Back up care
I brought my LO to the ped the day after she was born, not medically necessary but I needed to have documents relating to her birth to get her birth certificate from the city. Had she needed care after the birth I would have called 911 because of something wasn't right I'd have her taken to the children's hospital. If it not had been for the paperwork needs I don't think it was needed to bring her anywhere. I knew that child was healthy from the moment she was born and the idea of some doctor poking around to tell me what I already know isn't all that appealing. I suppose if you wanted your child to get a vit K shot, or other vax's then you'd want to bring them somewhere though.
As for my post-partum care, I had tearing so I went to labor and delivery five ours after my birth (leaving the babe at home) and said I had a homebirth. They assumed that it was with a midwife, until I had further complications once I was at the hospital already (major hemorrhage) and they inquired about my prenatal records (I UP'd) as I had to have an emergency surgery. Then I was honest about my UC, but I think that it's fine to just say, "oops?! It happened so fast..." Honestly, the nurses and doctors just referred to me as "the homebirth," they had never heard of unassisted nor thought it would be something someone would choose. I think one person asked me where the baby was and I said, "At home, she looks great so I figured I'd skip the germs." And it wasn't brought up again.
As for less dramatic pp care, I called and made an appointment with a midwife at six weeks after birth because I had questions about when the bleeding was to stop, and what could be done to fix the damn itching from all the stitches that were healing (I had three second degree tears that they sewn up in L&D). That sucked. The receptionist didn't understand why I wasn't seeing "my midwife" then the midwife when I got to her office was a hot mess about how I should "NEVER EVER DO THIS AGAIN" and was pretty horrible. I should have just walked out and called someone else but I was a little unsure about how to handle it at the time. It was impossible to "oops" not having prenatal care records, or labor notes for my pp care, but I would have gotten much better care had I been able to lie. That said, I did make an appointment in the private practice with the super high risk obgyn who sewed me up at the hospital, best care I've had. I am open about UC, he thinks it is hilarious saying to me, "not where I would want to push a baby out but I'm a man so what do I know?!" When I get pregnant again I think I'd see him at the second trimester and once at 35 weeks, and would choose to deliver with him if I had complications that I was not comfortable UCing. I think the key is to find a post birth provider that is respectful. If you do not find one at first keep shopping.One thing that I did not expect after the birth was having to set boundaries with medical providers about my choice to UC.
It took me a few months to really sort through how outrageously some providers acted and how to appropriately respond. I realized that there is nothing wrong with choosing to UC, I made a well researched and thoughtful decision that I feel was in the best interest of myself and my child. That choice does not mean that I am less entitled to comprehensive medical care when I choose to seek it. Seeking a medical opinion does not mean I am under any obligation to take it, or agree with the provider's opinion. And most importantly, it is not my job to defend my choices to my nurses, doctors or midwives. I was asked many invasive questions, and it took a while to grow a thicker skin and respond, "That's really none of your business." Or respond to judgments like, "That's irresponsible," with "I'm not here for your opinion on my birth I'm here to ask about blah blah."
Gee, I really went on and on...