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Discussion Starter · #1 ·
I am having a homebirth with this baby (#2) and right now am receiving dual care from an OB.<br>
I am doing this as homebirth is illegal here and if I had to be transported to the hospital I would be treated as if I'd had NO prenatal care.<br>
I've only had one OB appt and I just don't feel comfortable---I have refused things already and feel very intimidated.<br>
What are others doing in states where homebirth is illegal?<br>
I have complete faith in my midwife--there is nothing the OB's can do that she can't (in fact she does more in my book!). It's just that transport and the treatment I will receive if it happens (and I know it PROBABLY won't).<br>
thanks mamas <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin">
 

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Well, I'm due in May and pondering this decision, too. My first was born with a midwife attending in a hospital, there was a labor tub and no interventions or meds- except their damn required heparin-lock iv thing. This time we're going homebirth. My hbmidwife has a cnm with hospital privileges (and obs to do a section, I guess) who will back her up, but that hospital is 45 minutes away, in a smaller town. I live in a city, downtown, and the university hospital is 5 minutes from my house, but of course no damn doctors here will back up a homebirth. We drove 15 minutes to the hospital where I gave birth last time. I really hated being in labor in the car at 5cm, I'm sure I would hate being transported 45mins, you know? So the decision is hard for me, too.<br>
As for prenatal care, with dd the practice had four doctors and two midwives. I was more trustng and ignorant then- I didn't know the doppler was what it was, yk? I just ignored the doctors, for the most part. I didn't know about asserting yourself and refusing tests like that horrible GTT. If it's not too late to find one, it was much better going to a practice with mds and mws, as the midwives had improved the tone in the office. I don't know what you refused on the first appt other than the doppler. But you might want to choose your battles. For instance, I wouldn't do that GTT again, but unnecessary pelvic exams don't bother me.
 

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i just have a few minutes to respond so i'm going to type like a madwoman and hope this makes sense and doesn't sound too abrupt.<br><br>
what do you mean that if you were to transport that you would be treated as if you hadn't had any prenatal care?<br><br>
i am in nc also (and had a homebirth just over a year ago). homebirth isn't exactly illegal here. CNM's can legally deliver babies at home. lay midwives cannot but many do.<br><br>
i had an absolutely wonderful CNM assist in my homebirth. i did not have a local backup ob. if i had transported i would have been treated by whichever OB was there and i was okay with that. i had no plans to transport unless there was a true emergency.<br><br>
one reason i chose homebirth was because i wanted my pregnancy and labor and delivery to be celebrated as the beautiful and *natural* process that it is. i did *not* want my body and my baby to be treated as if they were abnormal and unhealthy for the sole reason that i was pregnant.<br><br>
okay, well pooey there is a lot more i wanted to say but i really have to go. i will come back and add more later.<br><br>
ps- where in nc are you??<br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br>
i did not choose to have dual care because i see no need for it.
 

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Discussion Starter · #4 ·
I guess why I said "illegal" is b/c no doc here will back up any midwife if they choose to do homebirths. I believe my mw is a CPM????<br>
With my last pregnancy I also delivered in a hosp. w/a CNM but they're no longer here and they are even being pushed aroung by the docs <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">:<br><br>
Since she has no back-up at the hosp. she would come with me as my doula if I had to transport for an emergency situation--she can't tell them she is my midwife or that we were attempting a hb.<br>
Soooooo--that's why I will be treated as if I've had no prenatal care--because she is essentially "undercover"<br>
It's so ridiculous!<br>
I am in Southport-just outside of WIlmington, which is where the hosp. is--you?
 

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Wow, Doctors are so over rated.... Are you worried CPS will be called if you have "no" prenatal care? Hospital transfer rates are LOW. And as for the Dr.s you havew the right to DEMAND they not do anything you do not want them to AND leave AMA if you so choose. If you really feel the need to see an OB do so in the last couple mo. to cover yourself and don't go back to the one you don't like. I have changed caregivers as late as 38 weeks
 

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what do you feel you gain by staying, at least part-time, in the medical model of care? is it a sense of security? for me, i needed to make that leap, turn myself over to ME and trust in birth.<br><br>
what would you lose if you left the OB? a chart w/your BP and weight? would you receive better care if you continued to parallel and then had an emergency transfer to the hospital during your birth or would you feel ok w/whomever was in the ER? hope that made sense <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin"> what's really so wrong about them thinking you had no prenatal care? who cares what they think <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/winky.gif" style="border:0px solid;" title="Wink"><br><br>
really, it's a gut check thing, IMO. best wishes on your decision...it doesn't have to be all or nothing, or even on the OB's "schedule" if you do decide to continue.....but, i have a feeling you already know what you *need*<br><br><img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug">
 

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Discussion Starter · #7 ·
<span style="color:#FF0000;">what would you lose if you left the OB? a chart w/your BP and weight? would you receive better care if you continued to parallel and then had an emergency transfer to the hospital during your birth or would you feel ok w/whomever was in the ER? hope that made sense what's really so wrong about them thinking you had no prenatal care? who cares what they think</span><br>
no, that's not what I'm worried about AT ALL!<br>
And I AM confidant in my body's ability to give birth-that's why I am a doula <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/love.gif" style="border:0px solid;" title="love"><br>
My fear is being transported in an emergency and docsc doing all kinds of interventions (antibiotics, iv's erc.) b/c they think I've had no care.<br>
Is this unrealistic?
 

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Do you have a birth plan written out in case of transport? YOur midwife could have copies to take with you since she would be your doula. I dont know what kind of info they would need about your prenatal care if your pregnancy was normal and you were only transported to er during labor.<br><br>
You would have had prenatal care even if its not what the medical society accepts. good luck!
 

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<div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>arismommy</strong></div>
<div style="font-style:italic;">My fear is being transported in an emergency and docsc doing all kinds of interventions (antibiotics, iv's erc.) b/c they think I've had no care.<br>
Is this unrealistic?</div>
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</tr></table></div>
In the unlikely event that you transfer, you can refuse anything you want to. Just don't let them do any interventions. Will your dh stand up for you?<br><br>
-Angela
 

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Discussion Starter · #10 ·
Oh he'd totally stand up for me---and I do feel really safe w/ my mw so I guess if she'd be with me as my doula I would STILL feel safe <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin"><br>
Thanks, mamas-you've really helped me make my decision---I cancelled my OB appt :LOL<br><span>TAKE BACK BIRTH!!!</span> <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/heartbeat.gif" style="border:0px solid;" title="heartbeat">
 

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Hi I'm in NC as well and I probably had the same midwives deliver my daughter in a hospital as you had with your first. One of them is still practicing I believe but at one point was not going to continue. Anyway, I chose not to have a ob or cnm backup with my homebirth this time. I was going to do backup until I found out there was a possibility that those same midwives might not be practicing....<br><br>
Anyway this is what I think...I called our health department to see about going there. I ask about starting prenatal care later in pregnancy and they told me that I really wouldn't want to do that because there was a really important test that they require of all pregnant women at 16 weeks (AFP which I refuse) and I wouldn't want to miss that. I'm sure I would be forced into ultrasounds that I don't want (I don't have a problem with the technology just the stress I think it would create for me), and have tons of other interventions I don't want. What if they had decided to induce on my due date? Or decided my baby was "too big" and they were going to do an automatic c-section?<br><br>
I feel that if I have to go to the hospital it is going to be for something that might need their interventions and it may not be the best time to do any arguing with them. I do plan to write a transport plan if there is time explaining that I have had a natural childbirth in a hospital setting before and am well educated on childbirth and requesting that they discuss all procedures with us before they are done. My midwife (maybe the same one?) also goes to the hospital with us as a doula in case of transport so I'm also hoping she might be able to help us out although she's already said that NHRMC will not be very nice to us so for that reason we'll probably take our chances with the small local hospital.<br><br>
Hope I wasn't too wordy.
 

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Discussion Starter · #12 ·
Camprunner-<br>
yes I think I've pm'ed you before about hb! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br>
I'm sure we have the same mw and you DO know what CNM practice I speak of----I have some serious issues with the one that's is left! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> Although I would still have harder time being dishonest with her than w/ an OB (about the hb after the fact--the 2 of them have been questioned a few times on why the transports have happened w/ "their" patients--what a sad state of affairs)<br>
Do you go to the HB Meetups in Wilm?<br>
I'd love to talk with you!
 

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I'm not gung ho on the one that's left either as she is so much more medically minded. However she did deliver dd with no interventions what-so-ever at all. I'm not sure what it would be like to see her without the other midwife there to push for less interventions.<br><br>
We are planning to be at the meetup tomorrow. We tried the Jacksonville one when it was going on but now that it's ended we are back to Wilmington <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 planned a homebirth VBAC for baby #2 and I did dual-care (shadow care) mostly because of the VBAC status as my state also is an alegal state so homebirth midwives have no dr. backup.<br><br>
We did end up transferring for prolonged pushing and eventually we did end up with another CS.<br><br>
The midwife at the hospital I was doing shadow care with could tell I had been pushing for a looooooong time because I was very swollen, and she eventually got the story that we were trying for a homebirth. This really affected the way we were treated at the hospital since we had been less-than-forthcoming about our plans.<br><br>
On the other hand, because we did do shadow care, the transfer was smooth because my records were already there.<br><br>
But honestly, dual appointments was a big PIA. If I were not a VBAC I would not have done dual care, and even some HBAC moms don't do dual care.<br><br>
take care
 
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