Why an OB Would Choose a Homebirth

Adriana talks with Dr. Amali Lokugamage about why an OB would choose to have a homebirth. This is a very interesting story, because it was an unexpected path that revealed itself through her pregnancy, and led her to see the practice of perinatal care in a new light.

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Show Notes:

  • The evolution of an obstetrician: before and after being pregnant
  • How pregnancy can heighten your intuition
  • Trusting what your baby tells you
  • The need to move away from a “one-size-fits-all” approach to medicine
  • Ways OB care can evolve to encompass that intuition
  • Organic Birth: getting medical students to be more comfortable with physiologic birth
  • Creating a cooperative care between midwives and OBs
  • “Intero-receptivity”: your inner sense of balance just may be increased by oxytocin
  • The biochemistry of trust
  • Your human right to autonomy over your body
  • Some ways to increase your pregnancy intuition
  • What her colleagues thought

 

Related resources*:

 

More from Dr. Lokugamage, including some of her lectures:

 


 

Amali A

Image courtesy of Amali Lokugamage

About Amali Lokugamage

 

Dr. Amali Lokugamage is an Consultant Obstetrician and Gynaecologist in London, UK,  who–through the process of having quite a revelatory pregnancy– ended up choosing to birth at home.

Dr. Amali has over two decades of experience and her main clinical interests lie in medical gynecology and general obstetrics with expertise in normalizing birth. She has authored an acclaimed book called “The Heart in the Womb: An Exploration of the Roots of Human Love and Social Cohesion”, which is a personal and professional perspective on how birth impacts long term societal physical and emotional health, with specific focus on love compassion and social cohesion.

She has also contributed a chapter to the book “The Roar Behind the Silence: Why kindness, compassion and respect matter in maternity care”, which will shortly be published.

She is on the Board of Directors of the International MotherBaby Childbirth Organization (which is a UN recognized NGO); on the Advisory Board of Human Rights in Childbirth; and on the Editorial Board for the International Journal of Childbirth.

She is a champion for healthcare human rights and is involved in compassion and patient experience projects at her London hospital. In December 2014 her lectures on “The Cost of Institutional Birth: A Wake up Call for Obstetricians” and “Obstetric Violence” were published on the World Health Organization’s webpage devoted to respectful perinatal care. Dr. Lokugamage is an internationally invited speaker at many multidisciplinary birth conferences promoting respectful care, dignity and autonomy in perinatal services.

Her research and publications cover critical evaluation of evidence based medicine, human rights in childbirth, normalizing birth, life course epidemiology, recurrent miscarriage, the use of misoprostol for labor and delivery, and international perinatal health. She has a keen interest in integrative medicine and the psychobiological dimensions of diagnosis and treatment. In London she leads an NHS perinatal acupuncture service. She is a trustee of the Birthlight Trust where she instigated a pregnancy yoga dance project. Dr. Lokugamage also has expertise in the treatment of chronic illness integrating both standard and complementary medicine modalities in a patient-centered approach.

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