I would much prefer a doppler as I do not wish to be confined for 15 minutes subjected to being still and possibly stalling my labor (or left on my back in bed- a position I want to avoid at all costs).
I had none of the above in my 2002 hospital birth. I did have a 15 minute external fetal monitor strip, but that was it, and I was standing/squatting the whole time
No vaginal exam, ever, from start to finish.
No IV or lock.
No stripping of membranes or artificial rupture of membranes.
No pitocin, no cytotec, no augmentation or induction.
No traction on the cord after.
Babe at my breast within 30 seconds.
Delayed cord clamping.
Babe stayed with us for 2+ hours. Then DH followed him and was with him the entire time before they returned him to me.
Babe with me the entire 2 days, co-sleeping in the bed.
NOTHING other than the 15 minute EFM strip...................
So it IS possible to have a non-intervention hospital birth. I'm now due in early August, and damn well intend to do the same again.
No IVs, no monitoring, no internal exams, nothing. I did what I wanted to do and called them in to catch. Then went home. It was great. I didn't stay at night for them to monitor me unnecessarily either.
My OB was 100% on board, and directed me to the hospital that would cooperate. She called them ahead of tiem to ensure they were aware they were to leave me alone, and all went wonderfully!
I believe it's unlikely and rare. No VEs, IV, saline or heplock, ECFM (or intermittent FM), AROM, being confined to the bed, etc. Completely hands off and free to do whatever you wish in terms of your labor/birth preference.
With DD2 I had AROM, saline lock and intermittent FM and three VEs. Without being a royal bitch or making "requests" or "asking" for permission, it would be extremely hard to have a totally normal birth in most hospital settings.
Why didn't you refuse the AROM and stuff? NO is an easy word!
Honestly though, I think you need to look at why you are choosing a home birth vs hospital birth. Because if you really really don't want anything that the hospital will offer you, it's best to avoid the potential argument in the first place (obviously we sometimes have insurance issues or our partner isn't supportive or whatever).
We all walk into a hospital birth knowing that certain things are "standard operating procedure" - like wearing a hospital gown for example. Silly things mostly. IME if you've decided on a hospital birth, don't sweat the small stuff. When it comes down to it, that is not what matters and not what you will remember about your birth experience. Instead, focus on what's important to you and make sure you assign someone (partner, doula) to communicate those desires as they become relevant. YES it can be done.
Mom to James ( 5/2006), Claire ( 6/2008), furry kitties Calvin and Bob, and wife to Dennis.
We all walk into a hospital birth knowing that certain things are "standard operating procedure" - like wearing a hospital gown for example.
At the same time, though, I asked my mw at a late pg visit about wearing my own clothes and she said that would be fine but why did I want to. When it came down to it, I was very comfy in the hosp. gown even though I did have the choice to wear what I wanted.
I disagree. I didn't have to bitch at all. They couldn't do anything to me that I wouldn't let them do, and I had the situation under control. The nurses and docs wished there were more moms like me.
Why didn't you refuse the AROM and stuff? NO is an easy word!
and 3 , in our happy secular
I guess I just can't wrap my head around a bunch of people physically having to force, with great effort, my legs apart and doing AROM or cervical checks. I can't believe a hospital would do that. Apparently they do, but man, I'd be hitting the door running as fast as my laboring body would get me there! LOL!
With my last birth, I wrote out everything, down to not bathing the baby,where to get the diapers from if they needed one (we bring our own to the hospital - cloth). I plan on staying 12 hours after this birth (in a hospital) and my Dr is fine with it. He knows that this is going to be as intervention-free as possible. The only thing I really have to do for this practice is be monitored for 30 mins when I first get there.
Jen, mama to (M-13, N- 10, C- 8
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I have an experienced doula coming with me who vows to stand up strong for my birth plan and knows the nurses at this hospital as well as my doctor.
And on the "how could you possibly get an AROM you don't want" question, most of the stories with AROM I've heard of, it was done without their knowledge or permission. Most of women who have described it didn't object per se, even after the fact, but just described the doctor just doing his thing without telling them what he was doing or why or getting permission. So it's entirely possible - and extremely common, it seems - to consent to a cervical check and end up with AROM.
Homeschooling mama to 6 year old DD.
Right. It's bad here. Learned recently of a mom a couple years back who exceeded the "time limit" on pushing and was wheeled into OR for a section screaming I DO NOT CONSENT. Then as punishment they kidnapped her baby to NICU claiming he was going to die (when nothing in fact was wrong)
CNM at hospital, Bradley trained hubby... arriving already 9 centimeters gone both times. No interventions of any kind. Just me, naked and pacing.. the midwife occasionally slipping up to me with the doptone. No biggie. All the baby checking was done with the baby on my body, we delayed cord clamping. I nursed right away. I was home 12-14 hours later and back in my own bed. A truly joyous experience both times.
That devastates me. It's stories like these that scare people from hospitals (not that I think you have to birth there - given my druthers, I wouldn't have, but hubby really took issue with home birth - if God gives me #5, we will not be wasting the gas, I assure you!). I really think if one finds a good OB who is very comfortable and confident in his or her's hospital procedures, a birth in those facilities can be wonderful. I hope someday that's the rule and not the exception.
The only "intervention" I had was AROM, by MY request after about 39 hours of labor. That was what it took for me to finally get fully dilated and pushing. I definitely don't regret it. (I also had my midwife AROM at my last birth, which was a home birth).
But, back to the hospital, the midwives left me alone, checked me maybe a total of 3 times in the 20 hours I labored in the hospital, all by my request. I was free to eat and drink, move around in the tub, bed, ball, use the squat bar to push baby out. I did not have an IV or anything attached to me. I had intermittent monitoring with a doppler, never had the strap on my belly. They didn't even do a urine/blood draw on me when I got there. I did not have pitocin to expel placenta, or an episiotomy. My midwife stitched up a tear afterward and I accepted a local anestetic for that.
It can be done, with the right hospital and the right caregiver. I was glad to have the midwife I had on duty (I saw a group of 3). There was one I know would have been pushing me to have pitocin to speed up the labor.
I had a very thorough birth plan and a very supportive husband to coach me along.
Good luck with your decision!
But honestly, the baby was coming so fast and I was largely incommunicative because I was post-tictal, that there wasn't time for any interventions save for a crash c-section.
Good luck to you though.
because... It's just not that easy.
I guess I just can't wrap my head around a bunch of people physically having to force, with great effort, my legs apart and doing AROM or cervical checks.
I also just read a birth story from here in Baltimore of a mom who was a UC transfer. For some crazy reason when the OB on call did a VE, he wouldn't remove his hand. Then he inserted a finger into her rectum as well & left both there while she pushed - despite her screaming for him to remove them.
But putting aside those stories where "NO" is blatently ignored, um... women in labor are kinda vulnerable!! It's hard to argue. Particularly if you must do so repeatedly. I can imagine you might just be worn down & just "Cave in." Labor takes a bit of effort & energy to say the least!
So, I can see how a mom could lack enough energy to argue! How many times can a woman in pain lacking adequate non-phramacological pain relief methods (i.e. no bathtubs) continue to say 'no' to repeated offers of an epidural?
How long can a mom continue to say - PARTICULARLLY when they are "playing the dead baby card." Think about it - Moms being pressured to have CEFM (To be sure baby is safe), Vacuum if pushing is going too long (& pressing on poor baby's head), ABTs for GBS (one of my CNMs gave me a lecture on that & I didn't even say I was going to decline! Just questoined it.)
& finally, I've also heard stories of women, even in homebirth, who literally couldn't speak and articulate their needs. They just couldn't form sentences & communicate their needs. Or they could verbally speak, but somehow felt a disconnect in their ability to articulate their needs.
So, I implore you, please realize it's so much more complicated than "Just say no! You too can have a perfect natural birth in a hospital." & stop blaming the victims.
I'm not saying it's NOT possible to have a perfect natural birth in a hospital, but it takes a LOT of work - and it's much more complex than "Just say no." & even with all the right preparation, sometimes it still doesn't work out (doctors misrepresent themselves. etc.)
P.S. Personally, I was 100% mentally lucid! So *I* could have EASILY not only refused any unwanted interventions, but entered into a debate about each intervention & quoted stats! But I think I'm probably the exception, rather than the rule - both in how lucid I was, plus I'm way more hard-headed than the average human. So I realize it's just not as simple as "just say no."
ive heard her birth stories and i know i would never get a birth like that in the hospitals around here.