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Discussion Starter · #1 ·
I am planning a natural birth in a hospital. The hospital birthing instructor said the hospital is fine with no IV fluids and only intermittent fetal montinoring if you don't have an epidural. I have been relying on that, because these are things I don't want to fight about. I know I can refuse them, but would rather not be in a confrontation relationship with the providers during labor.<br><br>
Yesterday, I showed my birth preferences to one of the doctors in my OB practice, and she said I would have to have fluids and continuous monitoring regardless of whether I had an epidural or what my plans were. I absolutely cannot see how this is necessary, and it will surely lessen my chances of doing laboring naturally successfully.<br><br>
I called this morning to talk with the doctor I saw primarily before I was pregnant, to find out if this is all of the doctors' opinions and standard practice procedure. No word back yet.<br><br>
I am very surprised to learn that this one doctor has a policy that seems worse that the hospital's policy. I am 35 weeks but am not ruling out trying to switch providers at this point.<br><br>
Anyone in a situation where their OB "won't let" them do some things that the hospital is totally fine with? Who is going to prevail here?
 

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The hospital will back the DR. It's what they do.
 

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I think I would respond to that OB:<br><br>
"Have you ever heard of a little thing called informed consent? You will only do whatever I consent to, and I am not consenting to IV fluids and constant EFM."<br><br>
I would definitely talk to your OB and see what she says about it. I would also want to know what would happen if the other OB was on call. You can refuse to have that OB attend you, and take your chances with whomever is on staff at the hospital at the time.<br><br>
Neither the OB nor the hospital can legally deny you the right to receive services. Of course, the practicality is you are very vulnerable in labor and it is very hard to fight against them.<br><br>
It wouldn't hurt to look for another provider, and also to investigate hiring a doula to help. I think a doula is essential in a hospital birth.
 

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I hate to be negative, but it really doesn't matter much what your regular OB says when he gets back to you. What are the changes that he will be the doctor on-call? And it that a likelihood that you're comfortable with?
 

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I would change providers ASAP, as has been recommended. But also keep in mind, there are some doctors out there who will agree to your birth plan and it will fly out the window the moment you are in labor and admitted. Are there any nurse midwives in the practice/area?
 

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Nurse midwives are generally MUCH more on board with things like no IV and only doppler monitoring than OBs (and also are MUCH less likely to give you other things you don't want or need like an episiotomy). I'd try and find a CNM in your area if I were you. The next best option would be to try and find a more open-minded OB.
 

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<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hug2.gif" style="border:0px solid;" title="Hug2"><br><br>
I'm sorry that you're facing this at this late date. Stressful! I hope you find peace soon.
 

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Discussion Starter · #9 ·
Thanks so much for all of your replies. I did make some calls yesterday and found a CNM who will take me on even at this point and who is completely on board with what we are wanting to do. She delivers at the best hospital for natural birth in the area. It will mean 30 minutes further to the appointments and hospital, but it will be so worth it. It's scary to change this later in the game, but this is for the best. Thanks again!
 

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<div>Originally Posted by <strong>tennfree</strong> <a href="/community/forum/post/11611259"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Thanks so much for all of your replies. I did make some calls yesterday and found a CNM who will take me on even at this point and who is completely on board with what we are wanting to do. She delivers at the best hospital for natural birth in the area. It will mean 30 minutes further to the appointments and hospital, but it will be so worth it. It's scary to change this later in the game, but this is for the best. Thanks again!</div>
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I really hope this solution works out for you. I am also refusing IV fluids and continuous fetal monitoring, but I'm lucky that my doctor is on board with that. Wishing you a gentle, peaceful birth! <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/joy.gif" style="border:0px solid;" title="joy">:
 

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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;">Thanks so much for all of your replies. I did make some calls yesterday and found a CNM who will take me on even at this point and who is completely on board with what we are wanting to do. She delivers at the best hospital for natural birth in the area. It will mean 30 minutes further to the appointments and hospital, but it will be so worth it. It's scary to change this later in the game, but this is for the best. Thanks again!</td>
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<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/joy.gif" style="border:0px solid;" title="joy">: I just wanted to say GOOD FOR YOU! It is extremely courageous to make the move, I see so many women find it too hard to trust their instincts and leave a care provider even when they know in their hearts they are in a bad situation. Traveling a little farther is totally worth it (I did, to get an NCB-friendly hospital and a CNM for birth #2 and it was SOOO much better). You are setting a great example and I wish you all the best for a smooth, natural, hospital birth!
 

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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>tennfree</strong> <a href="/community/forum/post/11611259"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Thanks so much for all of your replies. I did make some calls yesterday and found a CNM who will take me on even at this point and who is completely on board with what we are wanting to do. She delivers at the best hospital for natural birth in the area. It will mean 30 minutes further to the appointments and hospital, but it will be so worth it. It's scary to change this later in the game, but this is for the best. Thanks again!</div>
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Wonderful! So glad to hear it! You have definitely done the right thing for you & baby for this birth. Do let us know how the birth goes. Sending you peaceful natural birth vibes. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/hug.gif" style="border:0px solid;" title="hug"> That's wonderful news! Good luck!!
 

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That is wonderful. I hope you get the birth you are wanting! (I would have dropped the doctor like a hot potatoe.)
 
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