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Limari Colon

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Home Birth: A Real Alternative

Posted: 01/25/2012 5:10 pm

I grew up thinking I wouldn't be able to have children because of what I was told. I underwent several invasive procedures by the age of 19, battling abnormal cells, and losing healthy cervical tissue in the process. Then on March 2011 (six years later), I started feeling funny. I told my husband: "I'm nauseous and tired all the time, I must be ill." Two pink lines and a blood test later, "How did this happen? We're pregnant!"

I never thought I had choices regarding the birth of our child. As far as we were concerned, a baby is born inside a hospital, at the hands of a doctor. You don't have a say about anything regarding your birth, right?

I became restless at the thought of having my baby in a hospital. After all, it was a doctor who performed those numerous procedures on me that would land me into a "high-risk pregnancy" category, after bumping me from the "infertile" one. I learned that by the year 2009, Puerto Rico (the country where I live in), had the highest Cesarean rate in the world with an alarming 50 percent. I saw The Business of Being Born, and read every book Ina May Gaskin wrote.

Sadly in Puerto Rico there are no birth centers. It's either hospital birth, or home birth. As a first time mother, not knowing what to expect, I was terrified of losing my baby. I wrote a comprehensive birth plan I shared with the OB/GYN I had at the time, and instead of helping me overcome those fears, he humiliated me. He told me I was in no position to bargain. "You don't know what you're doing." So I left his office that day and never came back. I was 32 weeks pregnant.

A friend of mine had given birth at home, and she recommended an amazing midwife. I eradicated all the terrible images I had of birthing mothers. I took control. I sought guidance from a Higher Power. I surrendered to my body; my instinct. "You can do this," it said to me.

My beautiful 8 oz, 20-1/2 in. baby was born on Nov. 19, 2011 at home. It was the most empowering and beautiful experience of my life. I danced, ate, sang, slept, but most importantly, was always surrounded by loving, supportive people.

2012-01-25-Liam.jpg

Giving birth to my child naturally was not about politics, nor adventure. It was about what was best for both of us. I felt the need to protect our first moments together, to bond, and as a result of following my gut, I acquired a purpose in life.

Educate yourself, and make an educated choice.

2012-01-25-Liam4.jpg

I grew up thinking I wouldn't be able to have children because of what I was told. I underwent several invasive procedures by the age of 19, battling abnormal cells, and losing healthy cervical tissue in the process. Then on March 2011 (six years later), I started feeling funny. I told my husband: "I'm nauseous and tired all the time, I must be ill." Two pink lines and a blood test later, "How did this happen? We're pregnant!"

I never thought I had choices regarding the birth of our child. As far as we were concerned, a baby is born inside a hospital, at the hands of a doctor. You don't have a say about anything regarding your birth, right?

I became restless at the thought of having my baby in a hospital. After all, it was a doctor who performed those numerous procedures on me that would land me into a "high-risk pregnancy" category, after bumping me from the "infertile" one. I learned that by the year 2009, Puerto Rico (the country where I live in), had the highest Cesarean rate in the world with an alarming 50 percent. I saw The Business of Being Born, and read every book Ina May Gaskin wrote.

Sadly in Puerto Rico there are no birth centers. It's either hospital birth, or home birth. As a first time mother, not knowing what to expect, I was terrified of losing my baby. I wrote a comprehensive birth plan I shared with the OB/GYN I had at the time, and instead of helping me overcome those fears, he humiliated me. He told me I was in no position to bargain. "You don't know what you're doing." So I left his office that day and never came back. I was 32 weeks pregnant.

A friend of mine had given birth at home, and she recommended an amazing midwife. I eradicated all the terrible images I had of birthing mothers. I took control. I sought guidance from a Higher Power. I surrendered to my body; my instinct. "You can do this," it said to me.

My beautiful 8 oz, 20-1/2 in. baby was born on Nov. 19, 2011 at home. It was the most empowering and beautiful experience of my life. I danced, ate, sang, slept, but most importantly, was always surrounded by loving, supportive people.

2012-01-25-Liam.jpg

Giving birth to my child naturally was not about politics, nor adventure. It was about what was best for both of us. I felt the need to protect our first moments together, to bond, and as a result of following my gut, I acquired a purpose in life.

Educate yourself, and make an educated choice.

2012-01-25-Liam4.jpg

 

Follow Limari Colon on Twitter: www.twitter.com/limaricolon

I grew up thinking I wouldn't be able to have children because of what I was told. I underwent several invasive procedures by the age of 19, battling abnormal cells, and losing healthy cervical tissue...
I grew up thinking I wouldn't be able to have children because of what I was told. I underwent several invasive procedures by the age of 19, battling abnormal cells, and losing healthy cervical tissue...
 
 
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Limari Colon
08:19 AM on 02/03/2012
Can you really say that Lovell's heart attack was a direct consequence of her home birth? It baffles me how the press makes a circus out of this one home birth, and doesn't cover all the successful ones. What about all the women who die in the hospitals? http://www.oshmanlaw.com/pharmaceutical_litigation/cytotec.html

Just last week I met a woman who was induced with cytotec, without her consent, last year (2011). What about them?
02:13 PM on 02/03/2012
I think it's a safe assumption that Lovell's heart attack was caused bey child birth, as it apparently happened during delivery. While there's no way of knowing whether she may have survived had she been in a hospital, there's always the chance that she may have...as it's known that the first minutes after a cardiac event are crucial. Of course, no one will ever know.
01:04 PM on 02/02/2012
The recent and tragic death of Caroline Lovell, home birth advocate, is a great example of why I would choose to be in the hospital for my delivery.
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sabelmouse
my micro bio is emty
08:31 AM on 02/12/2012
how many women have heart attacks during birth ?
07:59 PM on 01/30/2012
I live in a rural community in Alaska. I have to have a home birth with a midwife or fly to Anchorage for the birth. So not worth the stress. We will welcome any future little ones, cozy in our home. If something dramatic happens, we fly to Anchorage. But it won't. It will be great and baby's first plane ride won't be LifeFlight. :)
09:46 AM on 01/29/2012
I agree birthing has become very medicalised in western countries. At the other end of the scale death of mother and, or child was commonplace even 100 years in this country. The key is to be near a hospital if something goes wrong which is the case in many small scandanavian countries. Not everyone has that luxury. My friend a nurse told me that doctors get so annoyed at having to deal with a home birth gone wrong and someone comes in with minutes to spare like they dont have other patients and doctors have to race around. How to find a balance. Question re statistics. if a home birth goes wrong but the eventual adverse outcome of death or brain damage happens within a hospital environment is that counted in the hospital stats or home birth stats
03:00 PM on 01/27/2012
Great article, Ms. Colon! As a professional homebirth midwife, I'm excited to see the rising momentum of homebirth in the U.S. A cascade of excellent research continues to come out of countries where midwives are the standard maternity providers; Canada, the UK and the Netherlands have shown homebirth to be just as safe as birth in the hospital. The excellent U.S. homebirth study by Johnson & Daviss (http://www.bmj.com/content/330/7505/1416.full) showed similar safety results with a c-section rate of less than 4%! In fact, nearly 30 published high-quality studies in the last 15 years have repeatedly shown that homebirth with an experienced midwife is just as safe as birth in the hospital (see this annotated bibliography here: http://mana.org/DOR/research-resources/). Perhaps we should be asking: what took the U.S. so long?

The Midwives Alliance of North America is currently partnering with organizations and researchers to conduct thorough studies on these issues using the robust MANA Stats database, which houses a wealth of information regarding midwife-led maternity care and births in the home, birth center and hospital settings. We welcome and encourage researchers with a study proposal to apply for the data -- find more information here: http://mana.org/DOR/about/about-mana-stats/researchers/. This upward surge of women choosing homebirth in the U.S. is yet another reason why continued high-quality research needs to be available.

Wendy Gordon, CPM, LM
09:33 AM on 01/28/2012
And yet MANA refuses to release how many of the babies in their 24,000 planned homebirth database died at the hands of CPMs.

I've heard privately that the number is appallingly high and that's why they won't tell American women. MANA KNOWS that homebirth kills babies, they just don't want women to find out.
09:20 PM on 01/28/2012
Nice scientific rebuttal, Amy. For sure your grapevine is way better than an actual research study.
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10:30 PM on 01/29/2012
Yeah, homebirth kills babies...the MD has spoken! And, fyi, my ghost wrote this post because I was born at home back in the '70's and, according to the almighty MD, obviously died (along with my other siblings who were also born at home).
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Limari Colon
03:23 PM on 01/29/2012
Thank you Wendy! I admire you amazing midwives :) much love from Puerto Rico and thanks again for reading and commenting.
12:12 AM on 01/27/2012
I’ve photographed births at hospitals, birthing centers, and at home. Certainly, the environment at home is less stressful, with mom and dad in familiar surroundings and in control of the what was going on. In all environments, I’ve been consistently impressed with the midwives I’ve been in contact with. My own midwife worked closely with me when my own delivery issues forced me to switch to a hospital birth. A doula, a birth photographer (of course), and well-coached family members can also make home birth a great experience.
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Limari Colon
03:27 PM on 01/26/2012
Great article on the CDC statistics http://consumer.healthday.com/Article.asp?AID=661075
12:17 PM on 01/26/2012
In the UK NHS midwives are not reliant upon homebirths to provide their income. As yet they are not paid an incentive to 'recruit' women, therefore Dr Amy's financial bias argument carries no weight here. With regard to the safety, or otherwise, of homebirth for a woman with no identified risks antenatally please read this article from the National Health Services own website in which the findings from the recent Birthplace Study are disseminated. http://www.nhs.uk/news/2011/11November/Pages/hospital-births-home-births-compared.aspx
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Limari Colon
09:47 AM on 01/26/2012
Thank you for commenting LJay :) I am so glad you had a natural childbirth. Not many women can say that. As for the US maternity care, I couldn't agree more. It would be great if women could choose whatever they want, and still be covered by health insurance. I guess that is a battle we have yet to win. Many blessings for you and your family.
09:15 AM on 01/26/2012
Such a beautiful story... I too had a totally natural childbirth here in the US with a midwife at a hospital which is unfortunately very rare these days. In the state of NJ I had one hospital option that would allow midwives. Frankly, the only reason I chose a hospital over home birth was because of my husbands comfort level :) Even here in the US we have a huge problem with giving mothers control on their birth experience. Another outstanding book is PUSHED: The painful truth about childbirth and modern maternity care. http://www.jenniferblock.com/

I'm so proud of my natural choice, although totally understand it's not for everyone. The larger issue is that we should all be able to choose and have our insurance company cover the cost. Period.
09:13 AM on 01/26/2012
If homebirth is so safe, why are pediatricians and neonatologists opposed to it?

According to The Guidelines for Perinatal Care published by the American Academy of Pediatrics (AAP):

"the hospital, including a birthing center within the hospital complex, or a freestanding birthing center, provides the safest setting for labor, delivery, and the postpartum period."

The AAP is, if it is possible, even more strongly oppoesed to water birth. The AAP Committee on the Fetus and Newborn released a comprehensive report in 2005 that waterbirth is not safe for babies. The report, Underwater Births, states:

"The safety and efficacy of underwater birth for the newborn has not been established. There is no convincing evidence of benefit to the neonate but some concern for serious harm."

Who are you going to believe when it comes to the safety and well being of babies? Pediatricians and neonatologists, whose sole concern is the safety and well being of children, or homebirth advocates?
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Limari Colon
09:32 AM on 01/26/2012
First of all, not every pediatrician is opposed to it. My pediatrician, I member of the AAP, and a highly respected one in Puerto Rico said to me he was sad that he learned what a true birth was so late in life, referring to his daughter's first home birth, after attending three previous hospital births from his other daughters.

Second of all, medicine IS a round business. Won't you agree that it would be EXTREMELY crucial to the financial status of doctors and hospital administrations if word got out that home birth for low risk women was as safe, and even better than a hospital birth?? What would that do to the whole U.S. "matenity" system? What would it do to OB/GYNs that depend on births, and C-sections to pay the rent. To the nurses? To the anesthesiologists who administer the epidurals? What would it do to the hospital administrators who depend on filling every bed with a atient to pay the rent? What would it do to the pharmaceuticals who sell Pitocin, Cytotec, Demerol and the infamous epidural? Oh, yeah. Your argument is very convincing. Let's all go and give our bodies to the doctors who know what they're doing. Let's not for a minute there trust science and nature, because women's bodies are NOT designed to give birth on their own.

Third and final argument, what you said about waterbirth is irrelevant. Home birth and water birth are not synonyms.
10:01 AM on 01/26/2012
Homebirth is a business. Midwives don't work for free.

Homebirth is not an economic threat to obstetricians; there is an OB shortage and most cannot take on all those who request care. There is no possible way it is an economic threat to pediatricians or neonatologists. But homebirth represents 100% of the income of homebirth midwives.

Won't you agree that it would be EXTREMELY crucial to the income of homebirth midwives if word got out that home birth has a neonatal mortality rate more than 7 times higher than comparable risk hospital birth?

Won't you agree that it would be EXTREMELY crucial to the income of homebirth midwives if word got out that the Midwives Alliance of North America (MANA) refuses to release the death rates for their own midwives?

Won't you agree that it would be EXTREMELY crucial to the income of homebirth midwives if word got out that the death rate for planned homebirths with licensed midwives in Colorado has exceeded the death rate for the state as a whole and has risen in every single year since 2006, and that the homebirth midwives of Colorado refused to release the death rates for 2010?

When it comes economic incentives for hiding the truth, homebirth midwives have far more to lose than obstetricians, pediatricians and neonatologists.
11:38 AM on 01/26/2012
If homebirth is so dangerous why is it supported by the WHO, The Royal College of Midwives (RCM), the Royal College of Obstetricians and Gynaecologists (RCOG), The American Public Health Association and the American College of Nurse Midwives.. I believe there is more. Who am I missing?
08:12 AM on 01/26/2012
Amy, don't you have anything better to do, than stalk every article about homebirth? The CDC data that Amy refers to, was analyzed by HER and her alone. This isn't scientific data. She's also comparing high risk women choosing homebirth, with low risk women in the hospital attended by CNMs! The real neonatal number she should be comparing it to is 4.5/1000, instead she is comparing it to .4/1000! How deceptive. We have THREE solid studies now that prove the safety of homebirth. The recent study that was done in Canada shows that homebirth is actually slightly safer than the hospital with all of the benefits given to the homebirth mothers and babies. The recent UK study showed a slight increase of problems to first time mothers choosing homebirth, but was shown to be equally as safe as the hospital, for the mothers giving birth for the second time. Lastly, the Johnson and Daviss study, which Amy has repeatedly stated is flawed but has never provided any real proof to back up her claims. This study has also shown homebirth to be as safe as hospital birth. The issue with homebirth in the states, is that not all CPMs are created equally. If you choose an experienced CPM with excellent references, are low risk and transfer at the first sign of problem, homebirth is a safe option. If you are not sure that your CPM is experienced enough, or if you have doubts, hire a CNM.
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Limari Colon
08:32 AM on 01/26/2012
Woohoo! Again, my thoughts exactly. Every career has great professionals and not so great professionals. When you choose a healthcare provider for you and your unborn child, you interview this person thoroughly and decide if she or he is the right fit for you. I would have 10 home births if I had 10 babies! It was the most awakening, spiritual and amazing experience of my life!!
08:00 PM on 01/25/2012
Oh, it's you again, "Dr." Amy Tuteur. What a shocker. Imagine seeing a fear-mongering comment regarding natural and homebirth stories in the news. I really wish you would GO AWAY and, here's a novel idea, GO BE A DOCTOR to all those pregnant women who seek your expertise! You are so very bad for women. Shame on you again.
07:28 PM on 01/25/2012
While I congratulate you on your wonderful outcome, I would not recommend to expectant mothers to give birth at home. There are SO many complications that arise during child birth that can easily be handled by doctors in a hospital setting. These same complications, both mild and severe, could be catastrophic if a baby is delivered at home. Just speaking about my pool of friend relatives - one friend's son had his umbilical cord wrapped around his neck 2X (would not have survived), another three of my friends hemorrhaged (and would have died if they gave birth at home), several of my other friends' babies' heart rates dropped so low that they needed emergency c-sections, etc. Giving birth at home negates the possibility of having an emergency c-section, which can be crucial for both the mother and baby. If anyone reads this article and then reads my comments, please heed my advice - give birth in a hospital, unless you have enormous resources ($$$) where you can have health care professionals and equipment on hand at home in case there is an emergency (which happens much more than you would expect).
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Limari Colon
08:17 AM on 01/26/2012
Dear Ms. Megandale:

I understand your concerns, but sometimes we are misinformed. Just as there are good and bad doctors, there are good and bad midwives. You don't choose the first one you meet! A good certified midwife is prepared to handle wrapped umbilical cords (my baby had his cord around his neck), hemorraghes (they have Pitocin inyections ready to stop a hemprraghe) and emergency transports (in case of an emergency). A true good midwife will assess the risk, and make a timely decision in case of a hospital transfer. Most transports are done in a car! Not even in an ambulance we a gruesome image you might see in a Hollywood movie.

During my labor, my midwife was constantly monitoring my blood pressure, heart rate and my baby's heart rate. If these would've change, I would've ended in a hospital. Assisted home births are planned with a highly trained staff. I had a back up OB/GYN which I saw every week during my last months of pregnancy and was well aware of my labor, in case I needed to be transferred to a hospital. I also alerted the pediatrician I chose for my baby. I had two midwives, a doula, my mother, father and husband with me, a back up OB/GYN, a pediatrician and a hospital 10 minutes away. I had a beautiful home birth for a total of $2,500 and got pblic health insurance in case I needed hospital coverage. 
08:17 AM on 01/26/2012
A baby would have died because it had the umbilical cord around the neck? That is totally false. babies have cords around their neck 1/3 of the time and is almost never an emergency. Like many other women, you have been lied to about the real risks of childbirth. And your friends that had babies whose heart rates drop- did they have epidurals? Were they induced? were they on their back? Same goes for the mother who hemorrhaged.. was she given pitocin during labor? Did the doctor tug on her placenta? Many of the problems that happen in the hospital are caused by hospital interventions. That's why we always here.. "My baby would have died if I had been at home..". No, your baby might have very well been extremely healthy if they had been at home, free from unnecessary interventions..
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Limari Colon
08:28 AM on 01/26/2012
Well said sebmama! I almost shouted "Amen!" I feel so happy whenever I encounter women as educated as yourself. Thank you for reading and commenting!
05:55 PM on 01/26/2012
Seb, you have no idea what the circumstances of my friends' childbirths were, so your post here is out-of-line. I gave a few examples (of MANY) that I have of people that I know who have had complications. You are obviously biased, so you'll out a spin on anyone who posts something that goes against your view. Some people may opt to do home births, but I would not suggest it to all women. Again, there are a lot of complications that can arise, why risk it?
07:07 PM on 01/25/2012
I wonder if Ms. Colon would decided that homebirth was "the right choice" if she had been aware that the latest CDC data (on the CDC Wonder website) shows planned homebirth with non-nurse midwife has a neonatal mortality rate 7.7 times higher than comparable risk hospital birth.

I wonder if Ms. Colon would have made the same choice if she'd been aware that the Midwives Alliance of North America (MANA), the organization that represents homebirth midwives, has collected a database of 24,000 planned homebirths and refuses to release the death rates.

I wonder if Ms. Colon would have made the same choice if she'd been aware that in the state of Colorado, which has licensed homebirth midwives since 2006, that the homebirth death rate has exceeded the death rate for the state as a whole (including premature babies and pregnancy complications) in every single year since and has risen in every single year since 2006, The death rates are so appalling that the homebirth midwives of Colorado refused to release the death rates for 2010.

I wonder if Ms. Colon would have made the same choice if she had been aware that the state of Oregon has had at least 19 reported neonatal deaths in the past 10 years for a rate that is more than 4 times higher than the death rate for comparable risk hospital birth.

I wonder if Ms. Colon would have made the same choice if she had been truly informed of the risks.
07:33 PM on 01/25/2012
Well said, Amy. I commented right after you. Both of my pregnancies resulted in severe pre-eclampsia, so I'm a bit sensitive about this topic. I think a lot of expectant mothers (especially young ones who have never had children) have no idea how complicated pregnancy can be. I assume you are a doctor based on your username. It always astounds me when I hear of SO many of my friends/relatives/acquaintances having serious complications either during pregnancy, or at the time of childbirth. It's not worth the risk.
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Limari Colon
09:35 PM on 01/25/2012
I respectfully disagree. Just as you point out that MANA will not publish their statistics, hundreds of hospitals don't. Many maternal and fetal deaths are NOT reported as such.

I wonder if Ms. Tuteur is aware of the fact that Holland is called the "Capital of Home Birth" and they have better outcomes than American women have.

I wonder if you are aware that OB/GYNs perform elective C-sections, a VERY risky procedure.

I wonder if you in fact know that women are routinely induced at hospitals, before their 39th week, while a baby can safely inhabit his mother's womb for 42 wks.

There is always another side to the story. I don't claim home birts are for everyone. I do thank God that medicine exists, and that OB/GYNs are there when they are needed. Low risk pregnancies have better prognosis in an assited homebirth with a trained professional, than in a hospital.

For Ms. Megandale to suffer pre-eclampsia, no respectful midwife would recommend a homebirth, since she is considered a "high risk" pregnancy.

Don't be so quick to judge me, or any other woman who opted for a home birth, just because you believe it is an irresponsable choice. Educate yourself, and stop swallowing the pill American women have been fed since the 1950s. Birth, as God intended, is entirely natural. There is no reason to fear it. There is no reason for medical intervention, unless a complication arises that calls for it. Thanks for reading!
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mrsL
marriage & motherhood with mirth and grace
10:22 PM on 01/25/2012
Makes one truly wonder how the human race was able to survive prior to the advent of hospital birth.

Limari, my great grandma had all 10 of her kids at home, and I had two of mine at home after having a hospital birth that went great - except for the exorbitant bill.
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Limari Colon
07:56 AM on 01/26/2012
Thank you for this comment! This is exactly my point. Before hospitals, the maternal and fetal mortality rates were so high because we didn't have the knowledge, technology, nor the sanitary conditions we have now. Countries lile Holland, Japan and Great Britain prove to us each day that home birth IS the best possible scenario for a low risk mother to give birth and for a child to come into this world.