I mostly would like to know about home birth and home birth midwives in Chile. Is it a viable option there? Approximately how much do midwives charge? I have had two home births so far and am not interested in going to a hospital to give birth unless necessary for medical reasons - particularly given the high c-section rate.
I am also interested in hearing about hospital birth, but I'm much more interested in learning about out-of-hospital birth.
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My two chilean kid did born in Clinica Santa Maria and the expirence was amaizing. First is not in the operation room it is in the same room were you recovery and they make sure that you are the first in get in contact with the baby. It was really nice expirence. (all of then born in the natural way).
I would still like to avoid the hospital, but it's good to know that c-sections are elective in many cases which is probably one of the reasons the percentages are so high. I want to avoid seeing a doctor who would perform a c-section in haste. Many doctors in the US are too hasty with the knife (by World Health Organization standards) so I'm wary.
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I am hoping to connect with women who want natural birth and midwives willing to promote same. I owned my own free standing birth center at one time and did primarily waterbirths. So hopefully I may be able to offer this service again. My husband is very supportive of the idea and I think we may end up doing births as a team. We shall see.
THere is a midwife in Pucon / Villarrica who does natural births, home births etc; will get her contact details. You'll need Spanish. She is one of very few. Admin - I doubt you could pay many drs here to do home births, there are rules and ways of doing things that they follow and it's just not done.
To clarify my perspective on the Dr / midwife / hospital / home birth thing; it's not just an issue of location. It's a completely different philosophy - as Storklady will attest to - so I really don't think you could pay a Dr to fill the reqs that Betsy is talking about.
Now that's 101 posts and I'm going to go watch Llaima erupt!
100 years ago, having a baby was a risky endeaver for a woman. It's a record from history that 1 in 4 women died in child birth from various complications such as bleeding or infection. This was not because they didn't have good midwives but because they didn't have the modern interventions such as IVs, Antibiotics, Transfusions, C/sections, etc. These interventions are sometimes criticized today by those who don't have a historical perspective.
Purely "Natural" childbirth realy is very risky. What other activity would you engage in if you knew you had a 1/4 chance of death? Those are worse odds than Russian Roulett!
Even today, one of the biggest causes of death during childbirth is bleeding. This is because all the body's blood is pumped through the uterus every 5-10 minutes. If the uterus really starts to bleed, one can pump out massive amounts of blood and go into shock in a matter of minutes. Therefore it is a good idea to have access to banked blood and medications to stop uterine bleeding such as pitocin, methergine and hemabate. (This is why every woman is usally typed and screened when the enter the hospital in labor.) Some problems such as Placenta abruption can require multiple units of blood as well as plateletts and fresh frozen plasma. Frequently in these cases, surgical intervention is required to finally stop the bleeding.
Most life-threatening complications are unpredictable. It is very difficult to know in advance which pregnancy will have an abruption or and accreta or fetal pelvic disproportion. Everything can be going along fine and then wham! Out of the blue there is a crisis. Just in the last 6 weeks a lady giving birth to twins died in a hospital in southern Chile. There was a public outcry against the Ob because he didn't do a c/section but attempted "natural" childbirth.
You should also know that in Chile, when a doc has a bad outcome, he can be taken to court. The result may not be just an award of money to the Plaintiff but the judge can send the doc to Jail. As a result many private docs require patients to sign away the right to sue for a bad outcome. Who can blame them for not wanting to go to jail? Its also a powerful incentive to practice on the conservative side.
Keeping these things in mind, I would recommend the following: Deliver someplace that emphasizes natural birth techniques but also has rapid access to modern interventions if necessary.