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Mothering › Groups › April 2013 Due Date Club › Discussions › Anyone switch from a MW to an OB even though you were low risk?

Anyone switch from a MW to an OB even though you were low risk?

post #1 of 11
Thread Starter 

I am so confused.  I really thought we might be trying for a home birth this time.  When we had DD, 3 years ago, we had a midwife and started at a birth center, but ended up needing to transfer to a hospital.  There were some things that I loved about our midwife, but others that I was not happy with.  My thoughts were that not being a first time mom this time, I could overlook some of the negatives and being at home would help too.  

 

I had my first ob appt. a week ago.  Two ob appts are required here and since there isn't an ob in our area willing to work with the direct entry midwives here, I randomly picked someone that my insurance would cover.  The thing is, I really liked this ob!  When we arrived at our appt. I was told that the us they were going to do would be vaginal.  I was clearly uncomfortable (we did not have any us with DD) and the us tech offered to go find the doctor to see if we had to do it.  She can in and was like no worries, most people want to do it so the front office probably thinks it is required (what I was told) but I could pass if I wanted to and she would see me in an hour for my appt.  I was so relieved!  I thought for sure I would be kicked out, or labeled as "difficult" before I even made it to my appointment.  

 

The appointment itself was equally pleasant, and I feel that I can have a really good experience with this practice.  The ob kind of had a handle on where I was coming from after our earlier encounter and answered almost all of my questions up front before I even had to ask. 

 

The down sides would be that I would be giving birth in a hospital, and there is a required heplock.  (I am not fond of needles or things being attached to me.)  These are minor.  I had a good experience last time when I transfered to the hospital, so it kind of eliminated the big scary hospital fear for me a bit.  The biggest downside would be the required post birth hospital stay, and all the trips my DP would have to make with the new little one to the nursery for the constant weigh-ins etc.  He wasn't allowed to let DD out of his sight last time!  Oh and the don't shake the baby video!  I made DP watch it last time and he would have to do it again.  (He tried to say that this time was my turn, but I pulled the labor card!)  winky.gif

 

Even their lab techs/nurses were awesome and distracted me while drawing blood so that I wouldn't pass out.  (again with the needles.)  innocent.gif

 

*Sigh*  I guess if I could find another midwife in our area, that I liked, it might change things.  I don't really want to travel a couple of hours for appointments with the next closest midwife.

 

I think my confusion is because I didn't think I would be abandoning my desire to have a home birth.  But this really does sound like the right decision........ And I can't lie.  Having our insurance cover some of our expenses this time would be a plus!  

 

Any one else do something like this?  I just can't shake the feeling that I am selling out/letting someone down/lame. shrug.gif

 

Thanks for letting me ramble. 

post #2 of 11

I don't have the exact same situation, but I am not able to go to midwives. I'm a little upset, but apparently, the OB is pretty natural-minded, so it doesn't seem quite so bad. I don't know. I understand, though, but I don't think it's bad, or that you're selling out or anything. I think what's most important is that you're comfortable with your care provider, no matter who they are. :)

post #3 of 11

Go with your gut, mama.  If you feel safe, respected and supported, why not go with who you want?  You don't have anything to prove to anyone.

 

I am having a hospital birth after 3 homebirths due to a history traumatic births.  I will take an epidural if I have another posterior baby.  I've had three posterior and the 2 that came correctly I hemmorrhaged with...and I too have nothing to prove.  I've btdt and am doing what I need to for a peaceful birth for dh and I.  Last time was so rough that I still feel fear and stress thinking about it - that's not what I want.  Of course I will play it by ear and if baby comes quickly in the right position then my choices will be different.  But the options need to be there for me to have piece of mind for the birth.

post #4 of 11

I have to say, if I had access to an OB who would respect my wish and I could know that my hospital birth wouldn't be a constant fight for what I know I want and need (both for myself and baby), it would definitely put an OB back on the radar for me!

 

Unfortunately I have very few options here, none which qualify as "respectful" towards me.  So that is really the main reason I just can't make peace with going with an OB anymore.

 

(that said, as far as the hospital stay, are you WANTING to stay for their standard length of stay?  Just curious, as with my hospital birth I was out of there 14 hours after she was born, just told my OB we wanted to go home and he approved, so there were no insurance issues or anything.  So that might not be an issue if you don't want to)

post #5 of 11
Thread Starter 

Thanks everyone!  I guess I'm just processing, since this is so different than what I thought I would be doing.  I headed to my ob appointment fully expecting to be miserable and still looking for options.  (last ob office I was in, I practically ran out of the door after my initial question filled appt with the nurse, who told me I would probably be happier with a midwife.)  If I could find a local midwife that I was comfortable with, I might go for a home birth, but I feel like my midwife actually created this crazy, stressful experience, before I finally transfered to a hospital.

 

I think the only person I feel like I have something to prove to, is myself.  I fully went into labor last time believing that I could do this, but something did not sync up and 43 hours later I had a my DD vaginally but not where or how I expected.  (Ok and maybe my little sister who birthed my niece at my dad's house in a birthing tub. orngtongue.gif)  lol.gif

 

1babysmom: Thanks!  I never thought about trying to leave early.  I was told I had to stay and frankly, I was so worn out that I didn't have it in me to even question it.  This is a totally different hospital that we would be going to this time and it is suppose to be a more supportive environment- not that I had too many problems last time.  I will ask my ob about possibly checking out early.  She seems willing to work with me, so maybe. 

 

I figure that I still have plenty of time to switch if I really want to.  Just a bizzarre place to find myself, since I have not met too many drs that I like, since being kicked out of the peds practice at 18, and I have never liked hospitals.  Go figure!

post #6 of 11

I had a hospital birth with DD, birth center birth for DS, and the plan is(was?) a homebirth with this bean. However, I'm really considering a hospital birth. As far as I know I'm low-risk, and I KNOW it's totally a-ok to have a homebirth, perhaps even safer for low-risk mama/baby, but I'm feeling like something just will go wrong, and I think I want to be in the hospital just in case. I'm just having a gut feeling we should have this baby in the hospital...

post #7 of 11

I say trust your gut. If you like this doc, and you feel comfortable with her, then don't sacrifice what you WANT to do for what you think you SHOULD want to do. :)

post #8 of 11

The only other perspective I can add, is that for most people, it's not really the doc you have to "fight" with at the hospital, it's the nurses. If you get a good nurse, you're golden. If not, well, you'll have problems. I've seen it many many times and it's so frustrating. The nurse(s) will be with you more then your doc in labor and their the ones that have a tendency to push meds/interventions etc and who you have to deal with in regards to after the birth baby stuff.

 

We have a hospital over here that I have attended several births at, and it really just depends on the nurse - we've got some of the absolute B.E.S.T. nurses, but we've also got some that are just nightmares to work with.

 

Before choosing a care provider, I would seriously consider calling the L&D at the hospital you're looking at and schedule a tour and what not. Try and get a feel for what their routine practices and interventions include.

 

For example, in my general area there about a dozen places I could potentially choose to give birth. Some allow laboring in water, some don't (and yes, I'm talking about LABORING in the bath tub, not even necessarily giving birth in it) Some are more likely to push narcotics (like nubain and phentenol) even with mama's not wanting meds. Some will allow a 2nd support person in during c/s, some won't no matter what. Some allow you to eat (and even encourage it) some wont let you eat at all, even if you're not VBACing are having any complications. You get the idea. WHERE you birth matters, not just who your Doc is. HTH.

post #9 of 11

This thread is making me feel less weird.  Thank you.

 

I too have found myself wondering if I should have an OB. I have midwives, and I've already had one homebirth, but I'm really leaning towards a hospital with epidural birth this time.  Funny how things change.  I probably won't switch carers, but yeah.  

post #10 of 11
Quote:
Originally Posted by Cali2SC View Post

The down sides would be that I would be giving birth in a hospital, and there is a required heplock.  (I am not fond of needles or things being attached to me.)  These are minor.  I had a good experience last time when I transfered to the hospital, so it kind of eliminated the big scary hospital fear for me a bit.  The biggest downside would be the required post birth hospital stay, and all the trips my DP would have to make with the new little one to the nursery for the constant weigh-ins etc.  He wasn't allowed to let DD out of his sight last time!  Oh and the don't shake the baby video!  I made DP watch it last time and he would have to do it again.  (He tried to say that this time was my turn, but I pulled the labor card!)  winky.gif

 

Nothing is "required." I worked in the hospital system for years and you are an adult and can refuse anything. Remember you are the one in charge. You are hiring them to provide a service, if you don't want a particular service just tell them no.

post #11 of 11
Quote:
Originally Posted by Cali2SC View Post

 

1babysmom: Thanks!  I never thought about trying to leave early.  I was told I had to stay and frankly, I was so worn out that I didn't have it in me to even question it.  This is a totally different hospital that we would be going to this time and it is suppose to be a more supportive environment- not that I had too many problems last time.  I will ask my ob about possibly checking out early.  She seems willing to work with me, so maybe. 

 

 

My last baby was born at home and this time I am doing a hospital birth with a midwife. I feel comfortable doing this because I really want a water birth. My insurance won't cover a home birth at all and there are really only 2 hospitals in my area that offer water births. Plus we don't know where we will be living at the time the baby is born since we plan on moving, I felt a home birth may not be the best option right now.

 

That said, my midwife said if it were up to her, I could leave after 6 hrs. BUT, its the hospital pediatrician that lets the baby go and they like them to stay 24 hrs.  I'm saying this because while your OB may release you, you'll need to get in contact with the pediatrician the hospital uses or the one you plan on using, to let baby go early. Of course every hospital is different, so I'd ask them what your options are there.

 

Also, is there a way to make sure baby does not leave your room at all? They should/could be doing everything except possibly PKU in your room.  

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