I am at the end of my third pregnancy (well, third term preganncy) and am just now in the home stretch considering I might have to be in the hospital instead of at home. It's a long story, let's just leave it at that. I'm meeting with the OB provider this week (not like I have a huge choice in the matter, there's one practice in town) and I put the following concerns on my list to address with her. Anyone have any feedback on it?
Is there continuous or intermittent monitoring?
Is water therapy available? (I don't think it is, it's a tiny little hospital with no tubs, but maybe there's a shower...)
What's the deal with IV's and such - what is mandatory?
Can I refuse cervical checks? I don't mean I want them infrequently, I don't want them at all, period. Not to check "if I'm 10 cm yet", I don't want to see "if I can be admitted yet", etc. (If I show up in hard labor, I'll assume they can tell without sticking their fingers inside??)
Will I get to labor, and more importantly, deliver in the position I want to? (Last birth was a UC and I was on my knees when she came out.)
Pushing that's not directed - not only do I not want anyone to count down for me, I also don't want anyone to tell me when to push, when not to push, when to pant, etc.
Catching - is it automatic in all hospitals that the doctor MUST catch the baby? I caught DD with DH's help and I really preferred that to a stranger doing it... but I'm assuming that's not a hill to die on, right? They'll just refuse, I'm assuming.
Newborn procedures? I don't want to be separated unless there's a huge emergency - not just them taking the baby out of the room, but also not taking them to the other side of the room, cleaning them up, wrapping them, etc. NY state calls CPS automatically if you refuse the vitamin K shop or eye goop but can they be delayed a bit? I also don't want suctioning, etc, either while the baby is inside or outside. Once the baby is out, assuming he/she is breathing and such, can they do their checks while I hold him/her?
Placenta procedures (fourth stage) - short of hemmorhaging, can we wait for the placenta to separate naturally? I had one manual removal by a midwife and one natural removal and omg the difference is crazy. I also would rather nurse if possible, and not deal with Pitocin, etc.
What if I test GBS positive and my labor is too short for the standard course of IV's during labor? (What's that, like four hours?) Are they going to keep the baby for however long for "observation"? I can't refuse the test because they already did one on me without really asking for consent or not when I was in the hospital already for some PTL stuff. I don't know the results of the test yet, but with my luck, it'll be positive.
Anyway. I don't want to go in there with a whole looooong list and present as the problem NCB patient. Is there something I should just take off the list completely?