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RE: Natural Childbirth-support and discussion

 
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RE: Natural Childbirth-support and discussion - 5/29/2008 10:48:12 AM   
EmilyAnn


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From: Thomasville, NC
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Article about home birth in NC

This is a really interesting, but long, article about home birth in North Carolina. The back up doctor that I have seen a few times is quoted in the article a few times.

quote:

"Having an OB attend a normal delivery is like hiring a pediatrician for a babysitter," Dorn concluded. "It's total overkill to have a surgeon attend a normal delivery. It just doesn't make sense."


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RE: Natural Childbirth-support and discussion - 5/29/2008 11:40:01 AM   
Royal.Fortress


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quote:

And, correct me if I'm wrong, aren't most of the 'problems' in labor known beforehand? Like high bp, placenta problems, breech baby, baby with known physical problems?


Yes, yes, yes!!! Most of the major problems that make labour/birth dangerous are factors that are known well before labour starts ... or factors that develop slowly during a labour.

Emily - I love that quote!! That's what I tell people all the time when we talk about how OBs "manage" labour so much and interventions happen. I always say that I don't fault OBs for doing their jobs - they are a surgically trained specialty doctor. What are we expecting them to do?? They're just doing what they're trained to do!!!

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my blog -> kim thru the looking glass

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RE: Natural Childbirth-support and discussion - 5/29/2008 10:04:28 PM   
W.O.F.


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quote:

ORIGINAL: Royal.Fortress

quote:

And, correct me if I'm wrong, aren't most of the 'problems' in labor known beforehand? Like high bp, placenta problems, breech baby, baby with known physical problems?


Yes, yes, yes!!! Most of the major problems that make labour/birth dangerous are factors that are known well before labour starts ... or factors that develop slowly during a labour.



Generally speaking, Yes....and a well trained midwife can and will get her patient to the hospital in time to save both baby and mother if the situation warrents that kind of intervention.

An example I have used many time is that of my sister and her third child. She was doing a birthing center birth with at midwife. Two hours into labor, the midwife called for a doctor to evaluate something that concerned her...the doctor said nothing is wrong and left it at that. The midwife began asking him to do a c-section..he said wait (keep in mind this midwife was also one who did homebirths)...she pushed him to do the c-section...and they discovered my niece was stuck literally on my sister's pubic bone..her neck was hyperextended for over 2 hours and she was so stuck the midwife had to push up on her head while the doctor pulled on her feet to dislodge her via c-section. The MIDWIFE called the situation before the doctor even did....not that he wasn't a good doctor, but just to show a good midwife can usually call most situations in plenty of time to save both lives.

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RE: Natural Childbirth-support and discussion - 5/29/2008 10:11:36 PM   
PrincessDonna


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I'll just stand now and say *I* was one who would have died if I had had my first at home. I had contractions through the whole pregnancy and was on bedrest, but no one could pinpoint a reason. So, yes, most of the time, problems can be known ahead. But I was one of those who was seen by several different doctors and they couldn't figure it out. I know with almost absolute certainty that I would have died if I had him at home. I came close to dying on the way to emergency surgery, and the problem I had (placenta accreta/percreta/increta...all different levels of the same thing) has a high fatality rate because it is usually not discovered until delivery and massive hemmorage.

I don't share that often and I don't share it to scare people. I just find it hard to brush off for me personally when I know I am one who would not have had a good outcome at home. It may be rare, but if you or your child are one of the rare ones...well, then it suddenly becomes not so rare to you, KWIM?

BUT...I fully support women who want to homebirth and have had no problems. At the same time, I am so thankful for doctors and hospitals (even tiny ones like mine, where the entire surgical and anesthesia team had to be called in at 2 am...and they came quickly, thank God!). AND I think natural childbirth can be achieved in any setting if you are determined to do it. I have lots of friends who have delivered completely natural at the same hospital as me.


< Message edited by PrincessDonna -- 5/29/2008 10:18:42 PM >


_____________________________

He fulfills the desires of those who fear Him;
He hears their cry and saves them.
The Lord watches over all who love him,
but all the wicked He will destroy.
~Psalm 145:19-20~
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RE: Natural Childbirth-support and discussion - 5/29/2008 10:17:19 PM   
W.O.F.


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Donna,

I have to say that a midwife would have sent you to the hospital to deliver rather than let you give birth at home simply because having contractions they way that you did implies a high risk pregnancy..and they won't deliver those at home.

So, even if you had planned on homebirth, you wouldn't have gotten one..and that is why, if someone would like to do a homebirth, they really need to use a good, well trained midwife...because she knows what her limitations are.

So, while the cause of your pre-term labor was not able to be determined prior to delivery.....the fact that you had pre-term labor would have had the midwife sending you to the hospital to deliver rather than risking a homebirth.

_____________________________

Live your life in such a way that when your feet hit the floor in the morning, Satan shudders and says, "Oh no, she's awake."
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RE: Natural Childbirth-support and discussion - 5/29/2008 10:21:52 PM   
PrincessDonna


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I hope so, WOF. I truly hope a midwife worth her salt would have refused to deliver me at home. But when you have a family doctor, than an OB, than a high risk OB and none of them find the problem, so they say go ahead and let the family doctor deliver (which he did)...you wonder if people have brains at all. Then the OB had to be called in because the family doctor can't do surgery...it was a big mess, that's for sure.

_____________________________

He fulfills the desires of those who fear Him;
He hears their cry and saves them.
The Lord watches over all who love him,
but all the wicked He will destroy.
~Psalm 145:19-20~
Post #: 1156
RE: Natural Childbirth-support and discussion - 5/29/2008 10:24:11 PM   
W.O.F.


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quote:

ORIGINAL: PrincessDonna

I hope so, WOF. I truly hope a midwife worth her salt would have refused to deliver me at home. But when you have a family doctor, than an OB, than a high risk OB and none of them find the problem, so they say go ahead and let the family doctor deliver (which he did)...you wonder if people have brains at all. Then the OB had to be called in because the family doctor can't do surgery...it was a big mess, that's for sure.

True...but as I pointed out in my sister's birth experience..the midwife was fighting the doctor to intervene...he saw no reason to do so even though he was a high risk OB.

From my own experience....a family doctor gives you FAR better prenatal care than an OB/GYN does anyway...plus they KNOW you....even if they end up having to refer your delivery over to someone else at the end.

_____________________________

Live your life in such a way that when your feet hit the floor in the morning, Satan shudders and says, "Oh no, she's awake."
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RE: Natural Childbirth-support and discussion - 5/29/2008 10:28:19 PM   
PrincessDonna


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From: Cow country, Upstate NY
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My family doctor stopped delivering babies because of what happened with me. He was a good doctor though. We still have him as our family doctor.

Moral of the story...those with midwives and homebirths...make sure they know their stuff (and I'm sure most of them are top-notch!) and if ANYthing is off, get another opinion even if the midwife thinks it's fine.

Stepping off the soapbox now...


_____________________________

He fulfills the desires of those who fear Him;
He hears their cry and saves them.
The Lord watches over all who love him,
but all the wicked He will destroy.
~Psalm 145:19-20~
Post #: 1158
RE: Natural Childbirth-support and discussion - 5/29/2008 10:29:38 PM   
W.O.F.


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quote:

ORIGINAL: PrincessDonna

My family doctor stopped delivering babies because of what happened with me. He was a good doctor though. We still have him as our family doctor.

Moral of the story...those with midwives and homebirths...make sure they know their stuff (and I'm sure most of them are top-notch!) and if ANYthing is off, get another opinion even if the midwife thinks it's fine.


YES..and that goes for doctors as well.

_____________________________

Live your life in such a way that when your feet hit the floor in the morning, Satan shudders and says, "Oh no, she's awake."
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RE: Natural Childbirth-support and discussion - 5/29/2008 10:30:29 PM   
PrincessDonna


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Agreed.

_____________________________

He fulfills the desires of those who fear Him;
He hears their cry and saves them.
The Lord watches over all who love him,
but all the wicked He will destroy.
~Psalm 145:19-20~
Post #: 1160
RE: Natural Childbirth-support and discussion - 5/30/2008 12:41:32 PM   
Royal.Fortress


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quote:

Moral of the story...those with midwives and homebirths...make sure they know their stuff (and I'm sure most of them are top-notch!) and if ANYthing is off, get another opinion even if the midwife thinks it's fine.




I will also add that our midwives actually have a practice guideline under which they are required (by law) to refer clients to OBs under set circumstances - which yours would have fallen into, Donna, with the preterm labour. If a certain set of criteria are met, the midwives are legally obligated to refer out, although they stay on for supportive care and do attend the delivery for support.

_____________________________

Kim

my blog -> kim thru the looking glass

Proud member of the Moo Club

<- My beautiful baby girl!
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RE: Natural Childbirth-support and discussion - 5/31/2008 7:06:02 AM   
W.O.F.


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basically...preparing for a homebirth is much like having a birth plan with a doctor.....while it may go exactly as planned....don't be upset or disappointed if the caregiver has to make decisions based on what it best in your situation.

Your Midwife may full well refer you to a hospital and doctor instead of doing the delivery herself, or she may feel more comfortable doing your delivery in a hospital or birthing center rather than at home based on what she is seeing with the pregnancy.

A good doctor in a good hospital CAN give you nearly all the benefits of a homebirth.....except for the being at home part.

The key is...it is not about where, or who delivers your baby, but doing what is best at delivery time for you and the baby...regardless of what you had planned!

_____________________________

Live your life in such a way that when your feet hit the floor in the morning, Satan shudders and says, "Oh no, she's awake."
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RE: Natural Childbirth-support and discussion - 5/31/2008 10:05:12 AM   
Royal.Fortress


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quote:

The key is...it is not about where, or who delivers your baby, but doing what is best at delivery time for you and the baby...regardless of what you had planned!


Well said, WOF! That's why I don't have a 'birth plan'. I know, my husband knows, and my midwives know my hopes for labour and birth - but having a 'plan' implies - at least to me - that if things don't go according to it, then things didn't go right. And I don't want to think like that about my labour and the birth of my child. Ultimately, of course I would love to stay here at home and birth this little one, but if things go badly and I need to deliver at the hospital, I hope I will not be upset because it was a *need*.

_____________________________

Kim

my blog -> kim thru the looking glass

Proud member of the Moo Club

<- My beautiful baby girl!
Post #: 1163
RE: Natural Childbirth-support and discussion - 6/3/2008 2:18:47 PM   
3cappuccinosmom


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I thought some of you might appreciate/feel validated by NavelGazingMidwife's take on birth-rape..
Watch out where you open that page though, cause there's a naked birthing woman picture at the top of her blog.

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Moo

Shameless Self Promotion
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RE: Natural Childbirth-support and discussion - 6/3/2008 2:36:06 PM   
Brandy


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adding to Maggie's warning .. there are some choice words used on there that may be offensive to some.

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<--- Isabel Grace eating on Thanksgiving. Her first food.
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RE: Natural Childbirth-support and discussion - 6/3/2008 3:24:11 PM   
HomeSpunLady


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Just Me

Our little bun is here!
Rhys Athanasius
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RE: Natural Childbirth-support and discussion - 6/6/2008 10:32:33 PM   
Yachaddm


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quote:

know, my husband knows, and my midwives know my hopes for labour and birth - but having a 'plan' implies - at least to me - that if things don't go according to it, then things didn't go right. And I don't want to think like that about my labour and the birth of my child. Ultimately, of course I would love to stay here at home and birth this little one, but if things go badly and I need to deliver at the hospital, I hope I will not be upset because it was a *need*.


Well put, Kim. Dave and I just had a long discussion about that. I think because so often now I go off on rants about being proactive during the birthing process, he thought I would be devastated if my "plan" didn't work out. My plan is to get Josiah here as naturally and safely as possible, whatever that ends up meaning when the day arrives. I'm learning to be flexible, because how can you not be with something as unknown as labor, but I'm a work in progress.

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Josiah David arrived August 29!
Moo...
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RE: Natural Childbirth-support and discussion - 6/7/2008 12:01:39 PM   
Royal.Fortress


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Megan - I think flexibility is key - that and the ability to recognize that every labour IS an unknown ... it's a big, crazy process that, in general, goes well and is very safe, but can turn scary and/or dangerous at any time ... and those planning homebirths or natural births need to have the flexibility to change their plans and go with the flow. As long as informed choices are being made, then those choices are good ones =)

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Kim

my blog -> kim thru the looking glass

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RE: Natural Childbirth-support and discussion - 6/8/2008 8:16:57 AM   
HomeSpunLady


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I had my first appt with our new midwife and I have to say how peaceful it was. I loved it. She taught me so much more about birthing and pregnancy, about myself in those areas. She taught me things about my labs that the other practice never said a word about. I just thought I'd report that I am thankful for our decision.

Anyone getting prayer partners for their births? I have one, I want to get two more.

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Just Me

Our little bun is here!
Rhys Athanasius
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RE: Natural Childbirth-support and discussion - 6/8/2008 1:10:00 PM   
Consecrated2God


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I'm glad to hear how much you are enjoying your midwife, Kathryn. I'm happy for you!

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RE: Natural Childbirth-support and discussion - 6/9/2008 1:36:55 AM   
Kia_Grl21


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I have a friend who is preggers and expecting her first. She wants to go as natural as possible in a hospital setting. When she called the hospital they told her that as long as it wasn't her first and that everything "looked normal" then she could go ahead as planned but still within their guidlines. So they kind of stop you from the start. I just finished up reading misconceptions and have ordered BOBB, cant wait to watch it, and am already upset at my options and I"m not even pregnant!! My friend is going to just go ahead with having her little one at the hospital and see what happens, buts its already upsetting to her. I know in Missouri you have to have to be a certified nurse midwife to legally be at a birth, and there is only one in a fifty mile radius of us. Its such a sad deal.
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RE: Natural Childbirth-support and discussion - 6/9/2008 7:21:37 AM   
3cappuccinosmom


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kiagirl, your friend can "go natural" at a hospital but she will most likely have to be very, very well read and educated about birth, and be very good at standing up for herself.

The biggest problem I found (and I've had all three of my kids at hospitals) is that while they pay lip service to helping women birth naturally, there is always someone on the staff who is looking to make something "abnormal" so they can intervene. All they have to do is say "Oops! your baby's going to be 10 lb. There's no way you can birth vaginally." Or "Oops! Looks like the amniotic fluid is a little low. You're almost 40 weeks anyway, why don't we just induce?"

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Moo

Shameless Self Promotion
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RE: Natural Childbirth-support and discussion - 6/9/2008 7:38:47 AM   
PrincessDonna


Posts: 10198
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From: Cow country, Upstate NY
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quote:

I know in Missouri you have to have to be a certified nurse midwife to legally be at a birth, and there is only one in a fifty mile radius of us.


Why is that a problem? Fifty miles is not that far. People who homebirth here have midwives coming from PA...2.5 hours or more away.

_____________________________

He fulfills the desires of those who fear Him;
He hears their cry and saves them.
The Lord watches over all who love him,
but all the wicked He will destroy.
~Psalm 145:19-20~
Post #: 1173
RE: Natural Childbirth-support and discussion - 6/9/2008 9:15:52 AM   
Room2Grow


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How far are you from St. Louis? Barnes Jewish hospital supports natural birth and even provides doulas upon request! I would love to go there, but it's too far to get to the doctors from where I am...

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RE: Natural Childbirth-support and discussion - 6/10/2008 12:31:37 AM   
Kia_Grl21


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Me three hours!! A little much. The upside I guess is my friend and I are both nursing students at the hospital and can always play the evidene based nursing card. The hospital that we are at are big supporters of evidence based nursing, and if she can make the argument for that maybe they will leave her alone. I'm kind of taking a wait and see attitude and kind of observing through her. My younger cousin had a baby at the hospital and they were great with her, she didnt want it all natural, but she did have an almost ten pound baby, waited untill she approached them about induction, (she was working on 41 weeks) and then let her push for thirty five min in one position and make no progress so they switched her up, on their recommendation and had her push in two different ones, she finally moved little one on her side and there was no talk of c-section. So who know's. I'm just minding my p's and q's and learning as much as I can for when the time comes for me to have one....
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