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Giving birth at home allows you to have a personal experience and may improve your comfort levels. While it can be risky, you may be able to have a home birth after a cesarean (HBAC).<ref>https://ift.tt/2M68SlS> If you want to have
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Giving birth at home allows you to have a personal experience and may improve your comfort levels. While it can be risky, you may be able to have a home birth after a cesarean (HBAC).<ref>https://ift.tt/2M68SlS> If you want to have an HBAC, talk to your doctor to make sure it’s a safe option for you, then create a birth plan. See your doctor throughout your pregnancy to make sure your pregnancy is progressing normally. Additionally, seek medical treatment if you encounter problems during your delivery. However, keep in mind that an HBAC can put you and your baby at a higher risk for complications.
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[[Category:Childbirth and Labor]]
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[[Category:Childbirth and Labor]]
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==Steps==
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==Steps==
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===Planning Your HBAC===
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===Planning Your HBAC===
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#Talk to your doctor to find out if
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#Talk to your doctor to find out if an HBAC a good option for you. Discuss your medical history and prior deliveries with your doctor. They will help you determine if it’s safe for you to have a vaginal birth after cesarean (VBAC). Then, they can discuss the risks of you giving birth at home.<ref>https://ift.tt/351jTgL>
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#*You may not be able to try a VBAC or HBAC if you had a high vertical incision because it increases your risk of uterine rupture. However, you might be able to have a VBAC and HBAC if you had a low transverse or lower vertical incision.
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#*You may not be able to try a VBAC or HBAC if you had a high vertical incision because it increases your risk of uterine rupture. However, you might be able to have a VBAC and HBAC if you had a low transverse or lower vertical incision.
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#*You likely won’t be able to have a VBAC or HBAC if you’ve had more than 2 prior cesareans.
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#*You likely won’t be able to have a VBAC or HBAC if you’ve had more than 2 prior cesareans.
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#*Your doctor will probably recommend you give birth at a hospital if your last cesarean was in the past 18 months or you're having multiples.
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#*Your doctor will probably recommend you give birth at a hospital if your last cesarean was in the past 18 months or you're having multiples.
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#Select a midwife
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#Select a midwife to attend your home birth. It’s essential that you have a trained professional attend your birth, especially when having an HBAC. They will monitor your progress and ensure both you and your baby are safe. Search online for midwives or physicians who attend home births. Then, interview the potential candidates to find the 1 who you feel most comfortable with.<ref>https://ift.tt/2M68SlS>
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#*It’s likely that you will need to hire a midwife. However, you
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#*It’s likely that you will need to hire a midwife. However, you may be able to find a physician who will deliver your baby in your home. However, the American College of Obstetricians and Gynecologists (ACOG) recommends against home-birth after having a prior cesarean delivery, so you may have difficulty finding a physician. Other countries may have different guidelines they follow.
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#*It’s recommended that you have someone responsible for the mother and someone responsible for the infant during your delivery.
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#Pick your support team who will assist with your birth. In addition to your midwife, it’s best to have people to coach and comfort you through your labor. This may include your partner and family members, but you might also hire a doula, who is trained to support you during labor. Choose these individuals ahead of time so you’re all prepared for the day you go into labor.<ref>https://ift.tt/2M7dEzo>
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#Pick your support team who will assist with your birth. In addition to your midwife, it’s best to have people to coach and comfort you through your labor. This may include your partner and family members, but you might also hire a doula, who is trained to support you during labor. Choose these individuals ahead of time so you’re all prepared for the day you go into labor.<ref>https://ift.tt/2M7dEzo>
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#*For instance, you might hire a doula to coach you through the birth. Keep in mind that a doula is different from a midwife because doulas aren’t typically medical professionals. You can find a doula online.
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#*For instance, you might hire a doula to coach you through the birth. Keep in mind that a doula is different from a midwife because doulas aren’t typically medical professionals. You can find a doula online.
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#*Look for pediatricians online or ask your doctor for a referral.
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#*Look for pediatricians online or ask your doctor for a referral.
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#*If you live in a small town, you might bring your baby to your family doctor.
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#*If you live in a small town, you might bring your baby to your family doctor.
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#[[Write a Birth Plan for a Natural Birth|Write a birth plan]] that outlines your preferences and your back-up plan. Your birth plan will help you ensure that everyone understands what you want during your delivery. Explain that you want
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#*Vitamin K administration, eye prophylaxis, and newborn screening should be offered, but you can sign a waiver to decline it.
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#[[Write a Birth Plan for a Natural Birth|Write a birth plan]] that outlines your preferences and your back-up plan. Your birth plan will help you ensure that everyone understands what you want during your delivery. Explain that you want an HBAC and who will attend the birth. Then, list the types of pain relievers you prefer. Next, include your plan for possible complications and your back-up plan in case you can’t have an HBAC or a VBAC.<ref>https://ift.tt/2M68SlS>
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#*Be as detailed as possible so that your wishes are understood.
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#*Be as detailed as possible so that your wishes are understood.
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#*Give a copy of your birth plan to your doctor, your midwife, and each person on your birthing team.
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#*Give a copy of your birth plan to your doctor, your midwife, and each person on your birthing team.
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===Monitoring Your Pregnancy===
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===Monitoring Your Pregnancy===
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#Make sure you have a low-risk pregnancy. Visit your doctor to find out if you have a low risk pregnancy. Based on your ultrasounds, blood tests, and vital signs, your doctor will determine if you have a low- or high-risk pregnancy. You might be able to have
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#Make sure you have a low-risk pregnancy. Visit your doctor to find out if you have a low-risk pregnancy. Based on your ultrasounds, blood tests, and vital signs, your doctor will determine if you have a low- or high-risk pregnancy. You might be able to have an HBAC if your pregnancy is low-risk.<ref>https://ift.tt/351jTgL>
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#*Your doctor may decide your pregnancy is high-risk if you have conditions like gestational diabetes or high blood pressure. Similarly, they may label you high-risk if your baby is in a breech position, you’re having multiples, or you have a medical condition that might complicate your birth.
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#*Your doctor may decide your pregnancy is high-risk if you have conditions like gestational diabetes or high blood pressure. Similarly, they may label you high-risk if your baby is in a breech position, you’re having multiples, or you have a medical condition that might complicate your birth.
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#*If you’ve had birth complications in the past, it’s usually safer to give birth at a hospital.
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#*If you’ve had birth complications in the past, it’s usually safer to give birth at a hospital.
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#Get checkups to make sure your pregnancy is progressing normally. It’s best to avoid a home delivery if you’ve had any type of complication during your pregnancy or if your doctor has concerns. Attend your scheduled prenatal appointments to make sure everything is normal. Additionally, talk to your doctor about your risk for complications during
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#Get checkups to make sure your pregnancy is progressing normally. It’s best to avoid a home delivery if you’ve had any type of complication during your pregnancy or if your doctor has concerns. Attend your scheduled prenatal appointments to make sure everything is normal. Additionally, talk to your doctor about your risk for complications during an HBAC.<ref>https://ift.tt/2M7dEzo>
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#*As your pregnancy progresses, your doctor can give you better advice on whether or not
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#*As your pregnancy progresses, your doctor can give you better advice on whether or not an HBAC will be safe for you.
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#Make sure your baby is in the correct birthing position. Your baby needs to turn so that their head is facing down. It’s not safe for you to attempt a home birth if your baby is not in the correct birthing position. Visit your doctor or ask your midwife to check the positioning of your baby prior to trying to deliver at home.<ref>https://ift.tt/351jTgL>
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#Make sure your baby is in the correct birthing position. Your baby needs to turn so that their head is facing down. It’s not safe for you to attempt a home birth if your baby is not in the correct birthing position. Visit your doctor or ask your midwife to check the positioning of your baby prior to trying to deliver at home.<ref>https://ift.tt/351jTgL>
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#*For instance, see your doctor in the weeks leading up to your due date to get your baby’s positioning checked. Additionally, ask your midwife to check the baby’s position when you go into labor.
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#*For instance, see your doctor in the weeks leading up to your due date to get your baby’s positioning checked. Additionally, ask your midwife to check the baby’s position when you go into labor.
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#*Most babies get into the correct birthing position by the final month of pregnancy.<ref>https://ift.tt/34ZGWZB>
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#*Most babies get into the correct birthing position by the final month of pregnancy.<ref>https://ift.tt/34ZGWZB>
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#*If your baby is in the breach position, meaning that it will be delivered feet first, it can be very dangerous to give birth at home since a cesarean section is usually required.
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===Staying Safe During
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===Staying Safe During an HBAC===
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#Go to the hospital if your labor is progressing slowly or stops. You and your baby might be at risk for complications if your labor goes on too long or it pauses for any length of time.<ref>https://ift.tt/2M68SlS> Your labor is considered prolonged if it lasts longer than 14 hours for a mother who’s had previous children. If you’re not making progress, move to the hospital in case you need an intervention to prevent complications.<ref>https://ift.tt/2M808eK>
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#Go to the hospital if your labor is progressing slowly or stops. You and your baby might be at risk for complications if your labor goes on too long or it pauses for any length of time.<ref>https://ift.tt/2M68SlS> Your labor is considered prolonged if it lasts longer than 14 hours for a mother who’s had previous children. If you’re not making progress, move to the hospital in case you need an intervention to prevent complications.<ref>https://ift.tt/2M808eK>
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#*Your midwife will help you decide if your labor is prolonged.
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#*Your midwife will help you decide if your labor is prolonged.
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#*If you were a first time mother, your labor would be considered prolonged if it lasted longer than 20 hours.
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#*If you were a first-time mother, your labor would be considered prolonged if it lasted longer than 20 hours.
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#*You should also transfer to a hospital if you need pain medication or have signs of a fever or infection, as well as if the baby has an irregular heartbeat.
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#*If you tested positive for group B strep, you will need IV prophylactic antibiotics just prior to delivery. Complete the birth at a hospital if you aren’t able to get the antibiotics at home, or else you could risk the baby getting neonatal pneumonia.
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#Move to the hospital if your baby is in distress. During your labor, your midwife will monitor your baby to make sure they’re doing okay. If your midwife determines that your baby may be in distress, go to the hospital immediately. The doctors and nurses at the hospital will help you and your baby have the safest delivery possible.<ref>https://ift.tt/2M442We>
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#Move to the hospital if your baby is in distress. During your labor, your midwife will monitor your baby to make sure they’re doing okay. If your midwife determines that your baby may be in distress, go to the hospital immediately. The doctors and nurses at the hospital will help you and your baby have the safest delivery possible.<ref>https://ift.tt/2M442We>
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#*Try not to worry if your midwife thinks your baby is in distress. Once you get to the hospital, your medical team will do everything possible to help you and your baby.
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#*Try not to worry if your midwife thinks your baby is in distress. Once you get to the hospital, your medical team will do everything possible to help you and your baby.
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