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Should this still bother me?

post #1 of 8
Thread Starter 
DH and I are planning a home birth and so are also seeing a midwife. We are also doing shadow care with an OB. The OB does not know we are planning a home birth, because our state is not home birth friendly.

My GBS culture came back positive. This does not risk me out of doing the home birth because my midwife is able to provide me antibiotics, and can also provide me with two other holistic alternatives if I choose them. We are going with the antibiotics.

Here is what is getting to me. Up until now I have been ok with my OB. I moved about 200 miles at 28 weeks so I did not have much choice in doctors anyway. Up until now, he has not given me any reason to distrust him. When discussing the GBS positive result, my OB stated that the standard of care in the US is to give antibiotics starting as soon as labor begins. He did state we could decline the treatment, and there would be some paperwork involved if we did that. He then made a comment to the effect that if we declined the treatment, there was a chance that the doctor on call (if he wasn't there) or the hospital staff may report us to CPS if the baby becomes ill as a result of our decision to decline the antibiotics. DH was not at this appointment because he had to work. I told the OB that I would get back to him on whether we would do the treatment next week.

Now, as I said, we are still planning to birth at home, and we will be getting antibiotics through our midwife. The treatment isn't the issue here. I feel like my OB may have been trying to threaten me into consenting to the antibiotic treatment. I haven't turned down anything so far, although in fairness there has been nothing to turn down because I've been fortunate enough to have a textbook pregnancy up to this point. I don't know why he would feel the need to use a scare tactic like that. It makes me concerned about the possibility of a transfer to the hospital if we do need one during our home birth.

Am I over-reacting? I know in all likelihood we will not need to transfer to the hospital and everything will be fine. I'm just a lot more concerned about the possibility now. I don't think I will be going back to this OB after having the baby. I feel pretty uncomfortable about him now. I'm not sure if I should make a complaint about him either, but I'm debating it. Should I say something to him about how his comments affected me at next week's appointment?
post #2 of 8
It IS the standard of care to do certain things, such as the antibiotics for GBS+ women giving birth. And it IS the "routine" in many cases to notify CPS if you refuse and the child is put into danger because of it.

I don't think your OB was trying to threaten you, only warn you of what you may encounter if you decide to go against their standard of care. Seems that he did not say HE would report you, only that if he was not there, the other doctor or the nurses might report you. (Unless I misunderstood.)

I don't think it should bother you at all about what he said. I like to know things like this up front so I can be prepared.
post #3 of 8
Agree with KidzAPlenty. I can understand the lingering feeling that a conversation like that has--especially during pregnancy when you're feeling vulnerable already, but I don't think it was a threat necessarily. Sometimes as a L and D nurse I have to inform patients of unpleasant protocols that I don't agree with, or are out of my hands, but that I feel they should know before they make a decision.
post #4 of 8
I agree. It sounds like more of a by-the-way heads up. However, I would be very concerned about checking into the legal situation should you need to transfer (strictly for attempting HB in the first place, regardless of GBS+). My state is not hb-friendly, and I have heard of moms reported to CPS in other counties, though my area tends to be more relaxed about it.

Incidentally, I am sure you've looked at this, but the odds of the baby having a GBS related illness are really low, I think maybe as low as .5%? Don't quote that I haven't looked at it in a while.
post #5 of 8
I've had a homebirth (dd3) and a birth center birth (dd2) as well as one in the hospital (dd1) - all with midwives. I'm confused as to why you'd see an OB if you were under the care of a midwife? And surely your insurance won't cover both care providers.

I agree with the others that I don't think the OB was inappropriate or trying to threaten you - it is the fact of the situation that CPS could be called if you refuse treatment for the baby that the hospital deems necessary. He did you a favor really - by explaining the hospital's policy. It is information that I would want when making that decision.
post #6 of 8
Agree with Kidzaplenty.
post #7 of 8
sounds like he is just letting you know- without naming names that someone who he knows and works with has done this or has threatened to do it.
post #8 of 8
I also agree with Kidzaplenty - he's just warning you & informing you

Quote:
Originally Posted by Burnindinner View Post
Incidentally, I am sure you've looked at this, but the odds of the baby having a GBS related illness are really low, I think maybe as low as .5%? Don't quote that I haven't looked at it in a while.
That is correct - 1 in 200 babies of GBS+ Moms will get the infection (barring other risk factors.) & it's not terminal either - the baby can be treated if infection develops.
Whereas, of all those Moms given antibiotics, 10% will have a negative side-effect!! Such as thrush, which can be debilitating to BFing! Not to mention studies show that the antibiotics lead to an increase in other antibiotic-resistant infections, such as eColi.

Personally, I if I'm GBS+ again with #2, I'll use hibicleans wash & only get antibiotics if I have 2 or more risk factors (positive swab being only one risk factor.) That's how they do it in the UK!
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