Giving birth at home is just like a birthing centre - which is meant to be like a home from home - but at a home birth it IS your home! So as you will have all the comforts of home. The main one for me being able to eat whatever I put in the fridge, use my own bath and loo move anywhere I liked in my own house. (or garden!)
It has a very different attitude to a birth centre though, you are in control. The MW come to support you and ONLY you, and as such, are a guest in your home, so there isn’t much clock watching - It is a far more relaxed and personal experience.
Sorry to answer your questions, before I get side-tracked!
1 - So as it is like a birth centre, your MWs can perform an episiotomy if needed. They will also be able to do any stitches (dissolvable) you require (though as others have said this will be far less likely to be needed at home, as well as the pain relief)
2 - Pain relief you can have is; gas and air, pethadine, dimorphine (though you will need to get a script from your G.P for this, and then keep it in the fridge), lots of uninvasive options; hypo, breathing techniques, TENS, waterbirth (with a water birth at home, you are guaranteed to get it - no maybe it will be free, if it is in your living room!), being able to be mobile in labour, massage etc. There is also novocaine as a local anaesthetic.
3 - The MW can provide all the things you will need to give birth,. There is very little if any mess.. My Mws were amazing, even doing the washing up! There is also a surprising amount of medical equipment they bring (canellas, drips, oxygen, etc) Like I said, your homebirth is provided for just like a birth centre.
4 - You made me laugh here! It would have been pretty funny to find a placenta in the dust bin!
They bring clinical waste bags for everything, if you don’t want to keep your placenta.
There are lots of women in this forum with different presentations who have had amazing homebirths and lots of ladies who have been planning and researching their homebirths for a while, (some of the most knowledgeable women I know) and they have become more and more convinced it is for them. (it certainly creped it’s way up on me the first time) So, I hope like me and others, any worries or first thoughts you had about homebirth will be dispelled, when you look at the facts.
Look at the homebirth website - lots of handy info
www.homebirth.org
Also anything else you want to know.. Just ask.. One of us will have the answer.
xXx