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Discussion Starter · #1 ·
Hey mamas,<br><br>
With any luck, I'm going to be starting those prenatal visits soon! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"> Time to pick a doc...<br><br>
Background: I have two kids already - one born in a freestanding center and one born at home. I'm choosing to have an epidural this time, so I need somebody who can attend me in the hospital.<br><br>
I have very basic requirements: the guy/gal needs to own and know how to use a Doppler or a fetascope, and needs to be able to stitch up a natural tear competently. I don't care much about anything else - I've done this birth thing before, no hand-holding necessary. We are very good at refusing to consent to things, but I don't want to wind up refusing the episiotomy and then being stuck with a birth attendant who has never dealt with a natural laceration before! Is there anybody in town who might fit the bill?
 

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Discussion Starter · #3 ·
<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wave.gif" style="border:0px solid;" title="wave">
 

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Maybe Dr. Stafford. I believe he only attends births at Allen Bennett though. I know he's stitched up women after homebirths.
 

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I like Dr. Stephanie Dach at Upstate Ob/gyn. I don't have personal experience about whether she could stitch up a natural tear but I'm assuming she'd be fine as she seems competent with everything else. The group is not pro-midwife, homebirth, etc. so if you are looking for that, definitely look elsewhere. I think the majority of their patients opt for epidurals but Dr. Dach was very open to all my demands so I think she's workable about things.<br><br>
ETA: She's the only DO in the practice and I've always liked her approach. I don't know if that has to do with her training (DO as opposed to MD and being more holistic) or personality.
 

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My mom used to work with Dr. Dach (at the hospital GYN/oncology not OB though) and only had good things to say about her. I do not like that practice at all though (I went there for my 2nd pregnancy) and wouldn't risk getting one of the other doctors on call. I didn't get an epi or tear so I can't tell you how the Doctor on call would have handled those situations.<br>
Dr. Dach wasn't part of the practice at that time.
 

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I've not seen any of our hospital practitioners use doppler or fetoscope but Dr. Stafford would probably be your best bet if anyone does. And I LOVE Allen Bennett compared to the other hospital options.<br><br>
As far as the natural tears, most practitioners in our area are suturing tears instead of cuts now. Episiotomies are out of fashion (finally).<br><br>
Best!
 

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<div>Originally Posted by <strong>HelgaToes</strong> <a href="/community/forum/post/11645491"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">As far as the natural tears, most practitioners in our area are suturing tears instead of cuts now. Episiotomies are out of fashion (finally).<br><br>
Best!</div>
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Really? My sister had an episiotomy a little under two yrs. ago (2nd birth), she went to Upstate Ob/gyn. I can't remember what doctor she ended up having though. I'm glad to hear she might have been an exception.
 

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<div>Originally Posted by <strong>LavenderMae</strong> <a href="/community/forum/post/11645802"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Really? My sister had an episiotomy a little under two yrs. ago (2nd birth), she went to Upstate Ob/gyn. I can't remember what doctor she ended up having though. I'm glad to hear she might have been an exception.</div>
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Ugh, Upstate OB/GYN.<br><br>
One of the attendings at GHS recently said that they aren't even teaching epis except as an emergency procedure. But then, maybe since I'm only at births as a doula, they are less likely to pull out the scissors?<br><br>
There are certainly still practitioners that cut but it is slipping away to the dusty shelves of pubic shaves and enemas. Hip, hip hooray. Now if they would just employ the tricks to prevent tears...
 

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Discussion Starter · #10 ·
That is all great info, thanks!<br><br>
Dr. Stafford is my kid's ped, but I do not want to show him my girl parts, so that's out. I am currently seeing Dr. Smith at Highlands Center for Women for my well-woman care, and I like him all right. I guess I need to ask him some pointed (hah!) questions about whether or not he is still a fan of episiotomies. He is old enough that I'm sure he was trained to do them as a resident, but people can change...<br><br>
Anybody else who sees this thread, please chime in!
 

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I have a correction to make it was Piedmont ob/gyn that my sister and I both went to.
 

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<div>Originally Posted by <strong>Smithie</strong> <a href="/community/forum/post/11661430"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">That is all great info, thanks!<br><br>
Dr. Stafford is my kid's ped, but I do not want to show him my girl parts, so that's out. I am currently seeing Dr. Smith at Highlands Center for Women for my well-woman care, and I like him all right. I guess I need to ask him some pointed (hah!) questions about whether or not he is still a fan of episiotomies. He is old enough that I'm sure he was trained to do them as a resident, but people can change...<br><br>
Anybody else who sees this thread, please chime in!</div>
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ADVISE: <b>GET OUT!!!!!</b> Dr. Smith delivered my daughter...pm me if you want details! I'm pregnant and NOT using him OR highlands OR st. francis!!!!
 
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