We will also talk extensively about how a home birth may go, in which cases a home birth is not possible, as in a medical history of high blood pressure or breech presentation, when it may be necessary to change plans and go to the hospital, and what you can expect in that scenario. It goes without saying that I am prepared for emergencies, but in doubt would prefer to transfer you calmly to the clinic of your choice rather than take undue risk. Here I would like to call your attention to the website of the Society for Quality in Non-Hospital Births, www.quag.de, where the current statistics on out-of-hospital births are posted and updated on a regular basis.

During your home birth, I will listen to the baby's heart tones regularly with a special device and observe your progress, guiding you as needed regarding position, breathing, massage, or questions of medication. Many women find their own rhythm of position and breathing as labor progresses, assisted by their partner or one or more other helpers.

I especially love the births where the older siblings are present, as they often bring an innocent wonder to the arrival of their little sibling. This is of course only advisable with the consent of both parents and after much preparation and information for those children. Many of your wishes are probably routine for me: of course I will give the mother the opportunity to give birth without an episiotomy or tear, she can eat and drink during labor, I do not need bright lights and I do not cut the cord right away, that can be done by the father. Please let me know of your specific wishes and I will try my best to respect them and to create the birth you want!