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Discussion Starter · #1 ·
Where would you have it? Are there any that have tubs big enough for a waterbirth? Do they all allow midwives?<br><br>
I have one specific health issue that means I cannot have a homebirth. Midwives simply won't do it. And I don't blame them. My soon to be husband's insurance doesn't cover birth centers, and I can't see us having the extra couple thousand dollars to pay for one ourselves! So that leaves us with hospital options.<br><br>
I have a list of c/s rates, but it doesn't differentiate between planned, emergency, and "emergency" (I don't know how better to phrase that, but ykwim). I'd love to also have it differentiated between the moms that walked in already considered high risk who ended up w/ c/s, vs those who came in expecting no problems and ended up w/ c/s.<br><br>
I'd also like to find epidural rates. Or rates of various interventions. I have several health concerns, including fibromyalgia and chronic fatigue syndrome, so I worry that the cascade of intervention would be an even slipperier slope for me.<br><br>
But I also want to know what your feelings on the different hospitals, not just stats. There are a lot of factors in one's birth experience that can't be quantified. What's your experience with the attitude toward natural childbirth, bf, cosleeping (preferably in the hospital), non-vax, non-circ, no/low interventions, etc.<br><br>
I was reading on one of their websites (I don't remember which) that right after birth, they weigh, measure, photograph, prick, AND bathe and wrap the baby, AND THEN put him/her in the warmer. WTF? If bfing is supposed to be initiated w/in one hour, how is there time for all that, plus the warmer?<br><br>
I know, it's a little early to think about this, esp. since we're not even married yet, and then we're going to wait at least a year, for me to get healthier (yay insurance!). But we're probably going to be moving soon (ish), and we want to plan for this in our choice of locations, especially as my first birth was SO FAST (got to the hospital at 9.5cm, she was born 3 hours after I woke up w/contractions, and 1 hour after they got to 5min apart, which is when we left for the hospital)<br><br>
If you're still reading this little book, thanks for your input!
 

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Does you husband's insurance cover group health? I had a great birth there but not all insurance's cover it.<br><br>
So could you see a midwife (CNM) at a hospital or does it need to be an OB?
 

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Discussion Starter · #3 ·
Unfortunately, the one hospital I'd actually LIKE to birth at, Group Health, isn't covered by his insurance. Sigh. But, they DO cover midwives attending hospital births. Now, all I have to do is get a midwife to take me. (I have that health issue, plus DD was premature, so I'm considered kinda medium to high risk, by some.)
 

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I had my "urgent" cesarean (unplanned after a looong 64 hr labor) at Evergreen and overall the hospital facilities were quite nice. I labored there for about 10 hours before I went for the cesarean. I have heard good things from other friends, but I had a nurse who was obviously not patient with natural birth. She did interventions while I was asleep without getting consent, even though they were specifically in my birth plan to avoid (pitocin, vaginal checks for example).<br>
Evergreen is very good about letting your baby stay with you, I had no problems there, and they are supportive of breastfeeding. The non-circ issue was respected, but every single person who walked in my room asked if I was getting him circed even though it was marked on my chart and birth plan.<br>
They do have jetted tubs, but they wouldn't let me use them once my water broke. Any other specific questions, I'm happy to answer!<br>
Oh, there are two midwife/OB combo groups there. The Center for Women's Health midwives were happy to take on VBACs, but I'm not sure about your specific health issues. Good luck!
 

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i would strongly advise against uw medical center. i transfered there after 30+ hours of labor. the room they gave me had someone elses blood all over the bathroom (on the toilet, floor, and in the tub) - they forgot to clean it after the last birth. when i let the staff know they told me there was only 1 cleaning person, and i would have to wait until she worked her way back up to the floor we were on. i was like "im in f***ing labor here! i need to use the bathroom now! not in a few hours! wtf?" finally a nurse stepped in and cleaned the bathroom, but she made it very clear how unhappy she was about having to do that.<br>
they did have midwives available to me, and i did avoid a c-section, but they were really intervention happy. monitoring, pitocin, iv's, etc. and i was to tired at that point to be strong about what i wanted. and after dd was born we transfered downstairs, and they gave me a really hard time about not wanting to vax/test her for the 5 million things they reccomend. really the only positive thing i can say about it is that the midwife and midwife in training that delivered dd were both really kind women.
 

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<div>Originally Posted by <strong>CorasMama</strong> <a href="/community/forum/post/9076829"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Unfortunately, the one hospital I'd actually LIKE to birth at, Group Health, isn't covered by his insurance. Sigh. But, they DO cover midwives attending hospital births. Now, all I have to do is get a midwife to take me. (I have that health issue, plus DD was premature, so I'm considered kinda medium to high risk, by some.)</div>
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Hmm could you go there with an outside midwife? I think there are two non-GH midwives that have privleges there. I *think* they are Sally Avenson and Cynthia Brown-CNM's.
 

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From the perspective of a doula, I would pick Group Health, Swedish Ballard (a FP that I love does births there), or Evergreen.<br><br>
I highly recommend getting a copy of <a href="http://www.greatstarts.org/bookstore.htm" target="_blank">The Great Starts Guide</a>. It has an amazing amount of information about not only the facilities, but providers as well.
 

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Hi there mama,<br><br>
I gave birth at Swedish First Hill.<br><br>
I transfered after 18 hours and meconium. I was in labor at FH for another 18 hours or so before the c-s. The doctors were very understanding and did everything they could to try to keep my from having one....but unfortunately in the end my little boys head just was not fitting.<br><br>
All the doctors were really great....I am confident we did what was necessary. I had a great experience with the nurses....they were sooo kind and helpful.<br><br>
The rooms were really private and comfortable. The food was awesome.....<br>
My husband and I both felt it was a great place to have our son......other than a home water birth that we were trying for <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"><br><br>
I've heard great things about Sally Avenson....I tried to meet her three times but our appointments got cancelled so I ended up going with Seattle Home Maternity Service.
 

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I had an excellent experience at the UW Medical Center. I am a UW Midwives patient, and they work out of the Medical Center. For valid medical reasons, I had to have pitocin (water broken for 12+ hours and contractions slowing) and b/c of the Pit, a fetal monitor. The monitor was portable, and I could even get in the tub with it, so it wasn't as big of a PITA as it could have been. My son had two major decelerations in his heart rate, and I had a C-section.<br><br>
In spite of that, I really DON'T feel like the Midwife team were at all into interventions. They were great about letting know what my options were and letting me make decisions about when I would start the Pit -- they let me walk around for 3 hours trying to get things going -- and whether we would continue the labor or go to a C-section after the first decel (after the second, there was no question). And when it became an emergency situation, I also felt like I was in excellent and capable hands.<br><br>
I got to hold my baby immediately after birth (well, after they weighed him and made sure he was breathing), and nurse him for 45 minutes, after which they bathed him. The hospital is very much pro-breast feeding and there are lactations specialists around to help. I did have a bad experience with one nurse, who pushed me into using a nipple shield and sugar water, which was totally misguided, but I complained about her to both the lactation specialist and the front desk and didn't have her for the rest of my stay.<br><br>
They have large jet tubs there, but not big enough for a water birth. I'm renting a labor rub from Labor Tubs Northwest this time around. Also, technically the UW does not allow a water birth, but I have been told by sources on the inside (<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">) that they can't really make a laboring woman get out of the tub if she's determined to birth in there.<br><br>
The rooms were nice, the food available to us was great (self-serve kitchen), and with the exception of the one nurse, the staff was wonderful. And I really can't say enough good things about the midwife team.<br><br>
I'm having a VBAC this time around and my doula said that either UW or Group Health are the two places that are most supportive of VBACs.<br><br>
I would venture to say that the hospital is a facility... who you have caring for you might make a bigger difference than where you are birthing.<br><br>
Hope this helps! Feel free to PM me if you want more info.
 

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<div>Originally Posted by <strong>memiles</strong> <a href="/community/forum/post/9078625"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">From the perspective of a doula, I would pick Group Health, Swedish Ballard (a FP that I love does births there), or Evergreen.<br><br>
I highly recommend getting a copy of <a href="http://www.greatstarts.org/bookstore.htm" target="_blank">The Great Starts Guide</a>. It has an amazing amount of information about not only the facilities, but providers as well.</div>
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Yes, yes, and yes. I was going to say all of this but now I don't have to!
 

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I had my baby at Overlake and have no complaints. I had an emergency C section when the baby was having repeated decels even though I was unaware of contractions. I am in the minority here in that I am grateful I was on a monitor because otherwise I would have been oblivious that I was having strong prolonged contractions & the baby's heart rate was plummeting. Anyway, they were great to work with after. I thought the lactation support was excellent and the nurses were very respectful of our choice to keep the baby with us, sleep with her etc.<br><br>
Everyone I know has had an excellent experience at Group Health but it sounds like that is not an option so I won't rave further ...
 

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I have had my last 3 children at Northwest in North Seattle and I love it. They followed my birth plan to a tee. The nurses were all knowlegable. I had Maggie in May and my main nurse had her baby at home and was an AP parent.<br><br>
I have had all my kids by c-section so I am a little different. But we have always had our chldren with us (well except number 3 he was born very sick). Immediatly after giving birth dh was given our babies to hold. We never had our babies taken away to do medical procedures etc.
 

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We had a wonderful experience, after an unplanned c/s, at Swedish First Hill. The nursing staff was AMAZING. I felt so cared for and understood. I was able to b/f as soon as we got to the recovery room, and even as we were moved down to our regular room. There was a bed for my hubby, and our daughter stayed with us(on me in fact) the entire time. Outside of the c/s it was exactly as I had hoped it would be.<br><br>
I also highly recommend our OB, Dr Hanrahan at Minor and James Medical. I had some health issues that precluded me from using a midwife.
 

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Overall, Evergreen is decently ncb friendly (especially compared to other hospital birth stories I've heard). I had my first ds there, and though my birth was filled with interventions due to PROM, I know others who have had better experiences. As it was, I was allowed to walk the halls and have only intermittent monitoring for the first 6-7 hours to try to get things moving. Then when they started scaring me about needing a c/s to talk me into pit (which would happen anywhere), they had a battery operated unit so that I could continue to walk around as much as I wanted. The nurse encouraged me to eat (though only clear fluids but most hospitals won't even let you have that). The IV wasn't even mentioned until I decided to get an epidural after laboring on the pit as it continued to get cranked up for 3 hours. They have tubs you can labor in (but not birth in) and they will let you in them if your water has broken since they would have let me use it if I wanted to. They put the baby on my chest immediately after birth and waited a half hour or so to weigh and measure, and I'm sure you could ask to delay it longer even if they aren't happy about it. They also have groups of midwives that work out of the hospital, so you may be able to have a midwife attend your birth. I di dhave an awesome labor nurse who stayed 3 1/2 hours past her shift to assist in my birth, on her own time.<br><br>
My biggest complaint is that the PP nurses were not that great. Though since I was one of 2 women who gave birth that day, on of the nursing assistants came in and held my ds for a few hours the night after he was born so I could sleep, which was nice. They also asked about circ ALL the time, which was annoying. But no one tried to persuade me to do it when I said no. They also have a snack cart that comes around in the evenings, which was nice to stock up on sandwiches for midnight snacking while breastfeeding!<br><br>
Overall, not perfect, but compared to friends stories of attempted NCB at hospitals, they seem very friendly to it. And if you don't like your labor nurse, ask for a new one. I also would recommend hiring a doula.
 

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I had an unmedicated natural birth at Evergreen with a CNM from the Center for Women's Health at Evergreen. I had a great, really great experience and would recommend them to anyone. The one thing I would change is that they don't have a birthing tub (just single-person-sized jetted tubs in the LDR rooms). I lucked out and had two good nurses, both of whom were very respectful of my wishes (as was my midwife, of course!). I was monitored, but using a remote monitor on a cart that they only wheeled over to me (I spent most of labor in the tub) every so often.<br><br>
I believe they also have the highest level NICU on the Eastside, so that's something to consider as well IMO.<br><br>
Also, as far as the hospital in general, I took their labor prep class, and found it to be very well-balanced. I was surprised, but it actually had a very fair assessment of drug options, and actually <i>convinced</i> my DH that drug-free was the way to go. They also talked a lot about alternate birthing positions.
 

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As a Doula I say stay FAR, FAR away from swedish first hill if you want to birth normally. They have the highest cesarean and epidural rate in the city. They do a tremendous amount of births there and its very much "get em in and get em out". Its a popular hospital because of their nice rooms, but dont let that fool ya.<br>
My recs would be Swedish Ballard, or Evergreen. I have seen some nice births with the UW midwives as well.
 

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Discussion Starter · #19 ·
These are all great info, thanks!<br><br>
I think I will probably go for (in order) Evergreen, UW, Northwest or Swedish Ballard. I had already decided against Swedish FH, because of their c/s rates. At my 10 yr high school reunion 5 years ago, one of my classmates, who is a L/D nurse at Overlake, was bragging about how high their epidural rates were (like in the 90s, I think)!!! I was like, "umm, gee, how... umm... great?" <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/rolleyes.gif" style="border:0px solid;" title="rolleyes"><br><br>
Now, all we have to do is afford to rent a place close to Evergreen or UW!!! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/biglaugh.gif" style="border:0px solid;" title="laugh">:
 

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Second evergreen. They have tubs for labor but they won't let you deliver in water. I had two vaginal births at Evergreen. One without pain meds one with. It was nice and the lactation support is great.
 
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