s a woman nauseates me. Gay marriage is right ‘just because.’ Abortion isn’t something to be discussed in a rational and open way, it’s just thrown out there every now and then to generate ‘clicks.’

          In general, there is a lot of dumbed down feminism and immature analysis but there are some things that the site does well.

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    • Mia

      Unsubscribing,
      You are welcome to voice your opinion about the subjects discussed in any Mamamia post but let’s leave our children out of it.
      Play the ball, remember?
      As per comment guidelines.

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      • Junebug

        Is “reckless and selfish” the ball?

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  2. Lizi

    *Clearly off-topic comment*

    You don’t know what you were missing out on not seeing George Clooney in ER … no matter how badly hospital-phobic you were/are. :-)

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    • Jude

      I loved ER!!! One of my fave shows. Was so sad that it ended.

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  3. B's Mummy

    I hate hospitals. Hate them. Probably stemming from the fact that when I was an early teen and was in to have my appendix taken out. The days after were horrid. The nurses bullied me because I wasn’t laughing and acting like a “normal teenager” never mind that my stomach was bloody purple and every time I got up to go to the toilet I also vomited. The made me see the hospital social worker because they thought I was depressed and even though I told her I was just in pain I was forced to see her again whereupon I confessed that I was being abused by my Dad. They did nothing.

    Still, sob story over, there was never any doubt in my mind about not giving birth in a hospital. I just didn’t, and still don’t, see the point. My labour and time in hospital after having baby was a horrible experience full of rudeness, etc. It was actually quite scary and so disheartening. When and if I choose to have another baby {my crap experience with number 1 is making me think no to that ever happening} I will choose private or perhaps go to a birth center attached to a hospital but never Westmead Public. But most of all never a home birth.

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  4. Megan

    Women can choose to do what they want to with their bodies. Wantg a homebirth? Go for it. Want a hospital birth? No problems. Want to have a c-section? Okie dokie. Do your research, find what works best for YOU. Make an informed CHOICE.

    I don’t agree with elective c-sections for non medical reasons, but it’s your body, your choice. Abortion isn’t right for me, but I wouldn’t even think about attempting to remove it as an option for someone else.

    We’re lucky that we have so many choices, that we are all so different and want different things.

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    • Preggers with no 2

      Exactly why I would have said Megan! This article rankled me, and not just because she sounds like a holier than thou mother who is implying that women go choose to give birth at home don’t love and aren’t considering their babies when making the decision. I’m lucky to have been able to get into a Birthing Centre this time around (not an easy feat- no matter what the author implies) otherwise I would have considered home birth in my options.

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    • Rosie

      You’re right, women can choose what they want with their bodies. But placing anothers life, a baby’s life, purposefuly at risk is negligent and in my mind those guilty should be dealt with by the law.

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  5. Willhelmina

    I think giving birth away from immediate medical assistance is putting your desires for a certain type of experience ahead of your baby who – let’s be honest, couldn’t give a hoot about where he or she is born.

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    • Anonymous

      Yes that’s right, we nurture our children for 9 months in us to throw it all out the window for some incense, whale music and stunt birthing. *yawn*

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      • anon

        well, you said it….

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        • Preggers with no 2

          I disagree. I think that the environment a baby is born into is very important! Imagine coming out of the only place you’ve known, a nice warm, dimly lit bath into glaring lights and lots of noise? Terrifying! I want my baby’s first moments on earth to be calm and welcoming. But I’m obviously only thinking about myself in this one.

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          • Caro

            Preggers, if a bright light and a bit of clanging is going to affect your child for the rest of its life then you are going to have big problems.

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          • Free

            Not too sure about that — last I heard, they cry and pitch a fit after a home birth, just as much as after a hospital birth. And what’s with the ‘cold, bright, noisy’ hospital image that is always brought up in these arguments? I gave birth to my son in the middle of winter in Europe. The birthing room was heated. It was lit, yes, but we were hardly under floodlights. And it wasn’t noisy.

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          • Jess

            I am a midwife at a very big Sydney hospital and all of the birthing rooms have adjustable mood lighting, the bed is to the side to facilitate positioning for comfort. All rooms have baths and showers, bean bags, floor mats etc etc… It is not the sterile hospital environment the movies lead you to believe. Hospital is the safest place to be. I’ve lost count of the number of baby resuscitations I’ve done and a number of then would have died if it weren’t for the equipment on hand.. Not to mention emergencys for mothers.

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        • Anonymous

          That was intelligent….

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  6. Caitlin

    LOL. I clicked on the link about homebirthing being dangerous expecting – naive ol’ me – a peer-reviewed study, perhaps some kind of meta-analysis by a respected public health expert… But no, it’s actually a link to a Mia Freedman column about freebirthing.
    I’m childless and won’t be birthing anyone any time soo, I’m not especially into “nature,” and I’m an enormous fan of the scientific method which is the fundamental basis of western medicine. I aint no hippy, but this piece is utterly unconvincing.
    To convince me: Discuss the data. Show me the data. Tell me about the studies (their findings and methodologies) which have shown the chance of death or injury to baby and/or mum is higher in homebirths – and do this without equating midwife-assisted birth in normal, healthy pregnancies with unassisted homebirths or homebirths where complications were present and already known about. (By all means discuss the latter too – but don’t *conflate* the two different things).
    In short, if you want to position yourself as the voice of rationality and science in opposition to the fuzzy-thinking hippies, then you’ll have to talk about the methodical empirical investigation of outcomes in home and hospital births of various types. Taxing, I know.
    When you’ve done this maybe I won’t see your call to remove rights from other people as breathtaking hubris. But I’m not holding my breath.

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  7. Emhay

    I fail to see how diagnosis of a RARE complication that requires a caesarian for safe delivery is an argument against allowing women to homebirth. Surely any pro-homebirthing woman would choose a caesarian in a hospital should they find they also have that rare condition. Choice is important! I chose to have my babies in a hospital but that does not give me the right to say other women must too. What right does the author have for enforcing her views based on her own circumstances onto other women who are unlikely to face the same scenario.

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    • Sally

      Her point was that staring down the barrel of a gun where she would have lost her baby and her own life without a hospital made her all the more grateful that she could access hospital care. Because that is exactly what gets overlooked in all of this “my birth, my choice” carrying on – that we are so lucky to even be in a country where hospital birth is available. There wouldn’t be any home birth lobbyists if we weren’t so fortunate. Sorry but people who make it all about them and their ‘experience’ sound like spoilt children.

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      • Sally

        Exactly what point am I supposed to be missing? And missing it “again”?

        Call me blind all you want but I think we all know “uneducated opinion” really just means “a different opinion to mine”

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      • Jay

        Agree completely Sally

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  8. Mia

    That’s a bit rough. I think her reasons for opting for a home birth ran a little deeper than that.

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  9. Anonymous

    Yes, I used to love this site, but now the opinions on what you should and shouldn’t do are too loud and forceful. You’re not ‘in’ unless you’re making sure you don’t “shove your breastfeeding” or your gym toned body in other poor womens’ faces. You can’t have a food “intolerance” and you certainly can’t want a birth “experience”, even though it is, by it’s nature an experience. Over it, unfortunately.

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    • Mia

      Hey Anonymous,
      Not sure where you got the idea that you were being told what you ‘should’ or ‘shouldn’t’ do?
      We publish opinions – which are the jumping off point for conversations, discussions and sometimes debates.
      Isn’t that what makes the world go round?

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      • Anna

        I think it’s probably because most people, when faced with an opinion they don’t agree with feel it a lot more harshly (and take it more personally) than they should.
        It also is the case that many people look up to opinion leaders such as Mia and therefore are more likely to accommodate her view (particularly if they haven’t really thought about what they believe) rather than come up with their own.
        Two thoughts for self development.

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      • Ponykid

        But if the “opinions” you’re publishing are the same each time, then in fact you are pushing an agenda and promoting a particular position. It becomes propaganda not opinion.

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        • Anna

          Opinion is opinion, though.
          If they converge, why should that make them propagandist?
          I sincerely hope we aren’t overestimating our intelligence by thinking that the free thinking and smart people of Australia are not equipped enough to critically evaluate all sources of information and not be swayed by what you label as propaganda.

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        • Anonymous

          Pony Kid, just ingrain it. Home births are a risk. Hospital is the safest place to be.

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        • Mia

          Hi Ponykid,
          That’s interesting. I think that the fact some of our writers share the same opinion is indicative of general community attitudes.
          Most people are against it.
          I didn’t make that up, I didn’t wish it to be so. It just is.

          A tiny fraction of the population chooses homebirth – it has been in the news lately due to a couple of high profile cases – which is pretty much the only time it is discussed here.

          Of course we would always be open to considering any submission from a homebirther. We’ve just never received one.

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          • TashD

            Hi Mia

            Perhaps with such an emotive issue as this, with assertions being made by both “sides” you need to provide an educated rational response by clinicians rather than a “homebirther”. There are many maternity clinicians, including obstetricians, who can provide you with a balanced argument as to why homebirth may be safe for the right group of women. You rightly point out that this option is only taken up by a very small number of women in Australia and it has received an exponentially larger share of the media, however it is still a valid choice for SOME women and as an opinion leader you do have an obligation to provide evidence-based information to your readership, even if it is to balance someone else’s strong opinion piece.

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          • Anonymous

            because none of us can trust that it wouldn’t be edited to suit your obvious bias Mia

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            • the Original Camille

              harsh.

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          • Anonymous

            oh yes was that the one when photographers were sent to climb over fences and shoot through people’s windows? Classy and real integral journalism there!

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      • Anonymous

        I think there are a lot of articles that lean toward a particular style of being in the world that to me, seem to be quite judgmental. Just my opinion.

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        • Anna

          They do seem judgemental, I agree. We need thicker skins though because this kind of opinion is everywhere (and not going away in a hurry)

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      • kiks

        haha people don’t like it when you write an opinion that doesn’t agree with their own. Everyone is entitled to their opinion because last time I looked I lived in a democratic society. Sometimes this seems like a competition between women as to who better at giving birth, breastfeeding etc I am so sick of it. None of this makes you a better than the next person. The most important thing is bringing up your children to be decent human beings regardless of how they came out of your uterus.

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      • Jamie

        “when giving birth, there’s no better place to be. To insist otherwise would be both reckless and selfish.”

        Maybe not prescriptive, but certainly a little more than ‘the jumping off point for conversations’, no?

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      • Preggers with no 2

        I guess the issue I had with this piece was the following para:

        “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.”

        That’s telling people what they can and can’t do, not expressing an opinion.

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  10. -

    This debate has the logical, rational people arguing against the emotional.
    You can never win when people bring their feelings into things. It’s a ridiculous debate

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    • Sally

      That’s why I loved this article. Because it countered the typically emotional argument of a home birther with an emotional, moving argument from someone who opposes home birth.

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      • Anonymous

        And that’s all we ever hear…Anna I think you mean underestimating.

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        • Sezzard

          Wow! Why the attacks on Mia and MM? Just because your opinion differs to the opinion of the writers on MM doesn’t mean it’s ok to attack them (or Mia) for it! It’s not yours to judge… 

          If you don’t like the articles and content that MM publishes then dont read it and perhaps find another website to browse!

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          • Anonymous

            I can’t find anywhere where Mia has been attacked.

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  11. Amandarose

    It is all about choice really. The reality is home birthers are not dropping dead or losing babies in great numbers. They deserve a right to give birth as they see fit.

    sarrah is entitled to her opinion – but when she started saying they do not deserve the right she lost me. Everyone has the right. It annoys me people feel they can tell others what to do with there body.

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    • Sally

      But it’s not just about their body. It’s about a baby who cannot defend themselves and relies on their mother to make a safe choice and not put her own fear of hospitals – or whatever other reason she may have – ahead of her baby’s safety.

      That’s why it’s dangerous to just shrug and say ‘gee, everyone should have their own choice’. This is life and death, not a food court at lunchtime

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      • Amandarose

        Epidurals, c- sections, interventions of various kinds also increase the risk of death- Want to ban them also?

        Home births of low risk women have very low death rates and it is not statistically proven they are greatly risking life or death by doing so.

        And I strongly believe women have a right to there own choice regarding their body and their baby. That is why I support abortion even though morally I am personally against it.

        We chose or own moral line and beliefs and have no right to force our beliefs on others.

        If people want to get wound up about birth focus on the really dangerous stuff like drinking and drug abuse that are much more likely to damage a child and have poor outcomes.

        Most home birthers are loving engaged mums who want happy healthy children. and you can bet they won’t be the obese kids with diabetes when they grow up.

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        • Guest

          Hmm I gave birth in a hospital, took all the drugs on offer…..pretty sure I’m still a loving and engaged mum

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          • Amandarose

            I wasn’t bagging people who have hospital birth or epidurals( that is how I had my babies) what I am saying is everyone should do what they think is right.

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      • Anonymous

        The fact that we’ve come to a place in this discussion where birth is seen to be no longer about a woman’s body is so, so disturbing and upsetting. If birth is no longer about a woman’s body then the same thing should apply to breastfeeding. Not about the woman, about the baby, do what’s best for the baby. One rule in one situation and another for the other…

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        • Jess88

          How does having a home birth mean your kid won’t grow up to be obese or have diabetes!?!? I was born in a hospital and I’m not overweight or diabetic.

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          • Amandarose

            My point is all the home birthers I know are also the healthy organic food, healthy life style types. So don’t make out they are all selfish people doing what they want for them endangering their kids.

            Save your bile for the real dodgy parents with the fags hanging out of their mouths and the really poor choices.

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        • Junebug

          Best comment ever!

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        • Anonymous

          BF rates are very high among HBers. The same can’t be said for the group of women who “champion” hospital birth as the only unselfish way to do what’s best for your baby. So if we’re going to mandate what a women must do with her body for the sake of her baby and do as the writer suggests: take away her right to choose HB, then let’s do the same for BF and take away a woman’s right to choose not to BF.

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          • Kris2040

            My sister had her twins under a general emergency caesar and weaned them at 20 months, their little sister was born in hospital at weaned at 20 months also.

            I’m still going strong at 12 months, and no plan to wean yet. I know plenty of other mums doing the same and we managed it after ebil hospital births.

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        • Mere male

          Good point. People formulate their arguments to suit their agenda and often contradict themselves.

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  12. oddsocks

    I find this argument really frustrating. Anything involving parenting seems to attract intense responses from both ends of the spectrum and generally I feel that alot of the arguments are mostly emotional and not based on evidence.
    I birthed all three of my children in hospitals, the second and third through the birth centre but transferred to the hospital ward due to the need for intervention. If any of my children were born at home without medical help they most certainly would have died and possibly I would have too. Despite being in hospital my second child required CPR on delivery. BUT that is not an argument against home birth because if any of my births had been attempted at home I would have been attended by a medical professional who would have been monitoring the situation and I have no doubt that in all 3 cases I would have been transferred to a hospital.
    I personally am not a fan of home birth. I don’t like the argument that it is natural therefore should be able to be done at home…… just because something is natural does not mean it is simple, easy or safe….. afterall death is natural too, we will all do it someday.
    I just think there needs to be more balance to the argument, and that the argument should be based on evidence not emotion.

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    • BoWie

      I agree Oddsocks… There is a reason so many women and their babies used to die during childbirth (before active medical intervention)…

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  13. Jess88

    Maybe the home birth/free birth advocates should read the section in this article of Polline’s horrific 16 day labour and realise how very, very fortunate we are in this country that we have the help we need available when we need it most.

    http://www.mamamia.com.au/news/joseph-konys-wife-polline/

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    • Anonymous

      Why are you grouping homebirthing and free birthing together? We are talking about home birth- which involves being monitored every step of the way by a midwife and or gp?

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      • Jess88

        Apologies, I may have generalized a bit there. I guess by home birthers I meant people like Danni Minogue turning down a hospital birth as she doesn’t like hospitals due to what Kylie went through (she’s obviously forgetting that if it weren’t for the hospital, her sister would have died)

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        • Anonymous

          Childbirth is not the same as breast cancer

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          • Jess88

            Exactly. So Danni shouldn’t have let that experience determine what was best for her child.

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            • Anonymous

              Oh please.

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          • Jess88

            My understanding is that Dannii had to have an emergency c-section after attempting a home birth, how much worse things could have been if she was unable to get to the hospital in time? I feel that by carrying her experience with her sisters cancer over to her childbirth her child was placed in more risk than if she’d chosen to get over her fear and do what was best for her baby. She’d probly have needed the c section even if she’d chosen to have the baby in hospital but in situations like that every second counts.

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            • Anonymous

              Oh please! Emergencies do not just occur like that *insert snapping fingers sound*. There are signs beforehand and that is what a skilled midwife can pick up on. Some of you have been watching too much Private Practice!

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            • jess88

              Really? Cos alot of the comments I’ve been reading below from women who experienced complications during labour have been saying that they went from textbook to critical in seconds.
              And I don’t watch Private Practice.

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            • MyBlueEyedBoy

              Actually Anonymous, emergency situations can occur “in seconds”, it certainly happened to me

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            • Anonymous

              People need to believe their emergency happened in seconds to justify it to themselves. Even though the c-section rate in the developed world is triple the necessary rate. Just like they “couldn’t” breastfeed. Even though the breastfeeding rate is a fraction of the estimated possible rate.

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  14. Anonymous

    Some actual statistics if anyone can be bothered to look.
    http://www.mybirth.com.au/natural-birth/environment/home-birth-statistics.html

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    • Anon

      I reckon rational folk would welcome to that site if it were packaged a little neater and the images were more relatable to them. Most conservatives to the debate would be turned off by what appears to most as an “earth mother type” in an image taken by a novice. Images like that appear to scream rather than calmly argue their point and are the opposite of aspirational (for many)… thus the home birth debate doesn’t (among other reasons) attract the attention of the mainstream as you might believe it should. I think they need a better PR campaign – less hostile, more scientific/clinical looking. I know this kind of goes against what they’re about but there’s going to be too much dissonance in the minds of those who take for granted hospital births and therefore no traction for home birthers

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      • The Original Steph

        ^ What she said ^

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    • Took a look

      I just wasted 5 minutes of my life and read the link suggested. Firstly, WTF is going on with the women helpers in the photo wearing rubber gloves while the mother is sitting in the wading pool which would have to be a great bacteria incubator? Maybe they don’t want to catch anything?

      A few points ob the “statistics”. Firstly, the page simply sets out data from which you are invited to make your own questionable inferences – if the person putting this link forward is trying to suggest the “facts” support the proposition that home birthing is safe(r), then do some more work. I can see that on the data presented that there was proportionally more infant deaths in hospitals (which i guess is their knock-out argument), but this could only support the view that home births are “safer” if it is true that hospital and home births are for equally “risky” pregnancies. Surely any women with known complications or risk factors have their babies in hospital (unless they are insane) so of course hospitals will have a higher mortality rate. What you need to show is that the mortality rate for “non-risk” pregnancies is higher in hospital than for home births, which i would expect you won’t be able to. Further, the data is only focused on infant mortality, and ignores mortality of the mother or injuries to the baby.

      Don’t bother trying to justify the decision to home-birth on data because it’s really just about a “feeling” and not based on the “data”.

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    • LARRY

      I checked out those statistics and clearly you dont need to be a mathematician to work out they have only given you certain details! Stated was the amount of women who gave birth at home and the number of deaths but when the hospital data is produced only the number of deaths. So ratios cannot be compared. Also it fails to advise us as to how many of the home births ended in hospital due to complications and death. As many women have stated on this blog, they have ended up in hospital following a home birth. Could this have caused an increase in hospital deaths?

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  15. kiks

    I’m not sure what is so natural about blowing up a plastic wading pool and putting in your lounge room to give birth. Seems to me this is another self indulgent practice of white middle class urbanites. I’m sure if you took a trip to rural Ethiopia and asked the women there whether they would prefer to give birth at home or a hospital they would all answer hospital. The reason being that “natural” birth carries very high risks to both baby and mother. I’m also sick of the home birthing advocates citing the UK and Netherlands as reason for home birth. The reason it works over there is they have an excellent model of care where medical attention is only 5 mins away, we have nothing in place like that here in Australia. What we have in Australia is one of the best records in the world for maternal and neonatal safety and lowest mortality rates, why on earth would anyone want to change that? I am so sick of hearing about birthing experiences, who cares!! Women need to stop being so selfish and think about the baby not the experience and lets face it it is only 24 hours or so out of your life, my “experience” has been bringing up my daughters to adulthood and let me tell you that is a lot harder then either of my labours!

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    • Guest

      Are UK and Netherlands home birth staff better trained to deal with complications as well?

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    • Lindy

      I also cant understand why you would want to go messing your home up! I hear birth is messy and im sure I wouldnt feel like cleaning up after the event.

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      • Emily

        It’s actually not messy at all. I had a wonderful home birth 5 months ago and the water in the birth pool was clear!

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        • Anonymous

          you’re lucky you didn’t Haemorrhage
          that is VERY messy
          and you don’t know if that is going to happen or not

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          • Anonymous

            Oh crap. Lucky she didn’t haemorrhage.! There are strategies in place for the rare possibility of a PPH. Facts – read them.

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            • Anonymous

              Crap. I had a text book pregnancy and labour until I haemorrhaged and nearly died.

              Where should I read about that?!

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          • Junebug

            I did and my HB was very bloody but the MWs cleaned up for us before they left.

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    • Anonymous

      Yes, I agree! Each to their own, but personally. I wouldn’t want a home birth. For medical emergency reason foremost but also, as you say, what is so special about having a baby in your lounge room?!

      And giving birth is messy. So messy.

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      • Anonymous

        based on what? why do you call it messy?

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        • Anonymous

          Um, based on my own experience! Blood, lots of it. Amniotic fluid. Placenta.

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          • Kris2040

            I was SO happy my waters broke at the hospital and I didn’t have to clean it up. I felt horrid until I could have a shower the following day. Meconium, amniotic fluid and blood is not fun.

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            • Anonymous

              Exactly! I had to have my waters broken for me, both times and it was so messy!! Bleurgh!

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        • Becxtar

          I had an accidental free birth (way to long story) on my bedroom floor and it was a mess. No time for even a towel underneath my bum!!!
          As I was being carted away in the ambulance I remember taking one look at my brand new carpet thinking “thank goodness I don’t have to clean that up!!!”
          Not something that will ever be repeated.

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  16. The Original Steph

    I’m not sure that I know of many homebirthers who choose that route do so because of a fear or dislike of hospitals. It seems to me that homebirthing women choose it because they see it as a gentle, calm way to birth, they feel safer with one on one care, which is the midwife who has conducted all their prenatal care and usually follows on during the postnatal time also, and that they want to avoid medical intervention IF it is not necessary. Not once have I heard that someone is birthing at home because they hate hospitals.
    Whilst homebirth, for me, is a frightening prospect..I have high risk, complicated pregnancies…I respect homebirthers and their reasons. I dont *understand* them..but I respect them. The problem I have is when the natural childbirth zealots start bleating about the evils of c-sections, intervention and pain relief. Every situation is different, every woman is different. I will not be told one more time that I am weak and disempowered for having two sections. I will not validate any natural childbirth advocate who states that vaginal birth is superior. I will not engage anyone who tries to tell a c-section mother that she *should* be disappointed and flings around the term ‘birth rape.’
    I also just want to put it out there: that c-sections are no walk in the park. Women who have them havent chosen the “easy way out.” I have given birth vaginally *and* via section, and I will tell you this: I’ll choose a vaginal birth, *if possible* for myself any day of the week.
    And anyone who thinks that a woman who homebirths is more courageous and brave than a woman who doesnt: I say this: Homebirthing women, in most cases, have low risk, uncomplicated pregnancies and things usually go smoothly, from what I’ve been told. All birthing women are amazing: but the strongest, bravest, most courageous women *I* see, are the mothers of premmies, women who had emergency sections, women who have complications and risks and spend their entire pregnancies in fear…but somehow manage to be there for older children and partners. Mothers who spend weeks, months in the NICU, willing their child to live…after an unexpected placental abruption..or premature 28 week membrane rupture. THESE women are the brave ones. They are MOTHERS, not just BIRTHERS.

    If I heard that the reason a woman had chosen a homebirth was soley because “I hate hospitals,” however, I would be rather disenchanted. I dont think it is a good enough reason in itself…because this is not *just* about you.

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    • Anon

      In my experience – four natural births without epidurals but with forceps or vacuum extraction and one c section – I would take the c section any day of the week. The pain relief was spot on and I had very little discomfort. I was up the next morning and never looked back. I’m a massive fan.

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      • Guest

        Not to mention so much less traumatic for baby and mother

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      • The Original Steph

        Your comment illustrates my original point: Experiences are so very personal, and I dont think anyone should commentate.
        My sections were positive experiences, but circumstances surrounding all three of my births meant that a VBAC was, for me, a physically easy experience…easier than the pain of recovering from a c-section…especially since I was travelling to the NICU. If I could have more VBAC’s, I would.

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      • Anonymous

        I agree, had 2x C sections too and out of all my friends was the only one not going back into hospital due to problems afterwards. No prolapse for me in the near future.

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    • Shan

      ‘birth rape’?? what a horrible term!!

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      • Kris2040

        It’s a disgraceful term cooked up by hardcore NCBers/anti-interventionists to describe stuff they don’t want or like happening. And they don’t care that it was likely necessary for the health/safety/life of Mum or Baby.

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        • Anonymous

          No. It has to do with the fact that when someone does not ask consent before penetrating or mutilating a woman’s vagina, it is akin to being raped. The psychological response from the woman is the same as a woman being raped/sexually assault. She is in a position where she has no power, screaming “no” while sometimes being held down.

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          • Kris2040

            I don’t dispute that people have something they don’t like, didn’t expect or want to happen happen to them during childbirth. I would dispute the actual number where it’s truly unwarranted compared to the amount of people who convince themselves or are convinced by zealots that what was likely necessary was “rape”.

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            • Anonymous

              As someone who went through it myself, do not call me a zealot when you have no idea the trauma I went through. PTSD is a very real thing and many women who have birthed in a hospital setting are walking around undiagnosed with this very thing.

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            • Anonymous

              Hand/instrument in vagina without consent. its not rocket science. It is sexual assault. If a woman says no, then it is assault. Go and ask any woman who was treated by Graeme Reeves or Roman Hasil how they felt and then tell them that it was merely something they didn’t like.

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            • Kris2040

              First anonymous – if you went through that I’m sorry. However if you go around trying to convince people that they have “undiagnosed PTSD” due to “birth rape” and/or their having interventions in their birth experience, then zealot is apt.

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            • afd

              Exactly! I’m pretty much a pragmatist in this area. I liked the fact that I could tell, when I gave birth to my daughter, that any and all interventions were the result of the midwives and others believing that they were doing the best thing for me and my baby. To me, this is not rape. Weeks before the labour, from the time I had the tour of the labour ward and got a feel for the hospital philosophy, they had my trust. And that equates to blanket permission to do whatever necessary for me and my baby, as and when necessary. And that includes hands and instruments up my vagina / birth canal, instructing me and assisting my baby. It led to me getting help when I was at the point of exhaustion, and my baby being better off. And since they kept talking to me and asking me to push / breathe / whatever, I *never* felt passive or devalued. That may have ruined it for me. As it was, I had the benefit of the care and expertise of women who knew more about what was going on than I did, and that was a relief!

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            • Junebug

              Even if you don’t agree that it’s akin to sexual assault, the word ‘rape’ still means ‘a violation’ such as in the phrase, “rape of the land”. Therefore, the term ‘birth rape’ is accurate and valid to describe these experiences.

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  17. Come on!

    It would be great if you did an article with the WA health departments community midwifery program for a tiny bit of balance. All these articles are about how irresponsible mothers are and if this person had not been in hospital, they would have died. You have to be very low risk to access the program and if you were diagnosed with some thing in pregnancy, you wouldn’t be allowed to birth on the program – nor would many women want to!!! Go on, do a balanced story from the otherside about a government run program.

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  18. A

    As a medical professional it appears as though the people that choose homebirths are usually people that only read the ‘good & bias’ information that’s available. Those women also are usually the ones that think that midwives & drs unneccesarily intervene.
    If a labour or birth is going well, there is no way that someone is going to create extra work for themselves and intervene. It’s also usually a woman that’s not educated within the medical field that will dub a drs actions as ‘unnecessary’ if an intervention occurred. Just because you’ve had a few babies doesn’t make you 100% educated on the process.

    Not wanting to give yourself & your baby the best chance of a safer delivery because you’re “afraid of hospitals” is ridiculous.

    Whilst not many people love being in hospital, childbirth isn’t something that is goings to go on for days & result in a lengthy stay.
    It baffles me that grown women would risk their life & child’s life

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    • Donna S

      As a medical professional who has done a little obstetrics along the way, I was appalled at the poor non-evidence based advice and practice that occurred during my second pregnancy from registrars and consultants at a hospital antenatal clinic. I had to actively disagree with those in the system and insist on repeat tests because they had been done incorrectly to begin with making me a false positive result. I at least was in a position to recognise bullshit when I heard it, knew where and how to research the facts and had the benefit of a successful pregnancy and labour behind me.
      If the same thing had happened to a non-medical first timer she would have ended up with an inaccurate diagnosis that would have lead to more interventions and possibly ending up with inductions and LUSCS.
      Doctors are great to have around when there are true complications occurring but not all obstetric interventions are benign and sometimes we create pathology where it doesn’t actually exist.
      For the record, I did have my babies in a hospital but I only went to hospital because the last thing I wanted to do was bleed on my own sheets. Spent an hour, 8 minutes and an hour respectively of the 3 labours on the ward and that worked out well for all of us!

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    • Anonymous

      Have you read a hospital policy on birth? There is a time frame and if you are starting to go outside that timeframe, interventions will occur. And once one starts, the rest fall like dominoes.

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  19. MJ

    While I don’t think people should be prevented from having a home birth, I think there is a lot of misinformation out there about it and I find that scary. I have a few acquaintances who are into home birth, and some of the things they say on their facebook group are blatantly medically inaccurate.
    I think people who have a homebirth need to be given some kind of an information pack from the hospital so they understand all of the evidence based medicine and rationale behind things. To ensure they are basing their decision on accurate information, and understand their rights in hospital.
    So many of the websites out there contain inaccurate information and skewed perspectives of things.
    I am a nurse. I have seen a true emergency c-section, where the staff were literally sprinting with the bed while prepping the mother for general anesthetic. This was due to a completely unanticipated, rare complication (prior to any sort of hospital interventions for those wondering).
    After having seen how quick things can turn to shit in an otherwise textbook pregnancy and labour, there is no way I can consider giving birth away from the hospital. It’s so so very rare for those type of emergent situations to occur, but if you’re the unlucky one, and you’re at home, you are totally fucked.
    I can see why mothers choose homebirth, but it’s not something I would do and it’s something I think a lot of people do based on misinformation about the hospital and birth in general.

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    • Curioser

      I love this comment. This is exactly what home birthers cannot argue against, even when they throw all the statistics at you in the world.

      If something does go horribly wrong, the delay that happens getting from home to a hospital could mean life or death.

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      • Junebug

        And many wouldn’t disagree with you, but they’ve weighed up the risks and are willing to make those trade-offs. Just as there are risks associated with hospital birth that are not as high in a HB. It’s just that many women don’t consciously decide to make those trade-offs.

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    • Anon

      Well said!

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    • Anonymous

      But its a rare complication (acreta was it?) so how can you wave that banner around as the reason why all must birth in hospital, when you yourself said it is rare?

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      • MJ

        I didn’t say all births must be in hospital at all anonymous. And my logic is that truly catastrophic complications are rare, but if they happen you and your baby have a much better chance of living if you’re in hospital than at home.
        I fully support parents right to decide, but my point is that I think there is a lot of misinformation out there, and that it’s not something I personally will ever do because of that tiny chance it could all go horribly wrong, having seen that scenario with my own eyes.
        It’s every persons right to make their own medical decisions. But I find it alarming how many people I am aware of who don’t base their decisions on evidence and true understanding of the factors involved, but rather emotion and horror stories.

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  20. deborah

    I LOVED being in hospital with my babies. I felt safe, it was relatively quiet, food was delivered like clockwork and then taken away again, my bed was changed and made every day, I had my own bathroom – yes, I went private – and to top it off they gave you a glass of wine with dinner. Thank you Mater Private Brisbane! I remember those weeks with a great deal of affection.

    Going home was the traumatic bit!

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    • oopsyboops

      That’s where I had my babies too. I LOVED the food, (possibly a bit too much, cake for morning tea, cake for afternoon tea, cake for supper) and overall the quality of care was excellent.

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      • deborah

        Oh yes, the cake…! And did I mention I got one of the double-bed rooms with a view of the city?

        Feel compelled to add: I also had fantastic nursing care both during and after birth. The most wonderful midwife attended me throughout my first baby’s birth, she was so encouraging and lovely. I had complications with the next baby and had to have a pre-birth operation. The midwife in the post-op wrote gorgeous things in my notes like “x is resting beautifully” (as if I had any choice in the matter?!) but I’m a sucker for some positive reinforcement so it made me feel pretty accomplished.

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      • Kris2040

        You wrote “cake” so many times I read your last phrase as “quality of CAKE was excellent”! Hahaha

        I had my own bathroom in the public hospital too. From what I saw on the wards there were only 2 to a room if you had to share anyway, not too dramatic.

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    • Serena

      Hahahahaha!!! Me too!! I’ve had 3 kids in 5 years and I’d still be in hospital if I could!!

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    • Junebug

      I love this comment because the REVERSE is true for me and highlights perfectly the need to respect all women’s rights on this issue:

      LOVED being AT HOME with my baby. I felt SAFE, it was relatively QUIET, food was delivered like clockwork and then taken away again, MY BED was changed and made every day, I HAD MY OWN BATHROOM – yes, I was AT HOME – and to top it off we were given a bottle of BRUT with dinner. Thank you to my MIDWIVES! I remember those weeks with a great deal of affection.

      Going to HOSPITAL would have been the TRAUMATIC bit!

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  21. TashD

    Not the most balanced piece to appear on MM sadly. Perhaps next time the author could actually attach some evidence rather than emotional assertions. There are an abundance of studies that show that homebirth for low-risk women is as safe or safer for mother and baby than a hospital birth for the same low-risk group of women. While I would never consider one for myself (I’m over procreating now anyway!) I still support the right for others to make an informed choice to do so. Most women who choose a homebirth don’t do so without weighing up the evidence and making an informed decision and having the support of a highly skilled and accessible midwife. Freebirthing is a different matter altogether and does not have a place in this debate. Many women who choose a homebirth do so because they are not provided with the appropriate support or control in a hospital environment and have experienced unnecessary medical interventions in past births. Before there are a dozen angry responses about emergency caesars and “the doctor rushed in and saved my baby” stories, the interventions I am talking about include unneccessary inductions of labour, episiotomies, augmentations and caesareans without proper indication. There is always a role for these medical interventions in the right circumstances but unnecessary medical interventions often start off a cascade of other interventions that often culminate in a caesarean and increased morbidity and mortality for mother and baby. An increase in the provision of maternity models of care that provide continuity of care by a known midwife in the appropriate location (and sometimes that includes home) will result in a drop in high-risk homebirths and freebirths and a drop in the rising caesarean section rate. The turf-war that has been raging between obstetricians and midwives has a lot to answer for and the sooner some obstetricians realise that they are a medical specialty and not a primary care physician for “normal” risk women the sooner this will change. You don’t visit an orthopaedic surgeon when you have a blister on your foot, so why go to a highly trained surgical obstetric specialist when you have a normal pregnancy – you are not sick, you don’t require surgery so a midwife is the most appropriate person to care for you in consultation with medical specialists when needed. The medicalisation of pregnancy has led to emotive issues such as the war against homebirth and the pendulum is in danger of swinging too far the other way thanks to emotive and inaccurate articles such as this. The Netherlands has a homebirth rate of approx 30% and the WHO support homebirth for low-risk women who receive the appropriate level of care, and formulate contingency plans for transfer to a properly-staffed/equipped delivery unit if problems arise. Perhaps MM could do another article showing the evidence… I look forward to the barrage of responses!

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    • Laura

      Hear hear!! Very well said, Tash D.

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  22. Some random

    I’m not afraid of hospitals, but when I got my first real (non waitressing) job after finishing uni I immediately got myself private health insurance. The primary motivator wasn’t anything to do with childbirth; I had been visiting my nan in her private hospital and just thought ‘gee, this place is swanky’.

    And when my time comes, I shall be sticking close to the epidurals and those who can administer them.

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    • Anon

      Epidurals are fine, Some, but I’ll pass on my wealth of experience and let you in on a secret … you get 50 sticks of gelignite, you gaffer tape them around you’re entire body – except the birth canal (obviously!) and then gaffer tap a lighter to your hand. It’s important to secure the lighter in case they attempt to disarm you.

      You then waddle into the hospital and announce that if you feel ANY pain you won’t hesitate to take the joint out!

      I haven’t actually tried this but hindsight is 20/20 vision and if I had my time again this is definitely what I’d do.

      Your welcome.

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      • Some random

        Okay… Sorry, I’m just a bit confused- are you saying that the epidural itself can hurt unnecessarily or that there is a high likelihood that for some reason I won’t be able to get an epidural, even if I’ve elected to have one?

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        • Anon

          LOL – well, the idea is to make sure you get that epidural and anything else you want so you don’t feel anything.

          Four times I was on that delivery table begging for an epidural and four bloody times they told me I was too far along.

          The fifth time I went for a ‘c’ section – best thing ever.

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      • Sharon

        LOL! Absolutely!! … After a horrifically long first labor (I would still be birthing now or I’d be dead if I had have home birthed!) I opted for an epidural right at the last minute, I soon realised what an idiot I was for not asking for it sooner! Once I had that sucker in me my body took over and knew exactly what to do!
        Baby #2 and my birth plan was simple: labor > hospital > epidural > pain free :) and I’d do it again in a heart beat …. oh and with the Dr of my choice :)
        We are so lucky to have options in this country!

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    • trixie melodian

      The thing is, you have to go through several hours of labour before you get an epidural – having one too early can often stop labour completely so it’s certainly not a pain-feee option! There are also lots of risks involved with an epidural (it’s a needle full of anaesthetic going into your spinal fluid after all!)

      Having an intervention like an epidural also often leads to what is known as a “cascade of intervention” which is what happened to me.

      After my epi, my contractions stopped, so I had to go on a syntocinon drip, which made my contractions really intense.

      Because after an epidural your baby usually requires continuous monitoring, they then attach a clip to the skin on the baby’s scalp. Because of the intense contractions on the syntcinon, the baby’s heart rate kept dropping, so they started stressing about getting her out fast enough, but because of the epidural, I didn’t have enough feeling in my lower body to feel where/how to push. Also, because I was paralysed from the waist down, I couldn’t get into an ideal position to deliver as I was on my back.

      As my baby’s heart rate kept dropping with each contraction, the doctors eventually decided that they needed to try vacuum extraction (and discussed forceps, but thankfully we didn’t have to go down that road)

      Because of the vacuum extraction, I had to have an episiotomy which still causes me trouble 7 years later. Because of the vacuum extraction, my daughter was born with a haematoma on her head (basically she was a conehead) and was in a lot of discomfort for her first few days.

      Because of the intervention in the birth, I felt really out of control of the situation – like I hadn’t been the one who gave birth, but rather, like someone else had “delivered my baby” which led to feelings of depression and a real difficulty bonding with my daughter for about the first six months of her life.

      So you see, there is a lot more to just “having an epidural” than avoiding pain. Like any significant medical procedure, it has lots of potential side effects and associated problems (including migraines which I was lucky enough to avoid) so it’s worth keeping an open mind about other pain control methods too.

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      • Donna S

        This is exactly the lesson I learned from doing an obstetric rotation. I also learned to listen to my own body and to avoid the damn bed [unless of course you wanted to get on it]. I also believe in the benefits of water and showers for pain relief.That rotation taught me how to have my own babies successfully.

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      • Anonymous

        I am sorry to hear this. Unfortunately, this happens far too often in the hospital system. I hope your heal from your trauma. Birth shouldn’t be like that :(

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  23. Katherine

    I needed an emergency caesarean when I gave birth so home birthing is not for me but I have no problem with low risk patients giving birth at home with midwives in attendance. It works successfully in other countries. I think free birthing, though, is total madness and I’m alarmed that seems to be very slowly becoming more popular.

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  24. Anonymous

    Many women’s labour will significantly slow the minute they walk into a hospital, due to the associated baggage that most people carry about hospital. At home, with a trained midwife team a woman can relax and know that she is in good hands and will be transferred to hospital if the need arises.

    Freebirth is the thing that people should be screaming about, people like Janet Fraser who laboured for 5 days after not having a single check up or scan through her entire pregnancey. That is just negligent.

    Sadly, as it becomes harder and harder for midwives to get the insurance they need to attend homebirths, more and more women will choose to freebirth (personally I chose a birth centre attached to a hospital instead.)

    Women’s bodies, women’s choice. While I think freebirthing is nuts, I can see why people go that route when they feel hamstrung in their choices because of insurance! This is very similar to the abortion debate, if you criminalise it, people will just go underground.

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    • Anonymous

      Do you have proof it was 5 days labour or is that just what you read from one male journalist hack who wouldn’t know what prelabour or active labour is if it kicked him in the scrote?

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      • Sarah

        my original post (above) wasn’t supposed to be anonymous…

        I only know that she told the journalist that she was in labour when he was interviewing her and that her baby was stillborn 5 days later. What happened in the intervening time, I don’t know, but to not consult with a trained professional at that point was negligent and the death of her child quite predicatable.

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        • Anonymous

          Did she? You know this for fact or what you read in the paper?

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          • Sarah

            Do you actually want to have a constructive conversation or just keep asking the same question over and over?

            Of course I have only read about it , I don’t know Janet personally, but as a student midwife that hopes to specialise in homebirth one day, I have taken a great interest in the case and have researched it as best as possible. So why don’t you have a conversation with me instead of just being a troll.

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            • Scarletashes

              I agree totally with your argument. I also snorted so hard when I read ‘scrote’ that oj spurted across the room. =D

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  25. Anonymous

    The way I see it, no doctor in this country can perform a procedure on me without my consent. That is assault, and he can get into a lot of trouble for it. I plan to have my babies in hospital. I am not averse to medical intervention. But I don’t understand the people who give birth at home because they want a “natural birth”. You birth can be as natural as you like in the hospital. You have the right to refuse pain relief, refuse forceps, refuse monitoring, but still be in a place where medical professionals can step in if you start bleeding profusely. The only time they can legally step in without your consent is if you are unconscious, and who wouldn’t want them to if it got to that point?? You might need to sign something to say that you went against their advice to absolve the hospital of responsibility, but that’s only fair… If you feel so strongly about delivering naturally, no doctor can go against your wishes. It’s the legal truth

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    • Anonymous

      Are you absolutely sure women have the right to refuse monitoring? Because I tried telling the midwife I didn’t want the monitor strapped on and was told I had to have it. And when the doctor used scissors to give me an episiotomy (sp?) she didn’t ask she just went ahead and did it in the middle of a contraction.

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      • Anonymous

        I am absolutely sure. No person, can force a medical procedure, no matter how small without your consent.

        Usually medical practitioners will go by “implied consent” – if they go to check your blood pressure and you roll up your sleeve, or put your arm out – that’s implied consent and they won’t ask. If you refuse, that it certainly your right.

        The midwife who told you you had to have monitoring is wrong, and perhaps meant “there is good reason for you to have it and i’m not considering your choices here” but that is unethical and illegal.

        As for the episiotomy, also wrong, however you might have some trouble taking legal action unless you specifically made it clear that you didn’t want one – a lot of doctors/nurses will take your attendance at a hospital to mean there is a component of implied consent, but if you make your choices heard, not “i want a natural birth” because i’m sure they hear that all the time, but “do not perform any medical intervention on me without my consent” you certainly have a leg to stand on legally.

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        • Yvette

          “No person, can force a medical procedure, no matter how small without your consent”

          “a lot of doctors/nurses will take your attendance at a hospital to mean there is a component of implied consent”

          And therein lies the problem, when doctors/nurses take mere attendance as consent, they are infringing on a woman’s right to refuse treatment.

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          • Anonymous

            But they can play the ‘dead baby’ card until they successfully make you doubt your initial decisions and intuitions.

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    • Anonymous

      In theory, you are right. By in practice, the use of forced consent is used as a standard line of practice. Or they why they deliver the “options” is in a way that they get what they want and not what is the most beneficial to mother or child.

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  26. Lu

    Of course hospitals can be associated with terribly traumatic and sad experiences for lots of people. It doesnt mean that every hospital visit ends that way. And its surely no excuse to risk the death of your baby and yourself by doing something completely self focussed and giving birth at home. Thats why there are lovely hotel style maternity hospitals and home style birthing units so you can have the best of both worlds. It doesnt feel like a hospital but as soon as its needed to be it can do the job. Rather than sitting at home bleeding waiting for an ambulance to try and save your life…..
    Lots of people die in cars and at home, doesnt mean we avoid cars and home.

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    • Kris2040

      Exactly. You work through it and get over it about cars, walking down the street, home. If you want to be a grown up and be a parent, do the same about hospitals.

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      • Junebug

        Yet when I told people I planned to HB, they so often told me I was brave. That implies more women would choose to HB if they weren’t so scared to. In fact, some women told me exactly that. And I met many HB mums who congratulated me on choosing HB first-time when they were only “brave enough” to choose it from their second babies on.

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  27. Anne - Marie

    Plenty of Western Countries practice home births within the medical system such as the UK and the Netherlands. Women are assessed for suitability for home births. Obviously risks are assessed and discussed. Some papers cite a higher risk with home births,others don’t find one.
    The other issue not often raised is the difference between home births with a correctly trained and equipped midwife verses the ‘free birth’ movement that declines any professional help at all during pregnancy or birth. Free births can have a higher rate of death due to poor prenatal care and/or the mother’s fear of medical intervention. Sadly in the USA women are choosing free birth as they cannot afford the medical expenses of a hospital birth.
    The WHO has some articles that show women and infants in the USA are currently having death & complications from child birth in greater numbers than some developing countries.

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    • Nervous Nellie

      Sorry, I’m a bit late to this discussion. But I just wanted to mention that there is no way the general Australian population can be compared to populations in the UK or Netherlands for something like this. Have you ever been to those countries? The land masses we are talking about are so drastically different, and populations per land mass much higher. So access/closeness to hospitals is also much greater. As much as we are all relatively rich and western countries, we have enough differences to make comparisons irrelevant.

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  28. Serene Dream

    Thanks Sarrah – spot on.

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  29. Ouch

    Why don’t the advocates for home birthing also give home dentistry or home brain surgery a try. I’m sure its just as safe as in hospital, and its a more natural experience for the patient.

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    • @damealana

      LOVE THIS!

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    • Lisa

      This made me laugh! As a dental nurse I often find people in our clinic in pain as they have tried their own dentistry to save on costs but it costs them more in the long run!

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    • Thanks

      No, it was off the cuff – I have a gift. The people have spoken so why don’t you get a life.

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    • Kris2040

      And yours adds anything to what exactly??

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  30. VintageMama

    I was thinking about this only the other day. When I was pregnant with my first child, I would have been a perfect candidate for a natural homebirth. I was young (24), healthy, and had a text book pregnancy. However, at 39 weeks, my waters started dripping (hindwater leak, where the waters trickle out instead of breaking), went to hospital and discovered that baby was in distress and if left a few more hours he would have died. He was born by emergency c section, and was touch and go for a few weeks after.
    Before having my son I was all for birth choices, but that experience changed my mind, and I now believe that there are too many unknowns, particularly for a first pregnancy

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  31. anon

    Awesome another home birth article. Been there done that I thought – running out of material much?

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  32. Jenna

    My best friend’s father, grandmother and aunts all died in the same hospital. When it came time for her to give birth she simply chose another hospital. It doesn’t have to be black and white.

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  33. Crystalanne83

    I just wanted to say that I think Danni looks beautiful in that photo. They have that new parent, slightly tired but so happy look. Also, I bet Danni’s celebrity status had something to do with her decision as well. I think I remember reading that she also remembers the reporters hassling Kylie and family in hospital when she was sick. Not every mother has to deal with that when they go to hospital to give birth.

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    • Sally

      Well she ended up giving birth in hospital anyway and the only photo that got out in the media was the one above that they released themselves via Twitter. So sorry but I think that’s a pretty pathetic excuse to potentially endanger her baby’s life

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      • Anonymous

        Agree, Dannii being way too precious… Anyway her decision was a stupid one as she had to be rushed to hospital anyway…

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  34. Breakfast at Tiffany

    Beautiful and touching piece Sarrah.

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  35. Indigo

    Please will a home birther explain to me why they would prefer to give birth at home rather than in a birthing centre where it’s just like home but with medical support right there if you need it?
    Genuine question.
    Surely it’s the best of both worlds?

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    • Guest

      I would love to birth in a birthing centre but I live in the wrong suburb on the wrong side of town, so don’t fall into the correct zone to be allowed in. Simple as that.
      If I want a water birth I can only choose to birth at home, with the option to be at hospital within 20 minutes if I need to be. And no, the hospital does not allow water birth.
      Everone is entitled to their own opinion, some people are comfortable with home birth and some are not. You can find thousands of stories and statistics to support homebirth and just as many horror stories to put you off the idea.
      My point is that everyone should have the freedom of choice to decide what they feel is best for their family. That choice should not be taken away.

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      • Hayley

        This is why I don’t feel good about home births: 20 minutes is a VERY long time if something goes wrong. I know it’s not 20 minutes for everyone but even 5 minutes is too long.

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        • Happy mumma

          And that’s the thing, you hear often the “I only live 10 minutes from hospital, so it’s ok” line. You might indeed live that far away in good traffic, but add in time for an ambulance to get there, ten to fifteen minutes, for them to assess you and get you in the ambulance, another ten minutes, get to the hospital, ten minutes, hospital to assess you, say five minutes. Then that ten minute trip becomes at least thirty minutes on a good day! Way too long in an obstetric emergency.

          Hey, I have heard home birth advocates argue away legal rights for the fetus because it takes away their right to choose. Who cares about the baby as long as you get your ultimate birthing experience.

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        • Anonymous

          It takes 30 minutes to set up for a c section so therefore it is too long in hospitals too? LOL logic fail!

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          • Happy mumma

            Not in a flat out emergency it doesn’t. I have seen c sections started in under ten minutes in a real life and death situation.

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          • Hayley

            When you are being prepped for a C section you are in a hospital with doctors and medical equipment. When you are waiting 20 mins for an ambulance you are at home. Thinking being at home in an emergency situation is the better option is the real fail in logic.

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          • Guest

            Anonymous – where did you get that little pearl about c-sections taking 30 minutes to set up. What a load of bull.

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    • Jamie

      My first baby arrived in 4 hours. I wasn’t at all confident that I’d be able to find childcare and get to hospital without risking an unplanned home birth! Good thing too as my daughter arrived in under 2 hours of labour so mild I would never have thought I was at the point of needing to go to hospital. Even the midwives were surprised, when she arrived before I’d even finished saying “I need to push”. They’re going to give us a kit to keep at home next time I’m preggo!

      PS I had a home birth through a hospital midwifery program. Definitely the best of both worlds for me :)

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      • Kris2040

        Why did you have to find childcare for your first baby?

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  36. Smokey Eye

    Just because home-birth advocates insist “home birth is as safe as hospital birth” doesn’t make it true.

    I’m sure you can provide all kinds of random statistics but it defies logic.
    During birth, when things can go wrong FAST, how can it be safer to not be near doctors and an operating room?

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    • Agree

      This debate has the logical, rational people arguing against the emotional.
      You can never win when people bring their feelings into things. It’s a ridiculous debate.

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  37. Mumintheburbs

    I just want to make the point that in the case of a routine, low-risk birth in a public hospital, the attendant is a midwife. The dr is called in the case of complication.
    I think that most women who opt for home births choose to be attended by a private midwife, who would also transfer the mum to hospital if complications occurred (as happened in Danni Minogue’s case). Which is not really that different to a birth starting in a hospital.
    To dismiss out of hand all homebirth attempts as irresponsible is wrong. However it’s important not to confuse homebirth with “freebirthing” which is giving birth at home without any medical attendant at all.

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    • MJ

      Well the difference is proximity to an operating room, life saving equipment, doctors. In that extremely unlikely event that a catastrophe occurs, you only have such a short interval of time to get the baby out. In that situation by the time the ambulance got there it would be all over.

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      • Anonymous

        Depends on the hospital though. In my area, unless you got extremely lucky, a surgeon would have to be called in to perform an emergency C-section etc. So it’s not always a case of getting help quickly in hospital.

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        • Kris2040

          But you’re there, with whatever you need ready to go. You don’t have to get there yourself, and you’re under the care of the midwives at the hospital until the surgeon can get there. They can’t come over to your place and do a Caesarean!

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    • Anonymous

      But there’s a big difference in time when comparing the transfer. Sure, a midwife can send a birthing mother from home to hospital but it’s far from fast. If in the hospital, help is at hand. Minutes matter!

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  38. Meri

    I’ve read the comments below and I think it would be hypocritical to ‘judge women for the choices they make with their bodies’ when other issues of choice are militantly defended.

    I don’t really care though. This situation is relatively black and white to me – anyone with an ounce more common sense than ‘selfish earth mother’ will not hesitate in having her baby where it is best for the baby. And any mother who wants to be there to raise that child will welcome all the medical intervention required to ensure that.

    I have a photo of my great-grand mother who died in child birth in the 1930′s. She left behind five children aged 5 to 15. It’s a sobering reminder that the choices and privileges we have today shouldn’t be taken for granted.

    BUT there are still too many mistakes and chances taken in hospitals. Babies are still being ‘damaged’ by delaying intervention and the cavalier approach of some doctors.

    I had the ‘Butcher of Bega’ deliver two of my children. I was too young and inexperienced to know that what I’d gone through wasn’t ‘normal.

    When I found out I had a ‘surprise’ baby on the way in my 40′s I elected for a Caesar. This meant that she was delivered gently and safely two weeks before term. If I hadn’t I would have lost her – the umbilical cord had knotted and we didn’t know.

    Labor and birth are natural but they are also a dangerous business.

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  39. Crystalanne83

    MM – I hope there is another article coming on the other side… I really love reading your site, and I understand that most articles are opinion based, but I would have like to have seen a less opinion piece and more fact based article.

    I don’t think many home birth advocats would suggest that a high risk case like the writer mentions above should have a home birth. Is anyone? It sounds like a crazy argument!

    Many countries have an integrated home/hospital system. But in Australia, we feel it’s too dangerous/risky/stupid?

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    • Sally

      But the point is that being exposed to a high-risk scenario made this writer even more aware of how lucky we are to live in a time and in a country where hospital birth is available to everyone. Even if you have a low risk birth that’s still a right a lot of women living in other eras and places would kill for.

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      • Crystalanne83

        True that. I wish that there could be better access to midwife care for those who don’t. But to end the piece by saying it is reckless and selfish to give birth anywhere but hospital is a biased opinion based on the writers experience. I was just hoping to have an unbiased piece, that’s all.

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  40. Kate

    Natasha – homebirth is equally as safe as hospital birth. Simple and a fact. I can back up my statement with evidence based research, can you?

    As for all of those banging on about homebirth being dangerous and selfish – answer me this: what actual ‘problem’ could occur during a birth where being at home would be much riskier than being in hospital? Seeing as you’re all experts and all… How about putting your money where your mouth is and being able to back your opinion with knowledge and facts?

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    • Natasha

      Kate, a person can die in a matter of minutes from major blood loss. If you are at a hospital you are more likely to stop the blood loss then in your comfy bedroom at home. I rest my case.

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    • Faybian

      Shoulder dystocia, cord prolapse, primary post partum haemorrhage for starters. I wouldn’t want to do a breech at home either.
      It’s the distance that is the scariest I think. In maternity, if something goes wrong, you need help very quickly and Australia’s a big country.

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      • Kate

        Yep, in hospital they would give you synto to stop the bleeding, which is exactly what a homebirth midwife would do. And then call an ambulance if necessary.

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        • Kate

          Shoulder dystocia and cord prolapse…. With dystocia, statistically the outcome is pretty much the same for hospital and homebirth, there is nothing that can be done at hospital that can’t be done at home. Cord prolapse can happen anywhere – women’s membranes rupture at home often. Should we all be hospitalised from 36 weeks onwards just in case? And again, the chances of a healthy baby after prolapse aren’t very high in hospital either.

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          • Anonymous

            What’s the point in obstetricians ?? Clearly your argument doesn’t support a doctors role at all. I would hate for your child to get sick..what would you do?

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          • Faybian

            With mild-moderate dystocia, it could possibly be managed at home. Severe dystocia needs a lot of people to help deal with it and usually resus after the baby comes out. I’ve seen severe dystocia and it’s scary.
            Cord prolapse is also scary and I’ve seen that dealt with (by caesar successfully too). If I saw a cord prolapse in public, I would be calling an ambulance before trying to keep the baby alive until…
            I don’t just make these things up. These are the things we need obstetricians for. Yes a good midwife can deal with them, but medical help is necessary.

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    • Wendy

      Kate, my son would have died if I had a home birth. I had a perfect pregnancy so was perfectly low risk, nothing to suggest a home birth wouldn’t have been fine of I had wanted that. My waters broke and I was induced. As I was induced I needed to be monitored. Unnecessary intervention? Well it saved his life. Everyone still thought everything was fine til I had my first contraction on the monitor. My son’s heart rate dropped significantly. This happened all the way through labour. After trying two pushes my dr said the baby wouldn’t survive bring pushed out and needed to come out straight away using forceps. The cord had become wrapped twice around his neck. There was nothing to suggest any of this before labour but my son would have died if I had had a home birth as nothing would have indicated how much distress he was in and I would have pushed him out and he wouldn’t have survived. Thank god i didn’t want a home birth.

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      • Crystalanne83

        Glad to hear that your son made it out safely! Must have been frightening! Can I ask you a question? Why do you think that an experienced midwife wouldn’t be able to detect a weakening heart beat if you were at home?

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        • Anonymous

          I nearly died in childbirth, thankfully I was at hospital, major blood loss. No midwife in my bedroom would have saved me.

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        • Grow Up

          Crystal – the heartbeat slows, the midwife waits a minute to see if it picks back up, she decides that you need the hospital, you discuss it, she makes the call, the ambulance arrives 10 minutes later (if you’re lucky) you’re then prepped and loaded into the ambulance (5 minutes) then transported however far to the nearest hospital, unloaded, assessed, admitted, wait for the doctor and anesthetist, get prepped for a Caesar – how long do you think it will be before you cradle your dead baby in your arms and wait for them to come to do little plaster casts of its hand and feet as a permanent reminder of your idiocy.

          If you’re really lucky your baby will survive with irreversible brain damage from oxygen depletion.

          I guess you’ll be shouldering the full financial ramifications of that? Or should the tax payer throw in a bob or two?

          Not my baby though. Do whatever you think best.

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          • Crystalanne83

            Wow, grow up. I was just asking a question. Maybe a loaded question sure. I dont think I said she made a bad decision or anything like that. I was actually interested, and trying to ask question in comments is never easy. No need to jump down my throat. I had a child in a hospital. I don’t really mind where someone has their baby. Just find the subject interesting and wanted to know more…

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            • Anon

              Sorry, crystal … I’ve gone off half cocked! Half cocked is never good.

              As someone who nurses these babies who have suffered birth injuries it just blows my mind that any mother would put their baby at unnecessary risk.

              If we have ‘free birth’ on the far left then I’m as far right as you can get – compulsory ‘c’ sections for every pregnancy at 37 weeks and 5 days!

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            • Faybian

              Do you really think compulsory caesarians is the way to go???

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          • Jamie

            Wow, charming, Grow Up. Does this little disaster scenario you’ve cooked up come complete with you dancing around the grave of the ‘dead baby’ singing ‘nerny ner I told you so’?

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        • Wendy

          That’s a good question crystal. I was hooked up to a foetal heart monitor and due to baby’s distress had to lie on my back throughout whole (posterior) labour for it to work. The monitor is standard procedure in hospital if you are being induced. I am assuming that at a home birth a midwife wouldn’t have you hooked up to a machine (and until the first contraction they didn’t know anything was wrong). Is foetal heartbeat monitored in a home birth?

          I guess apart from that assumption there is the point about the time to get to hospital. A c section wasn’t an option as it would have taken too long to get to theatre. Forceps got him out immediately.

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          • Crystalanne83

            Thanks Wendy :) I guess with this kind of thing, there is always ‘what if’. I guess we will never know what would have happened if you were at home. The main thing is that your son was ok, no matter how you birthed him :)

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          • Kate

            Wendy, your birth sounds exactly like my first. An obstetrician also saved my sons life after his heart rate dropped and didn’t come up again.

            What I learnt almost two years later was that it is pretty much a certainty that his heart rate dropped because I was induced. It is incredibly rare for a baby to go into distress when the birth has not been interfered with. Just about unheard of in fact. Induction stresses babies, period.

            So yes, while the ob saved the day, it wouldn’t have needed saving if they hadn’t interfered in the first place.

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            • Kris2040

              My daughter was in distress and breech after ultrasounds confirmed she had turned around and engaged. I went into spontaneous labour, got to the hospital and my waters broke at about 6cm, then was 9cm by the time I was getting prepped for the Emergency Caesar. That took about half an hour (going from 6cm to 9cm). They ran me to the theatre, after I said “Oh, OK, so we do a Caesar, right?”. The surgeon said “Yes, that’s what we’d suggest, unless you’re really hellbent on a vaginal delivery”.
              No “interference” as you put it.

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            • Wendy

              Kate, sorry to hear that your induction caused the distress. That was definitely not the case for me. The distress was caused by the cord being double wrapped around his neck and the monitoring due to the induction allowed this to be picked up early. If I believed my doctor caused the problem I’m sure I would have doubts about a hospital next time but I think I’d try the birth centre as backup is closer.

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          • Hellena Post

            In my experience anyway, foetal heart beat is regularly monitored during the birthing experience….in between moving around your house if you want to, or digging your toes in the ground if it helps. Your midwife is always keeping her finger on the pulse of what’s happening so to speak.

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          • Faybian

            If you are having a “bog standard” labour, you will be monitored by a Doppler heart monitor every half hour during first stage and after each contraction during second stage. Continuous fetal monitoring is not necessary in every labour.

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    • Larry

      Kate…clearly hospital is the safer option! Tell me then why so many natural births end up in hospitals?? Because the midwives are no longer able to assist when complications arise. So, if statistics prove home births are safe it is only because the complicated cases are rushed to hospitals!!! As in Dannis case. So get your facts rights!

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      • Kate

        Clearly why? Because it would seem so to the average, uneducated person? I also thought hospital was safer until I took the time to read and learn.

        Hospitals can be great, I’m no hater. I am grateful we have access to them, when required. Danni isn’t a case of homebirth go wrong, she is a case of homebirth going right. She tried to stay home, but for whatever reason needed to go to hospital, so she did and her and her babe are healthy. Nothing wrong with that scenario.

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        • Natasha

          [Edited for tone]. Dannii ended up in hospital due to complications. If it was so safe to deliver at home, why the hell didn’t she in the end.

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    • B

      Kate, are you daft? A statement like that is an example of the homebirth movement accepting selective “evidence” and censoring out the information that might contradict the Earth Mother Quest.
      Why don’t you look up meconium aspiration and any undiagnosed abnormality like diaphragmatic hernia or congenital heart disease. Babies born with any abnormality or difficulty are going to be at massive risk at home. You may not be at risk in these cases but your baby is… I would consider that dangerous and selfish.

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  41. Faybian

    This will open the floodgates, again……

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  42. anonz

    Plenty of people have home births. Plenty of people have hospital births. I had one of each. So what? No big deal. What is the point of this article? To start a fight over nothing?

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    • Mia

      Hi Anonz,
      The point of publishing the article is to explore some of the reasons why someone might choose to have a home-birth as opposed to a hospital one. The idea was sparked by Dannii Minogue’s recent comments.

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      • Jamie

        Mia, I can’t help but feel you would get a better picture of the reasons why someone might choose to have a home birth if you interviewed a woman who had had one, or allowed a home birther to tell their story, rather than publishing (yet another) one-sided attack on home birth containing a vague reference to a failed celebrity home birth?

        I’ve had one hospital birth and one home birth. Do feel free to get in touch if you ever want the other side to the story!

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        • Hellena Post

          What a great point Jamie!! And I’ve had 8 births, 3 in hospital, and 5 at home…..have a lot to say about the pros and cons of both, and would be happy to talk about it or write about it any time. I have a blog infact if anyone’s interested…..

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    • Sally

      A fight over nothing? Hardly.

      A lot of women look up to Dannii Minogue and given there is a risk her comments in favour of home birth might influence other mothers I think it is very important that Mamamia decided to publish such a powerful rebuttal.

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      • anonz

        I guess I should clarify I’m in NZ, where the choice of home birth or hospital birth is really NOT AN ISSUE (either choice is perfectly acceptable, mainstream and normal), and I am not familiar with the Australian birthing system, nor with any publicity surrounding Dannii Minogue. As an outsider, I’m just surprised at this whole argument. However, please feel free to carry on . . . ;)

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        • Sally

          Yeah it’s mainly an Australian/UK thing with the Minogues but the Dannii home birth drama was a big story over here so that she has spoken out recently to say she would do it all again is a bit worrying

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  43. Anonymous

    I am tipping if Dannii Minogue fell pregnant again ( she is 40 now ) she would have her baby at a hospital no questions asked. With previous complications and age against her, she would be stupid to think otherwise.

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    • Sally

      I think you’re right. Her comments seemed particularly defensive to me. Sounds like she has realised she was foolish to attempt a home birth but can’t bring herself to admit that publicly.

      It’s probably because she has spent so long in the UK and assumed the system would be set up similarly here so know she’s learned that the hard way why not just admit she got it wrong? Not every woman who tries a home birth will be so lucky so there is more at stake here than Dannii’s pride

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  44. Cait

    I suppose when it comes to it (kids are somewhere in the future), the decision is clear for me.

    Hospitals are purpose built to provide care, and medical assistance to people who require it. Homes (bedrooms, bathrooms etc) are not built or designed for you to do something so complex as giving birth safely.

    Yes birth is natural, but its also complicated. And just like how child development doesnt ‘naturally’ go perfectly, neither does birth. I wouldnt want to risk the death of a child because I have hang ups about the places/people who are there to help me.

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  45. archie

    *sits back and waits for the home birth advocates to swarm down in defence*

    When I gave birth (both times), the hospitals tried to make it as comfortable and stress free as possible. All the medical paraphernalia was behind doors and curtains, and was only brought out when I was properly in labour and wasn’t paying any attention anyway. It was kind of like giving birth in a very clean hotel room. I can understand why people who have aversions to hospitals, or think they might have trouble advocating for their needs (god knows, the first time I did) would gravitate toward home birth.

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    • Crystalanne83

      Why wouldn’t they? Just as those against will state their views. That’s the point of this site and an opinion piece on a subject that people will have opposing arguments for.

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  46. Lea

    Is hating hospitals a reason to give birth at home?

    No, if you give birth in an environment without utilizing the resources we so fortunately have, just because you don’t like hospitals, you are putting your baby at unnecessary risk.

    I definitely think home birth vs. hospital birth is a first world problem. There are women in developing countries who die during childbirth because they don’t have what we have – well equipped hospitals with trained staff.

    I think home-birthers can try and swing it anyway they want, “it’s a calmer environment”, “babies die in hospitals, too”, “there’s nothing that says something will happen”
    I personally call bullshit on all those excuses, at the end of the day you’re risking something not worth risking.

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  47. Christy

    I love hospital shows, and I work in a hospital.
    Maybe as the tv shows are so fictionalised its not really what happens at all. Sort of like a police show, I bet they are not exactly what its like either ;)

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    • Faybian

      Theyre not. My dad’s an ex cop and he will start ranting if a police show’s on, just as I shout at the tv if a medical drama, or (worse) a maternity “reality” show is on. I do love the sbs show “one born every minute”, that is probably the closest to what I’ve seen in maternity wards in Australia, but the US shows leave me cold (and shouting).

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      • Hay girl

        The American version of ‘one born every minute’ just gives me the horrors, but it is so interesting to see how different the management of birthing is in two developed countries! In comparison, birthing in an Australian hospital is full of options for the more natural way, rather than the American ‘lie in bed and administer epidural on admission’ approach! I do love the original british version though, much more realistic! :)

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        • Faybian

          Yes, it really gets me shouting. I’ve only watched (the US version) it a couple of times, it makes me too angry.

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        • Kris2040

          In our prenatal classes we watched some video of births, and our teacher told us not to worry too much about the being on the beds, as we could do whatever we wanted here, you don’t have to lay on a bed for hours if you don’t want to.

          I have a feeling a lot of the bad feeling toward hospital births by NCBers is based on American hospital ideas. But then they have an awful extreme homebirth movement happening there with all sorts of crazy shit happening. When “midwives” get mentioned in a couple of groups I’m in, the Aussies ALWAYS have to explain that midwives here are actual nurses with training and not some woman who decides to market herself as such. For the vast majority, anyway.

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          • Faybian

            Their system is very complex compared to ours.
            We have people that are nurses with a midwifery endorsement (like me), or those that are midwives only. They staff a maternity ward, provide all the care and call in obstetricians if needed in birth suite etc. in the private system, the obstetrician sees women antenatally and comes into the labour just before delivery. Really rough explanation I know.
            The US system has nurses that have done short training courses to work in post natal, special care nursery, antenatal or labour and delivery. Obstetricians or certified nurse midwives come in towards the end of labour to “catch the baby” etc.
            I had a fascinating chat with a Canadian nurse who worked in maternity over in Canada but was not qualified to here. He explained how it works over there.

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            • Kris2040

              I know. They get funny when we say that we only see midwives for our pregnancies, so that’s usually why someone has to explain it. I still don’t understand the CNMs, the cowboy/cowgirl midwives getting prosecuted, etc etc.

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            • Faybian

              CNMsare the certified nurse midwives that “do deliveries” in hospitals there. I’m not sure, but I’d imagine the course is up to a masters level at uni. You have to do a masters level course to become a nurse practitioner here.
              Cowboy midwives are probably operating outside the scope of their practice. Doing deliveries where/when they shouldn’t I suppose.

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  48. Trog

    I can relate. I died and was revived in hospital at 2 1/2 yo and had to have a life-saving emergency operation. I then had a long stay in hospital recovering.

    I can still remember bits of it. I can still picture the respiratory apparatus, the bed and my Mum sitting by my bedside drawing for me.

    I feel a vague anxiety whenever I walk in to a hospital. Bit awkward as 3 people in my immediate family work in them.

    Thank you, hospitals, but you sort of freak me out a bit.

    I also think that you’ve been very restrained in not screaming and pointing at the elephant in the room. Did Danni opt for home rhinoplasty or home breast augmentation?

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    • Melissa

      Laughing out loud at your last comment 

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  49. kerrinish

    Interesting viewpoint. When I saw that the phrase “best chance of survival is in a hospital” was a link, I expected that to be a link to some research proving what you’re saying. Instead it links to another mama mia story with similar opinions? Not very convincing. I agree with your general sentiment that you personally should have the right to give birth where you personally think is best and safest for you and your baby.

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    • Anonymous

      Obviously best chance of survival is in a hospital, certainly not in your bedroom with a midwife. If I had homebirths I would have died, simple. However I had 2x emergency C sections and live to tell the story and be a mother to my children. Risk your life, your choice but dont be so bloody selfish to risk that of your unborn child.

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  50. monique

    Great article and while I agree with you, if women want to give birth at home, they should be allowed to, even though I personally would never have a home birth.

    I can understand your reservation of hospitals, my Mum along with many friends have all died in hospitals and it took years for me to be able to drive by the hospital Mum died in without that sinking feeling in my stomach. But I LOVE Grey’s Anatomy and Scrubs and voluntarily watch them all the time!

    http://moniquefischle.wordpress.com/

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