Bad Dr. visit (anyone from Ont, Canada?) - Mothering Forums

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#1 of 9 Old 01-07-2003, 12:49 AM - Thread Starter
 
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Ewww, I am so mad at my Dr.!!! God knows I would have loved to get a midwife but there are none in my area. I went to my 34 week appt with the Dr today with hubby and birth plan in tow.
The Dr said he was all for the natural childbirth but he was horrified by our desire to avoid eyedrops and the vit. k shot. He also "didn't agree" with our desire to have the baby be put on my chest immediately after birth. He went on and on about "studies" that show it's better for the baby to be brought to the 'warmer' first and then be handed off to the mother. He also told me that it's LAW in Ontario to have the eyedrops administered and if we refused, he would be obligated to call the Children's Aid Society. Does anybody know if this is true? He was so defensive and narrow-minded. Oi, sorry for the rant...

Unassisted home-birth is looking better all the time.

Tara

41 year old mama to three beautiful girls (19, 16, and 11)

Wildly, passionately, eternally in love with my dear husband.

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#2 of 9 Old 01-07-2003, 01:42 AM
 
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I dont blame you for being mad! I'm mad at him for you as well!
I'm from manitoba and I do know that (here at least) eyedrops are optional. I cant remember if vit k was optional too but my midwife did give me the option of needle or oral drops. (we chose the oral). I guess the only advice I have is maybe try a public health nurse? Or the internet on unassisted homebirth...
Good Luck!
Laura
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#3 of 9 Old 01-07-2003, 12:09 PM
 
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My midwife did tell me that one of the two (can't remember which) was mandatory, but she wouldn't make us. She also said that it would be her not us in trouble for not doing it.

I think that's bs that the baby needs the warmer before mom. Wouldn't a blanket over mom and baby be just as good. Stay firm on that one!!! Even my dd1 got to me before anywhere else, and they gave her O2 after.
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#4 of 9 Old 01-07-2003, 12:44 PM
 
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My baby was born April 1 of this year and put immediately on my chest, then a blanket over us. Cord still attached, and we waited 'til it stopped pulsing before clamping/cutting. He was much warmer on me than in the warmer thing. This was in a hospital (in Massachusetts) with a CNM.

Whatever "studies" he's claiming on the warming issues--call him on it. Ask for copies. If he doesn't produce them (betcha he doesn't...) then tell him your chest is best!

Mel
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#5 of 9 Old 01-07-2003, 05:20 PM - Thread Starter
 
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Thank you all for your responses. Does anyone know if the eye drops have to be administered within the hour to be effective?

Thanks again,
Tara

41 year old mama to three beautiful girls (19, 16, and 11)

Wildly, passionately, eternally in love with my dear husband.

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#6 of 9 Old 01-07-2003, 06:18 PM
 
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I googled for an answer to your question about the eye treatment. This is a paper from the Canadian Pediatric Society. It explains your doctor's position. It says (in the second column of page 481 at the bottom) that even though it's good to administer this treatment as soon as possible after birth, that it's okay to wait an hour. Here is the URL for the PDF file:

http://www.cps.ca/english/statements/ID/ID02-03.pdf

Another pediatrician disagrees with this mainstream view, and republished the abstracts of a series of articles on his website:

http://www.drjaygordon.com/pediatricks/eyecare.htm

One way to get out of this problem is to offer to be tested for the strains of gonorrhea and chlamydia that this treatment is supposed to treat. If you don't have them, then what is the issue? I suppose that the baby could get an infection in the hospital, but it seems pretty unlikely.

I want to do a search on the neo-natal warming, too.

When I had a question about the delivery of the placenta, my midwives photocopied an entire journal article for me about it. It's very reassuring to a patient to get to see the research. Doing lots of research has helped me manage any fears I might have about birth. I wonder if there is a study I can find that demonstrates that for you to show your doc?


Divorced mom of one awesome boy born 2-3-2003.
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#7 of 9 Old 01-07-2003, 06:56 PM
 
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Hi!
I am from Mississauga...I'm sorry you don't have access to a midwife.
Is there anyway you can change your doc?? You should have all rights to your body and your baby.

Personally, if I could not get access to a midwife I would do unassisted birth doing as much research as I could...(I've had two great natural births...) I would use a doc to ensure that everything was going well...just not for the birth...
Interesting how you can have an unassisted birth and chose to have no intervention, but stepping into a hospital means you "have to" make choices you don't want...yuck.

I hope you can find an alternative because you really should not have to put anything on your body that you do not feel comfortable with, and that goes for your baby also.

We were in Alberta when we had ds and neither were manditory...I don't see why they would be...

Good luck,
Oils
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#8 of 9 Old 01-07-2003, 07:23 PM
 
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I would ask your Dr. for copies of his "studies" and then hand him a copy of the ones below.

J Obstet Gynecol Neonatal Nurs 2001 Mar-Apr;30(2):157-64
"Incubators versus mothers' arms: body temperature conservation in very-low-birth-weight premature infants." Mellien AC.
RESULTS: No significant variations were found in the infants' mean temperatures in the incubator, but the infants were significantly warmer while in their mothers' arms. CONCLUSION: VLBW premature infants can maintain a stable temperature in their mothers' arms without evidence of increased metabolic activity. Nurses can encourage mothers to hold their infants without fear of cold stress or weight loss.


Biol Res Nurs 2000 Jul;2(1):60-73 "Kangaroo care compared to incubators in maintaining body warmth in preterm infants."
Ludington-Hoe SM, Nguyen N, Swinth JY, Satyshur RD.
Many preterm infants cared for in incubators do not experience Kangaroo Care (KC), skin-to-skin contact with their mothers, due to fear of body heat loss when being held outside the incubator. Repeated measures ANOVA showed no change in abdominal temperature across all periods and between groups. Toe temperatures were significantly higher during KC than incubator periods, and maternal breast temperature met each infant's neutral thermal zone requirements within 5 min of onset of KC. Preterm infants similar to those studied here will maintain body warmth with up to 3 h of KC.


Acta Paediatr 1996 Nov;85(11):1354-60 "Fathers can effectively achieve heat conservation in healthy newborn infants." Christensson K.
The aim of the present study was to compare axillar and skin temperatures and metabolic adaptation in healthy, fullterm elective caesarean section delivered infants who were randomized to be cared-for either in (a) an incubator, (b) a cot, or (c) skin-to-skin with the father. Forty-four infants were studied. The mean axillary temperature increase was significantly greater in the skin-to-skin cared-for infants than in the cot cared-for group. There were no significant difference in mean temperature increase between skin-to-sin cared-for and incubator cared-for infants. Blood glucose increase was significant in the skin-to-skin group, but not in the other groups. Interestingly, at 24 h after birth the mean axillary temperature was significantly higher in the skin-to-skin group than in the incubator group. It can be concluded that fathers can effectively achieve heat conservation in healthy fullterm caesarean section delivered infants.


Acta Paediatr 1992 Jun-Jul;81(6-7):488-93 "Temperature, metabolic adaptation and crying in healthy full-term newborns cared for skin-to-skin or in a cot." Christensson K, Siles C, Moreno L, Belaustequi A, De La Fuente P, Lagercrantz H, Puyol P, Winberg J.
The aim of the present study was to compare temperatures, metabolic adaptation and crying behavior in 50 healthy, full-term, newborn infants who were randomized to be kept either skin-to-skin with the mother or next to the mother in a cot "separated". The babies were studied during the first 90 min after birth. Axillary and skin temperatures were significantly higher in the skin-to-skin group; at 90 min after birth blood glucose was also significantly higher and the return towards zero of the negative base-excess was more rapid as compared to the "separated" group. Babies kept in cots cried significantly more than those kept skin-to-skin with the mother. Keeping the baby skin-to-skin with the mother preserves energy and accelerates metabolic adaptation and may increase the well-being of the newborn.
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#9 of 9 Old 01-07-2003, 09:04 PM - Thread Starter
 
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Thank you, thank you, thank you... I'm going to my next appt armed. I wish it didn't have to be this way, but it does so...
watch out doc, here I come!!
Tara

41 year old mama to three beautiful girls (19, 16, and 11)

Wildly, passionately, eternally in love with my dear husband.

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