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UC in a hospital?

post #1 of 55
Thread Starter 
Hi all, newbie here.

Sorry if this is a crazy/annoying question, but I'd love to hear people's thoughts on a UC in a hospital. Is it possible or is it wishful thinking?

Background: this is baby#2, first experience was "traditional" hospital birth, lots of interventions, basically an experience I'd rather not have again. My fault, I was terrified of labor and delivery (I didn't even call it birth then) and wanted it to just be over. Lots more details, but that's the summary. This time I've decided that several days of horrible pain is better than the 4 months of pp healing, so I'm trying everything possible to have a natural birth. We're taking Bradley classes, I'm reading every book I can, I'd like to take a Birthing from Within class (LOVED the book!!!!), and exploring homebirth.

Our issues: DH is a physician and while he says he'll "support whatever decision" I don't know that either of us is comfortable being away from emergency services "just in case". I've read lots of studies and all the stats and I'm a chemist/engineer so I believe them, but our guts are afraid still I think.

Sooooooo...that's why I was wondering about UC in a hospital. DH is willing to pitbull and create a safe space for me, but basically I'm still at the point where I don't feel safe to birth in any space (except for my running joke that's almost not a joke that I'd like to labor at home, hop in the car as the baby's descending, drive to the hospital and have the baby in the back of the truck in the parking lot, wait an hour or so to make sure everyone's ok, then go back home, lol, but serious to).

Thoughts on all this?
post #2 of 55
you can attempt natural childbirth in a hospy, but no that's not uc.

y not try a hb?

post #3 of 55
It's POSSIBLE to have a UC in a hospital. I did.
HOWEVER... it was not planned and it was pure luck in timing that it happened at all.
I am a homebirther in every way and had 2 previous homebirths before my Third baby.
I ended up in the hospital with pPROM at 31 weeks and was on bedrest for a month before I went into labor. During labor, I had given up any idea of anything natural or wonderful about the birth, I even ended up asking for an epidural, SURE I was gonna end up with a section & exhausted from 3 days of prodromal labor...(thankfully it never happened) the only reason I had a UC was because the anesthesiologist that was to administer it sent EVERYONE out of the room, I got pushy and told the anesthesiologist "wait, i'm pushy!" She took her things and left, the only nurse in the room left to get the midwife. I lay back on the bed and me and dh delivered our own baby. I guided her out, and he grabbed her up. It was great that it happened that way, if I had to be in the hospy at all. It was absolutely awful for me to be in the hospital. The docs who attended me all month was sure I would bar the door and have an intentional UC, but I really wasn't planning it. So it IS possible... it's very unusual and unlikely to PLAN something like that and have it work out well.
I would choose to stay home ANY DAY over any sort of hospital birth. Even after catching my own baby in a hospital, which I didn't even get to do with both my home births, I'd choose to deliver at home, it's by far a better way to go. IME.
My birth story is here.
I am still processing the birth experience. I feel quite upset by the experience. I feel like I need a "do over". I don't know how hospital birthing moms are EVER happy about the experience. I hated the hospital. It's my LAST choice in places to birth. I'd choose the car on the freeway over the hospital.

post #4 of 55
I think it's highly unlikely that you get a uc in a hospital. Making that happen by refusing to let anyone in seems like it would create an agitated birthing environment which would not be conducive to a peaceful or safe birth. Not safe b/c your emotional/mental state could inhibit your body from functioning optimally and invite unnecessary interventions, yk? It would be very stressful for me to be in a room w/people knocking on the door trying to come in while my husband dealt with them instead of being a birthing partner to me.

Keep reading. Keep looking at options. You don't have to decide today. I know how it feels starting out.

I've had 1 frestanding bc birth, 2 hbs and will likely uc this time. It was a progression for me. Evaluate your fears and overcome them. The more you know, the more your confidence will grow.

post #5 of 55
even doctors and chemist/engineers can decide to UC if they are convinced that they don't need emergency services.
post #6 of 55
Once the hospital staff knows you're there, it's not possible. UC is unassisted childbirth, and they're not going to leave you alone once you're on their turf.

Why not look into a birth center?
post #7 of 55

Interesting you ask. I've had several birthing dreams, mostly at home, a few in the hospital, and some hospital ones when I uc. Usually i n the bathroom, sometimes by the bed. Never fought anyone, I wasjust left alone a little too long . And I'm not even pregnant.
post #8 of 55
I think I'd be scared of retaliation by the hospital staff. Yes, legally you can refuse treatment for yourself and your baby (tell them not to touch you) but from the things I've seen on these boards, such a decision is often met with hostility by the hospital staff. I'd be worried the staff would decide I was "endangering" my baby and call CPS. When I considered a hospital birth with a midwife and asked her (during the interview) about delayed cord clamping she said she was okay with it but some of the nurses were not and if we got the "wrong nurse" and didn't go along with them, they often would find a reason the baby has to be taken to the nursery for "observation". It's a weird, twisted system.

To echo other posters, home births (UC or otherwise) are wonderful!
post #9 of 55
If your DH is a physician, then technically he's qualified to perform any "emergency services" that may be required, isn't he? That would mean a homebirth that he attended would not "technically" be a UC, wouldn't it?

Would that thought make either of you feel better?
post #10 of 55
My first thought it that electronic fetal monitoring makes it impossible to birth alone in a hospital. They can see when you're pushing from the nurses station - and in comes the calvalry.
If you don't want EFM, why not be at home?
post #11 of 55

my MIL did it.

however, it was baby no. 8, she had all others at home w/midwife, AND it was almost 30 years ago in another country.
its a long story as to why she ended up in the hospital (she is still a big homebirth advocate), but she didn't like how the doctor was treating her. he kept threatening c/s if she didn't hurry up. so, when the doctor and nurse left for rounds she got up adn locked the door. then she birthed her son on the floor. she is always very matter of fact about it. she says, it was my 8th kid, i knew how to push him out, i didn't need the doctor there.
of course, i don't think you could lock yourself in todays hospitals and you would probably have a lot of legal issues if you tried. the consent forms you sign when you enter the hospital basically take away your right to decline treatments if the doctor decides they are in your best interest.
i think your best bet is in a homebirth or birth center.
unless you live in the boonies, you would probably be transfered and sectioned as quickly as if you were in a hospital. they can call ahead and have a room prepped for you when you arrive. and a good m/w can figure out most problems that could led to trouble before you go into labor (breech, pre-clampsia, etc), or in early labor.
post #12 of 55
If you don't want to be monitored through labor, or have anyone checking on you, then what added benefit to being at the hospital would there be? Are you thinking you would just know when an emergency was starting to occur you could call them in?

Not at all feasible, IMO, and I think a midwife attended birth center or homebirth would offer way more safety advantages than a UC hospital birth could. My understanding of UC is that the reason it is so successful is that the mother has such a deep seated trust in the process of birth that things unfold naturally and instinctually. I don't see at all how you could get in that head space at the hospital while your husband is playing watch dog at the door. I also don't think it's entirely possible for your husband to do what he is promising, not because he isn't good-hearted, but because it doesn't matter who he is or that he is a doctor...their turf, their rules at least to some extent. I can't see them letting that go down, as there's liability on their part.

good luck with your decision making! it really sounds like homebirth would be a better option for you.
post #13 of 55
Considering that a hospital is an institution where sick and injured people go to receive medical treatment, one would wonder why you would go there if you don't want them to do anything for you.
post #14 of 55
You would be assigned a doc the moment you walk in and register. You could only UC by accident in a hospital (as some of the PP's have written).

Why not try and find a MW and get a doula . . . talk a great deal about your desires beforehand and continue to do the prep you are doing . . .having others able to keep to you plan while you are doing the birthing would really go a long way to ensuring your wishes are carried out.
post #15 of 55
Thread Starter 
Thanks everyone for all the responses.

Rational or not, my biggest fears are something happening in that 1st hour after birth, either to me (pph) or baby (unable to revive). DH has other concerns based on scary things he sees at work, like amniotic fluid embolism. Neither of us wants him as my doctor: I want him as my partner, he is very worried that if something went wrong and he knew how to fix it but we were at home and he didn't have equipment to help that it would be even worse than not knowing how to help.

So my thought process was to labor mostly at home and show up at the hospital for the last bit...

I realize writing this that things can go wrong at all different stages of pregnancy and labor and it doesn't make sense to live at the hospital, lol. Guess I need to think and research more. I have an appt. w/a CNM soon and I've already met w/a CPM who does homebirths here. I'm exploring the whole spectrum from UC to hospital to figure out where I feel safe. So far that's nowhere!!

Thanks again for all the thoughts--any more are greatly appreciated!
post #16 of 55
I think a UC in a hospital doesn't exist for so many reasons listed above.

ALSO, remember that hospitals are NASTY and DIRTY places. Just being inside of one seriously increases your chance of infection.

post #17 of 55
I think you're in a great place - you are newly pregnant, and you've realized you've got lots of options! I highly recommend that you and your dh write down his fears so you can address actual fears rather than a nebulous cloud of anxiety.
post #18 of 55
another thign to consider is that (as another posted) it is "their turf, their rules". if they feel that your husband is preventing them from doing their job, they will bar him from the room. he really can't prevent teh nruses and doctors from coming in, they will just kick him out. a lot of their "respect" for what the mother wants and her birth plan only extends as far as they want it to. it doesn't matter if you don't want pit or your husband says you shouldn't be laboring on your back, if that is what they want you to do, that is what will happen. if he stands in the way, he will be standing outside. then what will you do?
post #19 of 55
Originally Posted by rachel_eva View Post
another thign to consider is that (as another posted) it is "their turf, their rules". if they feel that your husband is preventing them from doing their job, they will bar him from the room. he really can't prevent teh nruses and doctors from coming in, they will just kick him out. a lot of their "respect" for what the mother wants and her birth plan only extends as far as they want it to. it doesn't matter if you don't want pit or your husband says you shouldn't be laboring on your back, if that is what they want you to do, that is what will happen. if he stands in the way, he will be standing outside. then what will you do?
Except for that little thing called battery. If you decline a procedure, intervention, etc they can not perform it. To do so without consent is battery.

Now they can harass you and make your life miserable until you feel you have no option but to consent, but they can't force any procedure or intervention upon you without your consent. If you really want to shake things up, refuse to sign the blanket consent to treatment upon admission, then they must ask for every little thing they want to do and must document the heck out of it to cover themselves liability wise.
post #20 of 55
I don't think it's been mentioned yet, but many UCers hire a MW to sit in the other room while they birth and then she's there for any probs that might arise.
Another option to consider...
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