Is choosing your place of birth that important?
I have given birth three times and each time was in the hospital. The first time, I didn’t actively choose where I was going to give birth. It kind of just happened: I got pregnant, found an obstetrician, chose a doula, one day went into labour and gave birth! Luckily for me, I had a lovely, natural birth with few interventions. So, the second and third times around, I didn’t think twice and I did it all over again the same way, albeit with different doctors and different doulas. Perhaps had I had previous difficult or horrendous experiences at the hospital, I would have chosen differently. And had I known then what I know now as a birth worker, I definitely would have researched my options more.
However, no matter what you decide, as your doula, I will accompany you to your chosen destination when baby comes. Your options are as follows:
Hospitals
If you give birth at a hospital, you will be followed during your pregnancy by an obstetrician or by your family doctor. Routine medical interventions are likely to take place, including for example, continuous electronic fetal monitoring, IVs, vaginal exams to ensure timely progression, and pushing on your back, depending on the doctor. In terms of pain relief, some hospitals are limited to the epidural, while others may offer more natural ways of coping. If complications arise, hospitals are equipped, of course, to perform cesarean sections. Moms, you can refuse any offered interventions, and it is worth learning about your rights before giving birth so that you are well informed.
Birthing Centres
Birthing centres, which are run by licensed midwives, are great alternatives if you are not comfortable giving birth at home, but wish to give birth in a more home-like setting than in a hospital. They are also a good choice if you favour natural birth and wish to have more personalized care throughout your pregnancy. You are encouraged to be active during your labour and to give birth in the position of your choice. If complications arise, you will be transferred to a hospital. Montreal has only three birthing centres and the waiting lists are long so call as soon as you know you are pregnant to reserve your spot.
Home Births
Home births allow you to labour and give birth naturally in your own surroundings, free from many routine medical interventions. You may give birth surrounded by any number of family and friends, move around freely, and eat and drink what you want. If you are followed by a licensed midwife (some women choose to have unassisted home births), she will first inspect your house to ensure it follows regulations. She will also provide you a list of supplies for you to have on hand. It is important to note that home births are for moms whose pregnancies are considered low-risk.
Choosing a birth place requires thought and knowing where you and your partner will feel the most comfortable. Some moms want the least amount of interventions as possible, while others want to be near the latest equipment if need be. Research your options. Create your lists of pros and cons. Make an informed choice that’s right for you!
Sylvia
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