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#1 of 51 Old 04-15-2007, 12:53 PM - Thread Starter
 
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I knew that would get your attention!

So I go with DD yesterday to "check out" Cypress Fairbanks L&D. She liked the place, nice rooms with tubs, you stay in the same one throughout your stay, labor, delivery, recovery, etc.

While we were there my other DD had a lovely little conversation with one of the L&D nurses. Among other things she asked if they allow their patients to walk around during labor. The nurse was like "um, no" they can't because they are all on pitocin. Really? my daughter says, what if the doctor doesn't order it? The nurse says, "all the doctors here order pitocin. If you come in under 6cm, you will get it."

After that shock wore off she asked how many can be in the room for the birth, she said "up to three, but if the mom has trouble pushing, we make everyone leave, even the father!" My DD has seven names on her list.

If that wasn't bad enough the LVN that gave us the tour wondered why on earth anyone would NOT have an epidural. She also said they give you a few minutes with the baby before they take it away!

I know her and if anyone tries to put pitocin in her veins she would deck them! So funny just thinking about it.

My other daughter other told her that at the very least she would need to have a doula if she decided to give birth there.

In the car after we left my DD said, "maybe I should have a home birth!" She is still worried that something might go wrong though and is scared. A friend that she has known for many years died 8 hours after childbirth when my DD was about 7 months along with her first son. So terribly sad.

She called her DH and told him about the pitocin incident and asked if he would consider a home birth and he said "whatever makes you comfortable." Later on though he told me that he was still really uncomfortable with it.

She is still going to interview Dr. Castillo tomorrow. We are also going to visit Nativiti Birth Center.

We live in Copperfield area, are there any midwives in this area?

Thanks for all your help!!!
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#2 of 51 Old 04-16-2007, 12:21 AM
 
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Yeah, that sounds pretty typical for Houston hospitals. Too much insurance interference! I don't know who is in Copperfield, specifically, but most midwives will travel for a home birth. Do a search on this board and you'll come across many names. I'd recommend to just start calling and asking questions. That's the best way to find out.

Now: Mama of 2! Worker Bee happily married to my DH, motorcycle riding mama to H 8/99 and K 8/09.
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#3 of 51 Old 04-16-2007, 12:27 AM
 
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I responded to your other thread, but I think you are going to find most doctors in this area are very similar. Pitocin is really really normal here. I had a natural birth with my ds but they still gave me pitocin after he was born. I begged them to turn it off and they refused to do it.

If your dd is really wanting a more natural delivery, find a midwife, go to Nativity, etc.
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#4 of 51 Old 04-16-2007, 12:55 AM
 
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Call Chris Duffy. See if you can get your dd to meet with her. She's who I use. Feel free to pm me if you'd like details.

Homebirth is the way to go in Houston. IMO there is not a single truely safe hospital option in town.

-Angela
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#5 of 51 Old 04-16-2007, 01:22 AM
 
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I've met with: Sandra Macdonald, Carol Schumacher, Cathy Rude. They are all different. Cathy Rude is the closest to Copperfield, but this is really irrelevant, in that all of them will travel to you. They can also tell you how many births they have missed because of traffic (willing to bet it's very few) etc.

You need to meet with an talk to several midwives to get a feel for who you click with. It may be the first one. It may be the last one. DON'T choose just based on location. And don't choose just based on what some people on a board think.

There are several good midwives here in Houston.

www.texasmidwives.com
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#6 of 51 Old 04-23-2007, 12:59 AM
 
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My friend delivered baby #2 with Cathy Rude and she is very nice. She sells me good prenatal vitamins at a low cost too.

My sister had her baby in February at Cypress-Fairbanks. Though the facility was nice, I was unimpressed. When I got to the hospital to visit a couple hours after he was born, he was "under observation" in the nursery, which apparently is policy. He was in there with 3 other babies and they were just lying there sleeping or crying. It looked like a baby factory. He needed to be with his mama. I was very upset about this.

My sister did have the epidural, pitocin & bad episiotimy. My mom said they cranked the pit up very much, very quickly, which surprised her, because she had been at several births, including my first which involved 2 failed pit inductions. She said they cranked my sister's up beyond what they did to me and my sister went to labor on her own and was 3 cm before she started. She said she felt like the doctor wanted to be home for dinner by 6 pm.
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#7 of 51 Old 04-23-2007, 12:35 PM - Thread Starter
 
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My sister had her baby in February at Cypress-Fairbanks. Though the facility was nice, I was unimpressed. When I got to the hospital to visit a couple hours after he was born, he was "under observation" in the nursery, which apparently is policy. He was in there with 3 other babies and they were just lying there sleeping or crying. It looked like a baby factory. He needed to be with his mama. I was very upset about this.

My sister did have the epidural, pitocin & bad episiotimy. My mom said they cranked the pit up very much, very quickly, which surprised her, because she had been at several births, including my first which involved 2 failed pit inductions. She said they cranked my sister's up beyond what they did to me and my sister went to labor on her own and was 3 cm before she started. She said she felt like the doctor wanted to be home for dinner by 6 pm.

Wow! That is crazy. Do you know who her doctor was?
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#8 of 51 Old 04-26-2007, 12:35 PM
 
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After being referred to this post, because I also have planned on delivering here, I went ahead and called Cy-Fair Medical Center to see if I could find any more info. out.

I talked to somebody in maternity and asked them if I coudl walk during labor. She said that it would depend on the doctor, but they would "sometimes allow it in early labor".

I also asked about the baby and if it had to leave the mother after birth. She told me that the baby will stay with the mother for 45 minutes and then go to the nursery to be acessed for 3-4 hours, but that they would bring the baby back if it needed to feed.

I asked if pitocin after delivery was mandatory. She told me that would depend on the doctor, but 100% of them use it and generally you would get 1 IV bag post delivery.

Okay, so if I can't use a mid-wife due to medical issues I have, what hospital has a more mother/baby friendly delivery policy? I'm also in the Copperfield area.

Thanks
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#9 of 51 Old 04-26-2007, 12:50 PM
 
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Okay, so if I can't use a mid-wife due to medical issues I have, what hospital has a more mother/baby friendly delivery policy? I'm also in the Copperfield area.

Thanks
Sadly there is not a single baby friendly hospital in town. *More* baby friendly, I can't really say.

good luck!

-Angela
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#10 of 51 Old 04-26-2007, 01:43 PM
 
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That's what I was afraid was going to get said. I just can't belive how trapped I feel in this. Are there mid-wives that deliver at hospitals? Or are mid-wives allowed to give IV medication in birthing centers?

Seriously, this is never something I've had to worry about, after having already had 3 babies. I had no idea Houston was so backward thinking in the whole labor and delivery process.

Thank you to the OP, though, and everyone that's responded for opening my eyes.
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#11 of 51 Old 04-26-2007, 02:13 PM
 
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That's what I was afraid was going to get said. I just can't belive how trapped I feel in this. Are there mid-wives that deliver at hospitals? Or are mid-wives allowed to give IV medication in birthing centers?

Seriously, this is never something I've had to worry about, after having already had 3 babies. I had no idea Houston was so backward thinking in the whole labor and delivery process.

Thank you to the OP, though, and everyone that's responded for opening my eyes.
I think midwives can give IVs at home. What medication might influence it though. I don't know. It will depend on what exactly your situation is.

Really birth centers are just homebirth in a different setting. If you can do a birth center, you can do homebirth- which this town is actually great for!

There are a few hospital midwives, but honestly they are very very medical.

-Angela
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#12 of 51 Old 04-26-2007, 03:54 PM
 
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There are a few hospital midwives, but honestly they are very very medical.

-Angela
My4LittleMonkeys: Yes, yes they are. You can read my experiences with one group (the only hospital based midwives that I know of actually) towards the bottom of this page:

http://www.mothering.com/discussions...=640771&page=3

If you decide to go this route, SERIOUSLY consider having a doula there. Or a very, very good support person/group to guide you. My support person was my husband but he didn't know all of the ins/outs of childbirth procedures, etc. and is a COMPLETE Type B personality. Not really the take charge type.

Also, a hospital that I think is *more* baby-friendly is St. Luke's in the Medical Center. They allow the baby to stay with you (meaning on your breast, belly, skin-to-skin contact, etc.) for two hours directly after the birth during "recovery" (unless something is medically wrong with the baby). Although they do take the baby while you are being transferred up to the maternity floor but whoever you want can go with the baby and be with him/her at all times. They do require a 6-hour transition period for the baby but that can occur in your room at your request as long as someone is present and awake to watch the baby. The baby can room-in with you as well for the whole duration of your stay until discharge. But since my DD was in TCH, I have no actual experience with this though - that is just what I was told. When I was there, I know that the maternity floor was pretty full and I only saw one baby in the nursery the whole time I was there (even though I was mainly over at TCH the whole time).

But I would seriously consider a birth center or even better a home birth if you are able to do that in your circumstances and feel comfortable with that.

Gayle, WAHM to Aaliyah (8/06) and Lorelai (5/10). Married to M. bfinfant.giffamilybed2.gifhomebirth.jpgwaterbirth.jpg
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#13 of 51 Old 04-26-2007, 04:56 PM
 
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Thank you both for the replys.

I've been doing some looking around on previous post and came across a lot of them about the Women's Specialists and St. Luke's, like alegna mentioned. Both the doctors and hospital sounds a lot more up to the standard that I'm used to. I will certainly do some more research and consider them. I would have to say the one thing that would worry me, is that the location is not near me. I have a history of very fast labors and would worry about not making it in time. That was one of the big draws for me about going to Cy-Fair.

I've never really seriously considered a home birth or a birthing center, but that is something I'm going to have to look into more and really start thinking about. I have a mild heart problem, where I have to have antibiotics administered before the baby's born. I will have to look into whether or not that would be a reason not to have a birth center or home birth.

Anyway, thanks again to both of you. I'll continue to research this and will be anxious to see any more posts in regards to this on the message board.
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#14 of 51 Old 04-26-2007, 05:03 PM
 
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Do you have MVP (mitrovalve prolapse)? Are you able just to take oral antibiotics or can they be given IM (an injection in your muscle)? Also, depending on the antibiotic and if the midwife knows how to start an IV, I do believe they can do it at home. I'm certain the CNMs in town can. And even the homebirth CNMs would be better than a hospital (no offense to those who clicked w/a homebirth CNM here....I just didn't).

I would be concerned about getting from Copperfield to St. Luke's too, but I know plenty of people who do it w/o induction.
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#15 of 51 Old 04-26-2007, 05:34 PM
 
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Look into homebirth. I wouldn't think that antibiotics would risk you out with anyone.

-Angela
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#16 of 51 Old 04-26-2007, 09:31 PM
 
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Yes, I do have mvp. Not a big deal, but enough that I do need antibiotics. I've always had an IV at birth, but maybe a pill or a shot would do the trick. It's worth looking into.

I mentioned to my dh about delivering at St. Luke's and he thought I was nuts. He came up with the whole scenario where I went into labor in the middle of rush hour and he had to deliver the baby on the side of the road. Nice, huh?

There's a lot to think about and I'm certainly not ruling any of it out right now, even a home birth.

Thanks again to the both of you!
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#17 of 51 Old 04-26-2007, 11:53 PM
 
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My4littlemonkeys, my dh has the exact same issue with st lukes But as long as I can get someone there to take me on, I'd take the risk.
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#18 of 51 Old 04-27-2007, 04:10 PM
 
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MVP would not risk you out for a homebirth. AND I'm fairly certain they give you the IV form in the hospital because they can, not because you need IV coverage. When you have dental work, you just take oral antibiotics before, right? My mother has mvp, and has had extensive extensive dental work outside of the hospital but no IV antibiotics.

I feel like I beat a dead horse saying this, but you should never rule out homebirth before talking to and interviewing midwives who do them.
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#19 of 51 Old 04-27-2007, 04:25 PM
 
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MVP would not risk you out for a homebirth. AND I'm fairly certain they give you the IV form in the hospital because they can, not because you need IV coverage. When you have dental work, you just take oral antibiotics before, right? My mother has mvp, and has had extensive extensive dental work outside of the hospital but no IV antibiotics.

I feel like I beat a dead horse saying this, but you should never rule out homebirth before talking to and interviewing midwives who do them.
Thank you for the info. Yes, I do just need oral antibiotics when getting dental work done.

I really am considering the homebirth option. I still have a lot of research to do on it. I briefly mentioned it to my DH last night and he was strongly opposed, although, he did say of course it was my decision. Still, it would be nice to have him backing me up.

Thanks for sharing your opinion.
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#20 of 51 Old 04-27-2007, 06:24 PM
 
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Thank you for the info. Yes, I do just need oral antibiotics when getting dental work done.

I really am considering the homebirth option. I still have a lot of research to do on it. I briefly mentioned it to my DH last night and he was strongly opposed, although, he did say of course it was my decision. Still, it would be nice to have him backing me up.

Thanks for sharing your opinion.
Keep researching! Meeting with some homebirth midwives might sway your dh. Also if it would help to talk to pro-homebirth dh's feel free to PM me My dh is a pro-homebirth as they come, though when we first discussed it he was only comfortable with hospital birth.

-Angela
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#21 of 51 Old 04-27-2007, 11:23 PM
 
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Nannysbaby,
Sorry it took me so long to respond - I have been having a heck of a time with my firewalls that I've set up on myself. The doc my sister used was not Castillo. Also, in her doc's defense, she is an intentionally uninformed patient, content to doing what she is told. Your daughter can probably get the birth she wants at Cy-Fair if she finds a pediatrician willing to send orders against mandatory baby-watching and if her ob/gyn is willing to fight for her. But I don't know enough about CF to know about this. I know a woman who had two Bradley births with rooming-in at Women's hospital (and I've heard terrible things about that hospital for natural parenting) because she did a lot of legwork and her pediatrician and ob/gyn sent everthing to the hospital in writing.

My4LittleMonkeys - as for more baby-friendly hospitals - I delivered my first at St. Lukes. I ended up with a c-section (that's another LONG story), but I was with the midwives there, and they really fought for me to have the vaginal birth I wanted. They even put up with me having 4 prostaglandin and 2 pitocin inductions and let me labor for many hours before we decided to go forward with the c-section. The hospital was good. Because we wanted to do attached parenting, my husband was allowed to accompany my baby to the nursery for everything. If I had been in a position to do so, I would have been there too. We roomed-in, and they were fine with that as long as I had an adult "babysitter" at all times. (The first two days after surgery, I really needed someone there anyway to hand me the baby and change diapers). I do not know if they mandate mother/baby separation because I was in recovery for one hour after surgery and the baby was separated from me, but Theodora, the midwife, got them to bring him to me to nurse for a few minutes in while I was in recovery. Breastfeeding help was not very good. I asked for a lactation consultant a couple times and she never came. This time I plan to deliver (hopefully VBAC) at Memorial Hermann in the Woodlands. Supposed to be a baby-friendly hospital, but I chose it for the doc, who is supposedly the best VBAC doc in Houston. The Woodlands isn't too far from Copperfield. I drive much farther to get there. My doctor's name is Beena Johnson. She doesn't feel as "medical" to me as some other ob/gyns I have been around. I was so depressed when I left the midwives because they were like mothers and sisters to me, but I feel good about her. She actually listens and is very calming when I'm upset about something. Sorry for the long post - hope this helps.
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#22 of 51 Old 04-29-2007, 10:54 AM - Thread Starter
 
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Nannysbaby,
Sorry it took me so long to respond - I have been having a heck of a time with my firewalls that I've set up on myself. The doc my sister used was not Castillo. Also, in her doc's defense, she is an intentionally uninformed patient, content to doing what she is told. Your daughter can probably get the birth she wants at Cy-Fair if she finds a pediatrician willing to send orders against mandatory baby-watching and if her ob/gyn is willing to fight for her. But I don't know enough about CF to know about this. I know a woman who had two Bradley births with rooming-in at Women's hospital (and I've heard terrible things about that hospital for natural parenting) because she did a lot of legwork and her pediatrician and ob/gyn sent everthing to the hospital in writing.

My4LittleMonkeys - as for more baby-friendly hospitals - I delivered my first at St. Lukes. I ended up with a c-section (that's another LONG story), but I was with the midwives there, and they really fought for me to have the vaginal birth I wanted. They even put up with me having 4 prostaglandin and 2 pitocin inductions and let me labor for many hours before we decided to go forward with the c-section. The hospital was good. Because we wanted to do attached parenting, my husband was allowed to accompany my baby to the nursery for everything. If I had been in a position to do so, I would have been there too. We roomed-in, and they were fine with that as long as I had an adult "babysitter" at all times. (The first two days after surgery, I really needed someone there anyway to hand me the baby and change diapers). I do not know if they mandate mother/baby separation because I was in recovery for one hour after surgery and the baby was separated from me, but Theodora, the midwife, got them to bring him to me to nurse for a few minutes in while I was in recovery. Breastfeeding help was not very good. I asked for a lactation consultant a couple times and she never came. This time I plan to deliver (hopefully VBAC) at Memorial Hermann in the Woodlands. Supposed to be a baby-friendly hospital, but I chose it for the doc, who is supposedly the best VBAC doc in Houston. The Woodlands isn't too far from Copperfield. I drive much farther to get there. My doctor's name is Beena Johnson. She doesn't feel as "medical" to me as some other ob/gyns I have been around. I was so depressed when I left the midwives because they were like mothers and sisters to me, but I feel good about her. She actually listens and is very calming when I'm upset about something. Sorry for the long post - hope this helps.

Thanks for the reply. Actually DD had nixed Dr. Castillo immediately after her visit with him. She interviewed a Dr. Oanh Bui after that and decided that she would go with her. Mind you, this was after she told my DD that she induces all her patients at 39 weeks!!! I was like, are you serious here lady? I was astounded that DD would even consider it!

I think the reason she made that decision was because Dr. Bui is a funny, perky young doc and that reminded DD of her OB back in CA. Thankfully, after a few days of mulling over what the doc told her she changed her mind.

I am so relieved because I did not care for that doc's methods, to say the least.. She has (for now at least) decided that Dr. Patolia out of St, Joseph's is the one for her. She was the first one she went to and was very nice. She said no problem to everything on her birth plan...not pit...no IV...you want 7 people present at the delivery, no problem.

We did visit Nativity, which is very nice (love those tubs). Unfortunately, they told us about a woman that ruptured (vbac) and baby did not make it. This freaked her out totally. Up until that time, she kept saying to me "I feel really comfortable here" from the moment we walked into the waiting room. It made me wonder how many babies are lost at the hospital each year.

Anyway, hopefully she will have the birth she wants with Dr. Patolia at St Joseph's. I understand the their section rate is around 17%, so that is a lot better than Cy Fair anyway.
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#23 of 51 Old 04-29-2007, 12:19 PM
 
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St. Joes has better section rates (though no one in town is anywhere near 17%) As of 2004 their section rate was 24.06%

Be aware that St. Joes is in general a bad hospital. It's the only hospital my grandmother will go to- so I speak with a lot of experience sadly. Also mamaverdi can tell at least one horror story of someone birthing there....

good luck!

-Angela
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#24 of 51 Old 04-29-2007, 12:41 PM - Thread Starter
 
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St. Joes has better section rates (though no one in town is anywhere near 17%) As of 2004 their section rate was 24.06%

Be aware that St. Joes is in general a bad hospital. It's the only hospital my grandmother will go to- so I speak with a lot of experience sadly. Also mamaverdi can tell at least one horror story of someone birthing there....

good luck!

-Angela
Angela if it were my birth this would not even come up, but since I am but the proud Nanny, I have limited input.

I would like to hear that story.

BTW-one of the nurses there told us the section rate was 17%, I should have known better.
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#25 of 51 Old 04-29-2007, 01:26 PM
 
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Angela if it were my birth this would not even come up, but since I am but the proud Nanny, I have limited input.

I would like to hear that story.

BTW-one of the nurses there told us the section rate was 17%, I should have known better.
Yeah, I know- it must be hard to stand back and watch. Never believe the nurses

From memory (it's on the boards somewhere if you search) a mom (who was also an RN) had a baby in NICU at st. joes. Mom noticed that a line was getting infected. Politely pointed it out, asked to have it changed. Long story short, not only did they not change it (and her child ended up sicker because of that) but they kicked her out of the nicu as well.

They tend to be very opinionated and not the best medical providers in town if you follow my drift.

Though having a priest on your side when you're there helps...

-Angela
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#26 of 51 Old 04-29-2007, 05:08 PM
 
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I responded to your other thread, but I think you are going to find most doctors in this area are very similar. Pitocin is really really normal here. I had a natural birth with my ds but they still gave me pitocin after he was born. I begged them to turn it off and they refused to do it.

If your dd is really wanting a more natural delivery, find a midwife, go to Nativity, etc.
FWIW this is what I am facing at St. Luke's and unfortunately I just found out last week...

I repeatedly asked ALL FIVE of the docs in my OB practice about any standard or routine interventions during labor or birth -- or Pitocin to deliver the placenta -- because I do NOT want any of those. Well, apparently they give Pit after the placenta is expelled "just to make sure" there is no hemorrahage (Sp?) and I asked about refusing but the doc(s) said it's not an option for me to refuse. It's amazing to me that after ALL of my specific questions this never came up before (maybe I was TOO specific) until Week 34 and so far no other OB will take me. I haven't contacted any midwives yet.

I know people on these boards have said you can refuse anything but it doesn't seem to be the case in reality. DH said he is going to support me 100% on this and we are going to try and get a doula this week but I'm still worried that even if everything else goes OK and I make through a natural labor and birth process we (baby and I) will still end up with Pitocin since I'm sure the docs have some kind of legal loophole to force patients in these types of situations. They truly believe it is in my best interest -- because 3%of women do have excessive bleeding and, who knows, I could be one of them. Then again, what is the death rate on Houston highways? I have to drive around all day, every day, for my job. If I was worried about every 3% risk I wouldn't leave the house. In fact, I wouldn't live in this place.

Anyway, sorry for the rant but just had to add my experience in case it can help anyone else. Apparently there are a few OBs who deliver at St. Luke's who will wait to see if Pitocin is needed but none would take me at this late date. So don't wait to long...
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#27 of 51 Old 04-29-2007, 07:13 PM
 
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Interesting about the pit after delivery. This is something I keep seeing come up. So you go thru a drug-free birth and they immediately put you on pit? One of the things they tell us with VBAC is that pit increases the risk of rupture - wouldn't this be true AFTER the birth as well?! Anyway, nothing worked as well as breastfeeding. I had so many contractions when breastfeeding. This was my first child, c-section because my uterus wouldn't contract on its own (or with prostaglandin or with pit, for that matter). I guess once it got the message, it got going. I cannot imagine what it's going to be like after #2, because I have heard from so many women they couldn't feel after-birth contractions until their second child.
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#28 of 51 Old 04-29-2007, 07:32 PM
 
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I don't believe pit causes abruption after labor, depending on how it's given. The real problem is that it could trap your placenta.

And with the RN at St. Joe's story: they actually got a legal injunction barring her from the NICU. During that time the baby developed an infection from the line. When the judge reviewed the issue (a week plus) later, he called it ridiculous and let her back in.

FWIW, I've also heard of people being strapped down at St. Joe's.

And yes, txbikegrl, I have a lot of experience in hospitals. And I also no longer agree with the sentiment that you can refuse anything. You can try. But hospitals have their ways of getting you to comply.
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#29 of 51 Old 04-30-2007, 12:05 AM
 
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If you are in the hospital and want to refuse pit I would do three things.

1. don't sign the general consent form when you're admitted. Insist that they get consent for each and everything (some moms have had good luck doing this.)

2. do not allow an IV or hep lock (those will allow them to put it in without you realizing)

3. have someone on sharp watch- dh or a doula whose main job is to watch for sharp things coming at you without permission.

Not saying that you could 100% avoid it this way, but if you want to try those three things will help.

(homebirth homebirth homebirth....)

-Angela
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#30 of 51 Old 04-30-2007, 12:16 AM - Thread Starter
 
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Quote:
Originally Posted by mamaverdi View Post
FWIW, I've also heard of people being strapped down at St. Joe's.
Oh boy, was that during childbirth?
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