After a lot of thought, research, prayer, and consideration, Ryan and I have decided to labor and deliver Luke in a birth center. This means no more OB and no hospital! I am incredibly excited about it for a host of reasons, the main reasons being the support I will receive from the midwives and the fact that I will have my med-free birth. :-)
For anyone unfamiliar with a birth center, I'll describe how ours works. It's a converted old house where 2 midwives and a staff of nurses work. It's like a regular doctor office in that there are exam rooms and an ultrasound machine, and they have all the modern technologies that a doctor would have. Except midwives are only female, and these ladies are much more supportive of my desire to birth med-free. Once I go into labor I will be in one of their birth suites, and I can labor however/wherever I want to! Bed, shower, bath, birth chair, parking lot, living room, kitchen... And the same nurses and midwives that have been seeing me for the remainder of my pregnancy will be there during my labor and delivery to support and assist me. This is a change from my OB/hospital birth, where I was seen by a million nurses (thanks to shift-changes) and my OB showed up to check on my a couple of times and the last 10 minutes of pushing just in time to catch the baby. I am looking forward to having a different support system this time.
The philosophy of birth at a birth center is that a woman was created by God to give birth. It is not a medical problem that she needs to be "delivered" of- so we will use the natural means necessary to provide pain relief (like the water), manage labor (not rush it), and have the baby. Overall, it's still going to be a lot of work for me-it is labor!- but I am already much more relaxed at the idea of doing things this way.
When I say a "med-free" birth, I mean I will not have the option to have an epidural. If I need an IV or something else for whatever reason, they have that and will not hesitate to use it- after all, they want me and Luke to be healthy just as much as we do! I will probably have a water birth, meaning I will push and deliver Luke in a tub. It's not set in stone yet, luckily it will never be set in stone and if I decide I don't like it then I can change my mind!
Of course we have looked into safety precautions. The birth center is equipped to handle minor medical emergencies for mom and baby, and if something else is needed then we are a couple of miles from the hospital where I delivered Beth so I can easily be transported. Last year of 104 births, they only had 4 transfers and 3 of those ended in c-section. Those are good odds!
I feel incredibly lucky and even more blessed that I had a relatively easy and healthy labor and delivery with Beth. I am low-risk for any health issues right now- if for some reason I should become "high risk" then I will switch back to my OB. But my age, health, and birth history mean I'm a perfect candidate for a birth center!