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Old 08-07-2012, 10:17 PM   #1
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rverrone11
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Help me solve my dilemma--what would you do?

I live in the middle of nowhere so my choices on where to have my baby are limited, and I don't know what to do. For background, I have two daughters:

1. My first daughter was born 41w 4d in a hospital with a CNM when we lived in Illinois. Her birth was over 24 hours. After her head came out, her shoulders were kind of stuck, and the midwife called for backup. DH said she basically grabbed DD and pulled her out of me. She was 9lbs 2 oz
2. My second DD was a waterbirth home birth at my midwife's house 3.5 hours from where we live. She was born at 41 weeks. We left our house before I was in labor, and labor started about halfway there. Total labor was 4 hours. She too got a bit stuck after her head came out. She was 8 lbs 13 oz.

*another thing to note--we have two houses...one we rent for very cheap that we live in during the week because it is right behind our work and another that we bought to be closer to town. So even though I mention "weekend home", we are not "rich".


Option 1: Go to my local hospital, which is 100 miles away (1.5 hours) from where we live Monday-Thursday and 12 miles away from our weekend home. This would be ideal except all of the doctors and midwives are out of network. The hospital is in network. So, the hospital would cost $1,500 and the doctor would cost $2,000 plus 30% of anything past that plus anything over EME.
* There are no home birth midwives in this town.

Option 2: home birth midwife in Las Vegas: that is 3.5 hours away from our M-Th home and 4+ hours away from our weekend home. To give you an idea of what the drive is like, I would have to drive through Death Valley to get there. I would also have to find somewhere to give birth. $1,500-$2,000 for midwife plus about $500 for hotel plus travel for my appointments.

Option 3: hospital in Las Vegas, so same issues as with Option 2 except I wouldn't have to find a place to give birth. Both doctor and hospital are in-network so it's about $2,000 plus about $500 for hotel plus travel for my appointments (I would probably have more appointments with the doctor than with a home birth midwife.


I had the same dilemma when DD2 was born, but I figured since I had a 24 hour labor with my first, I would have plenty of time to get to my midwife. We were lucky that we left before I had any contractions.

I just don't know what to do.
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