Home birth is a planned event where a woman chooses to give birth at home, with care provided by a midwife. Under the Community Midwifery Program (CMP), CMP midwives will provide you care during your pregnancy within the community at one of our community clinics. When you go into labour your midwives will come to your home to attend to you through your labour and birth. After the birth CMP midwives will continue to care for you for upto 2 weeks postnatally.
The majority of women on the CMP are required to attend at least one antenatal appointment with an obstetrician at their support hospital. This is usually midway through your pregnancy and your midwife will arrange this appointment for you. This collaborative approach helps ensure the best possible care for you and your baby. The obstetrician will explain his/her role should you require transfer to hospital care at any stage and may also discuss relevant tests with you at this appointment.
Most people’s homes are suitable for birthing in. You need access to a toilet, running water, electricity and a phone. Heaters in the winter months are essential and fans/air conditioning for the very hot summer months will help ensure you and your baby maintain a comfortable temperature. You will also need to ensure access to your house for vehicles and an ambulance if required. Please discuss your individual needs with your midwife.
Once your labour has established, your midwife will provide continuous one-to-one professional and emotional support and ongoing assessment of you and your baby’s condition throughout the birth process. This will include regularly listening to your baby’s heart beat and monitoring your blood pressure, temperature, pulse and progress of labour. It is the midwife’s role to ensure the safety and wellbeing of both yourself and your baby, so they may be required to discuss alternative options such as transfer to hospital. Any changes to your plan of care will be discussed openly with you and your partner so that you can make a fully informed decision. However, it is important to remain flexible and be guided by your midwife’s expertise.
Your midwife may require some assistance from other members of your support team to carry the equipment into your home.
Should a problem arise an ambulance will be called and you will be transferred to your supporting hospital. All CMP midwives have the appropriate training and experience to identify a potential problem and manage emergencies and, if needed, can quickly arrange a calm transfer to hospital. In the unlikely event of an emergency your midwife has the necessary skills and training to provide immediate response to the situation whilst waiting for an ambulance to transfer you to hospital. CMP recommend that all clients planning a birth at home arrange adequate ambulance cover in case transfer to hospital is required.
Your midwife will usually stay approximately two hours after the birth. They usually return within 12-24hrs and will continue to provide postnatal support at regular intervals until baby is upto 2 weeks old.
The CMP recommend you have your baby checked by your GP within one week of the birth. This check will include checking for congenital hip dysplasia and congenital heart murmurs, along with many other conditions. Your midwives are not trained to undertake this examination.