Hot off today’s headlines! NICE have said that Women with low-risk pregnancies are to be encouraged to have non-hospital births under new NHS guidelines, which could see almost half of mothers-to-be planning to deliver their baby away from traditional labour wards. This is wonderful news for midwives, women and even doctors who are working in over stretched, busy labour wards. As a midwife who works in a case-loading team and is able to offer all our women the choice where to birth their baby, this new guideline could not be more welcomed. Today Siobhan gives us an update on her preparation for her home birth.
Preparing to meet our water baby
Monday – Iron worries
I mentioned in my previous post how I was totally committed to my planned homebirth, however there is one potential problem that stands between me and my birth pool dream and that is my iron level. It was 10.5 at 28 weeks and I was told to take Spatone twice a day, which I did. However by 36 weeks it had fallen to 9.9. (I have been told that a minimum of 10 is required for homebirth or birthing centre and 11 is preferable). I have now been taking Ferrous Sulphate twice a day and folic acid with orange juice. We have gone from eating kale with every meal (which my partner hated) to steak on a regular basis (which he’s much more happy about). This is after reading the post about nutrition on this blog and learning that we absorb iron much more efficiently from red meat rather than vegetables. My bloods are being checked again this week, at 38 weeks. Fingers crossed it’s risen and all the black poo has been worth it! (YUK).
Tuesday – Baby, be ready soon… please!
‘Babies are born when babies are ready’ is a rather tricky affirmation for me to embrace wholeheartedly as I was induced at almost 42 weeks with my son and I really want to avoid that happening again. What if baby isn’t ready until after 42 weeks?! I don’t want to battle consultants who want me induced and to start worrying about whether I should follow their advice or not. Of course I want baby to be come when baby is ready…it’s just I really want baby to be ready by 41 weeks!
To help avoid this situation I have started having acupuncture twice a week. I don’t believe acupuncture is going to induce my labour and I don’t believe it will make my body do something my body is not ready to do. But I do believe that acupuncture can remove the obstacles (like stress, tension and worry) that prevent labour from starting. Last week the points used were to improve my blood and for relaxation. I slept really well that night for the first time in ages. My second session was this week and the points used were for ripening the cervix. Since then I have felt a stretching and tenderness down there. Could all be psychosomatic of course (says the skeptic in me).
Wednesday – Wet runs and hot tub fun
Tonight we had our ‘wet run’ – which is like a dry run with the birth pool, only there’s lots of water involved. My partner inflated and filled the pool (and timed it), and then, because I couldn’t bear to waste all the warm water, we decided to get in and enjoy it! I started off LOVING the pool – it felt like we were sat in our own private hot tub… in the living room!!! But then I started feeling some waves of panic…caused by the dawning realization that in the next few weeks I’m going to be giving birth in this pool!! A human being, is going to come out of my vagina, in this pool, in the next few weeks. It’s mind-blowing and over-whelming. I felt a bit sick so went to bed with my relaxation track.
Thursday – to be present or not to be present?
My son has gone from describing a textbook TV birth – Mum-to-be in bed, on her back, sweaty, red and screaming to imagining a happy, calm, water birth. He asks all kinds of intelligent questions, like how come it won’t drown when it comes out in the water? After I explained how it won’t take its first breath until it’s lifted out into the air, he said he wanted to be there for ‘when it takes its first breath in this life, in our family’. How cute is that?!
We still don’t have a plan in place for what we will do in terms of childcare when I’m in labour. The first issue is timing. If only we could know WHEN in the next 4 weeks the baby is going to come! If it’s the daytime then he could be at school, if it’s the nighttime he could be sleeping. If it’s the school holidays then we could be screwed! Both sets of grandparents live approximately 4 hours drive away, which isn’t ideal/an option. And the second issue is whether or not Oisin should be part of the birth?! He says he wants to be there for when the baby comes out but will I be relaxed if he is and what if things don’t go to plan? What if he finds it distressing and I can’t comfort him or reassure him because I’m in the throes of labour? I really don’t know what is best but I know some sort of decision needs to be made imminently…
The best news today was my iron results came back and homebirth is a GO! It’s gone from 9.9 to 11.3 after just 13 days of iron tablets. perhaps it was the acupuncture!! My midwife seemed a little surprised and I have been having points for improving blood done during my needle sessions! Ooooh, maybe it is possible to poke this baby out 😉
Friday – packing the birth bag
Now I’m 38 weeks I’ve decided I really should pack my birth bag – we’ve decided to call it birth bag as I’m hoping to avoid going to hospital. I’ve been gathering bits for weeks but finally got around to packing it all and it’s like the best bag of goodies EVER. I’m genuinely looking forward to when the first surge hits just so I open it. I have a lush new Diptique candle packed, a mini bottle of champers (of course), a new super fluffy towel and dressing gown, new bed socks, jelly babies, galaxy bars, laminated affirmations, a head massager, my luxe silk PJs and a set of L’Occitane toiletries which I’ve saved for months. It’s going to be like Christmas has come early… unless I’m waaay overdue and then it will be like Christmas has come late… and I will probably be massively pissed off.
I’ve also packed the obvious essentials like loads of industrial-sized sanitary pads and a few packs of size 14 pants from Sainsburys, to accommodate the aforementioned nappy-like pads, which I will be more than happy to dispose of ASAP. And of course some men’s t-shirts in size XXL from Primark to wear when in labour. I just don’t like to focus on this darker side of my birthing bag.
Finally, I’ve also got to work on creating a playlist for birthing a baby on Spotify. So far I’ve got a bit of Alt-J, The XX, Hozier, George Ezra and Bastille. Unless it’s a very quick labour (unlikely) I’m going to need to add a few more… Would love some suggestions??