Home Birth After a Previous Hospital Birth: What to Expect

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Bringing a new life into the world is a deeply personal and transformative experience. For some mothers, the birth of their first child in a hospital setting may lead to a desire for a different birthing experience the second time around. If you’re considering a home birth after a previous hospital birth, you’re not alone. Many mothers are embracing this choice as they seek a more intimate, personalized, and natural birth experience. I myself, have this exact experience. I had my first daughter in the hospital in April of 2021, and my second daughter in February of this year, in the comfort of my own home.

The Decision-Making Process

Before delving into the specifics of home birth, it’s essential to understand why some mothers opt for this path after a hospital birth. Common reasons include dissatisfaction with their previous hospital birth experience, a desire for a more intimate and personalized birth, and lower risk factors in the current pregnancy. However, the decision to switch from a hospital to a home birth setting should be a carefully considered one.

I wanted to have my first child at home, but I was not sure what to expect, and ultimately felt safer at the hospital. I did use CNM (Certified Nurse Midwives) throughout my first pregnancy, labor and postpartum journey, and that is a choice that I encourage you to consider if you do not believe home birth is for you.

Assessing Your Eligibility

The safety of yourself and your baby should be top priority when making the decision to prepare for a home birth. If you have a history of medical complications, or suffered complications with previous pregnancies, it will be important to discuss your options with a healthcare professional.

The Importance of a Supportive Birth Team

Assembling a supportive birth team is paramount when planning a home birth after a hospital birth. Midwives, doulas, and your partner play essential roles in ensuring a safe and positive birth experience. Take the time to choose professionals who align with your birthing philosophy and provide the care you need.

How to Find A Home Birth Midwife

My advice is to reach out to a local mom who has had an experience with a home birth, and ask them if you can get the contact information for their midwife (if they used one). I had an hour long video consultation with my home birth midwife, where she answered all of my questions, asked about previous health history and went over a plan for care and cost.

There are also websites you can use to find a home birth midwife near you. Here are a few home birth midwife websites for various states;




Hawaii (Maui/Oahu)




New York




Home Birth Planning

Always create a birth plan! You may have used a birth plan for a previous hospital birth, and if so great! You already know how to make one. If not, you definitely should consider it. I believe it is important for you and your birth team to be on the same page regarding home birth expectations and preferences as labor progresses. Anyone who would be attending your birth should also be on the same page with your birth plan. Protecting your energy during labor should be one of the highest priorities for everyone involved in the process.

Preparing Your Home

Preparing your home for a home birth is another critical step. Your birthing space should be clean, comfortable, and well-equipped with necessary supplies. Your midwife or birth team can provide guidance on what you need to have on hand for a successful home birth, but here are some of my favorites.

Understanding the Process

Knowing what to expect during a home birth is vital for your peace of mind. Home births typically offer more freedom and flexibility compared to hospital births. Understanding the stages of labor and delivery, as well as the support your birth team provides, can help ease any anxieties you may have.

Managing Pain and Discomfort

Natural pain relief options are available for home births, including relaxation techniques and comfort measures, not to mention.. you have your own bathroom. I think I took 4 separate baths during early labor. Some women choose to use a birth tub in early labor, all to way through to delivery!

Potential Challenges and Complications

While home births are generally safe for low-risk pregnancies, complications can still occur. This is where that birth plan will also come in handy, too. It’s important to be aware of common complications and having a well-prepared emergency plan in place is essential. I had a hospital bag packed just in case, and ended up almost transferring to the hospital in late stages of labor.

Post-Birth Care and Recovery

Immediately after your home birth, you’ll experience a unique and intimate bonding opportunity with your baby. Midwives will do a newborn screen at home that may include things such as; bloodwork, a hearing test, weight, length and a few other things. Your midwife will provide guidance on post-birth care and help you navigate the emotional and physical recovery process.

There are a lot of things to consider when choosing a home birth after a previous hospital birth. It can offer a more intimate, personalized, and natural birthing experience, but each person has to weigh their own factors and make their decision themselves. Do your own research, assemble a supportive birth team, and create a detailed birth plan to ensure your home birth is a positive and empowering journey into motherhood.

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