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Discussion Starter · #1 ·
<p>I'm going to a new neurologist today (haven't seen one since pre-pregnancy and I fired my old one) in the hopes of getting "cleared" to use the local freestanding birth center. If I can't get clearance, I'll have to choose between one of the godawful local hospitals (4-hour mandatory infant/mom separation!!!) or a UC, which I'm not entirely comfortable with.</p>
<p> </p>
<p>I have MS but it is pretty mild and has been mostly in remission throughout my pregnancy. Everything I can find indicates that MS has very little impact on labor & delivery, although the rate of CS is slightly increased. I am otherwise an excellent candidate for the birth center and I really love the midwives there. I'm a multip (two prior uncomplicated vaginal deliveries at term, smallish but not tiny babies -- both just shy of 7 lbs), 32 years old, no problems with this pregnancy, kickass GTT scores (76 on the 1-hour), overweight but not obese, not too much weight gain, great diet, etc. I do have bladder problems that include repeated UTIs but that's under control, so I can't imagine he'd say no unless he's just completely opposed to out-of-hospital births.</p>
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<p>I'm bringing a brochure from the birth center to (hopefully) reassure the neuro. One of the things emphasized on the brochure is safety -- they have 24/7 OB backup, are near a hospital, have a very low transfer rate, etc. Unfortunately, for liability reasons, the backup OB is requesting that I get clearance from a neuro before delivering there.</p>
<p> </p>
<p>*fingers crossed*</p>
<p> </p>
<p>--K</p>
 

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<p>okay sending yes, that's a great idea vibes! </p>
<p> </p>
<p>good luck and keep us updated!</p>
<p> </p>
<p>ashley</p>
 

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<p>Good luck indeed!  I have a good friend with MS who just had a very successful and happy birth.  <span><img alt="namaste.gif" src="http://files.mothering.com/images/smilies/namaste.gif" style="width:36px;height:32px;"></span></p>
 

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<p>Good luck mama!!!  keep us posted</p>
 

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<p>Sounds really promising!  Hope everything works out well :).</p>
 

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Discussion Starter · #6 ·
<p>And.. *drumroll*:</p>
<p> </p>
<p>"There is absolutely no reason to expect anything other than a normal labor and delivery. In fact, I've had several pregnant patients with much more advanced MS and none have ever had a problem. I'll make sure to put a note in your chart that delivering at the midwife clinic should be no problem at all."</p>
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<p>WOOT! I mean, I knew mild MS shouldn't be a problem but I was worried this new neurologist would be one of those "babies should be born in a hospital with an OB there" types. Especially because he was otherwise a totally paternalistic UVA. So I'm still in the market for a neurologist but the most important thing for now is covered -- the baby will be born at the freestanding birth center, not a hospital (barring a surprise complication, which I'm not too worried about given my birth history).</p>
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<p><span><img alt="jumpers.gif" src="http://files.mothering.com/images/smilies/jumpers.gif"></span></p>
 

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<p><span><img alt="biggrinbounce.gif" src="http://files.mothering.com/images/smilies/biggrinbounce.gif"></span></p>
<p><span><img alt="joy.gif" src="http://files.mothering.com/images/smilies/joy.gif"> CONGRATS!!! GLAD YOU GOT TO SEE SUCH A SMART MAN! </span><img alt="bouncy.gif" src="http://files.mothering.com/images/smilies/bouncy.gif"></p>
 

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<p>Yes! (fist pump!) that is wonderful, so happy for you mama!  What a relief!</p>
 

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Discussion Starter · #11 ·
<p>Thanks everyone!</p>
<p> </p>
<p>This is HUGE for me. The freestanding birth center here is wonderful beyond my wildest dreams; the hospitals are AWFUL. DD was actually born at one of these local hospitals and it was really awful.</p>
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<p>Quick comparison just so you can see what I was up against:</p>
<p> </p>
<p>Mom & baby never separated barring emergencies (resus in Mom's arms, even) VS. 4-hour mandatory infant/mother separation</p>
<p>2-bedroom, 1,000 sq. ft. birthing houses with full kitchens VS. ugly, separate L&D and postpartum rooms</p>
<p>Go home anywhere from 2 - 48 hours after birth (mom's choice) VS. 24 hour minimum stay for baby (mom can sign out AMA, but CPS is called if you take baby before 24 hours)</p>
<p>As many or as few people (including kids) may be with your throughout your stay VS. one adult support person only, older kids can visit *briefly* after the birth</p>
<p>Midwifery care is as hands-on or hands-off as you want, mom has total control over her birth VS. routine obstetrical care</p>
<p>Eat, drink and be merry during labor VS. no food or drinks other than ice chips, IV for hydration</p>
<p>Midwife + RN/doula + doula (if desired) never leave the birthing house during your labor VS. doctor jets in for 10 minutes to catch the baby and stitch you up</p>
<p>Waterbirth and/or birth in any position VS. lithotomy or semi-sitting only (Obstetrician's choice of the two)</p>
<p>Labor is allowed to progress naturally VS. almost every woman gets pit, 35% section rate</p>
<p>Women can walk or meditate outside in beautiful gardens during labor VS. getting out of bed not allowed</p>
<p>Intermittent monitoring w/fetoscope or doppler (mom's choice), vag exams only at mom's request VS. mandatory continuous monitoring, IV, catheter, frequent vag exams</p>
<p>Bring, cook, or have your own food delivered VS. standard hospital fare on hospital schedule, after delivery only</p>
<p>Birth plans highly encouraged and discussed in-depth with midwife VS. birth plans scoffed at and ignored</p>
<p>Freedom to adjust the environment (music, lighting, thermostat) for mom's comfort VS. bright lights, hospital controlled thermostat, mom gets a TV remote (bleh)</p>
<p>Hour-long blocks scheduled for prenatal visits VS. 5-minute OB visits</p>
<p>No infant tests/shots/bath performed unless and until you decide to do it VS. rough towel scrub, Vit. K, Hep B, PKU, etc. performed before you even see your baby</p>
<p> </p>
<p>Yeah, I think you get the idea :)</p>
<p> </p>
<p>--K</p>
 
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