PREGNANCY AND BIRTH
Home care in pregnancy and birth by Consultant Midwife- Lucy Muchiri-Eve’s Mama
A brief introduction, I am an Independent Midwife, running evesmama Midwifery Services. Evesmama offers care and support to mums and mums-to-be before, during and after pregnancy.
Our services are home based, we bring the clinic to you, help you at home, and give postnatal care at home.
I realized as I went along in my practice as a nurse and motherhood that today’s mum is in need of support since unlike our mums who had their mums and others supporting them when we were born, we have the internet that has too much information and the hospital/clinics that are constrained with time and resources and cannot give support and our friends who are in the same boat as us…so evesmama came up to give practical care and support.
It is always a thought that gives chills but the greatest advantage is that a home birth allows active birth.
Birth is a natural process and the body knows what to do, just like with all other body activities. Active Birth is the situation when a mum is allowed to do her thing, allow her body to follow its natural instinct to birth and all she gets is supervision by a skilled attendant and support from both the professional and family.
Over the years, birth has been made to look safest at hospital despite the fact that majority of women world over still give birth at home, Kenya being at 58% by Oct 2010
With Active Birth (home birth), the mother is relaxed in her own and familiar environment. She is therefore able to produce a lot more of the good hormones and oxytocin that allows her to labor more easily. The fact that she is moving around and keeping active, it hastens her labor too.
In case a transfer is required, then it is done as a CS which cannot be done at home. Prior arrangements are done before hand. Emergencies in child birth are easy to detect early.
A home birth midwife always carries with them an emergency kit for the mum and baby. If the baby develops breathing complications, they should be able to resuscitate that baby and if need be transfer the baby to hospital.
Because natural births are considered such a messy affair, in the birth pack we have some protective sheets. You would only need a khanga or towel that you can dispose off. The placenta can be incinerated at a hospital incinerator or buried for those who like burying and eaten for those who do that. The mess can be controlled. If you are having a water birth then to control the mess you birth the placenta out of the pool.
A study done a few years ago showed that a piece of placenta eaten once a day for the first week after birth helps resettle the hormones and reduce PND-post natal depression. In the west they make capsules out of it which you take, but here it is dried in the sun or oven, you cut a piece each day and eat.
It is important to note that, home birth may not be for everyone, there is a criteria. I usually quiz for mums health history, previous births or current pregnancy and all that would help determine whether or not we can have the birth at home. If not, I do go to the hospital with them as their doula.
PRE-NATAL CARE AT HOME
Prenatal care at home is a good thing as it also allows for the Supa daddy who cannot get time out of work to be present and get involved. It also comes with a crafted in birth preparation class which I believe is important for every mum before they go into labor especially if it is their first time.
A home birth’s other advantage is the family inclusion and the fact that everyone around you is familiar including the midwife who you should have bonded with. Your girl can be present if you wish, and like you say, bond immediately with her sibling. The scan you do at week 34-36 just to confirm the position, though a surprise breech can still be delivered.
A water birth is very relieving, and the buoyancy makes it easier to push. Actually, most mums who have a water birth do not need an episiotomy and hardly get tears.
Remember, motherhood is a journey, learn and enjoy at every season.
For more information contact Lucy Muchiri on firstname.lastname@example.org, 0717 616160
http://www.facebook.com/evesmama or visit http://www.evesmama.com
(While you are on our blog check out our website: http://www.supamamas.co.ke)