This is one of the reasons I love my birth professor so much - her choice of words. I'm studying/reviewing the information she posted online. Right now, it's the various stages of labor. During the second stage of labor (pushing) she actually wrote: "It feels like you're pushing your baby out of your butt." It amuses me
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Unless your house is set up for emergency surgery... fuck it.
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Also, given the intense emotional states that often follows labour, I think the potential emotional health impact should not be forgotten. Stressful locales are shockingly a poor place to deal with mood swings or the like.
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Other then those who do suffer from emergency conditions (a host of which are discernible either from symptomatology or family history), hospitals are inferior birthing centers for the reasons already outlined below. This is not surprising, given that hospitals developed as locales for providing longterm care to the already ill & injured, not as places to prevent injury or promote gentle transition.
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