Reply
 
LinkBack Thread Tools Search this Thread
Old Jan 28th, 2010, 11:00 AM   1
mrsraggle
Mum (Mom)
BnB Elite
 
 
Join Date: Aug 2009
Location: North Birmingham/South Staffs
Posts: 10,235

Can they refuse me a water birth?


Since we got our BFP I've been pretty set on a water birth (in the hospital) until I had two bits of news:

1) I had a low lying placenta at 20 weeks and
2) I have a very high BMI and my hospital say you can only have a water birth if it's lower than 35.

I have a growth scan at 36 weeks to check for the placenta positioning and having read a lot around it I know it's very likely to have moved up (and if not c-section is inevitable). BUT, can the hospital refuse to allow me to give birth in water or at the very least allow me to labour in the water? I know there are risks related to being obese and giving birth but I've read a lot of positive articles about allowing obese ladies to give birth in water too - makes it easier for ladies to move around etc.

Quote:
Benefits of water for specific conditions
High BMI

Heavier women, women with spinal problems or those who have a disability which limits mobility may benefit from the supportive qualities of water during labour (Balaskas, 2004). Immersion in water offers labouring women enhanced buoyancy and mobility with much less effort (Campbell 2004).

The incidence of obesity is increasing in the UK population and in the most recent confidential enquiry into maternal deaths, 35% of women who died from either direct or indirect causes had a BMI of more than 30. Complications can be related to an increased BMI and also in terms of diseases related to obesity. Obesity increases both the need for obstetric intervention and makes intervention more complicated (Irvine & Shaw, 2007). For a woman with a raised BMI, immersion in water for labour and birth enables her to move and change positions easier and quicker than if she was in a semi-reclining position on a bed. This mobility can utilise the advantage of gravity, enlarge the pelvic outlet and enhance fetal descent urging a better pushing technique in the second stage (Simkin & Ancheta, 2005). Studies have found that immersion in water during labour reduces intervention by health professionals (Cluett et al, 2002 and Geissbuehler et al, 2004); wouldn' t it be beneficial to give these women the option of using a water pool? In water there is no weight or compression on the mother' s lower back, making it easier for the baby to negotiate the pelvis and more comfortable for the mother. There is no compression of the internal blood vessels from the weight of the heavy uterus and abdomen, this helps to ensure that the baby has enough oxygen throughout labour and reduces the risk of fetal distress (Balaskas 2004).
Provided my placenta's moved out of the way, I really want to try for a water birth - has anyone else with a high BMI had a successful water birth, or have any opinions on whether they can actually say no to me?

Thank you



 
Status: Offline
 
Old Jan 28th, 2010, 11:04 AM   2
kermie219
Mum (Mom)
BnB Addict
 
 
Join Date: Feb 2009
Location: northwest UK
Posts: 2,708
I've never heard of them refusing because of bmi at my hospital only refusal for being high risk! Are you considered high risk? I have a bmi of over 35 and they said if the pool is available I can use it. Maybe talk to your labour ward and ask them. Sometimes rules are different when you speak to someone face to face! Good luck!



 
Status: Offline
 
Old Jan 28th, 2010, 11:05 AM   3
loopy_lou
Mum (Mom)
BnB Addict
 
 
Join Date: Jul 2009
Location: Cambridgeshire
Posts: 2,657
i have been told my MW i cant have the water birth because of my weight and my back problems physio wanted me to have the water birth because of my weight and my back! i am hoping i can take this up with the consultant on the 10th who might be able to override the MW.



 
Status: Offline
 
Old Jan 28th, 2010, 11:07 AM   4
mrsraggle
Mum (Mom)
BnB Elite
 
 
Join Date: Aug 2009
Location: North Birmingham/South Staffs
Posts: 10,235
Quote:
Originally Posted by kermie219 View Post
I've never heard of them refusing because of bmi at my hospital only refusal for being high risk! Are you considered high risk? I have a bmi of over 35 and they said if the pool is available I can use it. Maybe talk to your labour ward and ask them. Sometimes rules are different when you speak to someone face to face! Good luck!
They've written high risk in my notes but I can't work out whether that's because of BMI or the low lying placenta... I'll ask my midwife next week. I'm in brilliant normal health other than my BMI and my BP is always perfect.

Thanks for responding. I think I definitely have to speak to them but I'm worried they may not discuss until after the 36 week scan.



 
Status: Offline
 
Old Jan 28th, 2010, 11:08 AM   5
mrsraggle
Mum (Mom)
BnB Elite
 
 
Join Date: Aug 2009
Location: North Birmingham/South Staffs
Posts: 10,235
Quote:
Originally Posted by loopy_lou View Post
i have been told my MW i cant have the water birth because of my weight and my back problems physio wanted me to have the water birth because of my weight and my back! i am hoping i can take this up with the consultant on the 10th who might be able to override the MW.
My BMI is 47, is yours similar? (Don't need to answer that if you don't want to!!)



 
Status: Offline
 
Old Jan 28th, 2010, 11:09 AM   6
xpinkness87x
Mum (Mom)
Active BnB Member
 
Join Date: Jul 2009
Posts: 3,924
i never heard of them refusing due to BMI?

I would have a chat with your MW... i have heard there are benfits with people with higher BMI's and having water births. x



Status: Offline
 
Old Jan 28th, 2010, 11:11 AM   7
kermie219
Mum (Mom)
BnB Addict
 
 
Join Date: Feb 2009
Location: northwest UK
Posts: 2,708
Quote:
Originally Posted by mrsraggle View Post
Quote:
Originally Posted by kermie219 View Post
I've never heard of them refusing because of bmi at my hospital only refusal for being high risk! Are you considered high risk? I have a bmi of over 35 and they said if the pool is available I can use it. Maybe talk to your labour ward and ask them. Sometimes rules are different when you speak to someone face to face! Good luck!
They've written high risk in my notes but I can't work out whether that's because of BMI or the low lying placenta... I'll ask my midwife next week. I'm in brilliant normal health other than my BMI and my BP is always perfect.

Thanks for responding. I think I definitely have to speak to them but I'm worried they may not discuss until after the 36 week scan.
I would think the placenta they watch me close because of my bmi but have always maintained that I am low risk....I would definately bring it up! They act like a water birth is a treat for skinny women? So dumb! DOn't we deserve the same relief without drugs that they get? Hope you get it sorted sounds fishy to me! And everything they said that could happen because of my bmi hasn't so.......hope you sort it!



 
Status: Offline
 

SEO by vBSEO