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Refusing procedures

post #1 of 21
Thread Starter 
Ok, this is our second baby, we were completely unprepared for our first hospital birth. Even though we routine prenatal care & took a birthing class at the hospital we were never told about vit K injections, eye drops, PKU testing......So DD had all of these test. Now with our second baby we are wanting to forgo all of these test and injections. Has anyone had a hospital birth and been able to refuse these test without a huge hassel?
post #2 of 21
I haven't (FTM) but I know moms who have. Just talk to them about it at your next appt, write it into your birth plan, and have someone there while you're having the baby to remind them.
post #3 of 21
Yep! My son was born in a hospital (as will this baby). I had all that stuff in my birth plan - my doctor signed off on it and faxed a copy with her signature to the hospital for me. I called ahead to tell them I was coming as we live an hour away, and when I got there, I had a wonderful nurse who had read the whole plan and had all the necessary waivers ready for me (or my husband - but I was fine doing it) to sign. I never had a fight or anything... it was never brought up after he was born either. He had no eye "goop," no Vitamin K (though I would have authorized it if he was a vacuum assited birth, forcepts, or c-section), no circumcision... lots of other great stuff! The only things I allowed were PKU and hearing screening (which I may waive this time - I haven't decided). Otherwise, he was untouched - not even bathed!
post #4 of 21
Quote:
Originally Posted by gen_here
Yep! My son was born in a hospital (as will this baby). I had all that stuff in my birth plan - my doctor signed off on it and faxed a copy with her signature to the hospital for me. I called ahead to tell them I was coming as we live an hour away, and when I got there, I had a wonderful nurse who had read the whole plan and had all the necessary waivers ready for me (or my husband - but I was fine doing it) to sign. I never had a fight or anything... it was never brought up after he was born either. He had no eye "goop," no Vitamin K (though I would have authorized it if he was a vacuum assited birth, forcepts, or c-section), no circumcision... lots of other great stuff! The only things I allowed were PKU and hearing screening (which I may waive this time - I haven't decided). Otherwise, he was untouched - not even bathed!
I didnt even KNOW about the hearing screening. : I was told dd failed in one year, but they came back and took her a few hours later and did it again and she passed.

Informed consent my butt. They don't even tell you what the hell they are doing. :

We are planing a home birth for this one.
post #5 of 21
Some of it will depend on the state you live in, as there are at least a couple states that have really sticky laws about things like eye goop (I think NY was one?).

I wasn't in a frame of mind to refuse the eye goop or Vit. K (although the latter was probably not a bad idea since I had a preemie and he was heavily bruised coming out). But circ was a question they asked when I first went into the LDR (ie, "Do you plan to circ?"), right along with whether I planned to bf or not. And Hep B was very easy to get out of. They were planning to give it to DS just before discharge (he was 4 weeks old), and I said I didn't want him to have it. The nurse said "Will you get it done later then?" and I said yes. She wrote down that I refused it, and it was no big deal at all.

I recommend talking to your pediatrician though, as the ped is usually the one who deals with things like eye goop and Vit. K. Once the baby is out, the OB doesn't really have anything to do with it. Of course, I'd also put it in your birth plan and make sure the nurses know about it before baby comes out, so they don't do something right away before the ped sees the baby. Unfortunately, I don't have experience with the ped check in the hospital, since DS was in the NICU, and they trump peds.
post #6 of 21
In my state they had a million forms to sign/or decline. W/ ds we declined the eye drops, took the Vit K.

As for PKU testing no way to go around it
post #7 of 21
We had a hospital birth and had no problems declining some of the "standard" proceedures. My Ob told me what was given and gave us paperwork to decline or accept each before for our pre-admitting paperwork (we have Kaiser in CA. I'm not sure what other hospital proceedure is).

We declined the ones we wanted and okay'd the others. I made sure DH was with DD at ALL TIMES so that no one would "accidentally" administer anything we had not approved (including formula!!!). Our hospital has rooming in and allegedly a policy to never take the baby but I think on one occasion they did (for the hearing screening) and I made sure she was at least within eye sight of DH.

We'll do the same this time around.
post #8 of 21
I wad transferred to the hospital with Ds#1 from the birthing center and I refused all of the tests with no problem...

I did have to sign a waiver and that was it...
post #9 of 21

enforcing a birth plan

I had such a hard time actually enforcing a birth plan. It was like they argued me on every single thing I wanted in the plan. During labor etc.
Then, I have no idea what they did to my babe after he was born as he had some complications and he was taken off base to a Japanese hospital. I assume they didn't put that stuff in his eyes and all that due to him being on oxygen etc but you never know.

I do know that if you plan on using a birth plan to prevent administration of vitamin K and shots etc then you need to have a strong advocate with birth plan in hand willing to stand up for it and ENFORCE it.
I know my husband or my brother in law (ask my sister about her labor!) are not that person.

This time I want to hire a doula to come with me. I dont' want to sit and argue with someone while I'm trying to labor peacefully and I can't count on my husband to stand up for me (unfortunately) :-(
If you ask him he would say differently, but well, I just can't leave something like that up to him since he has proven how much he is willing to NOT FIGHT in order to not stir things up blah blah blah.

Can you believe it, my husband is a lawyer too. Isn't that hysterical.
but I don't trust him to fight for me. SIGH.

Good luck upholding your birth plan!
Erica
post #10 of 21
Quote:
Originally Posted by americastamps
you need to have a strong advocate with birth plan in hand willing to stand up for it and ENFORCE it.
I know my husband or my brother in law (ask my sister about her labor!) are not that person.

This time I want to hire a doula to come with me.
Erica, I'm so sorry your hub was not strong for you and your baby

You are 100% right that the key is having a STRONG advocate for you. Your focus has to be on staying calm and peaceful.

A doula is a great idea but remember that your hub will be the one the med staff comes to with questions. Maybe it would be a good idea to have a sit down and say something like, "I understand you do to not want confrontation, but please defer to our birth plan or the doula if anything comes up because it's important to me we have the birth we agreed on..."

Hopefully now that he's gone through it once he can come through better this time!!!!!

Good luck!!!
Debora
post #11 of 21
Quote:
Originally Posted by aniT
I didnt even KNOW about the hearing screening. : I was told dd failed in one year, but they came back and took her a few hours later and did it again and she passed.

Informed consent my butt. They don't even tell you what the hell they are doing. :

We are planing a home birth for this one.
I'm sorry that you had that experience. They did tell me what they wanted to take him for (my husband went with him, of course!). They asked me if it was okay, and really, I was so tired at that point from him nursing all night after no sleep the last couple days that I saw it as 15 minutes where I *might* get a nap =) Looking back, I don't know if I would do it again. It's really just them looking at how the bones in the ear vibrate (if I understood my husband's explaination correctly) - and it doesn't mean the kid can't hear if they don't see the right results... just (possibly) more tests down the road. The only thing about it that pissed me off was that a mom with her new baby was down there before my husband and he said the test admin was being crabby and saying how she hates when moms bring the baby down for the test... because the babies smell her milk and all they want to do is nurse and not do the test. Well DUH! I wanted to go back down there with him for the test again just to piss her off
post #12 of 21
I'm really glad you started this thread because I didn't know what the hospital I'm going to tested for.... so, I called and found out they do the eye drops and vit k and that's it.... not too bad I guess.... what would be a reason for skipping the eye drops??? Just so I can be informed in the decision I make.
post #13 of 21
Quote:
Originally Posted by hopeful1
I'm really glad you started this thread because I didn't know what the hospital I'm going to tested for.... so, I called and found out they do the eye drops and vit k and that's it.... not too bad I guess.... what would be a reason for skipping the eye drops??? Just so I can be informed in the decision I make.

The only reason to have the eyedrops are in a vaginal delivery when the mom has a STD or is strep positive... There is not other reason for it...
post #14 of 21
Quote:
Originally Posted by gen_here
I'm sorry that you had that experience. They did tell me what they wanted to take him for (my husband went with him, of course!). They asked me if it was okay, and really, I was so tired at that point from him nursing all night after no sleep the last couple days that I saw it as 15 minutes where I *might* get a nap =) Looking back, I don't know if I would do it again. It's really just them looking at how the bones in the ear vibrate (if I understood my husband's explaination correctly) - and it doesn't mean the kid can't hear if they don't see the right results... just (possibly) more tests down the road. The only thing about it that pissed me off was that a mom with her new baby was down there before my husband and he said the test admin was being crabby and saying how she hates when moms bring the baby down for the test... because the babies smell her milk and all they want to do is nurse and not do the test. Well DUH! I wanted to go back down there with him for the test again just to piss her off
I let them take the baby so I could take a shower. DH was asleep on the floor because he has such a "hard night." He didn't get any sleep at all and no matter what I threw at him he would not wake up. It really pissed me off casue everytime "I" tired to sleep, (you know the one who had been up all night IN LABOR) the stupid phone would ring or the phone in the next bed would ring, or as soon as MY baby was asleep hers was up crying. I finally gave up on sleeping sent the baby to the nursery and took a shower.

Speaking of phones, why do people think it is perfectly OK to call a new mom HOURS after having a baby. You would think they would realize that mom is trying to SLEEP after all that work. : I am telling DH he can't tell anyone about the baby until I have a good nights sleep. Of course this one will be born at home so there is nothing stoping me from turning the phone off.
post #15 of 21
Quote:
Originally Posted by americastamps
you need to have a strong advocate with birth plan in hand willing to stand up for it and ENFORCE it.
I know my husband or my brother in law (ask my sister about her labor!) are not that person.This time I want to hire a doula to come with me. I dont' want to sit and argue with someone while I'm trying to labor peacefully and I can't count on my husband to stand up for me (unfortunately) :-(
If you ask him he would say differently, but well, I just can't leave something like that up to him since he has proven how much he is willing to NOT FIGHT
Erica
I totally agree. My husband was horrible, I expected him to stand up for what he KNEW I did and didn't want. He didn't at all. He just agreed with whatever the midwife said, then tried to (successfully) talk me into agreeing as well. This time I have a birth plan AND a doula. She will be my advocate.
post #16 of 21
Quote:
Originally Posted by aniT
I didnt even KNOW about the hearing screening. : I was told dd failed in one year, but they came back and took her a few hours later and did it again and she passed.

Informed consent my butt. They don't even tell you what the hell they are doing. :

We are planing a home birth for this one.
Ditto to that. There was no such thing as informed consent for me, but instead blatant disregard for every aspect of my birth plan. I will be doing my darnest to have a home birth in the future too.

And they gave my csection babe eye drops too without my knowledge. I don't have STDS, so WTH? Completely unneccesary... ooh... I am getting all worked up again... I've got to go read a feel good story...
post #17 of 21
Quote:
Originally Posted by gen_here
I wanted to go back down there with him for the test again just to piss her off
post #18 of 21
Quote:
Originally Posted by aniT
Speaking of phones, why do people think it is perfectly OK to call a new mom HOURS after having a baby. You would think they would realize that mom is trying to SLEEP after all that work. : I am telling DH he can't tell anyone about the baby until I have a good nights sleep. Of course this one will be born at home so there is nothing stoping me from turning the phone off.
Oooo... phone vent!!! When I was pushing (in the middle of 3.5 HOURS) the phone kept ringing and ringing and ringing. It rang at least 10 times on one call. Now, only 2 people knew where we were - my mom and my husband's parents - and neither would call while I was at the hospital. I was in the NICU delivery room (all the LDR rooms were full) - so whoever was calling KNEW they were calling a room where a woman was trying to get a child out of her body!!! I was pretty good about keeping my cool during labor, but I flipped out when the phone rang the third time and screamed "Would someone PLEASE make that damn phone STOP RINGING!!!!" I never saw so many people start moving so fast... my husband trying to find the ringer volume, the nurses running to the hall to yell to the nurses station to hold all calls...

I felt bad (for a couple seconds - but I had been pushing for 2 hours by this time and I was just trying to concentrate, you know!). But that ticked me off... who would be calling a woman in labor? That's just insane!!!!
post #19 of 21
On the calling during labor thing... At my hospital, they don't tell a caller what you're doing or where you are. You call the hospital and ask for so-and-so's room, and they patch you through. So I got a call about an hour after DS was born (and since DS was whisked away to the NICU and DH was off taking pics of him for me, I was all alone in this huge room, so the phone call was actually a GOOD thing), and the lady that was calling was just seeing how I was doing. I'd been in the antepartum unit for 4 days. She didn't realize I had gone into labor and had the baby that evening. Boy was she surprised!

But yeah, if someone *knows* you're in labor, they really don't need to be calling!!! Same goes for those first few postpartum hours. I don't call a new mom until the next day if she hasn't called me first (my best friend calls me within 2-3 hours of giving birth).

When I birth this one, if it's full term, it will be out-of-hospital, and no one will know I'm in labor except my parents. I don't plan to even call the in-laws until the baby is here. My parents will know because they'll be watching DS #1, and probably will be bringing him up when I'm in transition or something (my house is 15 minutes from the birth house, and I am hoping my parents can watch him at my house). But my parents won't be calling/telling anyone else I'm in labor. They'd do all the calling AFTER the baby comes. And as soon as we get home (probably a few hours after the birth), we'd be sending an e-mail out to everyone, and we'll probably tell them that e-mail contact is preferred to phone calls the first few days (which that's actually the case normally anyway ).
post #20 of 21
Couple things:

On eye drops...the goop can clog their already delicate tear ducts...my dd had eye problems and was on prescription drops for 2 wks or so. She was also on prescription nose drops so she could breathe since they suctioned her so hard her nose swelled shut. UGH...yes, I will have a homebirth thank you very much!

On birthplans. One way to get them to REALLY LISTEN to what you want is not the 'birth plan' but the CONTRACT they have you sign. Get a red pen--and go thru that hospital contract with a fine toothed comb days, heck WEEKS, before your due date, and line thru things, add things, etc. It is a legally binding contract, so if you line thru the eyedrops, and they do it anyways, theycan be sued.
Again--thank GOD I don't have to worry--I'm having a homebirth! I will still do that just in case I get transfered for any reason!
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