My first birth was in a hospital with an OB. I did everything naturally, but not having a doula on top of having an OB caused some things to go badly (episiotomy, "mandatory" IV, etc).<br><br>
My second birth was in a different, smaller hospital with a midwife. Still no doula, though. It was a planned waterbirth, but the water part didn't happen because of the timeline. I labored as long as I felt comfortable at home with the 45 min drive to deal with. Once at the hospital, I had about 20 min of initial electronic monitoring, and then was free of it for the rest of my short labor. I did not have even so much as a hep lock this time. After some monitoring and a bathroom break, the midwife checked me, and I was at a 5. She brushed up against my bulging waters and accidentally broke the sac. She apologized profusely, it was obviously an accident. Contractions really picked up after that, and it quickly became difficult for me to work through them. After another bathroom break, I became terribly indecisive and had no idea what I wanted to do. The tub wasn't ready, and I answered "I don't know" to so many questions and prompts from my midwife that she finally just made a decision for me and had me go hands-and-knees on the bed. It's not a position I would have really picked for myself, it feels awkward to me. But it worked just fine. I stayed there for the rest of my labor. Contractions came fast and hard, and the nurse who attended the birth was nothing but helpful as far as I remember. DS was born just over an hour after we had arrived at the hospital. Really, aside from not getting the use of the tub, it was a fairly good birth for me. Even if I did feel a bit shell-shocked by how fast it went once we were there. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"> It was the stay <i>afterwards</i> that I really hated. We refused to take DS to the nursery, the midwife assured us that they could have someone come to us if we stuck to our guns. We had to wait almost 2 hours, in the middle of the night, with me desperately wanting sleep, for someone to come and do the newborn schpiel so we could be moved to a postpartum recovery room. We were all pretty uncomfortable because of that. And the nurse who came from the nursery was totally <i>looking</i> for something to be wrong with him, so she could take him away, I think. Kept going on and on about a rattle in his breathing. 2nd opinions confirmed she was nuts. She also gave us incorrect information (directly conflicting with paperwork she had JUST handed us) about intact care, and when I tried correcting her, she was completely gruff about it and insisted she was right. *rolls eyes* But finally we moved to our room and tried to get some rest. Only to be interrupted 20 million times, usually just after nodding off, for stupid reasons likes vitals, or meal choices, or mopping the floors, whatever. Maddening!! I should have expected it, it was the same for our 1st hospital birth, but still no less maddening when all you want to do is rest and have some privacy! And I'll agree with the PP who complained about having to jump through hoops to be discharged. We didn't have to take any classes, but all the things that "have" to be done before you and baby can both be discharged are incredible. We told them upfront that we wanted to leave ASAP, in less than 24 hours if at all possible. We reminded them. We nagged them to get things done faster. And it still took a good 24 hours to get out of there. With a LOT of waiting around for people to come and do their thing. And of course we got a lot of lectures from personnel about our choices, most especially the Vitamin K injection. I finally gave into it just because I couldn't remember my reasons we were declining it, and my pediatrician was also fighting against me, over the phone (I was LIVID that they called my pediatrician after they failed to persuade me the first time - tattle much???). Otherwise it was okay - the rest of the time they allowed us rooming in with no questions asked, my midwife acted as lactation consultant, the nurses treated me fairly well as I developed some nasty hemorrhoids, and so on.<br><br>
So for the smoothest possible hospital experience, I would definitely plan on either having a midwife or doula in attendance, or both. I would also plan on making sure you and your child's doctor are on the same page - if there's anything you plan on refusing at the hospital, you can then say, "My pediatrician and I agree on this, so stop asking"...instead of having twice as many people teaming up against you. Plan on having no true rest while you stay at the hospital, it just goes with the territory. But the faster you can be discharged, the faster you can go home to get some <i>real</i> rest.