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 More women risking Bunbury homebirths 

More women risking Bunbury homebirths

29 Apr, 2009 10:10 AM
A NATIONAL trend towards homebirths is being reflected in the region with the potential to put mothers and their newborns at risk.

Between 2003 and 2007 there were 70 homebirths recorded in the South West by the health department, up from 13 performed in 2003 to 20 in 2007.

Across Australia more parents are choosing the option but there has also been a reported increase in the associated death rate.

There were no deaths from homebirths in the South West between 2003 and 2007, but Bunbury gynaecologist Dr Ron Jewell said mothers were putting themselves and their babies at risk.

“People are looking at their choice rather than safety,” Dr Jewell said.

Dr Jewell said parents choosing homebirth may be doubling their risk of danger because if a complication does occur, the right equipment or medications may not be on hand immediately.

He said it was of particular concern for mothers in the region who might live some distance from a hospital.

“If you’re out at the back of Boyanup, the hospital is some distance away,” Dr Jewell said.

However Bunbury mother Megan Pelusey disagrees.

Mrs Pelusey gave birth to her first child Georgia at home in 2006 and with baby number two on the way her family is preparing for another homebirth with the help of a trusted midwife, her husband Marcus and Georgia, 2.

“I’m a private person and it’s a nice way to have it in your home and this time my two year old will see it all,” Mrs Pelusey said.

Mrs Pelusey said she felt women with low risk of complications could have safe homebirths when supported by a midwife with the right equipment.

“I had continuity of care with my midwife, I had regular visits throughout the whole pregnancy, (the midwife was there) during the birth and I had after birth care and you still see a doctor anyway,” Mrs Pelusey said.

She said she was not nervous about complications.

“The midwife has all the right equipment like oxygen if it is needed and we are not very far from the hospital if something happens.”

The Peluseys are paying almost $3000 for the water birth in their home, significantly more than metropolitan fees.

Currently the WA Country Health Service does not provide home birthing services in Bunbury and the South West, however a range of antenatal, birthing and postnatal services are provided.

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Good, balanced, researched reporting.
Posted by Stacy, 30/04/2009 9:42:45 AM
I think that you have tried to present a balanced view.

However I would of liked to see a Southwest midwife comment to respond to Dr Jewell's comments.

After all we are looking at two professionals with a different point of view.

I am very pleased that you interviewed the consumer Mrs Pelusey and that midwifery care was discussed.

It is nice to see the Southwest has such a good homebirth rate and a successful program.

It is a shame the Government does not see fit to support this program as it does save the tax payer many dollars in terms of the health care budget.

Posted by infomidwife, 30/04/2009 12:59:10 PM
$3000 is not significantly more than metropolitan fees, it's the same.

Birthing at home with a qualified midwife has been proven in countless studies, over and over again, to be as safe or SAFER than birthing in a hospital.

Dr Jewell is not speaking with ANY level of knowing why women choose to homebirth.

Yes it's a choice, but it's a choice OF SAFETY, it's not about choosing the curtains, or cushion covers.

People who choose to birth at home GENERALLY do so because the research shows it is safe.

I commend the families of the southwest choosing safe birth. More power to them.

Posted by Leon, 2/05/2009 1:48:13 PM
I have experienced both a hospital and homebirth, so have first-hand knowledge of both scenarios.

I know now that the moment I stepped into the hospital for the birth of my first son I unconsciously gave over control to the midwife I had.

She was great and all went well, but having experienced a home water birth since, nothing can compare!

Women have the right to make an INFORMED choice.

No one would make the choice of a homebirth if they did not feel safe doing so.

I live about 40 minutes from Bunbury and know that the journey there - had it been necessary - would not have been pleasant. However, the time it takes to set up the "immediate" resources for an emergency caesarian would not take much less time than that!!

Let's empower women to make an informed choice by giving them the information as standard procedure, not just at request.

No one would make the choice of a homebirth if they did not feel safe doing so. I live about 40 minutes from Bunbury and know that the journey there - had it been necessary - would not have been pleasant. However, the time it takes to set up the "immediate" resources for an emergency caesarian would not take much less time than that!!

Let's empower women to make an informed choice by giving them the information as standard procedure, not just at request.

Posted by Clair, 4/05/2009 8:53:02 PM
Would like to point out the mother in the story had her contingency plans worked out, this is not always the case.
Posted by njs, 8/05/2009 2:41:57 PM

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