Just a quick question, I've never had a baby so pls excuse me if this is a dumb question - but if they were to have a home birth, would they have to call the midwife up to say they're giving birth or would it be the hospital and they send someone out?? Like what if its 2am, would their midwife have to be on call and go see them?
I'm guessing when u give birth in a hospital they have all the staff there who is needed but obvs if they're planning a home birth she could have her waters break at any moment, so I'm just curious as to what they would do then
Hey, I’m a midwife. Each trust is slightly different but usually every pregnant woman is assigned a ‘community midwife’ (the community midwife will usually be part of a wider team) who they see throughout their pregnancy (if women are deemed high risk they see their community midwife and a consultant occasionally). If women are low risk and wishing a home birth, the community midwifery team she is part of will go ‘on call’ for her at 37/38 weeks (so there will be an ‘on call’ rota with each midwife in the team assigned to different days - there will be 1st attending midwife and 2nd attending midwife for each day/night shift). Before 37/38 weeks the community midwife will drop off basically a ‘homebirth kit’ and that is stored in the house until birth. This contains everything they may need, including gas and air tanks, neonatal resuscitation etc - if the woman is wishing a pool birth she would usually purchase the pool and accessories herself, it is also the woman and her birth partners responsibility to tend to the pool in terms of filling it, emptying it, deflating it after the birth etc (usually the birth partner does this as the woman is obviously giving/just given birth). When the woman goes into Labour she contacts the ‘on call’ midwife and lets her know she may be in labour. The midwife will ask questions and determine home far progressed she thinks the woman is, if at that point she thinks she’s in early labour the midwife will usually give instructions such as, take a walk, have a bath, take some paracetamol, call back in 4 hours or earlier if contractions become more frequent (good contractions are usually 4 (lasting 50-60+ seconds) in 10 mins. If when the woman calls the midwife feels she is already into established labour she will make the decision to go to the house to assess the woman in person. A community midwife can sometimes go to the house to assess the woman and decide its still early labour (or perhaps labour stopped) and then leave again and return when labour has fully established. Once labour has established the midwife will be there and keep assessing the woman, when the midwife feels the woman is progressing and nearly at active labour (pushing part) the midwife will call for a second midwife (2 midwives should be present at the actual birth (this is the same for hospital and birth units) because there are now two patients who many need assistance - ie, one midwife would not be able to do neonatal resuscitation (if necessary) and also treat a postpartum haemorrhage on the woman, at the same time, so we need two midwives). That’s what would happen in an ideal world. Sometimes women call the on call midwife and she may already be too far progressed at which point the midwife may deem it safer to call an ambulance (for instance out in rural places where it may take the midwife 20/30/40+ minutes to get to the woman’s house - ambulances are obviously permitted to travel faster so it would be safer for them to attend although the community midwife would still probably try and get to the house). There also maybe instances where the community midwife shows up and the woman is unexpectedly pushing already at which point she’d have to quickly call her second midwife to attend. It’s always a case of assessing the situation and making a care plan based of findings but these findings can change in the blink of an eye so we always gotta be prepared
. We can never really have a ‘one size fits all’ plan because it’s different every time. If at any point the midwife or midwives attending feel there is a cause of concern ie an emergency or preempt an emergency they will call 999 and the woman will be taken to hospital.
If a woman wishing a home birth goes into labour before 37 weeks she should call her maternity hospital as it would not be safe to do a home birth. This is because under 37 weeks is not classed as ‘full term’ so babies born before this gestation may not be as developed and that may cause problems when they are born and they may need extra assistance and intervention therefore hospital birth is safest. If a home birth is planned and doesn’t go ahead we just collect the ‘home birth kit’ again.
Some areas have dedicated home birth teams so the women will call them but the process is usually the same.
If a woman is wishing a birth unit or hospital birth she will just call which ever unit she is giving birth it. Again they will assess the situation over the phone and if they think the woman is in established labour they will ask her to attend for further assessment. Some women just show up in established labour as they didn’t have time to call.
I am just realising how long that was haha I’M SO SORRY GUYS