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Question for those that have had unmedicated hospital briths... - Page 2

post #21 of 38

I hope your new hospital is better than the old one! 

 

I had a MW-assisted hospital birth with my dd1 that I had no worries about whatsoever.  With dd2, I had an OB and a TON of concerns about possibly having to argue with the hospital, but everything was fine.  I waited 8 hours after SROM at home before going in, because nothing was happening, and finally went in early in the AM because I was having about 4 serious contractions an hour and  I didn't want to get stuck in rush hour traffic.  I was only dilated to 2 when I got there.  I took a walk, we saw some progress, and I had a baby about 4 hours after checking in. 

 

I think the fast labor helped, but also, evidently, the hospital took patient rights seriously.  My dd spent 4 days there around age 20 months due to RSV, and they took patient rights seriously then too. 

post #22 of 38
Thread Starter 

Mamatoabunch and Jenni- Thank you for your response to my second question. This is really reassuring to hear and it make me feel like if this is to happen again I can wait until I am ready to get over there.

 

My fluid was totally clear the first time and I was just like oh well, we will hang out for a while. A friend of the family came by and told me that once my water breaks I will be giving birth really soon so I needed to get to the hospital. Once I got to the hospital and they told me I was at 2 cm I was like ok well I am going to go home now and come back later. The doc was not ok with that so that is when everything started. Knowing I can stay at home and wait is a very reassuring thing to know for this time around.

 

I am thankful that I have learned about Patient Rights and am trying to education myself for this time around. Thanks to all of you ladies for sharing your knowledge!!

post #23 of 38
Thread Starter 

Is there a connection between membranes being stripped and SROM? My midwife stripped my membrane at the last appointment (without asking first irked.gif) I had before dd was born. Could this have been related to my water breaking at an early stage.

 

Its funny that all these years I haven't thought about all the things that happen during my dd birth that bothered me. I remember at the time being upset but, I think once she was born I was so thrilled with motherhood I just let it all go. Now preparing for this birth it make me realize how upset I guess I still am at the situations that happen last time and it makes me so determined to advocate for myself and learn so I do not allow this to happen again.

 

 

 

post #24 of 38
Quote:
Originally Posted by mad4mady View Post

Is there a connection between membranes being stripped and SROM? My midwife stripped my membrane at the last appointment (without asking first irked.gif) I had before dd was born. Could this have been related to my water breaking at an early stage.


 


Stripping membranes can cause SROM, absolutely. I know a lot of MWs and OBs will strip membranes to try and get the woman's body to go into labor. But the fact of the matter is that it doesn't really matter what you do, if the baby and the momma aren't ready labor won't start. I usually advise my clients not to exhaust themselves with all the home remedy attempts at induction (walking, sex, nipple stim, spicy food, castor oil, cohoshes, etc) because once labor does start you're so worn out from trying to get to that beginning of labor point that the labor itself is extra hard.

post #25 of 38
Thread Starter 

Thank you Jenni! I totally get women getting excited to see their babies but, I have never understood trying stuff to get it moving... I am one to let my pregnancy last until baby is ready. I enjoy being pregnant (for the most part) and like to experience it as long as I can!! I will make sure I keep reminding my new mw to keep her hands away from my membranes winky.gif Thanks for all your help!
 

post #26 of 38
Quote:
Originally Posted by mad4mady View Post

Is there a connection between membranes being stripped and SROM? My midwife stripped my membrane at the last appointment (without asking first irked.gif) I had before dd was born. Could this have been related to my water breaking at an early stage.

 

Its funny that all these years I haven't thought about all the things that happen during my dd birth that bothered me. I remember at the time being upset but, I think once she was born I was so thrilled with motherhood I just let it all go. Now preparing for this birth it make me realize how upset I guess I still am at the situations that happen last time and it makes me so determined to advocate for myself and learn so I do not allow this to happen again.

 

 

 



Not that anecdotes = data, but I had a membrane sweep (with my informed consent) and my water didn't break on its own. (I consented to AROM at almost-10 to help get past a lip and un-stick the baby--it worked for the lip but not for the stick).

post #27 of 38
You have gotten a ton of good responses, and it seems like people have addressed the water breaking issue, but I just wanted to throw my two cents in about how long to wait. I just want to point out that every labor is different, and I think it's important to have a plan about what will happen if you wait TOO LONG. If you plan to wait until you're in transition or pushing, the possibility is there for things to go too fast. Will you jump in the car even if you're already pushing, or completely out of control from the pain of transition contractions? Will you call 911? Will you prepare (really prepare, not just briefly entertain thoughts) for an unassisted birth just in case? Have a plan.

My experience was that my contractions started after sex. I always got crampy after sex, and when I realized the crampy was rhythmic this time (every 3-4 minutes from the very start) I called the nurse at my hosp. MW practice. She told me to get some sleep and come in in the morning. I did, I slept through almost my whole labor. My contractions never got stronger, longer, or closer together until transition, which was about 5 minutes worth of totally crazy strong contractions before I started pushing in my bathroom at home early the next morning. I didn't have a plan for this, and I was terrified and not able to even think, so my husband drove me to the hospital and I pushed out my son within 15 minutes or so. It turned out to be a very successful strategy for avoiding pain meds in labor, if that's your goal! wink1.gif However, it sucked as a strategy for a peaceful birth, for feeling in control and not scared, and if you don't want complete chaos surrounding the birth and immediately afterwards. This time I'm planning a home birth, but if I were going the hospital route I would either get a doula and leave as soon as I was sure I was in labor, or I would prepare for an unassisted birth, try to time things, but plan to stay home if I waited too long. Or both wink1.gif it pays to be prepared. There's no way I'd want to go to the hospital in transition or pushing again (barring an emergency of course).

Just my two cents.
post #28 of 38
Thread Starter 

Thank you for sharing your experience, Barefoot! I really do not want to get to the hospital during transition that sounds really stressful. With my first birth I did not have to push long at all before she was born so if I got to the point where I was pushing Id never make it to the front door let alone the hospital. I think from reading all of the responses I have found more confidence in my ability to say no to the med interventions I don't want. This has really helped me revisit my last birth too and look at what I am fearful of going into this one. My intuition is usually right on when I listen to it and I think this is one of those situations where I am going to have to listen to my body really carefully to know when I am ready to get to the hospital. I think I will research more into UC and be somewhat prepared just in case. Although, I must say a homebirth with an experience MW sounds wonderful, a UC just kind of freaks me out a bit.

post #29 of 38

I labored at home for about 3 hours, until I started to feel a little unhinged and decided to head to the hospital.

 

I was at the hospital for 6 hours before my daughter was born.  She was born in a hospital based birth center.  I had no IV, was on the monitor for the first 15 minutes I was there, and then monitored by doppler intermittently.

post #30 of 38

My first birth was a very medicated c-section.  I went in too early (in my opinion) as I didn't know whether or not it was true labour.  I went without medication for 20 hours, and THEN instead of sending me home, they decided to strip membranes to "get things going".  At that point, of course, I wasn't "allowed" to leave.  After 44 hours total, it all ended in an emergency c-section.  Pretty crummy experience.

 

Needless to say, I was determined to stay home as long as possible the second time around.  I believe I started having labour pains sometime in the night.  I remember eventually getting out of bed, putting on my Abbey Road CD, making a cup of raspberry leave tea, and labouring at home at least until the sun came up.  Probably 3 or 4 hours, total?  By that time, the contractions were unbearable, and by the time we made it to the hospital, I was having contractions a minute apart.  Labour at the hospital wasn't long, and I ended up with a fantastic nurse who totally took the place of a doula and ensured that I wouldn't "cave" and ask for drugs.  I had told her ahead of time I wanted to go medication-free.  She was awesome. 

 

I do attribute labouring at home to having a successful VBAC.  My only advice is trust your body.  Trust yourself.  I remember being so afraid the first time around.  I had no confidence and allowed the staff to push me around and essentially turn me into a big fat puppet. :P  The second time, I was much more vocal about what I did (and didn't) want.  The baby was actually born with the membranes in tact, after my insistance that the water not be broken!

 

This time around, I'm hoping for a water birth (or at least labour in the tub) at the hospital with my midwife. =)

post #31 of 38

I don't recall what transition means any more, but here was my timeline:

 

5 pm light contractions

walk after dinner

9 pm water broke on birthing ball while watching American Idol

shower and final packing

11 pm - 2 mins apart and time to go! 25-30 min ride to the hospital is a blur of breathing

11:30 - admitted, meconium, went to room

1:30  - asked for meds (my mom was thrilled as she cringed in the corner, but doula did her job of stalling me and when the anesth. finally came, I was at an 8 or a 9, so no meds!)

2 am - started pushing

2:30 - DD born

 

Contractions from 9-10:30 or so were okay, but mid shower at 2 mins apart, I knew it was time to go! I wouldn't have wanted to be home much longer, I think

post #32 of 38

Love this thread as I am facing the same issues. Here is my post questions about hosital after homebirth and if I have other options:

 

http://www.mothering.com/community/forum/thread/1292850/really-need-some-advice-hospital-after-homebirth 

 

As for some questions you brought up I can share some experience.

 

I had membranes striped with two of my babies (didnt cause PROM) but stripped my own last pregnancy and I did experience PROM.  WAter broke and first contraction didnt start until 36 hours later.

 

Midwife just told me to take it easy, watch for fever and stay hydrated.  My water was constantly replishing itself as I had to wear an adult diaper the next 2 days it just kept pouring out.  It wasnt a slow leak, I had a nice gush too.  Definately kept making more since I was drinking so much water. 

 

Also, I never developed a fever and just had no internal exams after that. 

 

After 36 hours and that first contraction though, he was here within 2 hours!!!!  Very short labor.  WAter birth!!!!  Loved it!

 

Now this time I have insurance and it would be all covered to go hospital route but I am unsure how to handle all the pushy nurses (have had a few in my day) and rules after having so much freedom.

 

I need to know what I am allowed to decline and what I cant (if baby and me are well and no danger)  I also am 9 years educated now on obstetrics and midwifery (self taught and studied under a midwife) as I am going into that field so I can no longer be bullied by false claims as I know what real dangers are vs scare tactics.

 

I just dont know hospital policy or my rights as to what I can decline and not.  Can I really just say no to constant monitoring?  Do I really have to lay flat on my back to push?  Do i really have to have pitocin after delivery? I refused IV before and AROM but didnt know what else I could refuse.  Can I refuse it all??? (as long as baby and I are fine of course)

 

post #33 of 38

Sharita, in my experience, you absolutely can refuse everything as long as you and the baby are doing OK. 

 

I had the privilege of delivering my first dd with a CNM and my second in a hospital that faces a lot of competition.  So that helped. 

post #34 of 38

You really can say no to anything.  The nurses/doctors/other attendants may be forceful about pushing things onto you--this is why it having a very thorough understanding of the risks/reasons for all the hospital interventions is so important.

 

I had an unmedicated birth at a hospital.  I had multiple copies of my birth plan and a very supportive husband.  Nobody ever even mentioned giving me any sort of pain medication.  They did try to push continuous fetal monitoring and we refused until very late in the labor when the babies heart rate was dropping during contractions.  I was practically at the pushing stage by then, so having restricted movement due to the fetal monitor wasn't a problem.

 

On the other hand, I was totally in la-la-laborland and lost all rational thinking ability.  I had this mindset that 'all interventions are bad' and quite likely would have refused something that may have been neccesary because I couldn't think things through.  That's where a very educated supportive husband (or a doula!) might be good.

 

This time I am hiring a doula and feel much calmer that I will have a knowledgeable and experienced person on MY side.  My husband was great, but he's only witnessed one labor (my first one).  The doula will help hold my space and provide some buffer from the hospital staff, or so I hope.

post #35 of 38

 

Can any of you experienced mamas suggest some books to read?  I have Birthing From Within that I am work through.  I plan to have baby at my hospital's birthing center (they offer water birth :)) and I go to a Dr. Office that has an MD & 2 CNM's.  I love my midwife and she is really supportive of an unmedicated birth and cosleeping etc.  

With my first pregnancy my contractions were very irregular, and I ended up on pitocin with an epidural after being in labor for 2 days and just not dialating.

 

So I need advice!  Also, my best friend is going to be there this time to act as a support/doula so DH doesn't have it all on him.  What books can I have her read?


Thanks mamas!

post #36 of 38


 

Quote:
Originally Posted by springbride View Post

 

Can any of you experienced mamas suggest some books to read?  I have Birthing From Within that I am work through.  I plan to have baby at my hospital's birthing center (they offer water birth :)) and I go to a Dr. Office that has an MD & 2 CNM's.  I love my midwife and she is really supportive of an unmedicated birth and cosleeping etc.  

With my first pregnancy my contractions were very irregular, and I ended up on pitocin with an epidural after being in labor for 2 days and just not dialating.

 

So I need advice!  Also, my best friend is going to be there this time to act as a support/doula so DH doesn't have it all on him.  What books can I have her read?


Thanks mamas!


Ina May's Guide to Childbirth, Ina May's Spiritual Midwifery, Active Birth

 

for your friend, have her read The Birth Partner.

post #37 of 38


Thank you!

 

Has anyone read Birthing From Within?  Is it worth the read?  

Quote:
Originally Posted by jshannyn519 View Post


 

Quote:
Originally Posted by springbride View Post

 

Can any of you experienced mamas suggest some books to read?  I have Birthing From Within that I am work through.  I plan to have baby at my hospital's birthing center (they offer water birth :)) and I go to a Dr. Office that has an MD & 2 CNM's.  I love my midwife and she is really supportive of an unmedicated birth and cosleeping etc.  

With my first pregnancy my contractions were very irregular, and I ended up on pitocin with an epidural after being in labor for 2 days and just not dialating.

 

So I need advice!  Also, my best friend is going to be there this time to act as a support/doula so DH doesn't have it all on him.  What books can I have her read?


Thanks mamas!


Ina May's Guide to Childbirth, Ina May's Spiritual Midwifery, Active Birth

 

for your friend, have her read The Birth Partner.



 

post #38 of 38

I've read Birthing from Within a couple of times. It's a pretty good read, but a lot of it doesn't feel like it applies to me. There are some good affirmation type things in there and some other ideas on how to connect to your birthing self. It's been a while since I've read it though, so I may not be remembering all that accurately.

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