My Illegal Home Birth

Giving birth at home was weird, magical — and a felony. by Madeline Holler

June 23, 2008

The instructor's most urgent tip: leave Dr. Wheeler. I was already thirty-three weeks pregnant. The instructor, a labor and delivery nurse who was openly in favor of drug-free labor, had attended births with Dr. Wheeler in the hospital where I had planned to deliver my baby. She was not optimistic about my chances of getting support through the pain or of avoiding the episiotomy I dreaded. Switching caregivers so late in the pregnancy felt reckless, but so did continuing care with a woman whose scalpel I had been coaching Wayne to protect my perineum from.

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So I called a recommended midwifery practice. A few days later, I canceled the rest of my appointments with Dr. Wheeler, had Wayne wrest my file from the angry assistant's hand and printed out a fresh copy of my birth plan.

My first appointment was with Nanette, one of three nurse-midwives in the practice. I gave Nanette the short version of my story, why I was transferring to her practice so late.

"I want to be in control of the birth," I said, waiting for an assuring nod.

"Get one thing right now," Nanette said, "you can't control childbirth."

"Oh, yes, of course," I muttered, "what I meant was that I didn't want a lot of interventions. Like an episiotomy."

"I'll make the determination." she said. "If there are indications, I won't hesitate to do one."

"Yes, I know," I said. "I just meant I didn't want one."

My forty-first week of pregnancy came and went without a single contraction. I was flat on my back when I pushed my daughter Beatrice out. At the end of week forty-two, I checked into the hospital for an induction. Cervix softener did the trick — I was in full-blown labor by the next morning and managed to avoid "Vitamin P," Nanette's nickname for Pitocin.

A few hours later, nurses brightened the lights and scurried in and out, prepping for the birth. I was flat on my back when I pushed my daughter Beatrice out. Nanette put her on my chest, but she didn't cry, so the nurses took her far away to be cleaned, photographed and tested for health. Beatrice wailed. I missed her profoundly.

The second pregnancy, the one four years later in Missouri, had been planned. And this time I had a childbirth philosophy. I knew I wanted as natural a labor as possible.

The provider directory for our insurance plan, which included midwifery care, turned up no midwives within a hundred miles of our home. A guy at the company's 800 number couldn't find a list of midwives either.

After three days of posting messages all over the Internet, I learned a midwife-attended birth in Missouri would be possible, but with a few caveats: I would have to be discreet, pay for all costs out of pocket and prepare to give birth at home — an option I had never once before considered. Still, I set up the meeting with Alice.

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About the Author

author bio Madeline Holler is a writer and mother of two. She lives in Long Beach, California.

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