The safest place for babies to be born is in a hospital or birthing center. A birthing center offers a more home-like, relaxed environment for giving birth than a hospital. Birthing centers have health care providers and equipment to care for you and your baby, especially if either of you need special medical care right away.
You may choose to give birth at home. You may want to be in the comfort of your own home, be in a more family-friendly setting and have more control over your baby’s birth. If you’re thinking about having a home birth, plan ahead to help keep you and your baby healthy and safe.
While most babies come into the world healthy, problems during childbirth can happen very quickly, even for healthy women. You may need special medical care and equipment right away to keep you and your baby safe. If you’re giving birth at home, this kind of care (for example, a neonatal intensive care nursery) is not available at home.
It’s not a good idea to have a home birth if:
Most home births are done by midwives, but some may not have the proper training in pregnancy and childbirth. If you’re planning a home birth, make sure that your midwife is a certified nurse-midwife (also called CNM). CNMs are certified by the American Midwifery Certification Board. They have special training to take care of pregnant women and deliver babies.
Your home birth also should include another health care provider whose main job is to care for your newborn right after birth. This provider can be a doctor, nurse or respiratory therapist who has training, skills and equipment to care for your baby, especially if your baby has breathing problems after birth. This person is there in case you and your baby both need help.
Even at home your baby should get the kind of care after birth he would get at a hospital or birthing center. This includes:
Your baby’s health care provider should check your baby again within 48 hours from your baby’s first checkup after birth.
If things don’t go as planned, you and your baby may need special care that you can’t get at home. Here are some things you can do before your baby’s home birth to plan ahead:
Last reviewed May 2013
See also: Newborn screening
An epidural is the most popular and effective kind of pain relief for labor. You get a needle with a small tube attached placed in your lower back. Medicine goes through the tube while you're in labor. It numbs your lower body so you can't feel the pain from your contractions. The medicine doesn't make you go to sleep, so you can be wide awake when your baby is born!
During labor, your cervix dilates (opens) to let your baby out. Your cervix is the opening to the uterus that sits at the top of the vagina. In order to have fetal-scalp blood sampling, your cervix must be dilated enough that your provider can reach your baby’s head.
The test may remind you of a pelvic exam. It takes about 5 minutes. You lie on your back with your feet in stirrups. Your provider places a plastic cone in the vagina that fits up against the baby’s head. Your provider pricks your baby’s scalp and takes a small amount of blood. The blood is tested, and results are ready in a few minutes.
You may feel some pressure during the test, but it shouldn’t hurt. Your baby may have some bruising or bleeding at the spot where he’s pricked.
If you have an infection, like HIV or hepatitis C, your provider may not recommend fetal blood sampling. This is because you can pass these infections to your baby through the spot where he’s pricked.
Your body also makes oxytocin during breastfeeding. Oxytocin helps your uterus shrink back to its original size after giving birth.
If labor is slow to start or your contractions stall, your health care provider may give you a medicine called Pitocin. Pitocin acts like oxytocin and can help start contractions or make them stronger.
Pitocin is a medicine that acts like oxytocin, a hormone your body makes to help start labor contractions. Contractions are when the muscles of your uterus get tight and then relax. They help push your baby out of your uterus (womb). Health care providers often use Pitocin to:
You may start having labor contractions shortly after you get Pitocin. It can make your contractions very strong and lower your baby's heart rate. Your provider carefully monitors your baby's heart rate for changes and adjusts the amount of Pitocin you get, if needed.