Giving birth
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Giving birth


♪ (Rising musical tones) ♪ Teresa (client): My first son, Noah, was super quick, super fast so by the time Esther came to the house I was already 9 cm dilated and she said hospital or home and I said hospital. Marlene (midwife): If a woman is planning to have a hospital birth, generally what we do is we start by assessing, (pause) assessing her at home. We’re monitoring the labour at home until she’s 7 to 8 cm or until really it seems like the right time to move. And then, either we’re going together to hospital or we’re meeting at hospital. Teresa: We went to the hospital and he was born quickly. It was really quick and really nice. Like, the experience was really, really nice. Marlene: In Ontario, all midwives have admitting privileges at a hospital. The College of Midwives of Ontario mandates that we are to give choice to our clients as to whether they want to give birth at home or hospital. That means for us that we can admit clients, we can discharge them. That when they’re there, they’re there under our care. Teresa: Another reason why I like the midwifery care is that you can choose. Like everything is “Well if you want to stay at home great.” “If we see that, that you’re, you know, maybe want to go to the hospital when time comes you decide that, sure we can go to the hospital.” So, you feel actually empowered to do exactly what you feel is best for you and your family. Laura (client): We were lucky enough to prepare for a home birth and we had a bag ready just in case we had to go to the hospital and I kept myself open to anything happening. And we ended up staying home and it was amazing to be in our home. And, you know, it was my husband and our mothers and my son. Marlene: So at a home birth, you’ll probably have two midwives and at least one student. We’ll be doing the early part of the labour by telephone. We’ll have some contact by phone and we’ll guide her along the way and then when she’s in active labour we’ll go to her home. We pretty much bring everything to the home that you would have at a Level 1 hospital. We bring oxygen for both the mom and for the baby. We also have suction for the baby. An important part of safety in home birth is that we’re… that we’re doing what we call Intermittent Auscultation. So we’re listening to the baby’s heart rate the fetal heart tones, using a Doppler, which is a portable ultrasound machine. We can also administer antibiotics at home if we have to. And then we have everything, all the normal equipment that you would have basically for taking care of a mother or a baby when they’re in labour. Usually we’ll do a set up once we know that things are pretty much, that it’s going to work, that we’ll be able to stay at home. We’ll set up our gear for a home birth and then she’ll have the baby! (Laughs) Teresa: Like you do build a relationship with them because you see them regularly. They come to your home. They… like we had dinner together. It’s really nice. It’s just a very nice comfortable relationship. Laura: The most profound experience through the whole process with midwifery care was my home birth. 100%, hands down. ♪ (Soft, mellow music) ♪

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