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947| Surprise Footling Breech Homebirth with Hospital Transfer and NICU Stay - Stephanie Pollock

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November 21, 2024

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In this episode of The Birth Hour, host Bryn Hunt Palmer welcomes Stephanie Pollock to share her journey as a mother. Stephanie recounts her unexpected experience of a footling breech homebirth that led to a hospital transfer and a stay in the NICU.

Background of Stephanie

  • Family: Stephanie lives in Cambridge, Ohio with her husband Jamie, their adoptive daughter Sadie, and their son Ezra, who is now 16 months old.
  • Pregnancy Journey: After struggling with infertility in her first marriage and opting for adoption, she found herself unexpectedly pregnant with Jamie during a time when she had not planned for another baby.

The Pregnancy Experience

  • Initial Reactions: Initially shocked by her pregnancy, Stephanie considered her options but ultimately chose to continue with the pregnancy, encouraged by her partner, Jamie.
  • Choice of Care Provider: She ventured through several providers before switching to a certified nurse midwife around 28 weeks. However, she decided to change to a home birth midwife at 37 weeks based on her doula’s recommendation, recognizing that the hospital environment did not align with her birth preferences.

The Birth Experience

  • Labor Begins: Stephanie experienced a smooth labor until complications arose. She began laboring at home, feeling confident while waiting for her midwife.
  • Breech Presentation: Upon initial signs of delivery, her midwife examined her and discovered that Ezra was in a footling breech position, leading to urgent adjustments which catalyzed a hospital transfer after birth.

Breech Birth Details

  • Unexpected Turns: Despite the breech situation, Stephanie delivered Ezra at home, and while delivering, the baby's condition required immediate attention as he was born non-responsive and blue.
  • Emergency Response: Following his delivery, Ezra required resuscitation which led to heartbreaking moments for Stephanie who felt helpless as her son was taken away.

NICU Stay

  • Hospital Transfer: Stephanie fainted shortly after delivery and was transferred to the hospital where she was treated, experiencing a lack of care with postpartum needs.
  • NICU Challenges: The family faced struggles in the NICU due to staffing and procedural systems, as they navigated their son's cooling treatment and medications.

Emotional Aftermath

  • Reflection on Trauma: Stephanie shares her emotional journey, noting that despite her traumatic experience, she didn't feel traumatized in the long term, attributing her emotional healing to supportive relationships and research.
  • Ongoing Support: She emphasizes the importance of a supportive birth team and community, acknowledging how critical they were during the unpredictable moments surrounding her birth experience.

Takeaways and Resources

  • Key Learnings: The importance of prenatal nutrition was emphasized, as Stephanie noted the positive impacts of dietary choices on pregnancy and labor outcomes.
  • Resources for Expecting Mothers: Stephanie highlighted resources like The Birth Hour podcast, Down to Birth podcast, The Ina May Guide to Childbirth, and Evidence Based Birth as vital for education about pregnancy and childbirth.

Conclusion

Stephanie's story encapsulates the unpredictabilities of childbirth, the significance of having a supportive team, and the resilience required through difficult experiences. Despite the challenges faced, she advocates for the home birth experience and encourages women to trust their bodies and support networks. Stephanie reveals that she plans to have another home birth, firmly believing in the approach she has chosen, which emphasizes the essence of woman-centered care.

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