Homebirth by Abhishek Jaguessar

8/4/2019 Homebirth by Abhishek Jaguessar

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HOME BIRTH

BY

ABHISHEK JAGUESSAR


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Birth

hospital home

emergency planned

assisted

unassisted

medicated

unmedicated

where birth happens


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unassisted home birth

midwife, or other medical personnel presentIn unassisted birth, there is no doctorconception wasbirth should be as private and intimate as the the

They do own prenatal care they don't go to anyone for prenatal care 1. Listening to fetal heart beat with a fetoscope or stethoscope after 20 weeksthey

belief that ultrasound is an unproven and possible unsafe technology, no electronic monitors or

dopplers will be used. 2. Measuring their fundal height of the uterus 3. Testing their urine for protein

4. Measuring their blood pressure 5. Measuring their own maternal weight. 6. Determining their fetal position inside the uterus the birthing woman to be the one to catch her own baby

Just trust that her body knows how to give birth Perineal massage with oil, hot compresses, and perineal support will be

used.she would prefer to allow the tissues to tear rather than be cut. No drugs of any kind will be administered during the labor

gives birth in the squatting position The umbilical cord will not be cut until it has stopped pulsating, usually 3

to 4 minutes or longer. no substance by mouth other than my breastmilk or colostrum
http://../Documents%20and%20Settings/Lea/Local%20Settings/Temporary%20Internet%20Files/Content.IE5/KRRKYZLD/UNHINDEREDLIVING%D9%88%D9%84%D8%AF%D9%89%20%D9%86%D9%81%D8%B3%D9%83%20%D8%A8%D9%86%D9%81%D8%B3%D9%83memo/www.unhinderedliving.com/trust.htmlhttp://../Documents%20and%20Settings/Lea/Local%20Settings/Temporary%20Internet%20Files/Content.IE5/KRRKYZLD/UNHINDEREDLIVING%D9%88%D9%84%D8%AF%D9%89%20%D9%86%D9%81%D8%B3%D9%83%20%D8%A8%D9%86%D9%81%D8%B3%D9%83memo/www.unhinderedliving.com/trust.htmlhttp://../Documents%20and%20Settings/Lea/Local%20Settings/Temporary%20Internet%20Files/Content.IE5/KRRKYZLD/UNHINDEREDLIVING%D9%88%D9%84%D8%AF%D9%89%20%D9%86%D9%81%D8%B3%D9%83%20%D8%A8%D9%86%D9%81%D8%B3%D9%83memo/www.unhinderedliving.com/trust.html


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the assumptionthat hospital birth is safer

for mother and baby has never beensupported

Whether she is safer at home than in a

hospital, however, is another question

Prenatal care, better nutrition, antibioticsand blood transfusion have played more

of a part in the relative safety of birthnow.

No one can tell a mother she is perfectly

safe giving birth at home.


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What are the drawbacks of ahome delivery?

The most obvious drawback is that noteverything a hospital offers is available at home

You may need the expertise of the hospital staff

and certain equipment at your disposal ifsomething goes wrong.

At home there is always the possibility, no

matter how small, of a tragic complication whichcould have been more effectively dealt with inhospital. Parents choosing home birth will

consider and come to terms with that risk,


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Homebirth

Can anyone have a home birth ? How do she organise one ?

What pain relief will be available ?

Can she change my mind ? What happens if she need to go to hospital in

labour ? Who will be present at the birth? What equipment do she need?

What happens after the birth?


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Can anyone have a homebirth ?

In theory, any pregnant woman has the right togive birth at home In practice, you may encounter obstacles. If you

have a complicated medical history such astoxemia, diabetes, breech presentation,prematurity

. the birth in the hospital. Since safety is ofparamount importance, we bring IV fluids,medications, oxygen, surgical instruments and life

support systemsAt homethere is always the possibility, no matter

how small, of a tragic complication which couldhave been more effectively dealt with in hospital.Parents choosing home birth will consider andcome to terms with that risk,


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Homebirth is not for everywoman

Only multiparous healthy women ( not nulliparouswomen which are more likely to require transferto hospital during labour because of delay inlabour).

with

. a normal obstetrical (without pregnancy-relatedproblems ),

and normal medical history (without chronichealth problems ),

who haven't had a previous cesarean section 0rany operation in terus


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How do she organise one ?

her obestetrition will contact you to make the

arrangements

Wherever you decide to give birth is up to you; justremember that you can make the decisions that

need to be made when you have true information. It is your body,

your baby,

your money, and your life on the line,


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What pain relief will beavailable ?

Although in some cases pain medication is available tomothers birthing at home pethidine if she want, in mostcases this option is not available.

give her gas and air. Alternative methods of pain relief if contractions are

pretty strong, such as TENS machine,breathingexercises, massage, and labouring in a birthing pool ,aromatherapy, homeopathic remedies, or acupuncture.

It is well understood that sensations of pain in labourare regulated by hormones released by the woman'sbody relaxation can diminish maternal stress, improve

oxygen flow to the baby and facilitate labor.. During the labour, oxytocin - the hormone which causes

contractions and helps the baby to be born - works inharmony with endorphins - the body's own painrelieving

hormone.


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Preparing for Labor

Take a birthing class. Some available types ofhome birth

Exercise. Regular exercise, such as yoga orwalking, can help prepare your body for labor.

Consider the atmosphere in your home, andprepare it for optimum comfort once you go intolabor. Make sure it is clean and that thesurroundings are soothing to you. Also prepare

for such things as music and lighting during thebirth if you have preferences


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Childbirth Education

You need to prepare for birth. Make preparing for it

special - these educational classes are an excellentresource for you, or anyone who might be with youduring the birth process.

These classes usually include information on exercise,

nutrition, breathing, position, movement andrelaxation methods for use in labor and delivery,information regarding hospital procedures,medications, anesthesia, alternative complementarytherapies, newborn care and the postpartum period.

gentle yoga postures (increase your repertoire ofcomfortable positions during pregnancy), ease low backpain, use vocal toning, visualization, meditation,massage and relaxation Use gentle deep breathing(not the fast pace).


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Obtain the necessary supplies

.You may be able to provide you with abirth kit, but here are some of the mostimportant things you will need.

Sanitary pads, large ones

Cracked ice

Nursing bras

Something to mist your face with

Buckets-to sit on and for clean up New nail brush and clippers

Waterproof pads to sit on

Heavy plastic sheet for the bed

Lar e towels


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Can she change her mind ?

Yes at any time you can change your

mind about site of labour


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What happens if it her baby willarrive before she get to the

hospital?Emergency home deliveries are

extremely unusual, especially with first

babies the baby arrive before or after the

emergency medical team


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Who will be present at the birth ?

doctor and his nurse go to a woman'shome when she starts labor.

Who else is present is up to her it's herhome, after all .Anyone she wish! her

mothers, sisters, close friends, neighbor,labor coach, or others,

Wh i d h


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What equipment does sheneed ?

series of childbirth classes, covering the major topics in

prenatal nutrition and exercise, natural birthing methods,pain relief and breast feeding

shewill bring round a 'birth pack' containing all the bitsand pieces they need

During labour, her baby's condition will beregularly monitored with a sonic aid

The doctorat a home birth will have all herinstrumentslaid out, readily accessible, and theoxygen tankturned on

All she may be asked to provide is adequate heating, and areading lamp. However she did arrange hire of a Tensmachine,

The doctorcarries oxygen and resuscitation equipment touse while waiting for the ambulance

What happens if she need to


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What happens if she need togo to hospital in labour ?

her doctor will talk to her and her partnerabout why she believes a transfer tohospital would be a good idea and will then

call an ambulance because her labour hasslowed down or because there's a realemergency .

For this reason, it's wise to deliver at homeonly if you're within 20 minutes of thenearest hospital and her transportationthere is fail-safe.


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What happens after the birth ? Once the baby and placenta are safely

delivered

The doctor will check the baby over and weighhim,the nurse help her with her first breastfeed

How long will doctor stay at herhome after her baby is born?

The doctor will stay until the mother is up,

sitting in a chair, feeling well, drinking andeating, and the baby is judged to be healthlyand is nursing satisfactorily. (one hour)


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Within the hospital group,.o

Maternal hemorrhagewas higher.o The incidence ofrespiratory distress among

newborns was greater in the hospital than in thehome.

o Limp, unresponsive newbornsarrived more often.

o The perinatal mortality rate was higher in thehospital birthso Neonatal infectionswere common.o There werepermanent birth injuriescaused by

doctorso more lacerations to the mother, manyepisiotomieso a higher rate of forcepso a higher rate ofC-section deliveryo much more likely to experience postpartum

depression or even post traumatic stress disorder.


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doctor tend to allow time for the woman'stissues to stretch and to use perinealmassage, warm compresses, and good

head flexion to avoid both episiotomiesand tearing;

doctor use include simple techniques

for relaxation and breathing but mayalso include the use of massage,herbs, homeopathy and acupuncture.

doctor at a home birth will have all her

instruments laid out, readily accessible,and the oxygen tank turned on, so thatwhat might be an emergency becomes amatter of routine.


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What are the advantages of a home

birth over a typical hospital delivery? It respects the natural processes of giving birth labor progresses more

rapidly in the familiar home environment her own home, in her own bed their home is the most appropriate place for a new baby to enter their

family circle. a matter of acknowledging her needs for privacy, security, comfort, safety,

control, freedom and respect for the emotional and spiritual aspects ofbirth

She may have had a previousbad experience in hospitaland wish to avoidanother.

No Baby Mix-Ups The dangerous bacteria and viruses that commonly inhabit hospital

environments are far less likely to inhabit her home there are no unnecessary medical interventions performed at home, which

themselves could create problems .

encourage laboring mothers to walk or to assume comfortable positions,and to drinkif thirsty and to eat if hungry relax in awarm tub of water,have herfeet rubbedby loving friends.

she chooses, sip on energizing juices, continuecaring for other childrenasshe is able. She can move about freely, wear whatclothing

wishing to minimise the disruption of the routine for their other children Decrease the risk of the emotional/psychological disruption of being in an

unfamiliar institution .they want to deliver their babieswithout drugs andunnecessary

interventionsthis lower-cost costs 68% less in a home than in a hospital


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prenatal calm people who are present at the birth.

Tension in a room can slow down or stop alabor .

Usually someone other than the mom or herpartner assumes responsibility for any childrenwho are present, freeing mom to focus onbirthing.

The birthing process is allowed to take its owncourse and set its own pace. The generalphilosophy is that any interventions(administering drugs or trying to hurry thingsalong) create more harm than good.

the mom is likely to be less inhibited about

trying different labor positions and locations.She can sit on the toilet or go for a walkoutside. She can eat or drinkwhatever shewants


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When it's time to deliver she can often try whatever position she wants:

on her side, squatting, sitting or kneeling manychildbirth authorities feel the motion of walkingand changing positions can enhance theeffectiveness of the contractions. .

When a doctor and mother build a personalrelationship, this trust helps women let go andhave their babies more easily.

Homebirth allows for full participation offamily

members babies are usually immediately placed on the

mom's breast, providing security, warmth andimmediate bonding between mom and baby


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Home versus hospital birth There is no strong evidence to favour either

planned hospital birth or planned home birth forlow risk pregnant women.

Planned home births in appear to be associatedwith less overall maternal and neonatal morbidityand less intervention than hospital births.

"Home birth is an acceptable alternative to hospitalconfinement for selected pregnant women, andleads to reduced medical interventions.

Continuing evaluation of home birth practice andoutcome is essential.

Home birth can be accomplished with goodoutcomes under the care of qualified practitionersand within a system that facilitates transfer tohospital care when necessary.

Intrapartal mortality during intended home birth isconcentrated in postdates pregnancies withevidence of meconium passage


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many mothers who have delivered inthe hospital as impossible

confined to a hospital bed,

denied food and water,

separated from their other children and

supportive family members and friends, enduring frequent internal examinations and

vital sign checks,

being transfered from one room to another on a

stretcher at the peak of labor's intensity and having their legs strapped into stirrups.


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good result of home birth because goodselection of type of pregnant women toallow to deliver at home

Good health prenatal = low complicationsnatal and postnatal

final judgment regarding the relative

safety of home birth still cannot be made.