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Madison: UW Midwives @ Meriter Questions!!

post #1 of 11
Thread Starter 
Can anyone tell me about their birth experiences with the midwives at Meriter?
post #2 of 11
Do you have any specific questions? I am a nurse on that unit, as well as a pt of theirs. As a whole, they are a great group, though as with any group, there are differences in their styles. I had my first baby with them and am due any day with my second and we are planning a homebirth (with a different midwife), which they have all been extrememly supportive of (I have seen them concurrently in case of transfer).
post #3 of 11
Thread Starter 
Are you alone most of your labor in your room? Is it necessary to hire a doula? Do they allow aromatherapy (cold ultrasonic diffusers) in the room? Aromatherapy oils in the bath? Do they allow you to birth in any position you prefer? Do they take your blood pressure with the automated cuff machine or by hand? At what point in CM do they generally admit during labor and at what point do they generally send you back home? Gosh...just anything you could share would be helpful! Thank you!!
post #4 of 11
"Are you alone most of your labor in your room?"
The ratio of nurse to patient in labor is one to one. Most nurses will stay in there and much or as little as you want them to be. If you are doptoned only, they can just pop in every 30 minutes and listen to baby then leave. Or, they can stay if you wish to have more labor support. Each CNM is different as far as how much time they spend in the room and it is dependent on if they have other pts in labor or not. They do spend more or most of the pushing phase with their pt than an OB would for instance.

"Is it necessary to hire a doula?"
I think this depends on your preference and how supportive your partner is. As a nurse, I generally feel that it is my place to function as labor support, but I also have other things (charting) that I need to be doing.

"Do they allow aromatherapy (cold ultrasonic diffusers) in the room?"
Yes, I have seen people use these.

"Aromatherapy oils in the bath?"
No, because the bath has jets, and there is no good way to clean out oils/soaps added to the water.

"Do they allow you to birth in any position you prefer?"
Yes, in most cases. Sidelying and hands and knees is fairly common. But, if baby is having heartrate issues, you would be asked to change positions for the health of your baby. They do also have a birthing stool, but I haven't seen it used much.

"Do they take your blood pressure with the automated cuff machine or by hand?"
Usually with the automated machine, but you could request by hand and I don't think any nurse would really have a problem with that.

"At what point in CM do they generally admit during labor and at what point do they generally send you back home?"
What do you mean by CM? This is so individual. Pts are generally admitted if they are in active labor (making cervical change). Sometimes, pts are checked and asked to walk for an hour or so if they are only 1-2 cms to see if there is cervical change. Sometimes a patient that is in prodromal labor and miserable but not making cervical change may be admitted. Every situation is different.

Default care for all normal/healthy deliveries at Meriter: baby goes straight up to Mom for skin to skin contact. Most CNMs delay cutting cord. BF is encouraged within the first hour. You may hold the baby during repair (if needed). Baby is usually weighed shortly after birth, but just say so if you want to wait and that will be respected. Baby is also usually bathed in the room during the first 2-3 hours after birth, but again, just say if you don't want that done right away and you can do it yourself later (nurses may have their own opinions about these things, but will respect pt wishes). Declining eye ointment and Hep B is not a huge hassle (they are recommended -you have to sign the decline forms if you refuse). Vit K is strongly encouraged. Deciding not to circ is respected. NICU/Special care is called to every birth with mec stained fluid, but if baby is vigorous and cries on the perineum, they usually leave and baby goes up to mom's chest. There is rooming in, we don't actually have a staffed nursery. Baby doesn't leave the room for anything (hearing screen, PKU) unless you circ, then parents are welcome to accompany baby. 24 hour discharge is usually fairly simple (as long as you and baby are doing well and all tasks are completed, ie: hearing screen, pku) if that is your wish.
hmmm...can't really think of anything else at the moment.
post #5 of 11
Thread Starter 
THANK YOU for all the info!!! :-)

Just wondering...what kind of snack and juices are available during labor? Our last hospital had this wonderful cranberry spritzer and turkey sandwiches the nurses snuck to me (our obgyn was not into food for laboring women but our nurse knew I needed something).

And I'm a bit confused where we go once we get to the 5th floor...do we check in at the nurse station or go straight to triage? I know we are supposed to call the midwives before going to the hospital but I'm lost after that point. I'm pre-registered so just wondering where we actually go when we get there.

Also, do they validate for parking while you are in labor? Most hospitals don't charge patients for parking, just visitors. And do you know if they can validate for our doula? I feel bad making her pay for parking as well, since she will be leaving just after birth. Is the valet free for women in labor (our old hospital was)?

You are a wealth of knowledge, thank you again SO much!
post #6 of 11
Ok...I may not be so good at some of these questions
"What kind of snack and juices are available during labor?"
There is a kitchen on each floor 4/5 with sandwiches, various juices, fruit, cheese, etc. How well it is stocked at any one time depends on the time of day and how busy the unit is. If you can't find something, your support person can go to the other floor and check that kitchen. The CNMs don't have a problem with you eating during labor (unless you get an epidural, obviously, then anesthesia says 'No')

"And I'm a bit confused where we go once we get to the 5th floor"
Go straight to triage on 5th floor. When you get off the elevator, you are at the nurse's station and will be directed around the corner to triage anyway....not a problem.

"Also, do they validate for parking while you are in labor? Most hospitals don't charge patients for parking, just visitors"
Yes, you can get parking validated. I am a little more shady on the actual rules for doulas/visitors. If they go to guest services on their way out (on 2nd floor), they will probably be able to get it validated. I don't know much about the valet service, as it just started recently and I work evenings...it doesn't run then.
post #7 of 11
Meriter generally does not validate parking for doulas. When I have asked, their philosophy is that the doula is getting paid. Doulas can deduct parking on taxes, but maybe you could just have some cash around to give her before she leaves.

L
post #8 of 11
I saw the UW MW's for prenatal care only (the birth was unassisted) and I was also present during the birth of my sister's baby with them @ meriter. Though i'm obviously partial to homebirth myself, I had overall a pleasant impression of them.

During my sisters labor, the first nurse seemed a little uncomfortable (my mom and I both commented after that we thought she was more used to medicated births) But the second shift nurse was AWSOME... This was near the end of 3 hours of pushing for my sister, so her encouragement was really helpful. I found myself wishing I had thought of all the perfect things she was saying

My only real complaint was that what they called "delayed cord cutting" didn't seem very delayed to me, so I'd advise anyone who feels strongly about that to discuss it ahead of time& specify how long they want to wait.

Overall I recommend the UW midwives to anyone not interested in homebirth.


Lia
post #9 of 11
Thread Starter 
Delayed cord cutting - I've specified until it stops pulsing, is that what they waited for??
post #10 of 11
I believe that they said they routinely wait until it stops pulsing, and I was pretty preoccupied checking out my new baby niece... It just really suprised me how soon they clamped and cut it (maybe 1 min after she was born) I mean, if that was 'delayed cord cutting' then OBs must be cutting cords before the babies are even fully born?

Once again, my perspective is a little different since I had all my kids unassisted and waited til the placenta was birthed to cut the cord.

My original plan for my first baby, though was a hospital birth, and I planned to ask for delayed cord cutting, which i would have expected to be more like 15min minimum, so I would not have been satisfied with them waiting for a minute or two (even though it's quite possible, even likely that they DID wait til it was done pulsing, it felt very rushed and her extremeties still hadn't 'pinked up') that's why I felt it was/is worth mentioning...

-Lia
post #11 of 11
Thread Starter 
Ah gotcha thanks!

Yes, our OBGYN with both kids previously clamped the cord and cut it within about 5-8 seconds after the baby was born - our kids didn't pink up for a long time after that. We had video going and I'm shocked looking back at it because it was SO quick.
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