I have a question for people. I'm not ever pregnant yet LOL so thinking a bit in advance but whatever..
When I went into labour with Amelie my blood pressure went sky high. I was monitored throughout and given labetalol a few times. It was so high they initially had a mini panic and thought it was pre-eclampsia but I had my blood tested and it wasn't. My BP remained really high despite the labetalol and weirdly, as soon as Amelie was born it went back down to normal
![Shrugg :shrug: :shrug:](/styles/default/xenforo/smilies/srug.gif)
I had to stay in hosp over night on docs orders
![Rolling Eyes :roll: :roll:](/styles/default/xenforo/smilies/icon_rolleyes.gif)
but it was fine, and had no other issues.
Anyway, I really want a HB next time but would I be advised against it? What if my BP goes up again next time? Will I need to go into hospital?
I suspect they will "strongly" advise against it and will probably do all that they can to scare you out of it. But at the end of the day they still cannot refuse you a home birth.
My homebirth experience is posted both in birth announcements and the homebirth stories on this page.
I have a high BMI and at my booking in my BP was 140/90 so I wasn't off to a good start.
I had to fight tooth and nail to get my homebirth.
I met all sorts of opposition both from midwives - who couldn't have been less supportive if they tried - and the consultant.
So here are my problems and how I delt with them.
My BP was up and down all pregnancy. It was monitored and I was (unecessarily in my opinion) put on labetalol in the last 3 weeks.
In the end the head midwife agreed to my hombirth on condition I rang as soon as I went into labour (I didn't woops!!) and that if the midwives weren't happy i'd transfer in which I said all along I would!
Scare Tactics: The medical professions favourite.
Shoulder dystocia: Can happen wherever you may be. It doesn't matter where you are the same happens. Legs as wide as possible to allow more room in the pelvis.
Being overweight my baby would be huge - errm nope. Growth scan and subsequent birth proved that my LO was a perfectly average 7lb 7oz.
"You will need a cesarean" Errm nope, I may need one. It is a slight risk not a given.
Even in hospital a true "emergency cesarean" takes a few minutes to organise. I live 10 minutes from the hospital - quicker with an ambulance and blues and two's. In the time it takes me to transfer the theatre could be being prepared.
"Your BP could rise and you could fit" Yes this is true - but we will keep an eye on it and transfer if necessary.
"We won't know which drug to give to deliver the placenta as you are overweight and have high BP" - Fine, I'll deliver it without any - and as far as I know I did!!!
"You will lose alot of blood being overweight" No, I might again, it's a risk not a given. In the end my blood loss was perfectly normal.
"You will develop GD" Nope, again just a risk. I refused the GTT and kept an eye out for signs of diabetes. Urine was perfect throughout.
"it's harder to monitor you cos of your size" True - but not impossible and made easier if they have the right equipment including a larger size BP cuff.
"You will have to see the aneasthatist to check if you can have an Epidural" Not a prayer. There is no-way anyone is coming near me to put a huge needle in my back. In an emergency situation you will have to knock me out.
"you will have to be induced if you go ocer your dates due to your weight and BP" Errrm nope. If there is an excellent medical reason why I should then I will consider it, until then my baby comes when she comes.
There was all sorts thrown at me but I was either ready for them and "argued" my point or went home, read up on what they were saying and then made any decision that were necessary.
I also came across a wonderful independant midwife on the Yahoo Homebirth group (Liz Nightingale) She was fantastic and reassured me that I am perfectly capable of having my baby at home despite my "problems"
Sorry this is a bit long but I wanted to try to be clear and say that you may meet opposition but just research and ask questions. A well informed decision is the right decision!