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<p>I had my first ob appointment today at 17 weeks. My plan has been to see an OB and either let them know Im switching at the end and just having an uc or plan an oops. Well this was not a very pleasant visit. The second I declined the pap, I was starting a battle. He told me that in NC if youre under 25 its the law to get the std checks and that they might have to deny me care if I dont give a little. I was very nice about everything I had to say but just felt like I was being harrassed by this guy. Eventually he brought in the cnm in the office (who I wanted to see) and she was much more gentle. She said that she understood and she doesnt see a problem with not having it done but the problem is the ped is going to throw a fit. I told her that I would get the GBS test done later just because I do not want to be forced to stay in the hospital for 48 hours and she said that she could just do the std swab then without using any tools, I said we could discuss that later. Now Im feeling very unsure. She was very nice and was for sure trying to work with that I said. But at the same time she said its hospital policy to induce at 41 weeks ( I went over that with my son). And a ped will not sign me out before 24 hours and she said they are very hard to work with. Im not getting so unsure about this. If I do end up at the hospital its going to be a fight with EVERYTHING. I do not want the  hep b shot or vit. k or eye ointment. I just know that denying all that is going to cause a stir. And as far as pregnancy goes I do not want the GB test and I know if this is an issue that, that will be too! I really am at a loss for words. What should I do in this situation?? My husband is not so sure about uc so my plan was to see an ob and if I feel like my labor is going okay stay at home but my biggest fear is tearing and needing to go to the hospital. Homebirth with a midwife (what my husband wants) doesnt seem to be an option here. Im just at a loss right now!</p>
 

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<p>Is the hospital Albemarle?  If so, I think your midwife was lying. I know quite a few people who have had their babies there at over 41 weeks. maybe it's her practice's policy but he didn't want to say that because she thought you'd call BS on her.</p>
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<p>Who is the midwife you saw? </p>
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<p>I beleive they are correct about the chlamydia and gonnorrea test, but it's not just law for people under 25 it's everyone. I didn't mind the test though.</p>
 

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Discussion Starter #3
<p>It is albemarle and her name is Ashley. This is only my first time seeing them. I am not getting the tests and if its going to be like that I informed them that I would go elsewhere which Im not planning on doing more than likely.</p>
 

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<p>what's so awful about a swab for std's?</p>
 

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<p>I'm not seeing the problem with the swab for STDs either (although I am relieved to hear that the law, if it exists, does not apply only to people under 25 - it's not like you get immunity from sexually transmitted infections wrapped up in a bow on your 26th birthday).  Especially if they'll do it at the same time as the GBS swab.  No one likes getting q-tips stuck in their parts, but you could at least get it all over with in one go.</p>
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<p>I think that planning a UC without your spouse on board is a bad idea, so in your shoes, I might look around at other practices that work with hospitals near you.  Check the Finding Your Tribe area and see who people have had good experiences with.</p>
 

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<p>It sounds to me like you are still on the fence about birth plans...not really committed to UC (and also don't have dh's support), but wanting to avoid hassles with the hospital.  Not that I blame you!</p>
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<p>But you are early enough in your pregnancy that there is time to think, study and decide.  If you feel that the hospital remains a real possiblity, then it's probably best to search out the provider who is going to fit your desires the best...even if there are some compromises to be made.  For instance, it will be your right to decline Hep B for baby--but not Vit K.  But Vit K is after all just a vitamin, extremely unlikely to cause harm even if it's not strictly needed by your baby.</p>
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<p>Also, if you try to UC, but decide to go to the hospital, then it's likely you will actually WANT some forms of med assistance there.  Even in a non-emergency situation, you might want some med help for yourself or baby.  2 things about that: one is, to some extent you have to resign yourself to med interference of some degree (even if not much) and it's best to pick your battles rather than fight everything (such as my Hep B and Vit K example) because then your birth won't be one long fight!  2nd, you will still have many choices most likely (if you do your homework now, and create a viable birth plan for your hospital and providers--that is, stuff you know they are willing to work with).</p>
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<p>Anyway--you have plenty of time.  I strongly suggest that since you want med backup, and are still leaving hosp birth as a fairly strong potential option, that you adopt a more accepting attitude about med birth care.  Not entirely accepting, not by any meas!  But accepting enough to make your way peaceably, accepting enough to create a plan that is peaceable enough, and not one long fight.</p>
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<p>by the way, the GBS test is no big deal.  There are ways to get a negative result...</p>
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<p>Perhaps over the coming months you will find the birth plans that suit you best, whether UC or hospital.  Maybe you will find a hb mw.  How far are you from Asheville?  I know someone there who might be able to help you if you're close enough.</p>
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<p>good luck!</p>
 

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<p>There is a birth center in Fort Mill sc (about 5 min south of charlotte) run by four midwives.  I had my son there last december and they are great ladies.  That would probably be a great in-between for your situation.  carolinabirth.org</p>
 

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<p>Unfortunately Rylin'smom lives in my area and we are very isolated by our geography here. She is 6 hours from Ft. Mill and about 8 from Asheville.</p>
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<p>I'd always heard the most wonderful things about Ashley so I am sorry to hear that you had a bad experience with her.  Have you tried Angie Harmon? A doula friend used and loves her.  Have you looked at practices in Va Beach?  None of their CPMs come to NC anymore now that they are licensed but you might find a midwife who delivers at Chesapeake or Norfolk you like.  Have you looked at DePaul birth center?  I wouldn't discount it without interviewing the midwives.</p>
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<p>If you decide to give Ashley another try you could ask the front desk to make sure your appointments are only with her and that you never see the OB.  My best friend did this at my OB's practice. She hated one of the NPs (who is actually my favorite) and they made sure she never saw her.  That way you could still have established prenatal care in case of an emergency transfer or comfort transfer should it happen.</p>
 

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Discussion Starter #9
<p>I have no problem with a swab but its still going against not wanting any cervical "checks", She would still have to get to my cervix to do the swab which is what I dont want. And she openly said that the std check was no big deal but the ped is going to be the one throwing a fit about it. I am not sure what I want to do between homebirth with midwife and u/c but I am sure that I do not want to have my baby in the hospital here. I have heard many horrible things from fellow coastie wives that I trust. I dont have the option of ppicking another hospital because the closest hospital is going to be an hour away. My issue is, that although I had wonderful pregnancies with my other two, I felt completely robbed with my birth and thinking back it wasnt even bad because it was just the dr. and not the hospital or nursing staffs fault. I was able to deny the pap smears and cervical checks and GB test no issue. At the hopsital I denied everything for my babies no issue. And now Im in a place where those options are there but a lot more difficult.</p>
 

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<br><br><div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>Rylins mama</strong> <a href="/community/forum/thread/1284303/dont-know-what-to-do-now#post_16104486"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a><br><br><p>I have no problem with a swab but its still going against not wanting any cervical "checks", She would still have to get to my cervix to do the swab which is what I dont want. And she openly said that the std check was no big deal but the ped is going to be the one throwing a fit about it. I am not sure what I want to do between homebirth with midwife and u/c but I am sure that I do not want to have my baby in the hospital here. I have heard many horrible things from fellow coastie wives that I trust. I dont have the option of ppicking another hospital because the closest hospital is going to be an hour away. My issue is, that although I had wonderful pregnancies with my other two, I felt completely robbed with my birth and thinking back it wasnt even bad because it was just the dr. and not the hospital or nursing staffs fault. I was able to deny the pap smears and cervical checks and GB test no issue. At the hopsital I denied everything for my babies no issue. And now Im in a place where those options are there but a lot more difficult.</p>
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Once again, I think they're lying. Teh STD test shouldn't have to swab your cervix. Mine didn't, my old OB whom I left because I found her too conservative when it came to childbirth/prenatal care didn't go that far up at all.  Also, the ped shouldn't throw a fit, just know they'll insist on those eye antibiotics if you don't have a neg. test result on file should you end up in the hospital.  Chesapeake shouldn't be an hour from EC. </p>
 

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<p>If they are swabbing for STDs they have to swab the cervix because this is the only reliable place to swab...your cervix might have been low or they were gentle and you couldnt tell where they were;)</p>
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<p>It is your right to decline Vit K also...the only reason they give this is to promote clotting and if you aren't having a boy- not circumcising him or at least not in the first week of life it is very much a choice.</p>
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<p>The problem with trying to be "peaceful" and not demanding is that they will make choices and you will live with them;)</p>
<p> </p>
<p>P.S. I was a L&D nurse for 7yrs</p>
 

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<p>They're lying to you.  It isn't the law...</p>
<p> </p>
<p><strong>Are there any prenatal tests that are required by law?</strong><br>
No, according to the American College of Obstetricians and Gynecologist’s Pregnant Patient’s Bill of Rights, a woman has the right:</p>
<ul><li class="FAQText">To be informed of the effects and risks of drugs and procedures on her and her baby.</li>
<li class="FAQText">To be told of all possible alternatives and options in treatment and procedures</li>
<li class="FAQText">To choose for herself, without pressure from any health care provider, whether or not she and her baby will accept drugs, treatments, and procedures</li>
</ul>
 

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<br><br><div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>downvalleygirl</strong> <a href="/community/forum/thread/1284303/dont-know-what-to-do-now#post_16103642"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a><br><br><p>what's so awful about a swab for std's?</p>
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<br><br><p>I have a pelvic pain disorder, and STD swabs and paps are intensely painful. Like, the worst pain I have ever experienced in my life. It can be difficult for people with trauma histories too.</p>
 

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<p>gonorrhea and chlamydia can be screened for with a urine test, no need to swab anything.  that doesn't really address any of the other issues the OP is having but is good for people to know.</p>
 

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<p>Jessica, or anyone else that knows, could you elaborate on the urine tests for STDs a bit more.  I've always known they were available and wondered why the swab was the preferred method for testing.  Is it a timing issue?  You need to have had the STD longer to show up on the urine test, so more recent exposure would be missed?</p>
<p> </p>
<p>Kat</p>
 

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<p>Just so you know, it is not the law anywhere that YOU must be tested for STI's. As far as your state is concerned:</p>
<p> </p>
<p><b><i><span style="font-size:small;">STD Testing and Expedited Partner Therapy</span></i></b></p>
<p><span style="font-family:Calibri, Calibri;font-size:small;"><span style="font-family:Calibri, Calibri;font-size:small;">CDC recommends all sexually active females age 25 and younger be screened annually for chlamydia. Only Georgia, Tennessee and Maryland require insurance coverage for chlamydia testing. All states allow teens to consent to STD testing, but insurance rules governing Explanation of Benefits lead to breaches of confidentiality for patients who are covered by a parent’s insurance. In addition to treatment of patients diagnosed with an STD, ensuring treatment of their sexual partners is a central component of STD prevention and control. <span style="display:none;"> </span></span></span></p>
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<p><span style="font-family:Calibri, Calibri;font-size:small;"><span style="font-family:Calibri, Calibri;font-size:small;">If you feel you are at risk for some of these things, you can do the swabs yourself, especialy the GBS swab, and give them to the practicioner. They don't need to be anywhere near your cervix if you don't want them there!!!!!!!!!</span></span></p>
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<p><span style="font-family:Calibri, Calibri;font-size:small;"><span style="font-family:Calibri, Calibri;font-size:small;">And also, I am sad to hear that hospitals are still using these techniques. You can leave WHENEVER you want to or refuse any treatment. The only problem here is if you leave a hospital AMA(against medical advice) your insurance may not cover your time there.</span></span></p>
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<p><span style="font-family:Calibri, Calibri;font-size:small;"><span style="font-family:Calibri, Calibri;font-size:small;">Ever thought about going to the Farm?</span></span></p>
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<p><span style="font-family:Calibri, Calibri;font-size:small;"><span style="font-family:Calibri, Calibri;font-size:small;">There are lot's of wonderful options out there!! Don't worry too much about it.</span></span></p>
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<p><span style="font-family:Calibri, Calibri;font-size:small;"><span style="font-family:Calibri, Calibri;font-size:small;">Here is a link to the pregnant womans bill of rights:</span></span></p>
<p><span style="font-family:Calibri, Calibri;font-size:small;"><span style="font-family:Calibri, Calibri;font-size:small;"><span style="font-size:small;"><a href="http://www.aimsusa.org/ppbr.htm" target="_blank">http://www.aimsusa.org/ppbr.htm</a><span style="display:none;"> </span></span></span></span></p>
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<p><span style="font-family:Calibri, Calibri;font-size:small;"><span style="font-family:Calibri, Calibri;font-size:small;">here is a link of things to know about for an Unassisted birth:</span></span></p>
<p><span style="font-family:Calibri, Calibri;font-size:small;"><span style="font-family:Calibri, Calibri;font-size:small;"><span style="font-size:small;"><a href="http://www.umbrellanoize.com/stuff/Emergency%20Childbirth.pdf" target="_blank">http://www.umbrellanoize.com/stuff/Emergency%20Childbirth.pdf</a><span style="display:none;"> </span></span></span></span></p>
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<p><span style="font-family:Calibri, Calibri;font-size:small;"><span style="font-family:Calibri, Calibri;font-size:small;">I hope all of this is helpful. it's your body and your choice. if i can be of any further assistance please let me know :)</span></span></p>
 

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<p><br>
Just want to point out that ACOG is not The Law.  The rights listed below have nothing to do with the law--to discover the law in your state, you'd have to consult the statutes.  Some states DO require certain tests/treatments for pregnancy/babies.  Not to say you can't opt out at all, only that such laws do exist.<br>
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<div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>rsochi</strong> <a href="/community/forum/thread/1284303/dont-know-what-to-do-now#post_16106059"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border-bottom:0px solid;border-left:0px solid;border-top:0px solid;border-right:0px solid;"></a><br><br><p>They're lying to you.  It isn't the law...</p>
<p> </p>
<p><strong>Are there any prenatal tests that are required by law?</strong><br>
No, according to the American College of Obstetricians and Gynecologist’s Pregnant Patient’s Bill of Rights, a woman has the right:</p>
<ul><li class="FAQText">To be informed of the effects and risks of drugs and procedures on her and her baby.</li>
<li class="FAQText">To be told of all possible alternatives and options in treatment and procedures</li>
<li class="FAQText">To choose for herself, without pressure from any health care provider, whether or not she and her baby will accept drugs, treatments, and procedures</li>
</ul></div>
</div>
<br><br>
 

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Discussion Starter #18
<p>Thank you everyone. Im going to get my ultrasound in 3 weeks and then Im done with the office. I found a midwife a little ways away so Im going to get prenatal care with her and if my labor goes anything like my son she wont make it in time for the birth but will at least be here after for any care that me or the baby needs (which was what my husband was worried about) So that should work out perfectly for all of us as long as everything goes according to plan.</p>
 

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<p><br>
I had my oldest at 23 in NC with a hospital midwife and did not have any STD tests done that I know of. I did have some bloodwork done during the pregnancy so they could have slipped it in though. The second was with an underground midwife so I'm not sure for that one. For this one, I have only had my thyroid tested (which I pay a separate bill for) and I had them do a blood type test but I watched them do that. So I really don't think it's the law here.<br>
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<div class="quote-container"><span>Quote:</span>
<div class="quote-block">Originally Posted by <strong>Evergreen</strong> <a href="/community/forum/thread/1284303/dont-know-what-to-do-now#post_16102730"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border-bottom:0px solid;border-left:0px solid;border-top:0px solid;border-right:0px solid;"></a><br><br><p>Is the hospital Albemarle?  If so, I think your midwife was lying. I know quite a few people who have had their babies there at over 41 weeks. maybe it's her practice's policy but he didn't want to say that because she thought you'd call BS on her.</p>
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<p>Who is the midwife you saw? </p>
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<p>I beleive they are correct about the chlamydia and gonnorrea test, but it's not just law for people under 25 it's everyone. I didn't mind the test though.</p>
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<p>The GBS test doesn't got to the cervix, or at least it shouldn't. I did the GBS with my homebirth (turned c-section due to brow presentation) last year, and I was just told to swab the exterior of the vagina, the perineum, and the rectum.</p>
 
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