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Esposito vs. Kathy Sloane-Need help choosing between hospitals and Midwives in Maryland!!!!! - Page 2

post #21 of 47
I gave birth last week at Mercy with Kathy Slone (it was actually Kathy who delivered her). I can't say enough good things about my experience there. I birthed in the pool, and my post-partum care was great. Lucky for us, everything went exactly as it should.

I was 9 cm and +2 when I arrived, and pretty anti-intervention.

These are the things I would look into...

I was only allowed to birth in the pool if I had completely clear amniotic fluid. So they had to break my waters to check that. I was ready to deliver pretty much on arrival, but if I had spent first stage in the pool, maybe I would have had to get out to have a cervical check and have my waters broken?

My husband took the baby to the warmer and rubbed her vernix in while they got me out of the tub and into the bed. That was fine with me - I wouldn't have wanted to carry her, but maybe others would prefer something else?

I had in my birth plan - no bath, Vit K if bruising, no Hep B, delayed eye drops, complete rooming in, no artificial nipples. We decided against the eye drops, and nothing was said. No-one commented once on the Hep B, I was strongly advised to have the Vit K, which we had in the end, due to bruising, but I wish I had bought drops.

They did the hearing test in our room, as well as the newborn exam, which was done by a nurse practitioner. She put her finger in the baby's mouth to pacify her, else she would have had to come back later when baby was sleeping. Emmeline was 8 lb 2.8 oz, at 39 weeks 5 days, which was considered big for dates. (Cut off for 39 weeks is 8 lb 2.5 oz I was told, and she was closer to 40 weeks anyway). The L & D nurse said apologetically that she was supposed to do heel pricks for blood sugar every two hours, but I could refuse, so I did. We checked at 24 hours instead, at the same time as the PKU, and she was fine.

We pushed for "early" discharge, which is 24 hours after vaginal birth, rather than the normal 48 hours. She was born at 4 am, we left at midday the following day.

Hope that helps, and good luck with your decision!
post #22 of 47
Quote:
Originally Posted by lisalu100 View Post

I was only allowed to birth in the pool if I had completely clear amniotic fluid. So they had to break my waters to check that. I was ready to deliver pretty much on arrival, but if I had spent first stage in the pool, maybe I would have had to get out to have a cervical check and have my waters broken?
Well I'd like to say that I'm not a fan of artificially rupturing membranes as part of any kind of routine just to check for clear fluid. I wonder if this is part of a new protocol since she sold her pratice to the hospital?

-Barbara
post #23 of 47
Quote:
Originally Posted by womancaredoula View Post
Well I'd like to say that I'm not a fan of artificially rupturing membranes as part of any kind of routine just to check for clear fluid. I wonder if this is part of a new protocol since she sold her pratice to the hospital?

-Barbara
Nah, she has been doing this for years and it never made sense to me ever.
post #24 of 47
That makes no sense. If there is meconium in the fluid, it would be visible in the water (my first birth my waters broke over the toilet well into labor and I could easily see meconium), and until the waters are broken, the chance of infection when sitting in water is basically nil. Once broken, it increases (not much, but why take that risk). If there is meconium, and she doesn't want to deliver in the pool, she can always ask the mom to come out. :
post #25 of 47
Quote:
Originally Posted by womancaredoula View Post
Well I'd like to say that I'm not a fan of artificially rupturing membranes as part of any kind of routine just to check for clear fluid.
My thoughts exactly. I mean, you're doing something that CAN potentially increase stress to the baby... in order to check to see if the baby is stressed?

Upper Chesapeake has a tub & I remember looking over the looong list of stipulations to use it. I don't remember this being in there.
post #26 of 47
Does upper chesapeake do water birth or is it just for labor?
post #27 of 47
Kathy said it was hospital policy to check for meconium before birthing in the pool. I wasn't sure about it, but I spoke to my doula, and I was 9 cm and +2 station, so there wasn't much risk...


I'm pretty sure Upper Chesapeake will only let you labor in the pool, not birth.
post #28 of 47
Quote:
Originally Posted by iluvmy4girls View Post
Does upper chesapeake do water birth or is it just for labor?
Yes, only for labor. As of a year ago when I had my DS.

At the time, they had JUST opened the tub! So I don't know if they are sometimes lenient about "allowing" you to birth there anyway - or if they will physically lift you out of the tub if need be.
post #29 of 47
They drain the water if you don't move.
post #30 of 47
Not sure which provider you chose, but I have gone to Kathy Slone's practice for both of my deliveries. I loved Mercy and as a doula have seen other hospitals now and their practices. I can honestly say that Mercy is very 'low-intervention' when compared with other hospitals. If they know you are a midwife patient and that your choice is go to natural, I think they leave you alone as much as possible.
That being said, I think the same goes for the midwives. If you make it clear that you don't want any interventions, and you clearly don't 'need' any of them, they will leave you alone. If you are 'so-so' with your decision, they may step in and help things out. I was on the fence about not having pain medication, and Kathy told me that I probably should have it because I was clearly out of control.

As for pre-natal visits, I loved the fact that I had alot of time to ask questions, I never felt rushed and I never felt pushed to do any type of testing, etc. I had GD and I was never treated like I was a specialty case.

Thumbs Up for Kathy's practice. I have met the newer midwives. I think my first impression was 'holy crap, they are young'. I am not sure whether that is because I am getting old! I have watched both 'in action' now and would be confident in having them deliver one of my children.

Good luck and hope all works out!
post #31 of 47
I delivered at Mercy with a midwife and it is definately the hospital's policy not to allow a waterbirth if there is meconium in the fluid, even just a little bit. I didn't know that at the time and when the nurses wouldn't let me in the tub, my heart just about broke. They want you on continuous efm if there's mec.
post #32 of 47
Quote:
Originally Posted by jasper28 View Post
I was on the fence about not having pain medication, and Kathy told me that I probably should have it because I was clearly out of control.
Just curious, what does it mean to be "out of control"?

I haven't attended any births other than my DS', didn't even watch lots of videos, so I don't know what that looks like vs. a normal lady vocalizing & moving with ctrx.
post #33 of 47
Yeah, well, that's a question I don't have an answer to.....other than maybe a woman who needs a little personal support and help coping??

I could tell I was in a negative feedback type of cycle -- I'm sure there was more than one way out. I had a nice birth, I don't regret my choices.
post #34 of 47

So many responses...

About Mercy vs. HoCo - I'd take Mercy. I'd also recommend touring Special Beginnings birth center and interviewing their midwives for a birth at AAMC.

I think with any provider, if your labor is progressing well and they aren't in any hurry personally then you are fine to labor as you please with no time limits or pressure. The true test is what they do when that isn't the case.

Had a friend birth with Kathy at Mercy and they made her consent to AROM to check for meconium before letting her in the tub.  This isn't necessary.  Thankfully, SB doesn't have such a policy.


The only hospital you can give birth in a tub is Mercy. Others have tubs some small and some big but no births allowed. If you want a water birth, birth at Mercy, Special Beginnings birth center or home. But as you can now see, birthing at Mercy in water requires everything to go perfectly including one of the two tub rooms actually being available!

 

And, yes, Jasper, more support is what you needed. I'm so sorry you didn't have that. "out of control" can be defined as anything not silent potentially. Women do moan but you need someone to make it a healthy moan. Some women scream and that is their thing but are they progressing and handling it anyway. But drugs isn't the cure. It's an intervention that makes the birth attendant's experience easier. Not yours! However, if you are ill-prepared or for some other reason cannot focus and relax at all and are pressured to either do an epidural/narcotic to relax you to hopefully allow things to progress or cesarean, then some choose drugs. But honestly, with the right prep, a supportive birth team, that is not necessary. You are so right!


Edited by BirthWithFaith - 4/12/11 at 5:53am
post #35 of 47
In my experience, Special Beginnings has also AROM'd to check for meconium and then required mom to be out of the tub.
post #36 of 47
Jessica,

Your student said the MW used "perineal massage" is that that action also referred to as "vagina wrenching" - taking 2 fingers from each hand, pulling outwards at the 3 o'clock & 9 o'clock positions, & sweeping down towards the anus?

if so - ick ick ick! I though that was found to only increase the risk of tears & make them worse? (from irritating & thus inflaming the tissues.) Plus, based on the description I read on the birth professionals forum, it sounds so violent, horrible, & even cruel. Logically, it also doesn't make much sense to me either... Sure, counter-pressre as baby is crowning, I can see making sense. But trying to wrench the vagina open by yanking it apart? Um, no. I don't get that.

So if it wasn't that 'wrenching' open, what was it? Sorry to derail the thread, just curious!
Thanks!
post #37 of 47
Quote:
Originally Posted by hipem View Post
In my experience, Special Beginnings has also AROM'd to check for meconium and then required mom to be out of the tub.
Not in my experience. I chose to get in the tub around 5cm, stayed in through transition, and chose to get out so I could push on the toilet. Two hours later, my waters broke.

While I was there another mom arrived, labored, and delivered in the tub. Her waters broke while she was pushing in the tub. She didn't get out until after the baby was born. I know because she LOUDLY NARRATED the whole thing.
post #38 of 47

Perineal massage can be a good thing.

About SB and birth tubs and meconium...if the meconium is light and you can birth at the birth center they do not care if you labor or birth in the water.


Edited by BirthWithFaith - 4/12/11 at 5:23am
post #39 of 47
I don't like perenial massage either Megan. There are differing views though. As an SA survivor, I don't want people touching me at all.
post #40 of 47

Good point. Most women who have had any history of SA doesn't want perineal massage, cervical exams (or the least amount truly necessary), any kind of contact inside for any reason. I've had a few clients with this situation and some of my students too. They have had such a deep and scarring history that it does make a HUGE difference in their ability to "let go" and have their baby. It feels like the SA all over again!

It isn't necessary for all women but can be very useful in some to help avoid a worse tear. Hot compresses can do wonders and even better - laboring/birthing in WATER!


Edited by BirthWithFaith - 4/12/11 at 5:19am
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