Every flower blooms

alt text: white, pink and blue wild flowers

“Every flower blooms in its own time”

‪After growing these flowers from seeds and waiting patiently for them to bloom this experienced mother was ready for her 4th child to arrive earthside when he was ready #HomebirthJustHappened #homebirth #Waterbirth ‬

BRAIN: Continuity

Surrey Hills homebirth team provide a continuity model of care to families planning to birth their babies at home.

Our clients are allocated a named midwife who provides the majority of their antenatal care. Towards the end of pregnancy clients are provided with the opportunity to meet the other members of the team, increasing the likelihood that they will know one or both midwives who attend their labour at home.

The team also continues to provide care in the postnatal period until they handover of care to your Health Visiting teams and GP.

In 2019, 82% of our clients knew the midwife who cared for them in labour.

A Cochrane review of 15 trials, involving 17,674 women, compared women who received continuity of midwifery care with shared or medically led care.

The results found continuity of midwifery care was associated with significant benefits for mothers and babies, and had no identified adverse effects. Findings demonstrated Women who received continuity of midwifery care were…

19% less likely to lose their baby before 24 weeks

16% less likely to have a late pregnancy loss (after 24 weeks)

24% less likely to experience a preterm birth (birth prior to 37 weeks)

15% less likely to have regional analgesia (Epidural)

7 x More likely to know their midwife in labour

16% less likely to have an episiotomy

If you would like to learn more about birthing your baby at home contact us at rsch.homebirth.referrals@nhs.net

BRAIN: The Benefits of Homebirth

Research over the last two decades has found that planned home birth is at least as safe as hospital for healthy women with uncomplicated pregnancies, it is also associated with good outcomes for birthing parent and babies

Clients choosing home birth are half as likely to have a caesarean section, half as likely to have an assisted delivery and have a lower risk of haemorrhage and infection, perception of pain is reduced, and babies born at home are less likely to need resuscitation

Overall studies have shown that clients who give birth at home feel more in control of their labour and feel it was a positive, empowering experience. They enter parenthood with increased self esteem and have an overwhelming preference for planning home birth again for future pregnancies.

In their recent systematic review, Reitsma et al (2020), explored the outcomes of 500,000 planned homebirths. They Concluded that “Among low-risk women, those intending to birth at home experienced fewer birth interventions and untoward maternal outcomes.”

Further findings from the Lancet (2020) study demonstrated that people with uncomplicated pregnancies planning ​homebirths, when compared with those with similar health backgrounds intending to give birth in hospital were…

40% less likely to have a caesarean birth

50% less likely to have an instrumental birth

70% less likely to have an epidural

55% less likely to have an episiotomy

40% less likely to have a 3rd or 4th degree tear

60% less likely to have their labour augmented (sped up) using an oxytocin drip

The Surrey Hill’s team stats also reflect these findings and in 2019 98% of their clients had vaginal births.

The main hormones that facilitate labour, Oxytocin (the love hormone) and Endorphins (your natural morphine), are produced when you are relaxed, safe and comfortable so the best place to birth is where you feel safe, supported and empowered.

If you are having midwifery led care (low risk), you are an ideal person to consider a homebirth. If you have additional considerations recommending obstetric input in your pregnancy and would like to
explore the option of homebirth, please contact the team for an individualised discussion.

To discuss your birth place options further, including the Benefits, Risks and Alternatives of Homebirth contact the team at Rsch.homebirth.referrals@nhs.net

For more information on BRAIN see this post from Royal Surrey Maternity https://www.facebook.com/royalsurreymaternity/photos/a.856651127799946/1883734445091604/?type=3