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SO, who has actually left hospital early AMA? - Page 2

post #21 of 31
I signed out AMA with #4 and CPS was called. I had a natural birth, healthy baby, and at the 24 hr mark said I wanted to go. Nurse said 48 hrs, due to group b strep +. I responded that I had had a - GBS and preventitive antibiotics anyhow. Baby showed no signs of infection. Nurse said I could sign ama myself, but they would keep my baby. I was starting to get angry(postpartum, mam lion, and my mother was in the end stages of her fight with cancer)and told them I was signing both myself and the baby out ama. A social worker brought me the ama form and told me I would be charged with medical neglect and that insurance would not pay for me.I looked her right in the eye(she was avoiding eye contact, like she knew she shouldn't be doing this, but the on call pedi was the one who turned me in)and said that if there was a single medical reason to stay I would, otherwise I was going home to my family with my healthy son. I left the hospital...we drove straight home and CPS was waiting in the driveway.*sidenote* we lived across state lines from the hospital I delivered at. New caseworker got out, I invited her in(so glad I had straightened up before leaving for the hospital!). She said I was accused of bringing a critically ill infant home!!! I talked to her for 2 hours, she had to see proof that we had money in the bank(we did), wanted to see bottles(I breastfeed), wanted to see a crib(I co-sleep). She wanted to know if my other 3 children(who were 4,3,2 at the time) could dial 911!!! I had to take Logan to a local pedi the next day to be looked over, he got an all clear and a few weeks later we got the official report that all charges with dropped, with a handwritten note of apology from my caseworker(who was very nice, just trying to do her job, but still...as if postpartum isn't bad enough). That was my last hospital birth, I found a fantastic midwife and had the next 3 at home. I also found my courage to stand up to authority where my kids are concerned(was not raised to stand up like that). I do not fear CPS anymore, but for the year following that I really had anxiety everytime my doorbell rang. I hate to say this, Logan was my first hypnobirth and although labour and delivery was amazing I despise the memory because of the stress. I felt physically great after the birth, Logan was perfectly healthy, my dr had signed my birthplan that I could leave at 24 hrs, but hospital policy said 48(and no, I was not aware of it at the time). I had 3 other little ones at home I missed dearly, my mother had Very limited time to meet my new son and was in no condition to come see me in a hospital, and WE WERE HEALTHY! I still feel betrayed by the system in some ways, but thank goodness I turned to homebirth afterwards...that is my silver lining.
I am sorry if this seemed rambling.
post #22 of 31
Thread Starter 
Thank you EVERYONE!

Wendybird- that's an amazing story, honestly. It irks me that they had the audacity to call on you when you stayed for 24 hours. Wow!

I know this is basically in the hands of the on-call ped... which is almost a losing battle.

I've heard of mothers not signing their baby into the care of the peds. Is there somewhere in your paperwork that states that the baby is the hospital's property? What exactly makes the baby the hospital's property and is there any way around that? Basically... could I have the baby, and then sign out myself AMA? Seems highly unlikey but I though I read something like that on here before so I figured I'd ask.

I personally feel comfortable UCing, but my husband mostly feels otherwise.. he's the "your baby should be born in a hospital because that's how everyone does it" kind of person, but lets me do as I please for the most part because he knows I have good reason. I've brought up UCing to him, and he was pretty scared at that fact. I wouldn't want to do an "oops" on him. I don't think that it's fair to him. However, our local EMS has very quick response times, there's a fire station about a mile away. They could seriously be there in a very short amount of time. My husband knows the mechanics of birth very well and knows what to do in an "oops", but I wouldn't want to lie to him, kwim? Anyways, that was just a little vent- sorry about the ramble!
post #23 of 31
I left about 36 hours after my 2nd was born. Thought about leaving sooner but the birth was at 3:26 AM and we were so wiped the next day [from pulling an all-nighter] that the last thing I wanted to do was go home and try to deal with my 25 month old son!! I enjoyed the peace and quiet and opportunity to spend time with my new baby without interruptions. I figured I'd have all the time in the world to be home and be with my older child, but very little time to enjoy my newborn all by myself. ...just another perspective
post #24 of 31
I'm in Belgium so it might be different...

I'd already let the staff know ahead of time that I wanted out as soon as I got the all clear and as soon as I had given birth I reminded them. I gave birth at 11:30 pm so I was happy to just sleep in the bed for the night and then the next morning the pedi came and gave us the all clear. I was out after 15 hours.

Here it is very much the norm to stay for 5 days in the hospital.
post #25 of 31
I have. Once with my 2nd-midwife was fine with it, ped wasn't.

And I took my preemie home AMA. Hospital policy had already kept him there an extra 2 weeks and I couldn't justify leaving him there even longer. I was given a hard time for it, but well...I didn't make the decision lightly and they knew that.

Anywho, in both cases, either CPS was never called or they didn't bother investigating. I have CPS on my butt half the time anyway, it really wouldn't bother me if they did get involved. (my eldest has bipolar and adhd and they get calls about him quite often, ugh)
post #26 of 31
post #27 of 31
I did not do this but my mom did with her second birth in the early 80s. She says she went to hospital sometime around 11 PM, had my brother shortly after midnight, tore, got stitched up and then left around 4 AM. I don't know how different things were then, but she said she didn't have to sign out AMA and that they called her pedi and he assured them she wasn't crazy and that he would be doing any needed newborn testing. My mom is awesome.
post #28 of 31
Thread Starter 
She IS awesome
post #29 of 31
I left AMA 7 hours after birth. I asked as soon as the placenta was out when I could leave. The nurse said the earliest they'd seen was 4 hours. I would have left sooner but shift change made for a delay. All they wanted was to have my baby examined, and make sure I was stable, breastfeeding was established, and I was able to pee. The doctor that signed everything off only mentioned he prefered that moms stay for 24 hours but wasn't pushy about it and knew I was having care with a CPM. Beyond that no one cared, it was a busy night and I think they were relieved not to have to another mom on the floor No issues with billing, insurance covered everything but my copay/deductable ended up costing us $350.

ETA: As far as GBS was concerned even though I had no testing my glorious nurse soothed any fear I may have had by reminding me that "back in the day we never tested for it" beyond that it wasn't brought up. Oh and this was a VBAC birth. I must say it was a fantastic birth that took place in the hospital!
post #30 of 31
I just wanted to add something to my previous post - I talked to my mom and she said she left well before the 24 hour mark for all four of us (She thinks the longest she stayed was about 12 hours). This was at 4 different hospitals with 4 different ob's (If I recall correctly) and 2 different pediatricians. She said she never had to sign out AMA and all they did was verify with her pedi that he would be doing any newborn testing. The oldest was born in 1979 and the youngest in 1988. I found this very interesting, I don't know what would make such a big difference between now and then.
post #31 of 31
Quote:
Originally Posted by RolliePollie View Post
I just wanted to add something to my previous post - I talked to my mom and she said she left well before the 24 hour mark for all four of us (She thinks the longest she stayed was about 12 hours). This was at 4 different hospitals with 4 different ob's (If I recall correctly) and 2 different pediatricians. She said she never had to sign out AMA and all they did was verify with her pedi that he would be doing any newborn testing. The oldest was born in 1979 and the youngest in 1988. I found this very interesting, I don't know what would make such a big difference between now and then.
My guess is fear of lawsuits today vs. then. The same thing that drives so much of obstetrics today, sadly.
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