(Closed) Tell me about your delivery arrangement

posted 4 years ago in Pregnancy
Post # 16
Member
9544 posts
Buzzing Beekeeper
  • Wedding: August 2013

I love the idea of getting a midwife and definitely considered it. I ultimately decided to go to an OB because I found one that I like that is walking distance of my work. The convenience has been huge and will just get more so as I get farther along and more appointments. I am planning to hire a doula – I just have to find one!

Post # 17
Member
919 posts
Busy bee
  • Wedding: July 2013

My practice has both OBs and midwives. I’ll be delivering in the hospital. Depending on what day I go into labor, I may get an OB or a midwife. (There aren’t enough midwives to be on call 24/7, like the OBs are.) If I end up on a day with a midwife, she’ll handle the delivery unless it gets complicated. If there’s no midwife that day, I’ll get an OB. But I’ve heard several times, and the OBs themselves even have said, that my doctors practice more like midwives. We had our hospital tour and meet and greet with the doctors last night, and it was refreshing to hear the doctors say they encouraged vaginal delivery and weren’t afraid to let labor go a bit longer if needed.

I thought about having a doula because I really want to avoid a c section, but I don’t think I’ll use one. I know I want an epidural, and we’ve taken classes on pain management techniques until the drugs kick in.

Post # 18
Member
2805 posts
Sugar bee
  • Wedding: May 2016

I delivered in the hospital with an OB and I will have my second the same way. I had serious complications at the end of labor (with a pregnancy with no previous complications) and without being heavily monitored and in the hospital, both the baby and I could have died.

I don’t mean to scare OP or any other posters, but there is a risk involved with homebirths and labors that seem to be progressing just fine, can have sudden turns. 

Post # 19
Member
2514 posts
Sugar bee
  • Wedding: February 2015

candy11:  our midwives are a partnership at our local hospital. It was one of the first of its kind in our area 20 years ago.  So I’ll be delivering with my midwife in the L&D unit of the hospital. I can still have an epidural if I wish. My care is transferred to the doctor while it’s being done and transferred back to the mw once it’s complete and I’m responding normally.  

Should I need medical interventions, I’m already there, obgyns are already working on the floor. It’s no different and there would be no delay (I’m also hoping to avoid interventions). 

Midwives gave me more control over my pregnancy thus far.  My appointments are 30 mins a piece.  I feel very comfortable asking any and all questions.  They come to me when I’m in early labour as well as on day 1, 3, 7 of the babies life.  They also do post natal care for baby and I for 6 weeks following the birth.  I also feel that low risk pregnancy and delivery isn’t a medical procedure.  So until I need medical interventions I’d rather not treat it as such.  If we had stand alone birthing centres I’d be there.  But we don’t.  

Also, with a midwife and an uncomplicated birth, we can go home 3-4 hours after delivery (or we can choose to stay in hospital for up to 48 hours).  

Post # 21
Member
3378 posts
Sugar bee
  • Wedding: December 2011

I went with a practice that was midwives and OBs working together, and planned to deliver in a birthing center that is within a hospital (so, not free-standing) attended by my midwife.  I would not have done a free-standing birth center or homebirth because I wanted to be in a hospital in case anything went wrong.  In the end, I’m glad I went this route, because I had a very long and difficult labor and ended up needing to have a forceps delivery (and if that hadn’t worked, I was very close to needing a c-section).  If everything had gone according to plan, I would have had the low-intervention midwife care in a hospital setting, but I was happy to have all the medical staff and equipment at the ready when it was needed.

Post # 22
Member
3081 posts
Sugar bee
  • Wedding: August 2012

My birth plan was healthy baby, and I didn’t care how he got there! I ended up with a hospital birth at a really good teaching hospital in the area. My delivery was pretty standard and I’m sure I could have done just fine with a home birth or a birth center birth with a midwife, but I was much more comfortable delivering in our hospital just in case. The most important part for me was the nurses, who were fabulous! I spent 95% of the time with them helping me through it, the doctor was just there for the actual delivery and stitching me up, although had something gone awry they would have been much more involved. 

Post # 24
Member
3729 posts
Sugar bee
  • Wedding: City, State

candy11:  I am having an OB birth at a major research hospital. The hospital really promotes natural birth and laboring in tubs/stools/balls as part of their breastfeeding initiative and I know several friends who’ve had a drug free birth there.

I’m not going the birth center route because it’s not convenient. I have 2 top national hospitals and 2 top regional hospitals 20 minutes away. Birth centers are over an hour and aren’t connected to hospitals with top NICUs.

Post # 25
Member
9544 posts
Buzzing Beekeeper
  • Wedding: August 2013

candy11:  Yeah, I know two women who’ve used doulas and they both rave about them. But, if you go that route, start looking early. I put things off until we started our Lamaze classes and now (at 28 weeks) I’m having trouble finding a doula who isnt’ alreayd booked for my due date!

Post # 26
Member
2699 posts
Sugar bee
  • Wedding: March 2015

OB in a hospital. End of story. Midwives can be great in a low risk pregnancy, but if anything goes sideways, seconds count. I can’t emphasize this enough, seconds count, fine motor skills and IQ points lost….

i respect every mother’s choice but the guilt of not having a hospital birth can crush you if anything goes wrong. No one ever says maybe if we’d been home instead…

Post # 27
Member
1534 posts
Bumble bee
  • Wedding: September 2013

I am planning on utilizing a midwife in a hospital setting.  I like the general philosophy– low interventions, support in getting through labor.  But at the same time, I realize that things can go wrong so I definitely want to be in a hospital setting, just in case.  

Post # 29
Member
5474 posts
Bee Keeper
  • Wedding: August 2012

candy11:  I had two intervention-free, midwife assisted, hospital births.  I had a doula both times as well.  Midwives are wonderful if you’re low risk, but should any issues arise during pregnancy they should risk you out to OB anyway.  Congrats on your pregnancy and best of luck!

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