The place of birth is a very individual choice and an important topic for you to consider. During our antenatal appointments we will talk about and decide on a suitable and safe place for you to birth your baby. Whether it is at home or in the hospital, it is very important that you feel safe, secure and well looked after in the space that you choose to give birth in.
Women choose to stay in ‘their own nest’ to give birth because of the comfortable and familiar atmosphere of their own home. Your own home is a place where you can feel relaxed, calm and confident which is important in order to give way for the intimate and private birthing process. As this is your home you feel in control and can decide whom you wish to invite into your birthing space. We provide a calm and nurturing atmosphere in the birthing environment for you to feel undisturbed during your labour.
All your pregnancy care will be provided by a known midwife and you will only need to see Ravi, our collaborating obstetrician should the need arise. The initial pregnancy appointment will be provided in your home but for the remainder 8 visits you are invited to travel to the midwife clinic in Brighton East.
Homebirth is less invasive and provides a non-medicalised form of maternity care. You will not be exposed to standard interventions as practised in hospitals, unless there is a valid reason to do so. Routine procedures can potentially interrupt the natural process and flow of your labour and increase the risk of complications.
If labour does not progress at home or if signs of complications arise, a transfer to hospital will be necessary. A homebirth back-up booking will be organised with the local public hospital for every planned homebirth. Alternatively, Dr Ravi Kashyap accepts back-up bookings for planned homebirths in the private hospital system, which means that you will have a known Obstetrician in case of transfer.
Complications rarely appear just suddenly. Rather more commonly complications become evident over a certain time frame. Your safey and the safety of your unborn child are of paramount importance. Your homebirth will be attended by 2 registered midwives.
After the birth you can expect postnatal home visits from your midwife for up to 6 weeks after birth. Your midwife is on call for you 24/7 for advice.
Labouring and giving birth in water is a very gentle and beneficial choice that offers many advantages for you and your baby. Many women know the relaxing elements of warm water in relieving stress, pain and reducing tension. A warm bath helps to relax the body and the mind.
A bath in labour has the same effects. It provides a protected space, reduces tension and you will be able to relax easily. Labouring in water is relaxing the back and pelvic floor muscles and is softening the tissues of the pelvic floor in general to gently open up the passage for the baby to be born. The buoyancy of the water allows for greater mobility and more spontaneous movements as position changes in the water are easier. Due to the warmth of the water contractions will be felt less intense which will significantly reduce the need for pharmacological pain relief. Because of the excellent tissue perfusion in warm water perineal tears are less common.
A bath will promote optimal relaxation for the mother and this will also make the birthing process for the baby less stressful.
The strength of this model of care is continuity of midwifery and obstetric care provided by known care providers who work harmoniously together as a team to look after you during pregnancy, birth and after birth. You will get to enjoy the benefits of one-to-one midwifery care, such as fewer birth interventions, including lesser chance of caesarean section and higher breastfeeding success, whilst having an experienced senior obstetrician skilled to manage complex birth variations right by your side in case any concerns arise. This also makes our model of care suitable for high-risk pregnancies, which are often managed by an obstetrician only. In our model of care you will also be looked after by your known midwife.
Martina will provide the majority of your pregnancy care but you will also have some visits with Ravi (20, 28, 36 and 41 weeks) and we will organise a hospital booking for you at a local private hospital.
For your labour you can choose to labour at home with your midwife present for support and to safely look after you until birth is getting closer, or earlier if you feel its time to go to the hospital. Ravi will be regularly updated on your progress whilst you are in labour at home and any concerns communicated immediately. Martina will accompany you to hospital and on arrival you will be admitted into Ravi’s care. Martina will stay present as a support person but your hands-on care will be provided by Ravi and the hospital midwives.
If you have had a normal and uncomplicated birth you can be discharged home within 6 hours after birth. After discharge Martina will continue to provide your postnatal care in the community for you up to 6 weeks after birth. This includes a 24/7 on call for you.