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Doctor insights on: What Factors Would Risk Me Out Of A Home Birth

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What factors would risk me out of a home birth?

What factors would risk me out of a home birth?

Any complications: Home delivery is a pretty hot topic. If you have any medical complications, we would recommend you deliver at the hospital. If the baby is in an unusual position, you may be better off at the hospital. Also remember that you can work with your doctor to make your hospital experience less "hospital like" as well. ...Read more

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Dr. Adam Lewis
52 doctors shared insights

Home Birth (Definition)

A home birth is the delivery of a child at home rather than in a hospital or other medical facility. Home births are associated with a somewhat higher rate of birth complications than delivery in the hospital or ...Read more


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What are the risks I should be aware of when thinking about a home birth? I’m putting together my birth plan and would like to seriously consider a home birth. My pregnancy thus far has been normal, without any complications.

What are the risks I should be aware of when thinking about a home birth? I’m putting together my birth plan and would like to seriously consider a home birth. My pregnancy thus far has been normal, without any complications.

I’m : I’m a huge fan of patients advocating for their own health, listening to their intuition, and making empowered choices. Such advice especially applies to pregnant women, who may feel like others have commandeered their bodies and are pressuring them to approach pregnancy and birth in a certain way. Pregnancy can be a very liberating time for women, as they learn to become more sovereign, make their own choices, and stand for what they believe. This is particularly true with regards to those who choose home birth. For those considering home birth, it’s important to understand the risks. One study evaluated over 5, 000 women who planned to give birth with a certified professional midwife at home. All patients were meticulously screened, and those deemed high-risk were transferred to the hospital. They found that the remaining home births experienced half the intervention rate (interventions include such procedures as epidurals, forceps, and c-sections) when compared to hospital births. 12% of the patients studied had to be transferred to a hospital, either during labor or in the postpartum period. No mothers died, but five babies died at birth, seven died in the week after birth, and two died within 28 days. The overall neonatal death rate was 2.6/1000. Although it’s hard to compare these rates with those of planned natural deliveries in hospitals, several studies seem to support that the rates are similar to hospital births. So why do so many doctors go bonkers when patients mention home birth? Keep in mind that we’re biased. Although it’s rare, all of us have seen both babies and mothers go from copacetic to dead in a matter of minutes, and it terrifies us to think that a mother might lose her baby at home, where doctors can’t perform emergency interventions. If a baby or mother dies in a hospital, at least we know we did everything we could do. If a mother or baby dies at home, it’s hard to know whether the bad outcome could have been avoided. If you’re one of those women who wishes to give birth at home, by all means, listen to your intuition, but make sure you and your family won’t be kicking yourselves in the event of an unexpected, tragic outcome. As long as you find a certified nurse midwife you trust who has access to emergency medical back-up, and as long as you have faith in the process and won’t blame yourself for not being in a hospital if something tragic happens, by all means, follow your heart and enjoy the mystery, awe, and magic of birth in the comfort of your home. ...Read more

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I have pcos what are the chances of me havin a high risk pregnancy and premature or a low birth weight child ?

I have pcos what are the chances of me havin a high risk pregnancy and premature or a low birth weight child ?

PCOS: For pcos, you might have higher risk of infertility. Due to the imbalance of your hormones and extra testosterone, it is not easy to get pregnant. There is also higher risk of premature babies. If you have premature babies, risk of small babies is higher too. ...Read more

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What is my percent of a chance i will get preeclampsia or blood clots in pregnancy if i got no risk factors? 50% chance or less?

What is my percent of a chance i will get preeclampsia or blood clots in pregnancy if i got no risk factors? 50% chance or less?

Way less!: The chance of getting pre-eclampsia is 7.5% worldwide. (7.5 per 100) Risk varies somewhat by country. In Canada the risk is probably slightly lower. The risk for a blood lot is .0625% (1 in 1600). Its not that common. Best wishes ...Read more

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Having a lot of amniotic fluid, and a Spina bifida baby at 20 weeks. What are the risks? I want to know your opinion, please.

Having a lot of amniotic fluid, and a Spina bifida baby at 20 weeks. What are the risks? I want to know your opinion, please.

We can only provide: information; you & your spouse need to discuss delivery options & outcomes with your Fetal-Maternal Medicine Specialist & the pediatric neurosurgeon who reviewed all of your fetal ultrasounds. Lower limits of fetal viability, ability to survive outside the womb, are 22-25 weeks & survival rates ^ weekly. See http://www.ncbi.nlm.nih.gov/m/pubmed/11753511/. Take care of yourselves. ...Read more

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Just want to know the inherent risks and the odds of delivering a baby at 46 yrs old? I'm concerned and want to know what to look for.

Just want to know the inherent risks and the odds of delivering a baby at 46 yrs old? I'm concerned and want to know what to look for.

Varies: Much of this varies with the general health of the mother, since pregnancy is a significant stress on the body.Pre-existing conditions can make complications more likely.All pregnancies start at ~4% risk of unexpected outcome.At that age, the risk of Down syndrome or other chromosome defect ranges between 1/30 to 1/50.If mom is healthy & monitored, chances are she will have a successful pretgnancy ...Read more

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Could you tell me what are my chances of developing a blood clot due to the pill?

Could you tell me what are my chances of developing a blood clot due to the pill?

Hard to say: The risk goes up with the amount of estrogen in the pill, hereditary clotting problems, and if you smoke. ...Read more

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I'm pregnant with a hernia what is the best thing to do. Im a trainer will there be any complications and would I be at high risk ?

I'm pregnant  with a hernia what is the best thing to do. Im a trainer will there be any complications  and would I be at high risk ?

Low risk : Presuming you are talking about a belly button hernia, these are present in most pregnant women. They typically remain asymptomatic, and usually don't require repair during or after pregnancy. Ask your OB at your next visit to find out about your case specifically. Hope this helps! ...Read more

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What are the chances that a 17 year old could get blood clots?

What are the chances that a 17 year old could get blood clots?

Very unusual: It is really unusual unless there is predisposing factor like hypercoagulable disease which increase risk of clot formation or anatomical stenosis/blockage like young athletes with thoracic outlet obstruction. ...Read more

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What are the chances of a atomic fluid embolism? Im so scared to give birth

What are the chances of a atomic fluid embolism? Im so scared to give birth

Amniotic fluid: Amniotic fluid embolism is a very rare complication -- around 1/80,000. In 16 years I have only seen one case. This is a very rare obstetrical complication but it is also why we must respect the inherent risks of child birth and be prepared to provide the safest care for moms and babies. ...Read more

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How can I find out the probability of conceiving a baby?

How can I find out the probability of conceiving a baby?

Risk Factors: It really has to do with assessing a multitude of positive and negative risk factors: what is your age? Have you ever been pregnant before? Has the father to be ever had a baby before? Are your menstrual cycles regular, suggesting regular ovulation? Have you had any std's or pelvic inflammatory disease that could have scarred your fallopian tubes? Do you have any significant diseases? ...Read more

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Is there a method on which I could go on for a higher possablity to have twins?

Is there a method on which I could go on for a higher possablity to have twins?

1:80 chance nature: Spontaneous natuural occurrence is 1:80 pregnancy. Using fertility drugs can increase your chance of multiple borths;but risk of delivering pre-mature baby is higher and pre-maturity has it's on risk and future problems in infants. ...Read more

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Due to my high level of proteinurua, my gyn says i'm at risk for preeclampsia. Is there anything i can do at home to lessen the chance of developing preeclampsia? Thanks

Due to my high level of proteinurua, my gyn says i'm at risk for preeclampsia. Is there anything i can do at home to lessen the chance of developing preeclampsia? Thanks

PNC/PNV/aspirin.: The only interventions proven to decrease the risk of preeclampsia are Aspirin 80 mg daily preconceptionally or by 16 weeks, calcium (i.e. Prenatal vitamins - pnv) and regular, early prenatal care (pnc). Additionally, when a woman sexually cohabitates with the same man for over 6 months she has a decreased risk for preeclampsia. ...Read more

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What are the key factors of asthma in a 4 yr old? I don't want to out him on unnecessary medication.

What are the key factors of asthma in a 4 yr old? I don't want to out him on unnecessary medication.

Check out these: Links.Minimize his exposure to dust, pollens, smoke and other triggering factors. Ask questions from his pediatrician and allergist. Take care and god bless u! http://m.kidshealth.org/kid/asthma_basics/what/asthma.html. http://articles.mercola.com/sites/articles/archive/2010/04/06/managing-your-childs-asthma-with-natural-medicine.aspx#! ...Read more

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What genetic factors increase the chance of me having a mental illness?

What genetic factors increase the chance of me having a mental illness?

Genetics: Having a strong family history of mental illness will increase risk of mental illness. Also environment can play a role in development of illness. ...Read more

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Thinking of getting on birth control, but read it might increase the risk of cancer. History of breast cancer in family, what should I do, what's safe?

Thinking of getting on birth control, but read it might increase the risk of cancer. History of breast cancer in family, what should I do, what's safe?

Risks worth it: The oral contraceptive pill greatly decreases your risk for ovarian cancer, and it is not a risk factor for breast cancer (it may perhaps protect). There are non-cancer risks but your physician can help you weigh these depending on your other life factors. I trust you are not a smoker. ...Read more

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According to a recent genetic test, I have a 65% chance of developing heart disease before 55. What specifically should I do to mitigate the risk?

According to a recent genetic test, I have a 65% chance of developing heart disease before 55. What specifically should I do to mitigate the risk?

Risk factor reductio: Balanced diet with a lot of anti oxidants Keep BP & cholesterol norma Visit drhoffman.com All risk factors must be reduced Work with a doctor ...Read more

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What's the risk of having a bloody bag on one of the ovaries and whether his presence a threat to women? Plz answer me

What's the risk of having a bloody bag on one of the ovaries and whether his presence a threat to women? Plz answer me

Unsure what you mean: ..., but if you are referring to a hemmorhagic cyst on the ovary, they are common and may cause pain. It should be followed by your doctor until it resolves. ...Read more