I just moved mid-pregnancy (I'm now 29 weeks) and had my first appointment with the new OB who I'm supposed to deliver with. I want as natural and hands-off of a delivery as I can have, but also want the extreme backup of an epidural available in case of pain that I've never experienced before. I'm only really considering an epidural if things get crazy painful, otherwise I plan to labor naturally, and will have a doula there too. (I guess I explained this because this is why I chose a hospital over a birth center.)
I had my first appointment with the new OB and our first words, other than hello, were me defending myself and my desire to not have the arbitrary 28 week Rhogam shot. As soon as I started to object she got flushed and stressed looking and went straight in to scare tactics, like she's seen babies DIE. I explained that I will definitely get one if Baby is born and blood-type tested and is Positive (I'm Neg and DH is Pos), and only THEN would I get the shot. She kept going on and on about how there is already blood mixing and that THIS pregnancy could be in danger. She also said if I've already begun to build antibodies then I can still get the shot and it will prevent more from forming??? This just seems contradictory to all that I've read. (This is my first ever pregnancy, I've had no miscarriages or abortions, no testing that would cause mixing, and no trauma to my stomach. Basically, I have NO risk factors.) She agreed, finally, to put in my records that I'm 'deferring' the shot, but then wanted me to get the antibody test to see if I already HAD antibodies. (Test result, no antibodies.)
I don't know why she was so persistent. Did she think I was lying about no abortions, etc? Was she making it up all of the stuff about a danger to this baby? That blood mixing is totally common??? Does she assume I want her to use forceps and a vaccum and tug my placenta out which carries a higher risk of blood mixing?
I left the appointment really upset that this was our FIRST encounter, and it was totally confrontational. She didn't get to know me AT ALL. Now, when do I tell her that I don't want other things that are standard in a hospital? Do I want till they come up or get it out on the table now? I'm sure that a reply or two will include something like, 'this is why I go to a midwife!' Should I just switch now and save myself the trouble?