Independent midwives for home births are scarce in Spain, but they do exist, and their numbers are increasing all the time, as home births become more popular. Some of the main reasons for the boom in popularity of home births in Spain are:
• more autonomy for the mother and her partner
• more care and time spent individually with the mother during both the birth and the postpartum period.
• freedom to give birth in familiar surroundings, with family
• a bad experience in hospital with a previous pregnancy /childbirth
The cost of home birthing will include antenatal care, the childbirth, postpartum care and breastfeeding advice. Prices vary between midwives and depend upon the scale and amount of care required; they range between 1500 and 6000 Euros.
Throughout your pregnancy, your home birthing midwife will visit you at your home to discuss your birth plan (who will be there, which room will it be in) and your medical history (such as allergies, diabetes and high blood pressure). The midwife will work with you, in collaboration with your doctor, health centre or gynaecologist to make sure home birthing is a healthy viable option for both mother and baby; to make sure your birth runs as smoothly as possible.
If, during the birth, there is an emergency, or if the birth is not going well, the midwife will arrange for you go to the nearest hospital. However, home birthing midwives are trained to resolve the situation temporarily, and have medications and respiratory equipment available for unlikely events such as this. The probability of unexpected complications is low; it is no greater for a home birth than a hospital birth.
If you require pain relief such as an injection of pethedine (morphine type), epidural or spinal puncture, these cannot be given at home; the birth would have to be continued in hospital.
After the birth, the standard post-birth checks of the baby will be carried out by the midwife: weighing the baby, measuring it, administering oral drops, and taking the baby´s temperature. Once the mother and child both are settled, the midwife will help with the breastfeeding for the first hour following the birth. The midwife will later carry out postpartum check-ups and give the necessary care.
The home-birthing midwife will issue the baby´s birth certificate. The birth certificate has to be submitted at the local Registro Civil (civil registry office) within 7 days of the birth to register the birth formally. If you are not Spanish, you may also want to register the baby's birth at your Embassy.