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Author: Anne Childs
When it comes to childbirth, most women are able to make it to the emergency room or their prearranged birthing centers; however not all are. While there is a good chance that you will make it to your intended destination before your baby arrives, what would you do if you couldn’t make it? Unfortunately, a large number of expectant parents have no idea. That is why it is important that you take the time to familiarize yourself with emergency childbirth, just in case.
Perhaps, the best way to familiarize yourself with emergency births is by speaking to your pregnancy care physician, whether that professional be your primary care physician, an OBGYN or a certified nurse midwife. There is a good chance that your pregnancy care provider will briefly touch on the subject of an unexpected birth, but it is important that you know as much as you can about the situation, including what you can and cannot do. For that reason, you may want to make a list of questions that you should ask him or her.
One of the most important questions that you need to ask your pregnancy care provider is where you should or shouldn’t have your baby. Depending on the situation, you may not have a choice, but you might just have one. For instance, if you are going into labor at your home, you may want to know where the best delivery location would be. From a medical standpoint, you will want an area of your home that is safe and clean, but also one that will be comfortable. Your OBGYN, primary care physician, or certified nurse midwife should be able to give you the most accurate answer.*
During emergency childbirths, it is recommended that the births occur on clean surfaces, at least a surface that is clean as it could possibly be. Although you might not have enough time to make it to the hospital, there may be enough time to sanitize the area in which you plan on giving birth. The only problem with sanitizing your birthing area is that not all cleaning products are safe for you and your child. That is why it is advised that you seek professional assistance. If cleaning supplies need to be used, it is important that you know which ones are safe and which ones are not.
Cleaning supplies are not the only items or supplies that you need to be concerned about. As beautiful as childbirth is, it can also be messy. That is why it is often recommended that you wear protective clothing, such as gloves, and have a number of towels or blankets on hand. You should ask your pregnancy care provider what items, as well as how many, you should have on
hand. In fact, your healthcare provider should be able to provide you with an emergency birthing checklist or you could easily make your own.
Although it is best to get your information directly from your own pregnancy care provider, you can also familiarize yourself with emergency childbirth by using the internet or by buying a pregnancy book from one of your local retail stores. These books and online resources may not provide you with as detailed or as personalized information, but they can do in a pinch. If at any point you find that you have unanswered questions or need further assistance, you are advised to seek assistance from a professional healthcare provider.
Whether you learn about emergency childbirth through your physician, the internet or a printed resource guide, you are advised to follow all of the information and directions given to you. It may also be a good idea to take additional precautions. For instance, it will likely be recommended that you have the above mentioned supplies on hand; however, you may want to take it a step further. It may be a good idea to keep the materials needed for an emergency childbirth in number of different locations, such as your car or your workplace.
Despite the fact that your labor and delivery may go exactly as planned, there are no guarantees. By asking the above mentioned questions, you should be prepared for anything that happens, whether it be expected or not. The information you will learn may come in handy; however, it is important that you share it with those that you will be around. Since you will be occupied, you will need to rely on assistance from those around you, whether they are medical professionals or not.
About the author:
Anne Childs is a contributor to Healthline.who has also conducted many seminars focusing on childbirth and other issues related to women’s health.
Sheryl’s comment:
A. Childbirth is not an emergency for the mother or baby. If your baby is ready to come out, it is exciting and thrilling!
B. Childbirth outside of a hospital is only an emergency for the OB-GYN’s Mercedes payment
C. You should be familiar with how birth works no matter who (if anyone) is attending the birth.
D. You can give birth in any room in your home including your bathroom. If it is clean enough for you and your newborn to live in or to conceive the baby in, then it is clean enough to give birth in.
E. You will be catching your baby so the surface that you are kneeling or squatting on is somewhat irrelevant. Clearly you are not going to give birth in your cats litter box or in a obviously unsanitary location. We are talking about western civilization here people, not the third world. Think “reasonably clean” or “company is stopping by clean”
F. Lay down a shower curtain or some old towels. Childbirth without incisions and episiotomies is a lot less bloody. There will be amniotic fluid however, so be prepared for that. Some women give birth in the bathtub, over the toilet or on a tiled floor for easy cleanup. If you are at home, fill the tub, climb in and get ready to meet the new love of your life. Location is really not that big of a deal.
G. Don’t welcome your baby into the world with latex gloves. That is insane. You will be holding your baby for years in your bare hands. Why is this crucial moment any different?
H. Try a lotus birth and you wont have to worry about cutting the cord. If you do want to cut the cord (PLEASE only cut if after it is done pulsing) then cut it with a clean/sterile scissors. You might want to have a large bowl on hand to place the placenta if you do not do a lotus birth. If you were in fact planning a hospital/birthing center birth, then the doctor or midwife will want to examine the placenta to make sure it is intact. (Otherwise how can they get paid?)
Image Source: http://flickr.com/photos/ouij/50115629/
Tags: childbirth emergency, emergency childbirth, how to emergency childbirth
While I appreciate the need to discuss this important topic, I want to thank you Sheryl for adding a good dose of reality to Anne’s article. Birth is truly not the crisis that our media would generally have us believe; it’s an exciting and amazing event!
I want to make a comment about a statement that Anne made in her article:
“From a medical standpoint, you will want an area of your home that is safe and clean, but also one that will be comfortable. Your OBGYN, primary care physician, or certified nurse midwife should be able to give you the most accurate answer.”
There are precious few (if any) OBGYNs or primary care physicians, and rare certified nurse midwives that would know anything about giving birth outside the hospital, much less ever witnessed one. If you want advice on this, ask an expert: a homebirth midwife.
July 30, 2007 11:31 PM
Thank you for writing Wendy!
I love the input of those who are in the field.
I think it is a common misconception that all midwives are advocates of natural childbirth. There is a tremendous difference between a lay/home midwife and a certified nurse midwife.
A CNM is on the same absurd, arbitrary timeline as any obstetric doctor. She also has a financial incentive to perform unnecessary and dangerous procedures. (but she didnt go to medical school).
I believe CNMs are a dangerous hybrid preying on women who want a natural birth but are afraid to do it at home.
July 31, 2007 12:01 PM
I’d prefer to give birth at the hospital just in case there is any problem for me or baby. My OBGYN deserves her mercedez. Most work very hard and are very good at what they do. Why do you feel the need to insult them? If I have a choice between you and my MD who has 10+ years of schooling and upteen years of experience, who has also managed to keep her ego in check - I’ll take her.
@Jenny:
It is like hiring a pediatric neurosurgeon to babysit your toddler. It is simply not necessary. I agree that an OB deserves every penny they make for a legitimate emergency but the overwhelming majority of childbirths are not emergencies until the OB or med-wife gets their hands on the innocent mother.
In every other life instance you go to the hospital AFTER the emergency takes place. You don’t go when nothing is wrong and let the staff CREATE an emergency. Thats the problem.
I would be careful to generalize OBGYNs and staff as creating the emergencies. While this may be true in many hospitals, my OB recommends I wait as long as possible to go into labour naturally for the sake of my and my baby’s health.
Our hospital has an exceptionally low rate of C-Sections compared to the stats I have heard nationally. In fact I have had neighbors had breech babies delivered without surgical intervention.
All that being said there is still no option for a water birth for me, which is my dream. Midwives are only starting to be recognized as a viable alternative. Oddly enough it is the doctors and nurses that have pushed for these changes locally. The public fear created by the media will take a long time to reverse.
I am a couple of weeks overdue this time so it is too late for this baby, but I believe next time I deliver I will have some real options.
@Angela:
You are absolutely right that there are some OBs who are willing to wait but I don’t think there is an OB in the entire United States with a cesarean and episiotomy rate low enough to suit me. (5% and 1%). I am planning a UC in November and I KNOW nobody will be doing anything unnecessary to me and I wont have to FIGHT to protect myself and my baby.