We've been planning a homebirth, but due to an unresolved complete placenta previa, need to schedule a cesarean. :/ We had decided upon UNC Chapel Hill for a number of reasons, particularly because we've heard a number of anecdotal stories about how family-centered their cesareans have been for many people there. E.g. dimming the OR lights, baby immediately (or within 1 minute) skin to skin with mom, breastfeeding in the OR, etc. etc. etc.
Today we met with our referral physician and it did NOT go well. He poo-poo'd basically everything from the simple "play some music" options through the skin-to-skin/breastfeeding option. Didn't even bother trying to talk to him about great new things out there like slow cesareans or mom scrubbing up and getting to catch her own baby. :/ It was a meeting full of physician/surgeon lingo promising he was the best, there could be complications but he knows tricks to ensure those don't happen, and blahblahblah. All the bs, and more, of why we homebirth if at all possible. Now granted, this guy is one of the maternal-fetal-medicine Obs, so he's definitely more from the "high risk" camp, which I'm sure colors his view.
Aaaanyway... So after hearing other stories about positive experiences, I've emailed a few friends/doulas about which physician group and/or specific physicians have been so much more friendly, but figured I should/could check here, too. I'm guessing either "regular" UNC Ob or the UNC Family physician group. Anyone know for sure/have personal experience or recommendations? Do you think I can just call either of those up at 30 weeks and get in with any of them?
Thanks so much!
I've had clients who were with UNC OB/GYN that had family centered cesareans. Because UNC is really focusing on being mother/baby friendly they are much more open to family centered cesareans. With that said, it was not necessarily the easiest path. It helped that I was there as the doula, mother was insistent and thankfully each time the nurses have been more than willing to help and be advocates as well.
The one recommendation I always give to clients, is if you want something KEEP asking. The doctor is not entirely the one who makes the decision, it is mainly the anesthesiologist. If you have a supportive nurse they will help you too. Keep asking until you get the right team or the answer you want. It IS possible. I've had moms skin to skin with baby and breastfeeding (although that is a bit more challenging) in the OR.
Good luck and feel free to PM me if you want/need more info.
I'd keep interviewing until you find someone who you like. There is a lot of variability in that OB practice.
A couple of names from OB/GYN I'd throw out there are John Thorpe, Dr. Ivester, and Alison Steube. (I don't know anything about Alison's clinical practice, but she is a huge advocate of breastfeeding in general and skin-to-skin specifically).
Family practice is wonderful, but I don't know that they'll take you as a patient if you are a planned c-sec. But it couldn't hurt to call them and ask. You might try and make an appointment with Andy Hannipel at Family Medicine--he often oversees some of their more complicated OB cases.
UNC is far from perfect, but I'd agree that you have the best shot at a family-friendly delivery there.