Joined: Mar 2009
Posts: 5038
Huh
11/8/2015 at 11:27 PM
This thread reminds me a lot about threads about vaccination.
On one side, you have people lining up citing "free choice", and "no one dies, it's perfectly natural and healthy".
On the other side, you have the "you would have to be crazy.." camp.
Both sides of have merit, and both sides are very passionate.
The reality is, birthing is very risky business. Something like 1 in 3 women used to die in childbirth in their lifetime and neonate death was common. But we forget that because of advances in our understanding of the birth process, better hygiene, better interventions, better nutrition... all these things result in better outcomes.
But birthing can go horribly wrong for both mother and child. That's true both in and out of the hospital, with or without an attendant, with or without interventions. Having epidurals can be risky and substantially increases your chance of having even more risky interventions, yet most women don't perceive them as being risky. Being in a hospital where the chances of acquiring infection is significantly higher than birthing at home. Having no birth attendant to introduce infectious agents has very low risk of infection. Being out of the hospital increases response time if you do need intervention, but minimizes interventions that are inherently risky.
It's all risk, and it's all a matter of what risks you're comfortable with. Vaccination is the same thing - some people are more comfortable with the risk of disease than the risk of injections, while others would rather risk the side effects and avoid the disease. Both risks are relatively small in the big picture, but the comfort level of risk is different. But like the childbirth thing, we collectively forget how many children used to die from these illnesses.
How do you make an objective choice.
My concern with the OP is less about her birthing choices, and more whether or not she's received prenatal care. Having quality prenatal care is one of the largest predictors of having a good outcome. Does she know the size of her baby? Does she have good placental position? Is her blood pressure normal? Has her blood sugar been normal? Does she have Rh compatibility issues? Is the baby is good position? Did she have good nutrition and sufficient folic acid intake? Does the baby have any serious structural abnormalities? Has she birthed before? Does she know she can successfully birth vaginally?
These are all questions that should be answered before she even asks the question. If she would not qualify for a home birth with a midwife (by qualify I mean she fits the definition of "low risk" with a reasonable chance of success, not whether or not she could get a midwife due to scheduling), I don't think she should even be contemplating unassisted birth.
But if she's established that she's relatively low risk, has done the self-education and understands and is comfortable with the risks... well, however we feel about it it's her choice either way I guess.