Monday, 21 February 2011

Birth Plans

Have to start thinking about WHERE I am going to have this baby. Now I don't mean what hospital or birthing centre. Because I have always known since I was very young that my first choice would always be a home birth. My mum did her births at home. She believes strongly in it. And ever since I picked up Naomi Wolf's 'Misconceptions' when I was twenty it helped to confirm everything I already knew I wanted (and everything I didn't). While doing my MA I began writing essays on harmful hospital practices that had become routine during labour and birth, I wrote research papers on birthing cultures around the world and the history of the medicalization of birth in the UK. It was so empowering and I found myself completely immersed in the research and this drove forward the passion and determination in me to have a natural home birth with as little intervention as possible.


Since I am lucky enough to be healthy and strong and have (so far) a straightforward pregnancy, I now finally get to plan my own home birth. And so the WHERE of my dilemma relates to which country I will do it in. Here is where it gets complicated.


Morocco is a country where if you can afford it, you go to hospital to have a baby. And those hospitals practice the very worse of the medical/technical birthing procedures - women routinely placed in lithotomy, routine epidurals, routine drips, routine episotomies, routine pubic shaving and the rest. Very high rates of C-section. People look at you like you are totally mad if you tell them you want a home birth. Having a baby at home is something only poor women do as they can't afford to go to hospital. So I don't tell people. However there is a group of independent-thinking, educated women who have forged ahead and organized home births here. They have paid for midwives from the US and UK to come out and stay with them in their homes a month prior to their due date and help with the birth. One of these ladies even has her own birthing pool and has offered to lend it to me. This is one of my options. Paying for the midwife to come out and be with me for a month or more won't be cheap but I know it will be money well spent.

The only downsides to this plan are the following - a) it will be August when I have this baby and the heat can be unbearable, yes we have air conditioners and swimming pools - but some days it is like being in a hair dryer with temperatures hitting over 50C; b) Ramadan will start at the beginning of August, which means doctors and nurses will also be fasting and not drinking, if I do have to go to hospital do I really want help from medical staff who have not had anything to eat or drink all day?; c) I really wanted to go back to the UK so I could stock up on baby stuff I wanted and complete some courses in baby yoga and massage. I also want Mr. T to complete his infant first aid course (I always have a valid infant/child first aid certificate as I need it for my job).

My other option is to return to the UK and do a home birth there. There's just one teeny weeny complication. We have no home to have the home birth in. We would have to rent somewhere where we could have the baby at the place we rented. See how many short term rentals you can find over the Summer which would be suitable to give birth in. Yeah slim pickings. I researched it for weeks and we would have to spend a minimum of 3000 GBP for 2 months for anything suitable, as it's high season for vacation rentals. I started thinking how much baby stuff 3000 GBP could buy. A LOT. So the UK option doesn't really seem like an option anymore unless a fairy godmother materializes and finds me the perfect place for freeeeeeeeeee or really cheap anyway.


But there is another option. A friend of mine out here is pg also. She is due just 3 weeks after me. We are discussing the options of renting a place together on the coast somewhere in Morocco where it will be cooler and then splitting the cost of a midwife to come out and care for us. But this is not straightforward either as she has some issues that could give her complications so she needs to have access to a good hospital and OBGYN. And then there's the Ramadan thing - the idea of having a C-section done by a doc who hasn't even had a glass of water all day is not a comforting thought. So she's not sure what she wants to do either.

Anyway so that's where we're at for the moment. Lots to figure out but I know it will all work out as it's intended to. Would be nice to figure it out soon though!

12 comments:

  1. Have you thought about going to Gibraltar? Other British women from Marrakesh have done it. Let me know if you want the details..

    Mary M.

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  2. I know it's probably far too far but you could always come to Argentina... my ob-and-midwife team (they're a couple) have done lots of homebirths for visiting foreigners who couldn't get the natural care they wanted in their home countries. I know you'd like them - a couple of months before Violeta was born they spent a month in Venezuela training Chávez's new generations of socialist docs and midwives in natural birth. Their homepage is http://www.partohumanizado.com.ar/index.html Anyway, furnished rentals are probably around US$1000 a month in Buenos Aires, less if you go outside of town, and the homebirth package is about US$1500... I know it's way too far... but we would love to see you!

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  3. Forgot to say, go easy on the baby gear. You need so few things, especially at first, and I reckon you're better to wait till the baby is 4-6 months to start thinking about big stuff because by then you have a better idea of what you need. We got given loads of stuff (without asking for it) that honestly I am so glad i didn't buy because it would have been a total waste of money! (For example, i HATE the pack and play crib bed thing and also the fancypants high chair...) My top list is: 4 or 5 babygros (get my mum to send you Bonds one from Oz, they rock), a wrap or sling (I will send you one of the ones I make!), 15 multi-fit pocket cloth nappies (like Wonderoos or Fuzzibunz) and a king-size bed so you can all fit in there. (We bought a new bed about six months before Violeta was born, Diego wanted a king and I went all frugal and we got a normal one and I TOTALLY regret it!). OK, will stop filling up your comment space and do some work! xx

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  4. I agree with Vic on the baby gear...you'll be getting so much and you do need very little. Baby grows out of anything extremely quickly (like weeks) so I realised I have put away things without using them once...

    On the home-birth I agree with you that it needs to be well planned ahead and you are taking everything into consideration. I don't have any advice as I wasn't in that position ever, but I'll follow you closely to see what you decide in the end!

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  5. That is quite a dilemma. The end of pregnancy is hard in the heat, and I TOTALLY agree about not wanting to deal with hungry, exhausted medical staff. On the other hand, trying to orchestrate a UK home birth does sound difficult and expensive. (Would it really be cheaper to pay for a MONTH of a midwife's time, though? I'm surprised at the idea that they would accept less than 3000 GBP to take care of a single patient for a month. US-based midwives charged $3000-$4000 for prenatal care and a home birth, the last time I checked.

    Good luck finding the best solution for you. I hope you have a beautiful birth that fulfills all of your hopes.

    (Oh, and I couldn't agree more with Vic and Fran about the baby gear. You really don't need much.)

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  6. You're in your second trimester! It's so exciting! You're so brave to do a home birth. I hope you find just the right location!

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  7. Best wishes as you plan. Homebirth is the way to go - I agree.

    Re: baby stuff. Don't sweat too much about it (really). Babies come into the world expecting very little: your arms and boobs. However, that said, there sure is a lot of fun baby stuff out there to buy! ;)

    Didn't know you did graduate work in motherhood and birth culture - I did, too!

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  8. Best wishes on your home birth plans and I am so happy everything is going well for you.

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  9. This is a tricky decision, with a lot of variables involved. No suggestions, just hoping that the choice becomes an easier one. Mary M's suggestion of going to Gibraltar sounds like an interesting one, though?

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  10. Wow!

    I think option #3 makes a lot of sense, and so does the first one.

    Good Luck with making the choice!

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  11. wow... really great information... nice blog.. keep working on it.

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  12. I knew a friend who also wanted to have a natural birth with as little intervention as possible. Then contractions were stronger and she had to have the shot put. Last year I knew a tourist that had her baby in one of those furnished apartments in buenos aires you can rent and the rental company gave her presents. It was odd!
    Kim

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