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I am doing a HBAC in a few weeks (that's right, doing it, not attempting it <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin">) and i know that if i transfer care it will only be for a life-threatening situation that requires me to have a c/s. I can accept that and move on with conviction and total trust now.<br><br>
However, my chief concern is the treatment of my newborn should that happen.<br><br>
At our homebirth we know and trust that all of our wishes for our baby will be followed to the letter since our midwives so closely share our values. But I worry about my poor dh getting intimidated or simply overruled on all of the unnecessary crap that our local yokel hospital does in the name of 'good medicine."<br><br>
For instance, as a doula i know that the number one response to a written birth plan is "you have to be flexible!" and that the number two response will be "but this is an emergency, step aside and let us do our thing"<br><br>
We want the baby to be put skin to skin for warmth instead of under a heat lamp. We are opting out of all newborn screening, vax, bathing, etc... we want all of the assessments to be done while me or my dh is holding the baby (except for weighing, obviously) I want the baby brought to me for nursing/skin to skin the second i am out of the surgery, not when i'm out of recovery or observation an hour or three later. I have told my dh that he has my consent to allow the baby access to my breast even if i am totally unconscious. We don't want the baby to go to the nursery for one minute, let alone get shipped off to a NICU 80 miles away in the middle of the night...I am just so frightened of all that can go wrong while i am incapacitated by a c/s!!! The very thought that my baby could be being tortured in the name of "just in case" while away from me is just devastating-- i know that they think they are providing the best medical care for my baby, but this is the fear that keeps me up at night now that i have come to terms with the possibility of birth itself not going as planned...i can handle a change in the way that i am treated, but subjecting my baby to that kind of care makes me ill...<br><br>
Okay, that was a bit of a rant. I guess my question is this: Has anyone been in this situation and what things did you prepare for? Which things do you wish you had prepared for? How much can the mw and dh really help in this situation? Should a detailed plan for the newborn be given to the back up OB and to the mw, even though the hospital will likely scoff? Should i pre-register? What are my rights under the law? I know that checking out against medical advice will mean a call to children and youth services in my area-- so i would likely be there the entire three days required after a c-section--which is 72 hours of fear that someone will manhandle my baby!<br><br>
Thanks for listening and thanks for any advice <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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I think, when it comes to back-up plans - go to the maternity hospital and talk to the midwives in charge of your care. The Drs and OBs will always toe the legal line and push for the hospital standard. I may be stirring up some awful stereotyping here but most Drs/OBs are men and truly, I think they are less sympathetic to our green mama ways than the nurses/midwives<br><br>
If it helps ease your fear, I found the midwives and nurses very accomodating to my birthplan. They let me cosleep with the baby - one nurse even got a pillow to stuff down the side of the bed! - and they encouraged me to breastfeed etc. They will be the ones washing, weighing & poking your baby - so if you are adamant about avoiding this prepare them in advance.<br><br>
Hopefully all will go well anyway and this plan will be just that - a plan.<br>
Best wishes
 
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