‍What are the primary options?

When most people in the US think about giving birth, they think about a woman lying on her back in a hospital bed. This is certainly one option! However - depending on where you live - it's not the only one.

By weighing the pros and cons of the options available to you and taking into account your individual needs, preferences, and what kind of healthcare provider you want to work with, you can make an informed choice about where to give birth. This can help ensure a safe and positive birthing experience for both you and your baby.

Hospitals

Most births in the U.S. occur in hospitals, where you have immediate access to medical professionals. This includes anesthesiologists, who manage your anesthesia and pain relief; pediatricians, who specialize in the health of children from infancy through young adulthood; and neonatologists, who specialize in caring for newborns, especially those who are ill or born prematurely. You'll also have access to pain management options such as epidurals and nitrous oxide.

However, giving birth in a hospital can sometimes feel impersonal and unfamiliar, which might make it difficult for you to feel comfortable. Working with your care provider and support system in the delivery room can help overcome this.

Birth centers‍

Birth centers aim to provide a home-like experience while offering support staff and medical supplies. There are two types of birth centers: those attached to hospitals and freestanding ones.

If your birth center is part of a hospital, you'll typically have access to pain management options like epidurals, nitrous oxide, and massage therapy, along with specialized care if needed.

Freestanding birth centers usually offer pain management options such as nitrous oxide and massage therapy, but not epidurals.

Currently, there are over 400 freestanding birth centers in the US. While some may have doctors, midwives are usually the main caregivers. For more information, you can visit the American Association of Birth Centers.

Home 

Home births are becoming more popular in the US, but they still account for less than 2% of all births. You might be drawn to the idea of a home birth for reasons like wanting to avoid medical interventions, being unhappy with hospital care, or wanting more control over your birth experience.

While many women have positive home birth experiences, there are higher risks if things don't go as planned. To help reduce these risks, work with a certified midwife and have a plan in place to get to a nearby hospital if necessary.

‍What are the factors to consider?

Your health & your baby's health

‍When choosing where to give birth, your health and your baby’s health should come first. If you have a high-risk pregnancy or any medical conditions, it’s important to choose a place that can provide proper medical support. Hospitals are usually the safest option for high-risk pregnancies because they have advanced medical technology and specialists available.

However, if you have a low-risk pregnancy without complications, you might consider alternatives like birthing centers or home births, which offer a more personal and intimate experience.

Birth preferences

‍our choices for pain management and birthing methods will significantly affect where you decide to give birth. If you want to use an epidural or other medical pain relief, a hospital is usually the best choice because they have anesthesiologists available at all times.

However, if you prefer a non-medical approach, like hypnobirthing or a water birth, a birthing center or home birth may be a better fit. These options often offer a more relaxed atmosphere and midwives who are experienced in supporting non-medical birthing methods.

Emergencies

‍While birthing centers and home births can be safe and rewarding for low-risk pregnancies, it's important to consider how close you are to a hospital in case of emergencies.

Complications can happen during labor and delivery, so having quick access to medical care is vital for your safety and your baby's. If you're considering this option, discuss arranging transportation and packing your hospital bag in advance.

Costs & insurance coverage

‍Your insurance coverage and budget will also affect where you choose to give birth. Hospital births are usually the most expensive, especially if you need to stay longer or require additional medical care. However, most insurance plans cover hospital births, which might result in lower out-of-pocket costs.

On the other hand, birthing centers and home births can be cheaper, but all insurance plans may not cover them. Check with your insurance provider to understand your coverage and any potential costs.

Also, consider any extra expenses, like hiring a doula or renting equipment for a home birth.

Talking with your healthcare provider

Your healthcare provider can be a crucial resource for choosing where to give birth. Set up an appointment to talk about your options and any risks or concerns that might affect your decision. Your provider will consider your medical history, the progress of your pregnancy, and any specific needs you have.

They can guide you on the safety and suitability of different birthing locations based on your situation. Be sure to ask questions and share your preferences during this discussion to help you make the best choice.

‍Visiting potential locations

Once you have a better idea of your options, take the time to visit potential birthing locations in person. If you're looking at hospitals or birthing facilities, touring these places can help you understand the atmosphere and amenities, like breastfeeding support and room service.

Look for cleanliness, privacy, and comfort in the birthing rooms, as well as the availability of pain management options and medical equipment. Pay attention to the staff’s friendliness and whether you feel welcomed and supported.

Also, consider how close the location is to your home. Trust your instincts and make a decision that lets you approach the birthing experience with confidence and peace of mind.