Home Delivery of Babies

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On the other hand, serious complications can develop during any birth and such complications can definitely represent a larger danger to both mother and child in a wilderness cabin than when encountered in a hospital. If you decide to have your baby at home (after having gone through properly-supervised prenatal care) with an experienced nurse, midwife or MD in attendance, the odds are about one in 50 that something will happen during labor and delivery to send you to a hospital. Once in every 200 home deliveries that "something" will be potentially life-threatening.

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Yes, this is entirely "natural". Even wild animals occasionally have trouble delivering and any farmer can tell you of complications he's had delivering a cow of her calf. It is pointless to deny—no matter how good your "vibes"—that problems can occur. It's much better if you know about these potential complications before than after they happen and the following description of some of the worst is not meant to scare, but to inform.

TWINS, TRIPLETS, ETC.

One in every 89 deliveries results in twins and only 60% of twin pregnancies are recognized as such prior to the actual birth . . . so they can be quite a surprise.

A mother may suspect that she's carrying twins if her abdomen is much bigger than seems normal and, if you have sensitive hands you can sometimes distinguish two hard, round baby heads instead of one when you touch the mother's abdomen. If you want to make a more professional check for twins, get a stethoscope at any physician's supply house and listen for the rapid tic-tac of the unborn baby's heart. If you hear two heart beats at different points over the abdomen (and particularly if there's more than 10 beats a minute difference in the pulse count) you can practically assume you have twins coming. The diagnosis can be confirmed by X-ray if there's any doubt.

Now twins, triplets and other multiple births are great to have in the family once they're delivered but, unfortunately, they frequently are born hind end first (breech birth) and that's a difficult form of delivery. They're also smaller in size (hence weaker for a time) and are more apt to get sick following delivery.

Twins could be delivered at home and everything might go OK but, if I was called upon to supervise the delivery, I would be jumpy until both babies were out and doing well. Any twin (any baby, in fact) weighing under four pounds would have a better chance if taken to a hospital nursery.

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