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New here....and already need advice

post #1 of 16
Thread Starter 
Hello ladies! Im T and I am 36 weeks with my 3rd baby. This little one will be born at home, the others were hospital births (my first induced and ended up with an epi, the second was natural, husband caught). Im so excited to have found this community, even if a bit late in the pregnancy!

And I already need advice. I live in GA, an HB unfriendly state. I am actually getting my CNM at a major university here, so I thought I knew what the current climate around HB was (HB with a CPM is "illegal" but everyone looks the other way). Well today I went to my shadow care CNM for my 36 week appt, to get the GBS test done. I get there, and wait an hour before a nurse comes out and says that the practice has dropped me, with no warning. They said they called me, to which I replied no, I talked to no one, then they said, oh, well when you came to the hospital (at 32 weeks for PTL) she told you then that they dropped you. Of course no one talked to me then, why would I have made another appt? And my husband was there, he knows she didnt talk to me. I then realized they thought I was going to make a scene, and so I just took my records and left.

I feel blindsided, and pissed beyond anything. The midwife knew I was a HB patient, she has worked with my CPM for years doing her shadow care, but Im guessing things have changed. I think what upsets me the most is that the CNM didnt even have the professionalism to actually talk to me, even knowing I am a soon-to-be CNM, and would understand if she was getting heat for supporting the underground HB-ers.

So, for those that didnt get shadow care, how did you choose a back-up hospital? Anyone who has actually had to transfer without a backup OB/midwife, how was that experience for you? And were the heck to I get a GBS test now?? Im just afraid of having DFCS show up on my door step thinking that I didnt have any prenatal care, etc. if I ended up in hospital *sigh*

Sorry for the novel, I just wasnt prepared for this! Thanks for any advice!
post #2 of 16
I've never had shadow care.

For my first birth, the midwife had a backup OB with privileges in a hospital over an hour away that isn't natural-birth-friendly and even though "technically" I was supposed to go there for a transfer, I knew I would really be going to the hospital 5 minutes away that I liked better. But I didn't need to go.

For my current pregnancy, I haven't talked to the midwife yet about what we would do if there was a need to transfer.

If I were you, I wouldn't worry about it unless you need to transfer. If so, you have records of care up until 36 weeks. You would just get whatever OB is on call. It is very unlikely that anyone would notice or care about the gap in records.
post #3 of 16
Thread Starter 
Youre right Leigh, I shouldnt really be worrying so much about it. I need to focus on getting my head back in a good space for this baby, because right now it definitely isnt! I want to say that this hasnt shaken my confidence in having a homebirth, but Im shaken anyway. Stupid politics!

Thanks for your reassurance!
post #4 of 16
I did transfer after my HB (PPH/retained placenta) and I was treated poorly because I was a homebirther, and a VBAC'er at that. I finally got medical attention after waiting (and bleeding) for an hour- yah, how's that for emergency care? HB is legal in TX but it didn't make a difference. Luckily, my MW was with me the whole time and had all my prenatal records with her because she's that awesome.
post #5 of 16
Thread Starter 
You know, maybe thats why I feel all weird...we would have no one able to come with us in case of transfer, our midwives cant do that, or will risk all of HB in the state. Ive started talking to my DH about the realities that he will have to go to bat in case of transfer, and he talks a good game, but I know hospitals freak him out. *big breath* Everything is going to be fine in the end, I have to keep telling myself that!

Sorry you got treated like that, thats just not professional =(
post #6 of 16
(((Hugs))), Mama. I'm guessing you felt a little disappointed, betrayed, and, well, kind of abandoned that they unexpectedly severed their ties with you the way they did. Sit and process what you're feeling, then get to where you need to move forward.

Honestly, I think most homebirthers don't get shadow care, so don't feel alone at all with your current situation. I understand that your CPM won't be able to go into the hospital with you, but she'll be able to make the trip with you and encourage you and your husband. You have your records and your husband says he'll be there for you, so just trust him. That's all you can do anyway -- it's your reality, so embrace it.

Besides, you know the odds are tremendously in your favor for not even having to transfer. You'll be typing out your uneventful, beautiful home birth story for all of us to read in a few short weeks.
post #7 of 16
I am a homebirther in ATL as well who got dropped from an OB/GYN office. IF I need to transfer, I will go to the nearest hospital and who ever is on call will treat me as any other emergency patient. They have to. It's the law. And, I didn't have my GBS test last time with anyone. If you are truly worried about GBS, you can do some scrubs down there when you are in labor.
post #8 of 16
Thread Starter 
Mindie, you got dropped too?? Well, my midwife said she can actually do the GBS, so I guess one less thing to worry about, but yeah, were just planning on going to Northside if we have to. Of course, Im not "expecting" to have to, but Plan B is good to have too.

thebeljur, thank you so much for your kind words, you are right, I think I felt betrayed. I naively thought that since I was soon to be a midwife, I would be given at the very least a reason by a fellow CNM. Makes me almost second guess the path I have chosen. *sigh* oh well, its done, and Im much wiser about homebirth politics =/
post #9 of 16
Sorry, you're going through this mama. I don't have much to add other than I've never even heard of shadow care. I had a planned HB in CA and am planning my second in MD and never considered it (don't even know if it's done here).

I did transfer in CA and we just went to the closest hospital that would take HB transfers. That's what I'll plan on doing here.
post #10 of 16
I've HB'ed in GA, in a much less friendly are of the state, so I know what you're feeling. I just wanted to point out to you that what they did to you is illegal. They have to notify you in writing that they are withdrawing from your care and they have to make sure that you receive that notification.
post #11 of 16
Sorry that this stress is added to the end of your pregnancy care! I never had shadow care, but I live in a HB-friendly state, and with my current mw in the event of a transfer, they will let her continue to attend me with the doctor assisting when necessary.... which is totally unheard of... However, when DD1 was born, (in the same state, but a different city), the transfer plan was to go to the closest hosp. which is a big birthing center with all the bells and whistles, knowing that we'd probably be treated poorly and given less than adequate care as punishment for attempting homebirth... despite a legal birth attendant, medical records, etc. Crazy!

I really feel for all the mamas here that have to deal with birthing in states where lay mw's are illegal/alegal. I'm sure that you will have an amazing HB with no transfer necessary!
post #12 of 16
Quote:
Originally Posted by tchu5 View Post
Mindie, you got dropped too?? Well, my midwife said she can actually do the GBS, so I guess one less thing to worry about, but yeah, were just planning on going to Northside if we have to. Of course, Im not "expecting" to have to, but Plan B is good to have too.
Yep. Kennestone OB/GYN dropped me. I didn't ever get written notice, but whatever. My homebirth midwife takes better care of me than they ever could. And, from what I hear, I wouldn't trust my cat to birth at Kennestone. They have a c/s rate of 32.8% (as of '07)
http://i77.photobucket.com/albums/j4...areanrates.png

I switched to Alpharetta Women's Specialists with this pregnancy basically for blood work and the anatomy ultrasound. I haven't been there since July/August. They deliver at my plan B hospital too.
post #13 of 16
Quote:
Originally Posted by TyrantOfTheWeek View Post
Yep. Kennestone OB/GYN dropped me. I didn't ever get written notice, but whatever. My homebirth midwife takes better care of me than they ever could. And, from what I hear, I wouldn't trust my cat to birth at Kennestone. They have a c/s rate of 32.8% (as of '07)
http://i77.photobucket.com/albums/j4...areanrates.png

I switched to Alpharetta Women's Specialists with this pregnancy basically for blood work and the anatomy ultrasound. I haven't been there since July/August. They deliver at my plan B hospital too.

TyrantOfTheWeek,

Hope you do not mind me asking. . .who is your hb midwife? Also, who did you see at Alpharetta Women's Specialists?

Thanx
post #14 of 16
Thread Starter 
See, Alpharetta Womens dropped me, but I heard Kennestone OBs are dropping anyone they even think is HB-ing. Crazy how things are moving around in ATL right now. But yeah, our HB midwives are wonderful, and I feel ok with our plan B, Im glad you do too! We will rock our homebirths!
post #15 of 16
Quote:
Originally Posted by KaiNtheSky View Post
TyrantOfTheWeek,

Hope you do not mind me asking. . .who is your hb midwife? Also, who did you see at Alpharetta Women's Specialists?

Thanx
Wow that is crazy. Talk about turf wars.
Kay Johnson at AWS OB. She seemed ok, but still tried to insist I get tested for GD and what have you (even after I said no..She said that I should so that I don't look suspicious.) And, the last time I went, my husband went with me because it was supposed to be an ultrasound. They had screwed up with the scheduling and it wasn't an u/s. Which made me mad because my husband took the entire afternoon off to be there.
and I birthed with http://birthingway.com/ last time and plan on it this time as well. They are awesome.
post #16 of 16
Thanks Tyrant and tchu5. . .I initially was seeing Kay but I switched over. That is crazy that AWS dropped you. . .I had heard that they get TONS of HBers and the midwives are ok with it. And that is horrible about Kennigston!! URGH!!

I am currently seeing an HBmw in ATL. . .but I am not so sure that it is going to work out. This pregnancy has been VERY stressful for me due to all of the issues surrounding a HB (my SO currently is having issues with my HBMW). If it wasn't for my son, I think that I would run off to a secluded area and have this child by UC. Crazy that that idea seems less stressful than the hospital or HB.
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