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Can we have a hospital birthing support thread? - Page 2

post #21 of 64

My water broke before labor began. I wish that I has stayed home until labor commenced. Having an open bag in the hospital while refusing pitocin and being unable to rest due to constant checks and unable eat due to "policy" was really annoying, even though both Dr and midwife supported my decision to let labor begin on its own.

post #22 of 64
Thread Starter 

One thing for sure is that I'm waiting longer before going to the hospital this time!  But on-the-other-hand we have a 45 minute drive so I dont want to wait TOO long.

 

In the Bradley classes I took last time our instructor advised us to be sure to bring snacks and a water bottle (for "the Dad" of course!).  Then she told us to go ahead and partake if we wanted.  Even if the hospital policy is nothing by mouth do you think they would literally snatch food/drink away if you snagged a few bites?  We were mostly left to our own devices throughout labor and I could have totally snuck food if that had been neccesary. 


Edited by staryla - 2/22/11 at 4:00pm
post #23 of 64

I'm totally bringing snacks to the hospital and just hiding them. I met with my new CNM this week and she said that the hospital we will be birthing at (they have all their moms use the same hospital) does have a policy against food and that she just has to tell me that so I'll be aware. But she'll be with me most of the time (I know most providers don't do this, but this practice does) and so I'll just have to hide the food from the hospital staff.

 

So we are now in the hospital birthing category after flirting with the idea of home birth but having some misgivings and irreconcilable professional differences with the practice we would have used--different ones for both hubby and me. I am still not crazy about the idea of a hospital birth but feel better about it knowing that the CNM will be with me the whole time. Hubby and I just started our Bradley classes and I think those will be helpful for both of us and hopefully equip him better to keep people off my case so I can have a baby.

post #24 of 64

Get honey straws! I loved those during labor. Our Bradley instructor gave us some.

post #25 of 64

delurking to give the thread a bump. want to join in the conversation .... but still feel so woefully uneducated about what is even considered "mainstream" at hospitals/birthcenters in the country where i'll be giving birth. i did some doula work in the U.S., and feel all informed about what to look out for and such in the States. not so much in Germany. the system just seems soo different in a lot of ways. hopefully i'll be learning more when i actually get around to visiting the three places i'm considering in the next few weeks. 

 

i wish they had doulas here. yeah, nobody seems to have even heard of the concept in this small city where i live. wah. it seems that overall c-section rate is 30% (eep!!) here, but then midwives are standard for everybody. i think my brain is just starting to glaze over even thinking about this whole birth thing. and three months sounds like forever. can i just have my baby, please?

post #26 of 64
Thread Starter 

So I have my next midwife appt Thursday and figure it's time to start talking seriously with the midwife about how the whole process goes at the hospital.  I've birthed here before, but it was 2 years ago and I'm not going to assume that everything is the same.  This particular group of midwives rotates and whoever is on call at the hospital when you go into labor is who you get.  This was a big shock for me last time as the midwife I saw for my appointments was very laid back and midwifery minded.  The midwife I actually got at the hospital wanted to do continuous fetal monitoring and seemed much more medicalized.

 

Here's the list of questions I've come up with so far.  I believe that in the last trimester I will rotate my regular appointments between the different midwives to give me a chance to at least meet each one, I will probably ask the same questions of everyone.  Can you all help me come up with more things I should be asking?

 

Can we fill out all the paperwork and do a pre-registration before the birthing day?

Tell the midwife that we have a doula. 

How many people can be in the birthing room, what how about for a c-section?

How many people can be in triage with me? 

What standard procedures do all the midwives do?  What about you in particular?

What is the process to opt out of or delay a standard procedure?

Can we tour before-hand, when should we do that?

How long do you let mothers labor naturally after their water breaks?

What's the policy on eating or drinking during labor?

Please talk to me about monitoring.  What kind of monitoring do you prefer to perform and how often?

post #27 of 64

I got to ask all those questions at my appointment today, and was disappointed to learn that because of my previous c-section, it's their policy that I have constant monitoring.  Damn!  The good news is that they have a monitor that's water safe, so I can still labour in the tub.  So that's ok I guess.  It'll still be annoying, though.  I hate that monitor!  I'm actually ok with a hep-lock, as I wouldn't stop bleeding after my last VBAC and needed a little something to get everything settled down.  I'm pretty easy-going about that.

 

I'm going to pre-register, but the one thing I forgot to ask was about my children.  Not that I WANT to bring them along with me, but I had meant to ask if they had any room or arrangement for children if I got into labour at a totally inconvenient time and need to bring them with me until a family member can make it down to pick them up.  Anyone have any experience with this?  It's never been an issue for me in the past, but with my family living 3 hours away from me now, it's a little more difficult to figure out what to do with my 5 and 7 year old!

post #28 of 64
Thread Starter 

I don't have experience with having older children at a birth.  This is only my second child! 

 

Would it be possible for you to have a backup plan, such as a neighbor or friend who could watch the kiddos until your family could make it to town?  People seem to want to help out pregnant ladies (especially the ones in labor!).  I know I'd be totally willing to watch anyone's kiddos who I knew even slightly if they were going into labor and had no one else there.

post #29 of 64
Quote:
Originally Posted by ~Nikki~ View Post

I'm going to pre-register, but the one thing I forgot to ask was about my children.  Not that I WANT to bring them along with me, but I had meant to ask if they had any room or arrangement for children if I got into labour at a totally inconvenient time and need to bring them with me until a family member can make it down to pick them up.  Anyone have any experience with this?  It's never been an issue for me in the past, but with my family living 3 hours away from me now, it's a little more difficult to figure out what to do with my 5 and 7 year old!



Me, too. Our hospital of choice (with a CNM practice) is 45 mins to an hour away (more with traffic) and I have no clue what I will do about DD. Everyone tries to be helpful and suggest getting a neighbor or a friend, but really I don't think I'd feel comfortable leaving her (possibly overnight!) with someone so "new", YK? I think what will end up happening for us, in the worst case scenario, is that she comes to the hospital room with us, and if necessary we get a nice hotel room very nearby and DH takes her there to sleep, etc. So possibly he will miss the birth or not be there to support me. I'd rather know DD is taken care of. I think.


I have another prenatal today and am printing off the list of questions above. I need to get some answers on the birth plan questions. So if anyone has any more good points to bring up, keep 'em coming! smile.gif
post #30 of 64

None of the hospitals that I'm familiar with let other children be present at the birth. Even with CNMs the hospital itself has a policy against it. If someone can be there only for the older child/ren then I personally don't see an issue with it, but random kids wandering around can be distracting and irritating. When my oldest was born there was a lady in the room next to me who had her 3 older children with her, simply because she had no one to keep them for her. They were out in the halls running around and yelling, and they kept wandering into MY room while I was in labor, which drove me batty. The nurses didn't have the time to babysit this woman's children and they were trying to find her husband, apparently they were calling around to a series of bars (mid-afternoon on a Sunday) to locate him. I finally went out in the hall and told the kids to sit down against the wall and be quiet, or to go watch TV, quietly, in the waiting room. I didn't see or hear them again.

 

My big kids don't want to be at the birth. Well, my son says "maybe" and my daughter says "no way!" so they'll either be at home with my mom or with one of our friends or neighbors. If I do end up in the hospital, that is.

post #31 of 64

Is there any kind of service in your area that matches sitters with clients? Maybe you could see if they have any sort of an on-call service or can match you with some sitters who operate on an on-call basis? Or maybe there is an emergency day-care service somewhere in your area.

post #32 of 64
Quote:
Originally Posted by jshannyn519 View Post

I had a saline lock (they don't use heparin anymore) with my first baby, and nothing at all with my second. I just said "no thank you" to everything they wanted to do or try. I negotiated the EFM to have it on for 10 minutes every hour instead of continuously. And I told the nurses (after the 4th time they offered pain meds) that I would be sure to let them know if I wanted pain meds, but I would prefer they not ask me again. When they would come in to check my dilation I would just say "not right now, thank you" because I really didn't want a bunch of hands up there all the time.

 

I think that if you're going to do a birth plan, make is super short and include the really important basics. Like the top 5 things that you want. All that stuff about lighting and how you want to listen to music and everything is good to know for your own purposes, but the nurses just really want to know a few things: will you want pain meds, will you want to move around, and who is going to be in the room with you. If you want to give birth in a non-lithotomy position I would be sure to specify that as well. If you're going to eat and drink, bring snacks and beverages with you. If you want to wear your own clothes, just keep them on.

 

You could do a separate section for after the birth and include the basics like: baby on chest immediately so do all procedures there or wait at least 2 hours, no baths by nurses you'll handle it, breastfeeding so NO formula at all, baby will room-in.

 

The nurses do have to check on you every so often so they can chart assessments and updates, but you can sure let them know that you'll call them if you need anything so they don't need to check on you frequently.


 I found your post to be very helpful!!  Ty so much for sharing!

 

This will be our 6th hospital birth, and to be honest, it didn't even cross my mind that I had a right to give my baby their 1st bath!  Its silly, yet so empowering.  I also hate those gowns, but thought I HAD to wear one lol......what would happen if I just said "no, thank you?"   You all have given me a lot to think about ; )

 

Now, our only issue is going to be whether they will let my 10 y/o daughter in the room for the actual delivery with my sister there with her for support.  My hospital has been very good with letting things "go with the flow" though.  They pretty much will let u move about and only monitor the baby for short periods of time, they have a great whirlpool tub and have never pushed for breaking my water or pain meds.  I was impressed this last time when no one in my midwife practice was available, yet it felt as if I was being cared for by one : ).  Also, IV is not a standard unless ur getting the epidural.....love that!


 

 

post #33 of 64
Thread Starter 



 

Quote:
Also, IV is not a standard unless ur getting the epidural.....love that!

 

My hospital makes everyone get a hep lock (and my midwife kind of freaked out on me when I questioned the necessity of this).  But my sis-in-law just had a hospital birth and her provider didn't mention a hep lock or IV and she ended up getting out of there without any holes poked in her! 

 

How neccesary is a hep lock?  Why is it such a big deal? 

post #34 of 64

In case of emergency, a hep lock/saline lock is so that they have vein access and don't have to waste possibly precious time finding one. It's closed off and presumably taped to your arm, so assuming you are not trying to do a lot of activities that chafe your inner elbow, it shouldn't cramp your style too much. I don't find the prospect too bothersome personally--if I'm alert, I still get the say-so on any IVs that might be hooked up to it, and if God forbid something does happen, I'd rather they have the access. Especially as my veins can be kind of difficult sometimes.
 

Never worn a hospital gown in my life. I do like the prospect of not getting my own clothes wet/bloody/etc and having a fresh one available if one gown gets gross. But I'll bring an outfit probably in case I hate the gown and want to wear something else.

post #35 of 64
Quote:
Originally Posted by erigeron View Post

In case of emergency, a hep lock/saline lock is so that they have vein access and don't have to waste possibly precious time finding one. It's closed off and presumably taped to your arm, so assuming you are not trying to do a lot of activities that chafe your inner elbow, it shouldn't cramp your style too much. I don't find the prospect too bothersome personally--if I'm alert, I still get the say-so on any IVs that might be hooked up to it, and if God forbid something does happen, I'd rather they have the access. Especially as my veins can be kind of difficult sometimes.
 

Never worn a hospital gown in my life. I do like the prospect of not getting my own clothes wet/bloody/etc and having a fresh one available if one gown gets gross. But I'll bring an outfit probably in case I hate the gown and want to wear something else.

 

We don't really put IVs in the inner part of the elbow anymore because then every time the patient tries to bend her arm the IV site is occluded. We usually try for one in the inside of the forearm or the hand. And yes, it's in the event of a true emergency where the staff has 3 minutes to get baby out and they need to give you IV meds to knock you out ASAP. That happens very rarely though, and most nurses are pretty good at getting IVs in super fast.
 

 

post #36 of 64
Quote:
Originally Posted by Daisy420 View Post




 

Now, our only issue is going to be whether they will let my 10 y/o daughter in the room for the actual delivery with my sister there with her for support. 


 

 



I was under the impression that this was more up to your care provider, unless the hospital is under a ban on children. When there was that big H1N1 scare, our local hospitals wouldn't allow any children, even siblings on the L&D floor at any time.

 

I asked my midwife about having my 3 year old there and she said it was totally up to me, so long as he had someone there specifically to care for him.

 

post #37 of 64
Quote:
Originally Posted by Bald_Bull's_Mama View Post





I was under the impression that this was more up to your care provider, unless the hospital is under a ban on children. When there was that big H1N1 scare, our local hospitals wouldn't allow any children, even siblings on the L&D floor at any time.

 

I asked my midwife about having my 3 year old there and she said it was totally up to me, so long as he had someone there specifically to care for him.

 



My midwife is fine with it; she actually asked me if we were going to have dd attend the birth :)!  The hospital will have the final say, though, since it is rather unlikely that my particular midwife will be delivering our baby : (.  I haven't even called them yet to ask, and this is the 1st time we've considered it.  My dd wanted to see dd 2 being born, but I wasn't comfortable with the idea yet (she was 8 1/2 at the time.)  At this point, it may be herlast opportunity lol, so we're gonna try it!

 

post #38 of 64

My kids will be at the birth if I go with the hospital or home. I just have to have a person there that is for my kids, even though they're 12 and 10.

post #39 of 64



 

Quote:
Originally Posted by jshannyn519 View Post



 

We don't really put IVs in the inner part of the elbow anymore because then every time the patient tries to bend her arm the IV site is occluded. We usually try for one in the inside of the forearm or the hand. And yes, it's in the event of a true emergency where the staff has 3 minutes to get baby out and they need to give you IV meds to knock you out ASAP. That happens very rarely though, and most nurses are pretty good at getting IVs in super fast.
 

 



not to be a jerk but this is totally provider dependent on both counts...some providers still go for a decub, and Ive seen more than my fair share of nurses and doctors (doctors especially) that can't start a line on a flat vein to save their own lives let alone the pts

this is another reason why a lot of nurses and doctors bug the crap out of me (not you btw) with their superiority bs (nm paramedic is my profession, neurobiology is what my bs is in) when they often can't handle basic live saving skills...I dont know any medic that cant start a line on a flat pt, down a bumpy road in a moving rig..let alone a neatly packaged pt in a controlled enviroment with a level surface and good lighting

 

 

p.s. its still called a "hep-lock" on computer generated run forms (prewritten, check box style) in the three states Im licensed in

post #40 of 64

Glad this thread is still going!  I've been absent from MDC for the last month due to an overwhelming amount of school (I graduate in 10 days whistling.gif).

As this little guy is growing and I am facing the realization that he will be he soon :)  I've spent some time reflecting on DD's birth.  I heartily agree with the PP about staying home longer.  I do have a 35 min drive to the hospital so long as the traffic is 'average'.  I went too soon with DD.  I had been in off and on labor for a solid 2 days... timeable 3 min apart contractions lasting 60-90 seconds for hours, then nothing for 2 hours.  So when my water broke and the contractions got more painful I assumed I should head in.....  bad idea!  I was at the hospital for 14 hours before DD came!  I think if I had stayed at home and not been poked and bothered I would have been able to focus more on the labor and less on the fact that I was in a weird place.  

I am really excited to try for a water birth this time.  Our hospital is known around our state for its birthing facility and the practice I go to has 2 CNM's that are just wonderful.  

Getting a little nervous about it though!   What are you moms doing to mentally prepare yourself?  

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