Homebirth with Beth and Irene

In April 2025 Bethany Woodger and I attended a lovely healing homebirth for one of her clients. I usually like to write about my experiences of witnessing a birth so others can understand what we do and how amazing birthing women are. But this time Beth’s client published her own story online so we decided to share it with her consent to inspire others.

For context, Beth’s client G. had a traumatic first homebirth due to inexperienced midwives panicking at the last minute. So this healing homebirth became an amazing opportunity for her to make peace with the past. Also, I would like to point out that she went into labour at 41+6, not something the NHS is very keen on.

Here is her birth story, in her own words.

Birth Story

 On Thursday 10th April I woke up from a contraction around 2am. I experienced a few of them. Strong enough to wake me up. Then managed to get back to sleep a couple of hours later. Woke up again about 6am to a few more. They started to come a bit more regularly around 7am. I found myself getting these ‘cramps’ all day and spent most of the day resting as much as I could, eating, drinking and watching funny TV with my husband as our 5 year old was at a Easter holiday kids club. They started to get a bit more intense and were consistent by about 3ish but I could still talk through them and they weren’t much to write home about. By about 7ish I was having to breathe through them and was using the yuka balls. Reached out to my midwife but was really concerned about how long this would go on for as I hadn’t had my plug/show and I had this over 2 days prior with my son. And I was in labour for 4 days with him. Carried on as I was and around 8ish I put my tens machine on as I was struggling with just the Yuka balls. My mum came over and my son went to bed. My husband put up the birth pool. I was adamant I didn’t want to do this too soon this time as I was convinced I had days to go.
 
Called our wonderful midwife, Beth and I burst into tears. Telling her how worried I was about being only at the very start and no plug or show. She said she would come over when we needed her. I finally asked for her to come over around 11ish and she got to us before midnight. By then the contractions were very intense. I was using the tens and the balls and getting quite vocal and really starting to struggle. My blood pressure was high and I wasn’t getting much of a break in between. I then started on gas and air which helped a lot. Around 2am I got into the pool. I immediately felt the pressure increase. It had already been there for a while but this got ridiculous. I started to panic as I had no VEs this birth and with the help and guidance of Beth and our second midwife Irene, I was told to listen to my body. It was the most surreal and incredible feeling. I described it as my bum or my noonie being sick. With each contraction I was pushing. But not even on purpose. It was so incredibly intense!! I was still a bit in denial as I still hadn’t had my plug, my show or my waters go!
 
After a few pushy contractions I felt down and I could feel my baby in her waters. It was the most amazing feeling. We had run out of gas and air by this point and I experienced the ring of fire. I found holding myself as I pushed her out helped a lot. That and singing to myself about how I was stretching 😂
Then with one big push her head and the rest of her slid out of me. It felt incredible!!! She was born into the water en caul and our midwife Beth caught her and got the sack off of her before helping me get her out of the pool and onto my chest.
It’s a feeling I’ll remember for the rest of my life and even more so as our second midwife very kindly filmed it for us!!
 
Because I was so worried about blood loss I got out the pool pretty soon after. I wanted to do the breast crawl but it wasn’t really happening but I did sit on the sofa and feed. I had absolutely no blood. Nada. After an hour or so we cut the cord to try and get the placenta to get a move on. I was really nervous about this as had the injection with my son so didn’t know if I could do it on my own. I was getting contractions again and put the tens machine back on. Tried a few things. Like standing up, weeing but nothing was happening. Then went and sat on the loo and it just fell out of me. Was such a weird sensation. Like a big clump of jelly. Didn’t hurt at all. Then did a wee. Placenta was all in tact and I didn’t start to bleed till after it was out. And the bleeding this time round has been so much less by comparison.
 
After our son was born (also at home) it left me with a lot of trauma and the whole experience was very dramatic and traumatic. This experience was so healing and beautiful and whilst I won’t be having any more babies I am so glad I got to experience birth this way. As an empowered and very powerful queen. Also my daughter was over a pound more than my son and with him I had a second degree tear which went up to my clitoris and needed a hospital transfer by ambulance to be stitched. This time I needed no stitches and spent our first day at home. Chilling. Eating and sleeping when I could. It’s been amazing.
 
One of the biggest things that made this experience what it was, our wonderful midwife. I made the decision to have an independent midwife after the awful experience with the NHS we had with our son in 2019. It was by far the best decision and it made our birth experience what it was.
 

Resources For Fetal Heart Monitoring

1.When did we start monitoring babies in labour?

For more high quality evidence around fetal monitoring please visit Kirsten website here, an obstetrician with a PHD in CTGs. https://birthsmalltalk.com/

In this post she discusses intermittent auscultation: https://birthsmalltalk.com/2023/08/23/what-is-intermittent-auscultation/

Hear her talk about the lack of evidence behind CTGs in this podcast: https://open.spotify.com/episode/1eXZY973Oxbs1ducavpSAk?si=872f8c4077be4ba5

Post on the history of fetal heart monitoring: https://birthsmalltalk.com/2023/08/09/listening-to-the-fetus-the-history-of-fetal-heart-rate-monitoring/

Cochrane review comparing CTG to intermittent ausculation (CTG increases interventions
): https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006066.pub3/full

Does CTG use improve outcomes for high risk women? https://birthsmalltalk.com/2024/10/16/the-story-behind-our-paper/

2. How should we use intermittent auscultation in labour?

These are the NICE guidelines for fetal monitoring in labour: https://www.nice.org.uk/guidance/ng229/chapter/Recommendations

Midwife researcher and lecturer Rachel Reed has a brilliant article and podcast about this where she unpicks the evidence around the recommendations for intermittent auscultation protocols here https://www.rachelreed.website/blog/listening-to-baby-during-labour

and podcast here: https://open.spotify.com/episode/3sJeIR3xUOr20EBRGilHxl?si=818537594dd04457

The WHO recommendations for intrapartum care: https://iris.who.int/bitstream/handle/10665/260178/9789241550215-eng.pdf?sequence=1

3. How does intermittent auscultation detect fetal distress?

For more on normal and abnormal heart rate monitoring watch this explanatory video: https://www.youtube.com/watch?v=Ni48bbtiZgs

4. What happens if there are concerns with the fetal heart rate at a homebirth?

NICE guidelines for fetal monitoring in labour: https://www.nice.org.uk/guidance/ng229/chapter/Recommendations

5.What is better for fetal monitoring in labour: a Doppler or a Pinard/fetoscope?

To read about the research and the experiences of midwives using a fetoscope/pinard antenatally and in labour check these links out.

Short facebook comments compiled in this magazine here: https://www.midwiferytoday.com/mt-articles/wisdom-of-the-midwives-issue-131/

Midwives perceptions of fetoscope vrs Doppler Tanzania https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-018-1736-y

Midwives experiences of Pinard use Norway https://www.sciencedirect.com/science/article/pii/S0266613822000407

Defense of fetoscope article by American midwives

https://hearthandhomemidwifery.com/blog/fetoscope-a-tool-of-the-midwifery-trade#:~:text=Fetoscope%20uses%20go%20beyond%20just,birthing%20person%20and%20the%20baby.

A Cochrane review that compares Doppler and Pinard use in low income countries: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008680.pub2/full

For a compilation of research that compares the use of Doppler to Pinard check this link: https://www.cochranelibrary.com/content?templateType=related&urlTitle=%2Fcentral%2Fdoi%2F10.1002%2Fcentral%2FCN-01110791&doi=10.1002%2Fcentral%2FCN-01110791&p_p_id=scolariscontentdisplay_WAR_scolariscontentdisplay&_scolariscontentdisplay_WAR_scolariscontentdisplay_action=related-content&p_p_lifecycle=0&p_p_mode=view&type=central&contentLanguage=

6. What if you decline some or all fetal auscultations?

Is fetal monitoring essential?: https://birthsmalltalk.com/2024/11/06/myth-busting-3-fetal-monitoring-is-essential/

7. What to bear in mind about intermittent auscultation in labour?

Examples of womens experiences of fetal auscultation in labour: https://www.sciencedirect.com/science/article/pii/S1871519224002658#bib14