This week we are 27 and a half weeks along. We could be having this baby in 10 weeks, we’ve chosen her name, and I’m still undecided on where she’s going to be born! When we moved to Savannah, we quickly chose to deliver at the only birth center in the state of Georgia, which happens to be in Savannah. Our former midwives and birth center recommended we check there first and advised that since we’d already had a birth center birth, we’d probably never be comfortable in a hospital birth setting. We knew we wanted another natural water birth experience. We also knew we wanted for a midwife to assist us again, since it went so well with our firstborn.
So right now we know that our primary caregiver will be a certified nurse midwife. CNM’s are registered nurses who is educated in two disciplines: nursing and midwifery. And CNMs have been certified by the American College of Nurse-Midwifes (ACNM). They can work through hospitals, birth centers, or as independent homebirth practitioners. It’s my understanding that to do homebirths, CMNs have to have a written collaboration agreement with a physician and the laws and regulations governing them vary by state.
We’ve only been with this new birth center since August. I’ve heard great things about from like-minded parents and actually know a mom who’s due to give birth there any day now. I’ve been there four times so far. First, for a tour: One afternoon when we first moved here, I showed up unannounced & the midwife I met was very friendly and eager to give me a quick look around and answer my questions. It was a great day and I was pretty certain that was where we’d deliver.
Then, I went there for an official patient orientation led by a different midwife, which seemed a bit less personal. I sat in a room with several moms (and their family members) and was oriented on how things work at the birth center. We took our own blood pressure weighed ourselves, and submitted urine samples. We did this kind of orientation at our old birth center, but unfortunately there wasn’t much one on one time and I had a hard time staying focused for the plus two hour long visit because I had a fussy toddler in tow that day. I was also advised that since I was already so far along in my pregnancy that I wouldn’t be able to be part of their group program where you attend some classes with moms who are due around the same time as you.
The next time we went for a visit, we didn’t get to see a midwife at all. We went for a mid-pregnancy ultrasound and only saw the ultrasound technician. It was awesome getting to see our little one on screen, but the visit felt clinical and the technician said she’d move our due date up by a week since the baby was measuring big.
At our last appointment, I don’t even know who we saw! It was possibly another midwife (or nurse) who I’d not met before and who’s name and face is not listed on their website nor their birth center Facebook page. I cannot remember her name. She went over my history with me, measured my fundal height, and that’s about it. She shook her head and told me my due date was still the same and she wished the technician hadn’t said anything about changing my dating since it was based on details such as ovulation, last menstrual cycle, and first trimester ultrasound and measurements. I emailed the birth center the next day to confirm which midwife I had seen since I couldn’t remember her name and wasn’t familiar with her face. When I still hadn’t heard a response two weeks later, I emailed them again to confirm their email address was still valid and once again, I’ve not heard a response. Apparently their email address they give in their website and information packets is not valid? So to add insult to injury, this center seems more clinical (in look and feel) and impersonal than my former birth center where I was attended by only two midwifes and saw at least one of them each time I visited.
So, even though we only joked this summer about delivering this baby in our pool in the back yard, I started re-visiting the option of a homebirth with a CNM in the area. I know we could have a wonderful experience in the comfort of our own home. The biggest complication that will probably arise is getting the support of our families, who for the most part are strongly against homebirths. I have a girlfriend who recently had a very successful homebirth with this CNM and I have only heard good things. I did some additional research online, in forums, on Facebook and reached out to my network of natural parenting, natural birth, and homebirth friends to get more information and references. I’m scheduled to meet her for the first time tomorrow! I’ll have the opportunity to ask question about her practice, beliefs, and medical training, in additional to asking about risks, costs, possible insurance coverage, pros, cons, and anything else we’re curious about. I’m very excited to meet her and the Certified Professional Midwife that attends births with her! So stay tuned… a decision is coming soon! We’ll either decide to stay at the birth center where we could have a decent labor and delivery OR we could decide to have our first homebirth experience in the comfort of our home OR we may be disappointed, nix both ideas, and end up delivering this baby in a hospital! Who knows!
*crossing my fingers that my mom and sisters don’t see this before we (my husband and I) have a chance to weigh our options and make a firm decision*
You can read more of Bitty Mama’s Birth Journey by…
…turning back to read why she chose natural childbirth… Why Natural?
…reading the next page, her final decision behind where to give birth… Decisions, Decisions (Part 2)