Kimm Sun and Kateryn Nunez of Heart Science Midwifery were my midwives for my third home birth, in…read moreJuly 2020. I loved the experience and recommend them highly.
Kimm and Kateryn are certified nurse midwives and provide complete prenatal, home birth and postnatal care. They have a friendly office in Brooklyn for pre-natal appointments. I had my baby during COVID, so for the last half of my pregnancy they switched to a more-Zoom approach, while still having me come to the office for key in-person checkups. They do most testing (including COVID) in house, but refer you to specialist clinics for the 20-week ultrasound and one of the early blood tests. They work with an insurance billing specialist who works with many other NYC-area midwives.
My previous two babies were also home births without analgesics, so I have (ahem) low expectations of labor and delivery... hopefully this won't come as a surprise to most people reading this... it pretty much sucks. I do it at home not because it doesn't hurt, but basically for safety reasons, as my mom had 4 C-sections and had a lot of health problems as a result, and hospitals do tons of unnecessary C-sections. Good recent research to look up on this topic is Hutton 2019's meta-analysis of intended home birth, and Scarf's 2018 meta-analysis which also includes data about safety to mothers.
In any case, back to the birth, my water broke at about 3am, labor started (slowly) at about 3pm, and the midwives came around 8pm when I thought things were really far along. I like to take my time and not push too hard, so that everything has time to stretch the way it should. But the baby's heart rate decelerated over time, from about 140bpm to about 90bpm, and at that point Kimm and Kateryn told me "the baby is telling us that she wants to come out." They helped me change positions for the next contraction, change for the next contraction again, and then Kimm said "you can push her out on the next one"... and I could, and did, just before midnight.
The best part about home birth is after the baby arrives. I snuggled our new little one and my mom and two older daughters came to meet her. Then my husband and kiddos took the baby to bond with her some more, I delivered the placenta, and then took a bath while the midwives cleaned up. We had a champagne toast and dessert, and I took a nap on the couch while the midwives chatted with my mom and did the newborn exam. (Everyone was wearing masks of course.) Then Kimm and Kateryn headed home and we all went to bed.
I wanted to include a note on some medical questions people ask me about home birth, although please recognize I'm not a doctor and you shouldn't believe everything you read on the internet. My understanding is that no home birth midwives offer medicines for pain relief during labor, because the side effects of those drugs, like lower blood pressure, need a hospital setting to manage safely. However home birth midwives do bring medical supplies to your birth, including supplies for newborn resuscitation and to prevent hemorrhage. About 10-15% of home birth moms transfer to the hospital, usually because they're tired and labor is lasting a long time. Midwives solve the "cord around the neck" problem all the time, with their little finger, just like OB's do - my first two kids both had the cord looped around their neck. And midwives solve a declining heart rate by delivering the baby, which based on this experience I would say they know how to do effectively.
Thanks Kimm and Kateryn for a great birth experience! Expectant parents reading this, all best wishes for finding the right people to take care of you and your family during your birth!