How far would you travel for prenatal care and delivery?

posted 3 years ago in Pregnancy
Post # 3
Member
11772 posts
Sugar Beekeeper
  • Wedding: May 2013

I would go to the hospital near DH’s job! My hospital is also 40 minutes away, but I live in Boston, so EVERY hospital nearby is fairly prestigious.

Post # 4
Member
2174 posts
Buzzing bee
  • Wedding: November 2012

I’d choose the practice closest to DH’s job.

Post # 5
Member
9949 posts
Buzzing Beekeeper
  • Wedding: June 2013

@lovekiss:  Where would you have your regular check-ups if you don’t choose the birthing center?

Post # 6
Member
3677 posts
Sugar bee

I would go with the birth center, hands down. I grew up in a rural area and my mom gave birth an hour away from home, preferring that hospital and her doctor over the local one; I’m also going to be traveling about an hour away to work with a midwife and birth center rather than settle for more medically-oriented care closer to home.  I think that’s just mentally easier to deal with for people who live further west than for people on the East Coast, where everything is closer.

Really, if you have to travel at least 40 minutes in any direction for any prenatal care at all, I’d say it’s more than worth it to travel just a little farther in order to have the kind of care and birth experience you really want.

Post # 7
Member
2243 posts
Buzzing bee
  • Wedding: January 2012

I would go with the birthing center, if the difference is 20 minutes of travel but how volitile is traffic in your area? You haven’t visited the other hospital yet so I wouldn’t write them off. You might end up getting a good vibe from them. I’d meet with the midwives at hospital #1 & see if you’re on the same page. If not, birthing center all the way.

Post # 8
Member
3978 posts
Honey bee
  • Wedding: September 2014

I’m not TTC yet but there is a hospital 10 minutes away or a birthing center 40 minutes away and I would be seriously considering the birth center even if it was an hour!!! 🙂

Post # 9
Member
1688 posts
Bumble bee
  • Wedding: June 2014

@lovekiss:  I would choose the one near your DH’s job. This is why.

Right now it is all theoretical but I have a feeling that if you went and talked to the midwives/doctors you would be able to find at least one who had the same ideas as yours when it came to your birth. 

Secondly, I feel that traveling an hour each way as you get farther into your pregnancy is going to be exhausting. I don’t know what part of MD you are in but I know that the VA-MD traffic is hell and I would NOT want to deal with that more than I had too. 

Third, it is most likely going to be important for you to have your DH at as many apts as possible!

Post # 10
Member
5745 posts
Bee Keeper
  • Wedding: April 2011

I would most definitely choose the Birth center.. no question! Going through pregnancy & birth carries so much weight in our lives as women & moms & even wives that I wouldn’t ever risk giving up my needs for care because it was more convenient to go else where…. or I wouldn’t anymore any ways. (I had a hospital birth with my first that ended in cesarean)

Now, I plan homebirths (it’s legal here) and my MW is close to 2 hours away. She does usually travel to me, but I do travel her way periodically for labs, u/s, and to see an obgyn that is overseeing my thyroid meds. It’s worth it 100%. And FWIW I was willing to travel over 2 hours away to be able to vbac had I not found a MW that would come to me for an hbac

Also, I wouldn’t go for a hospital MW, b/c I’ve seen first hand that they are still bound by hospital policies (maybe not quite as bad as an obgyn) but definitely more than those in a free standing birth center. For me, I’ve just seen too many women regret not going for the care they really wanted & needed and seeing it affect so much of them for sometimes so long after the birth.

I would atleast interview the birth center before choosing something that is a more convenient location…. who knows the hospital MW or the hospital they’re at may still have a low cesarean & intervention rate, they may not though.

Here’s a list of questions I used for my homebirth MW.. of course not all are relevant but it’s still a great comprehensive list for a MW model of care. For the hospital MW I would add questions about what requires them to transfer to an overseeing obgyn, what their cesarean transfer rates are & why they often need to transfer (is it ftp, fetal distress, maternal exhaustion, etc)… and here is a list I made for some of the ftm in my month group to ask their obgyns at their first visit.. I’m sure between the two you could have a really great list for a birthing center mw & in hospital mw.

GL

Post # 11
Member
455 posts
Helper bee
  • Wedding: September 2012

I’m in MD too.  I have a feeling the birth center I’m planning to birth at is the same one you are talking about.  I’m about 40-50 minutes drive from that birthing center.  The midwives near your husband’s job, do they all deliver at the hospital? Or do they have a separate facility?  What is the c-section rate for patients of those midwives specifically?

Post # 12
Member
416 posts
Helper bee
  • Wedding: April 2011

Place near your husband’s job.  You’re basing your opinions on hospital websites, which all try to seem modern and official.  At least meet with a midwife in that practice, explain what you feel, and ask if it’s possible.  I wouldn’t pre-emptively avoid it based on such little information.  And if your midwife is on board, you can have a very mellow non-interventional birth in a hospital.  I’d at least check it out.

Post # 13
Member
5745 posts
Bee Keeper
  • Wedding: April 2011

Have you looked at the different hospitals cesarean rates? You can find those online rather easily even before you go in… yea they won’t necesarily reflect the practices rates BUT will still give you an idea if you’re looking at an acceptable one of not!

Post # 14
Member
1996 posts
Buzzing bee
  • Wedding: September 2013

I’d visit these places but ultimately od probably go with the one near yout dh job. I’d never go an hour. My max is 40minutes & that’s pushing it. Buf I’m use to having lots of hospitals nearby. 

Post # 15
Member
1996 posts
Buzzing bee
  • Wedding: September 2013

But keep in mind a birthing center or home birth would never be an option for us. 

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