Debra Woods - Dakini Doula
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Vancouver Home Birth Choice

11/18/2015

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This is written by one of my clients who wished to share her experience around decision making for place of birth and ultimately choosing and having a home birth. Thanks for sharing. To learn more about birthing at home, please visit my website: www.vancouverhomebirthdoula.com


"I was 40 when I gave birth. The "system" seems to be designed to scare pregnant ladies over 35. Because of my age, I didn't even think a home birth was possible until my midwife told me it was.  I had been subject to a lot of anxiety during my pregnancy. Hospitals are not happy places for me, and the idea of giving birth at home seemed so much easier logistically, physically, culinarily (that's not a word), mentally and emotionally.
So that's what I aspired for and that's what I did. Although I still had a bag packed and had to be mentally prepared for a change of plans, it happened at home as I had envisioned. I'm so happy for this decision and this outcome. Transition to postpartum care was so smooth. 
My midwives and Debra supported me throughout and I had full confidence in the medical care I was receiving. We are fortunate in that our midwives are well connected to the hospital system, so I knew that if we needed to go, the midwife would arrange this well enough in advance that it wouldn't be an emergency.
It is a personal choice, based on one's comfort level and idea of safe space, but we can make that choice ourselves (unless the Universe decides otherwise), regardless of the "system" or random opinions and commentaries that pregnant women tend to be subjected to.
My mother told me her friends were surprised that we did this at home, so I guess it's not as common as it used to be back in their native India. My mother didn't seem too shocked, as most of her siblings were also born at home. We are blessed to have options, and home birth is an important one."
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Choices in Childbirth - Why Birth At Home?

1/9/2015

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My client wrote for the Lower Mainland Childbearing Society's newsletter about her decision making process regarding where to give birth. She chose her home and had a wonderful experience.
Thanks for sharing this, Tracy!
Update: Tracy just had her second baby April 4, 2016 again at home, baby born into water. Congrats to the family! Loved supporting you each time. 
To learn more about my home birth doula care, visit my website: www.vancouverhomebirthdoula.com

Location, Location, Location: Choosing Baby’s Place of Birth
Posted on December 22nd, 2014 written by Tracy Hoskins


“Have you considered having a home birth?” My midwife had asked me in one of our first appointments. I promptly responded no, but the question spurred a few thoughts: “I’m a nurse. How could I even consider that?” “That can’t be safe.” “The hospital is the safest place to deliver.” “Only hippies do that these days.” I didn’t give it much more thought than that at the time.

Being pregnant with my first baby, I was obviously interested in what the birth experience would be like and began watching birthing television shows to see what the experiences of other women were like. I began noticing a trend that a majority of women on the show had some sort of intervention implemented, like taking pitocin or having an epidural, and many of these women ended up requiring caesarean deliveries. Was this a coincidence? I needed more information.

Shortly after, I watched “The Business of Being Born” produced by Ricki Lake. I was shocked to learn that America had one of the worst rates of caesarean section deliveries. It made me question if Canada’s rates were similar. I was amazed to find out that according to the Canadian Institute for Health Information (2013), the caesarean rate in Canada is 27.2% and within BC it is 32.0%. In other words, about 1 in 3 women have caesarean sections in BC! I know in many cases it is not preventable, but that is still really high. I learned that when interventions are started during labour it can have a snowball effect, and the likelihood of requiring further interventions increases. I didn’t want any interventions, especially a caesarean section. That is major surgery. So, I started doing more research on things I could do to try to prevent this.

At this point I knew I absolutely wanted to have a natural childbirth, but I still wanted to have the baby at the hospital. The birthing unit at the hospital where I was supposed to deliver my baby had rooms that looked almost as comfortable as my own bedroom. It had big windows, a big bathtub, and did not look like a hospital room. I felt I would be comfortable there. However, about a month before my due date I found out the ward would be closed because of lack of staffing. The ward that I was now to deliver in had rooms that were cold and sterile, with tiny showers, and no windows. I could not see myself coping with the intensity of labour in that space. This made me seriously begin questioning my choice of having a hospital birth.

I started doing more research on safety of home births and found that for low-risk, healthy mothers it was a very safe option. I read Ina May’s Guide to Childbirth (2003). This book gave me the confidence to truly consider having a home birth. One of my biggest concerns with home births was the lack of in depth information of risks. The author listed her percentage of caesarean births. I was astonished it was so low. This book addressed all of the concerns I had with childbirth at home. There were also many stories of women’s individual experiences with childbirth at home and it helped me imagine what it would be like for me.

I had a wonderful healthcare team working with me, which included two wonderful midwives and a very experienced doula. I asked them many questions. I made sure that I was going to feel safe with them looking after me at home. I also wanted to make sure they were comfortable with home births. I wasn’t shy about asking them about their percentage rates of natural and caesarean births. I trusted them completely and I feel like this is what really sealed the deal for me. They are professionals at delivering babies and at helping mothers manage labour. I had no concerns by the time I went into labour with my baby.

I ended up delivering a very healthy 9 pound 3 ounce baby boy in the comfort of my home. I wouldn’t have had it any other way.

Canadian Institute for Health Information, Health Indicators 2013. 2013, CIHI: Ottawa, ON. Gaskin, I. A. (2003). Ina May’s Guide to Childbirth: Updated with New Material. New York, New York: Bantam Dell. Lake, R. (Executive Producer), & Epstein, A. (Director). (2008). The Business of Being Born [Motion Picture]. United States of America: Barranca Productions.
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    Author

    Debra Woods, Dakini Doula
    I am a seasoned birth doula, postpartum doula and a parenting & childbirth educator.
    Since 1989 I have been supporting Vancouver families during the childbearing year and into early parenthood.
    I write about a variety of topics related to pregnancy, birth, parenting and baby care.
    I share information from local Vancouver health professionals.

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