Wednesday, 02 November 2011

  • Costs Of A Homebirth

    This is a guest post from Baby Dickey.

    “This Is Why” by etsy​.com/​s​h​o​p​/​M​a​n​d​a​l​a​J​o​u​r​n​eyAmy

    When reading about reasons for a homebirth, money is always listed. Homebirth is much cheaper than a hospital birth. But it’s not for us… and regardless, it wouldn’t be one of our reasons anyway. I think you all know (if you’ve been reading my blog for awhile) what our reasons are.

    If you don’t have health insurance, yes, a homebirth would be WAY cheaper for you. But we do and a hospital birth would be covered (less our deductible).

    But a homebirth? With an out-of-network midwife? We’re pretty much paying for it all. Let’s check it out:

    Homebirth midwife: $2000
    Doula: $900
    Misc. supplies + water tub: $150
    Placental encapsulation: $300
    Childbirth classes with Pam England (via skype): $360

    TOTAL: $3710.

    (Should I be totally cheesy and say… Cost of having a homebirth VBAC: priceless ?? )

    Read the rest of the post at Baby Dickey.

    {Editor's Question} Did you have a homebirth? Feel free to share your costs!

Comments (26)

  • grizzlybearr@xanga

    after my best friend's horrifying experience with a vbac i definitely wouldn't suggest having one of those at home. she had a uterine rupture that required IMMEDIATE surgery.  i do mean IMMEDIATE. how does that work out if you're at home? ya know? that's my only concern with it though, emergencies.

  • sarahsmurfette@xanga

    @grizzlybearr@xanga - Most VBACs are totally safe. And if your friend is the same as my old friend here in xanga, hers ruptured most likely because of the pitocin. You should never, ever use pitocin with any previous uterine surgery. My VBAC was totally safe. And midwives are equipped and experienced enough to recognize a true emergency and will take steps necessary to get the Mom where she needs to be. Midwives have an OB back-up. And that is who would be called in for the emergent cesarean.

    The risk of uterine rupture with a healthy pregnancy and healthy Mom are extremely low. Much lower than the risk of surgery (repeated cesarean) itself. The Mom I knew who had the VBAC-gone-wrong had pretty bad hypertension at the end of her pregnancy, which is why, as I recall it, they used pitocin to get her labor going to begin with. A midwife would red flag that situation and would likely suggest going to the hospital rather than birthing at home.

    That is just my opinion.

  • CrisaRei@xanga

    @sarahsmurfette@xanga - I have a question. Did you see a regular doctor up to the home birth, or did you see the midwife up to your home birth? Do you work side by side with a doctor and a midwife, or just one or the other? 

  • sarahsmurfette@xanga

    @CrisaRei@xanga - I did not mean to mislead, if I did. I didn't have a VBAC at home with a midwife. In Florida, where I was at the time, that was illegal and would have had to be done underground. I couldn't justify it, so I used the midwife's back-up OB as my physician during the pregnancy. I started off with the midwife group and found out everything about the practice though, before they took me aside, and tearfully told me they could not legally attend my VBAC (and suggested their OB who was VBAC and natural childbirth friendly). The way they ran their practice, you had one or two visits with the OB to get to know and become comfortable with him/her just in case. The remainder of the pregnancy was with the midwife, as well as the labor/delivery and 6 weeks postpartum. 

  • CrisaRei@xanga

    @sarahsmurfette@xanga -  Oh, no, it's fine. I'm just curious because I am looking into having a midwife and an at home natural birth rather than one in the hospital. It would be my first time giving birth and I want it as natural as possible.

  • sarahsmurfette@xanga

    @CrisaRei@xanga - I could not recommend having a midwife and home birth any higher. I wish so hard that I had known more with my first pregnancy. It may have changed everything, and prevented the cesarean I had (because I succumbed to physician pressure to unnecessarily induce which led to nothing but intervention and troubles). Good luck to you, it's awesome that you know your options. I didn't and regret it.

  • CrisaRei@xanga

    @sarahsmurfette@xanga - Thank you very much, I will definitely take that into consideration, and I do want to explore all options out there.

  • alextebow@xanga
    I wanted a homebirth with my first son, but it wasn't an option for us financially at the time. I had an HMO that would not cover it... so our costs were pay a $250 co-pay for a drug-free hospital birth or pay $3800 for a homebirth. In the end, we were lucky with a hospital that was supportive of my birth plan. For baby #2 I want a homebirth still, but my husband still isn't comfortable with it. Thankfully he's cool with a birth center birth, and I'm happy to compromise on that one.

    @CrisaRei@xanga - Check out birthwithoutfearblog.com. A great resource for info and birth stories.

  • momthreepointoh@xanga

    I had a VBAC for my last one... SO WORTH IT! I was in the hospital but I would love a homebirth!!

  • HopeWithinReach@xanga

    If/ When I have kids, I want am hoping for a water birth.

  • CrisaRei@xanga

    @alextebow@xanga - Thank you so much! I will definitely check it out!

  • WaitingToShrug@xanga

    @HopeWithinReach@xanga - Me too. :) You know how we were talking about not following other people's expectations for us? It's turning out well so far, I already know a lot about my options for birth that I wouldn't have if I'd jumped on the baby wagon already! :D

  • Pollypinks@xanga

    Just the thought of the uterus rupturing, and mom bleeding to death before help can come, should give us pause.  It really sucks when the health insurance companies have us held literally by our balls, and everyone in our country cannot have health care.  But I would suggest to give plenty of thought prior to planning a pregnancy if you cannot make provisions for a hospital stay.  And if something goes wrong with the baby at home?  Who's to blame?  What professional is there to deal with that mishap?  And don't get your heart so set on a particular kind of birth that you become despondent when that may not happen.  I see it all the time on t.v.  A woman crying all the way to the hospital.  Or sobbing when she finally decides to have an epidural.  They didn't have those when I gave birth 35 years ago, so it was "Au Natural" for me, yet in a hospital setting, and one baby did have complications immediately following the birth, that we had not foreseen.

  • smile4iluvya@xanga

    I want my next birth to be at home.  I live pretty close to a hospital, so I have that "back-up" nearby just in case.  My midwife charges $1300 for a homebirth (I think), with about $100 for the birthing pool.  That covers all my prenatal care, too.  I plan to take a HypnoBabies class again, and don't know how much it will cost since I already have the materials. My sister will be my doula, and so will not charge.  All in all, I expect my next birth to cost us less than $1800.
      My last birth was at a birthing suit with a midwife and a student. I got a $200 discount for being willing to have a student...and really got her and the midwife who was guiding her, so it was double the care and I loved it.  All in all, they charged me $1600-ish for my care and the use of their suites, and then I payed $300 for the HB class.  It was a fabulous experience and well worth the money.  I certainly enjoyed it more than my hospital births.

  • CrisaRei@xanga

    @smile4iluvya@xanga - Isn't the birthing pool just a kiddie pool or inflatable pool? Couldn't you use a bathtub instead so you don't have to pay for a birthing pool? 

  • smile4iluvya@xanga

    @CrisaRei@xanga - The birthing pools I've seen have really sturdy sides so that the mother can use them for support...and part of the cost is, I assume, paying the midwife to clean/sterilize it, which I'm sure can be a rather unpleasant job.  I birthed last time in a large tub, and don't think an ordinary bathtub is roomy enough to open the legs as much as needed.  If I am not renting out my master suite, however, I probably will use that tub, because it's extra wide.  It's usually rented out and so is not an option.

  • SamiPolizzi@xanga

    It's a damn shame that most insurance companies don't cover homebirths. You'd think it would be in their best interest, since it costs so much less.


    But of course it's all about politics and money... just like everything else.
  • DontTurnAway@xanga

    @SamiPolizzi@xanga - ....and probably the fact that it could potentially kill the baby and the mother. 




    Infant mortality has gone down over the centuries... I wonder why?


    --me
  • CrisaRei@xanga

    @smile4iluvya@xanga - Oh, okay. I was curious because I've seen home birth videos and they looked like ordinary blow up pools. 

  • CrisaRei@xanga

    @DontTurnAway@xanga - Even a hospital birth can potentially kill a mother and her infant. And infant mortality has gone down over the centuries because people who birthed the babies learned to wash their hands amongst other things. Midwives are highly trained in birthing babies and know what to look for for signs of danger. If the midwives remotely believe that your or your baby is at harm before the birthing process, during, or after, she will definitely take the initiative to seek help immediately. Home births have back up plans in case of emergencies, and home births are also very beneficial. 

    Arrangements for emergency or hospital care are made ahead of schedule in case something does go wrong in most home births. Home births have fewer caesarians and episiotomies as home births and midwives encourages my body to do what it does naturally. Also, my immune system as well as the baby's have built up an immunity to the germs around my house as I am in that environment all the time and my baby and me have been exposed to those germs through the nine months. 


    However, some people are advised against having a home birth if they've had complications in other pregnancies, have a history of drug use, diabetes, develop a pregnancy complication over the course of nine months, and are less than a certain amount of weeks and over 41 weeks. All I need to do is educate myself on home births, go to a doctor and have them check me out and see if I am suitable for home birth, talk to an experienced midwife with recommendations and ask about her back up plan for emergencies. 

    And sorry if people are tired of seeing my little icon, I'm hovering around this topic because it greatly interests me and gives me a chance to talk to those who have experienced home births so I can decide if it is something I want to do. 
  • vexandcigarettes@xanga

    @DontTurnAway@xanga - lol you're funny, how do you think births were dealt with prior to hospitals being available? Woman having been giving birth at home since the creation of the first child.

  • Jewelbeetle@xanga

    My homebirth cost 2500,  It was much better than a hospital birth. 

  • SecretlySabrina@xanga

    I live in Canada, so a home birth would actually cost more.

  • stubrock@xanga

    Depending on where you live, you might have the option to use a birthing center. My wife and I were so lucky last year to have our baby delivered there. It's like a home birth, but at a professional facility. The rooms are HUGE, and have a queen size bed, REGULAR sheets (not those ugly hospital kind, the rooms are painted with all kinds of color, there's a couch, recliner, all that. The place is stocked with nurses and midwives. There are no doctors on hand, but they're on-call. Our local birthing center is across the street from a hospital, so in case of an emergency they would have just rolled her over,  and presto. By far the best parts: It was silent. We went in on a Friday night, and since there were no other births taking place, no one else was in the building but us and the few people taking care of us. Since the bed was huge, I was allowed to sit behind and alongside my wife during the process, which was great. She was allowed to eat and drink all she wanted, whenever she wanted. Our doctor told us there was really no reason to keep a woman in labor from eating or drinking if she felt like it. Also, we were allowed to let whomever we wanted in the room, as many as we wanted. Our insurance covered all of it, and it still would have been cheaper than a hospital birth. Oh yeah, SUPER BEST PART: Gave birth at 1:30am, we were discharged by 11:00am same day, even with a touch of jaundice. They just delivered the bili-lights to our house a few hours later. Fantastic, and I wouldn't ever go to a hospital after what our friends have described.

    Here's the website for our center:http://www.lisarosscenter.com/

  • DontTurnAway@xanga

    @vexandcigarettes@xanga - and that's why the infant mortality rate was so damn high. You think they could give c sections back then? 

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