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Discussion Starter · #1 ·
There is an expecting triplet mama in Hillsboro (she is 34 weeks today) that is wanting nothing more then to have a vaginal delivery. Her doctor is telling her that he will deliver via c-section, even though baby A and B are head down (C is breech). Unfortunately, due to her insurance, she is not able to switch doctors. Is there a labor doula out there that would be willing to help support her in the hospital? She is not great at sticking up for herself nor does she know all of her rights. This family does not have any money, so she wouldn't be able to pay. It would be excellent experience though, especially if she has them vaginally. I would love to see this mama avoid the c-section that I had to have. Anybody interested in helping this mama out?
 

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Beth, why is her insurance so limiting? It might be worth a call to the insurance company on her behalf (most people don't understand their rights there either...). Now, finding a doc that will do a vaginal triplet delivery might be the really hard part - are there any at the hospital where she will deliver?
 

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this should be posted on doula support network. PM me or Claudia if you want it posted.<br>
bravo to this mama!
 

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PS:<br>
your family is beautiful; I just saw that you have five children under the age of five. okay, i will stop whining about being so tired with my one newborn now...<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/lol.gif" style="border:0px solid;" title="lol">
 

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Hi Beth!<br><br>
Hope you and your family is well!! I don't have that kind of esperience (yet...), but I could watch Liam for you, Savannah! You are so great! <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/loveeyes.gif" style="border:0px solid;" title="Loveeyes">:<br><br>
I wonder if this mama could sneak in a consult with another provider and get a second opinion. An appeal to the insurance miiiight work.... ??
 

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It is highly unlikely that they will "let" her have a vaginal birth with triplets. Unfortunately the hospital is in a sticky situation because a tipple birth is very high risk<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/duck.gif" style="border:0px solid;" title="Duck">: I personally think someone should have the choice to try but I also see it from the hospitals perspective (having been to over 400 births as a Doula). She does need support even if she does have a cesarean! Has she called Mother Tree? They might do it no cost. My Doula was wonderful. I was trying for a VBAC and needed to have another cesarean. A birthing mom can never have enough support!!!
 

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Discussion Starter · #7 ·
Yeah, it was difficult to find a doctor that would attempt a vaginal delivery with triplets. I found a few, Dr. Winkler and Dr. Weick at Legacy Emanual and Dr. Tomlinson at St. Vincent. However, this mama has Kaiser and it seems that this perinatologist is her only option. I'm not sure why it is so limited. I was all over finding a dr. that would attempt a vaginal when I found out about the triplets but this mama is just not like that. She really wants to attempt a natural delivery but I don't think knows how to go about trying with the medical world. I was just hoping I could at least get her a doula to support her and make sure a few of her wishes are carried out at the hospital.<br><br>
Savmay, can you post this on the doula support network? Also, yes, five little ones gets a little crazy at times but it is also so much fun! Sometimes I wish I could slow time down so I could enjoy each one of them a little more at that moment.
 

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<div>Originally Posted by <strong>elisabethmelner</strong> <a href="/community/forum/post/8166441"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">However, this mama has Kaiser and it seems that this perinatologist is her only option. I'm not sure why it is so limited.</div>
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Kaiser benefits should be more flexible than that... Also, if she can't get a care choice she wants in-network, with a good advocate, she could get permission to go out-of-network. I don't know if she has the time or stubborness to go that direction though. It would need to be a family member or care provider calling Kaiser for her, otherwise they won't discuss her coverage.
 

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My Sister-in-Law has Kaiser and she gave birth at St. Vincent's because Kaiser doesn't have a hospital here. I don't know whether a Kasier doctor attended her or just whomever St. Vincent's had on call, but your friend ought to see if she can see that Dr. at St. Vincent's. Yikes, though, pushing 3 babies out would be quite an accomplishment.
 

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I have Kaiser - I can elect to deliver at Kaiser hospitals or St V's as stated above. I am not sure if the OB/MW/peri would follow the patient to St V's or turn over care to another dr?
 

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<div>Originally Posted by <strong>ttcanother</strong> <a href="/community/forum/post/8169264"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">I have Kaiser - I can elect to deliver at Kaiser hospitals or St V's as stated above. I am not sure if the OB/MW/peri would follow the patient to St V's or turn over care to another dr?</div>
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Kaiser OB's have privileges at St V's, so delivering there does not mean that you get an out-of-Kaiser doctor.<br><br>
I don't understand why they are telling her that she has no one else who could deliver (whether vag or c-section). What if this doctor is not available?<br><br>
Another thing to try is to ask for (demand) a second opinion, and if they say that they do not have another specialist in-network, then she could ask for an out-of-network specialist, like hmmmm...Dr Tomlinson! Or someone at OHSU.<br><br>
As far as I know (I have Kaiser), when something can't be handled by Kaiser doctors, then they send you to OHSU. Maybe there is someone there who could help if she pushed it.<br><br>
Either way, I hope you can find a doula!!!<br><br>
Try Jennifer Steele at MotherTree. She is SOOOO super nice and wonderful. She's an accupuncturist too.<br><br>
Let us know how it goes, please!<br><br>
--Adrienne
 

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Good idea, Adrienne. I've dealt with three of the peri's from here: <a href="http://www.whallc.com/staff/" target="_blank">http://www.whallc.com/staff/</a> Dr. Tomlinson, Dr. Lee (he delivered my twins), and Dr. Watson. I recommend all three of them. Dr. Lee was awesome. He sat in my hospital room at 2am talking w/ me and my family while he waited to see what my body was doing (or not doing..).<br><br>
Not being allowed to see another dr is a load of hooey. And if they don't have the person on hand (specialist (peri!!)) that one needs to see, they have to find one and provide the person for your needs.<br><br>
I hope this Mama finds someone to really stand by her. It sounds like someone else needs to be making the phone calls and/or going in to the dr with her (not just her DP, but someone else as well).
 

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<div>Originally Posted by <strong>Stephanie L.</strong> <a href="/community/forum/post/8164684"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Hi Beth!<br><br>
Hope you and your family is well!! I don't have that kind of esperience (yet...), but I could watch Liam for you, Savannah! You are so great! <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/loveeyes.gif" style="border:0px solid;" title="Loveeyes">:<br><br>
I wonder if this mama could sneak in a consult with another provider and get a second opinion. An appeal to the insurance miiiight work.... ??</div>
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ah, thanks my dear!<br><br><div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>elisabethmelner</strong> <a href="/community/forum/post/8166441"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;"><br>
Savmay, can you post this on the doula support network? Also, yes, five little ones gets a little crazy at times but it is also so much fun! Sometimes I wish I could slow time down so I could enjoy each one of them a little more at that moment.</div>
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will do.
 

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Discussion Starter · #15 ·
Thanks everyone for your advice/help. There are two doulas that have offered their services, so hopefully she'll be set. I'm really hoping she can get herself a new dr., but I'm just worried she doesn't know how to go about doing it. For me it seems so simple, just make some calls but I don't think she is that type of person. I'm hoping her doula can now help her. I'll keep you updated on her progress.
 

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<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>EStreetMama</strong> <a href="/community/forum/post/8176931"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Kaiser OB's have privileges at St V's, so delivering there does not mean that you get an out-of-Kaiser doctor.<br><br>
I don't understand why they are telling her that she has no one else who could deliver (whether vag or c-section). What if this doctor is not available?<br><br>
Another thing to try is to ask for (demand) a second opinion, and if they say that they do not have another specialist in-network, then she could ask for an out-of-network specialist, like hmmmm...Dr Tomlinson! Or someone at OHSU.<br><br>
As far as I know (I have Kaiser), when something can't be handled by Kaiser doctors, then they send you to OHSU. Maybe there is someone there who could help if she pushed it.<br><br>
Either way, I hope you can find a doula!!!<br><br>
Try Jennifer Steele at MotherTree. She is SOOOO super nice and wonderful. She's an accupuncturist too.<br><br>
Let us know how it goes, please!<br><br>
--Adrienne</div>
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I'm not sure about all of the perinatologist's at OHSU, but I think about 5(more than half) of them would push for a c-section. They were pushing csection on me. I had to have one in the end, but when things were ok, they still pushed it.
 
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