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| Advertisement Sponsored Links | | | | No. 11 | 
Jul 18, 2005, 03:51 AM
Originally Posted by NurseforPreggers When a women comes to the hospital seeking the most natural birth available, she should expect a STAT C-section.
It does seem that the patients with the longest, most detailed birth plan, with the doula, the control freaks, who hate us the minute they walk in the door because they resent the fact their insurance company won't pay for a home birth, are the ones with C-Section stamped right across their foreheads. Dunno if it's karmic retribution, or just a perception we have in L&D. I wonder if anyone's done a retrospective study on patients presenting with birth plans, doulas, &c, and C-Section rate?
(Don't get me wrong; I'm all for labor support, not intervening, homebirth, &c. Just an observation of certain personality types who come in with all the above and who seem to always get a C-Section ...)
 | | No. 12 |
Jul 18, 2005, 03:59 AM
Originally Posted by HeartsOpenWide It seems like there are so many different meanings to different people for "Natural Birth"
What do you consider "Natural Birth"? When a patient comes into your hospital wanting the most "Natural Birth" possible, what can she expect?
Like someone else said, some people think natural means vag delivery. IMO, natural is unmedicated, and low intervention. At our facility, the most natural birth could include intermittent monitoring by Doppler, walking, rocking, squatting, standing, kneeling, using the birth ball, music, dim lights, aromatherapy, hydrotherapy in the shower or jacuzzi, no IV, no meds.
| | No. 13 |
Jul 18, 2005, 06:42 AM
Originally Posted by HeartsOpenWide It seems like there are so many different meanings to different people for "Natural Birth"
What do you consider "Natural Birth"? When a patient comes into your hospital wanting the most "Natural Birth" possible, what can she expect?
As long as the baby and mom are fine: no meds, no IV's, intermittant monitoring, whatever she wants.
| | No. 14 |
Jul 18, 2005, 06:44 AM
Originally Posted by divinegracie It does seem that the patients with the longest, most detailed birth plan, with the doula, the control freaks, who hate us the minute they walk in the door because they resent the fact their insurance company won't pay for a home birth, are the ones with C-Section stamped right across their foreheads. Dunno if it's karmic retribution, or just a perception we have in L&D. I wonder if anyone's done a retrospective study on patients presenting with birth plans, doulas, &c, and C-Section rate?
(Don't get me wrong; I'm all for labor support, not intervening, homebirth, &c. Just an observation of certain personality types who come in with all the above and who seem to always get a C-Section ...)
I think we all wold agree with you. I feel that happens because those types of patients can not let go and let their bodies do the work. Labor and birth is really a process you cannot control.
| | No. 15 |
Jul 18, 2005, 11:41 AM
 In response to the "control freak" comment
What do L&D staff do to help these patients progress in such situations?
I'm just wondering what a person can do during a future labor experience to increase her chances of VBAC...
I have a patient who is, I suppose, a "control freak" as one poster put it. She had planned to deliver at a birthing center, had a doula, a birth plan and had done everything right. Sadly, she did end up having a cesarean. I'm meeting with her postpartum in her home this Thursday and would like to offer her some advice for future pregnancies. Also, in this patient's defense:
I have many patients who are pregnant and don't think about L&D or their pregnancy enough! This was one of my few patients who actually put some thought and care into her pregnancy and L&D experience. The fact that she had to have a c-sec is, IMO, very unfortunate.
| | No. 16 |
Jul 18, 2005, 05:58 PM
Originally Posted by Jayla I'm just wondering what a person can do during a future labor experience to increase her chances of VBAC...
Relax and don't sweat the small stuff. I think a birth plan is a great idea to let staff know how you would like things to go, but I don't think it needs to be 4 pages long, kwim? When I was a doula, I always told my clients to keep it short and sweet. Choose the things that are most important to you.
As far as labor, just let it happen. Don't focus so much on the details, just let things occur as they will. Let go of any fear. If she's fearful that history will repeat itself, I believe that will come out during her labor.
| | No. 17 |
Jul 18, 2005, 06:59 PM
Originally Posted by Dalzac Natural child birth for me was I delivered to fast to get an epidural, Dammit.
ROFL! Happened to me once, too. I was very surprised on arrival at the hospital that I was 9cm dilated (who knew? I had only been contracting for 2 hours)...and quite disappointed that I wouldn't have the epidural I had decided to have.
Call it natural, but not by choice.  | | No. 18 |
Jul 18, 2005, 07:03 PM
Originally Posted by divinegracie It does seem that the patients with the longest, most detailed birth plan, with the doula, the control freaks, who hate us the minute they walk in the door because they resent the fact their insurance company won't pay for a home birth, are the ones with C-Section stamped right across their foreheads. Dunno if it's karmic retribution, or just a perception we have in L&D. I wonder if anyone's done a retrospective study on patients presenting with birth plans, doulas, &c, and C-Section rate?
(Don't get me wrong; I'm all for labor support, not intervening, homebirth, &c. Just an observation of certain personality types who come in with all the above and who seem to always get a C-Section ...)
Thats because labor does its own thing and you cannot control it and they are so stuck on thinking they figured it all out and can't make it do what they want, they listen to those nuts that say birth is orgasmic. Sure I want to go natural as I can but I know enough not to get my hopes up and expect things.
| | No. 19 |
Jul 18, 2005, 07:11 PM
Originally Posted by HeartsOpenWide Thats because labor does its own thing and you cannot control it and they are so stuck on thinking they figured it all out and can't make it do what they want, they listen to those nuts that say birth is orgasmic. Sure I want to go natural as I can but I know enough not to get my hopes up and expect things.
That's exactly what I tell my friends when they ask me what to expect. I always tell them not to have their expectations so high that they are terribly disappointed if their birth experience doesn't turn out exactly the way they envisioned it. If you fail to have a "natural" delivery, but still take home a healthy baby, it would be a shame to be too disappointed. |
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