Vaginal home birth: always unmedicated?

Basically yes.

You can not have an epidural at home. An epidural requires an anesthesiologist or nurse anesthetist to administer and monitor. with an epidural you are also at risk for a number of complications which may require immediate medical attention.

Systemic pain medications usually can not be done at home. Many pain medication given during labor require consistent monitoring and may cause side effects in the baby. Systemic medications are given via IV or injection. Some midwives will give some forms of systemic pain medications, it depends on the midwife, the equipment they have and state laws. Usually midwives don't give pain medication.

If you are planning a home birth it is key to be prepared for the pain and know natural coping techniques. Make sure that you understand all the benefits and risks of a home birth. Consider hiring a doula to attend your birth as well and provide you with personalized one on one support.

Moms Expertise
No, if a mother wants an epidural she will be transfered to a hospital. Birth center are not equipped for epidurals or c-sections.
    8Theresa Gould
    I LOVED my three home births, of which one was unassisted! One thing I'm grateful for through my miscarriages is that they led me to home birth.
    About Katie
    Birth: November 24
    On since: Jan 21, 2014
    ***Community Manager of*** Mom to four amazing children. I am passionate about helping and supporting new moms as they enter into motherhood. I am a certified doula, certified childbirth educator and an accredited breastfeeding counselor.