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An OB's Birth Plan



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No. 30
from obgoddess
Old Mar 11, 2009, 03:16 AM

Default Re: An OB's Birth Plan
I may be superstitious, but I find that a lot of the people who have strict birthing plans end up having happen exactly what they did not want to do.
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No. 31
Old Mar 14, 2009, 11:41 AM

Default Re: An OB's Birth Plan
Shocking...So much against what research shows...although I bet that's what most OBs would write out if they actually went to do it...
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No. 32
from rnheart
Old Mar 16, 2009, 12:06 PM

Default Re: An OB's Birth Plan
You know I am almost kind of proud of this Md he actually had the b---s to put into words what the majority of Ob's are doing and not telling their patients until they are forced to stay in bed on the monitor( not even allowed to go to restroom) and up in stirrups with a vaccum or a 36+6 week induction on a cesearean section table for failure to progress when they are not even ready for labor all because the Md is going out of town on vacation, - and doesnt want anyone else to deliver his patient, and the patient thinks its because the Md likes her. BS it is for the money.
Now having ranted about all that I do not approve of this Md's practices at all and wish you all the luck in the world.



REMEMBER KNOWLEDGE IS POWER!!!!!!!
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No. 33
Old Mar 16, 2009, 03:20 PM

Default Re: An OB's Birth Plan
I echo those saying to find a better fit for you. This may be an amazing provider, but not the right one for you. Sounds very very impersonal and cold. I would not like this. I wish you the very best.
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No. 34
Old Mar 16, 2009, 07:30 PM

Default Re: An OB's Birth Plan
This unfortunate attitude may have something to do with the litigation against OB docs and high malpractice rates.

Sad - but maybe they feel "pushed" to over-"medicalize" Labor and Delivery. http://www.amazon.com/Pushed-Painful.../dp/0738210730

I worked in a small rural hospital with one L&D nurse and one doc at delivery - the truth is, if something turned on a dime I truly appreciated having that IV already placed.

And things do turn on a dime.

steph
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No. 35
Old Oct 16, 2009, 08:15 PM

Default Re: An OB's Birth Plan
I wanted to update...

Here I sit holding a healthy almost 4 month old baby boy and part of me wants to send a thank you card to this doctor because if he hadn't been so extreme I probably would have had a hospital birth and almost everything he listed would have been done because that's just the way things are at hospitals here and it's hard to argue when you're in labor. I was so irritated with the hold OB attitude after his "birth plan" that I went almost to the complete opposite and had a midwife assisted birth in an extremely low tech birth center. Toward the end (I went to 41+5) I had many moments where I wished I had stayed so I would have someone who would "enable" me to risk my health, the babies health, and my low intervention birth and just get that kid out of there. It's hard to resist going the super intervention route when you're exhausted, uncomfortable and just done being pregnant and it's a pity doctors are so ready to take advantage of this or at least ready to humor you without disclosing the risks. As it was I went to the birth center at 12:30pm (after 24 hours of steady labor), had him at 3:20pm in tub with nothing hooked to me and doppler monitoring done after every few contractions, no pushing instructions and I delivered an 8#15oz baby on my side in tub without a tear and went home at 6:20pm. It was amazing that left almost entirely to my own devices (the only thing they had to make me do was drink water in between contractions I never would have thought of it by that point) I knew exactly what my body needed to do even if it went against their advice. I prolonged the pushing stage by raising the pitch of my screams so that not every contraction would be too productive and I think that's what allowed me to deliver him with no tears even though I have a problematic episiotomy scar. I only had a "skid mark" or two and didn't even need to use the peri bottle when I urinated. I don't think this birth hurt any less than my previous two hospital births but it was just so much better.

Thanks all -especially to the wonderful L & D nurses who advocate for their patients and not just for the OB and the hospital.
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No. 36
Old Oct 16, 2009, 09:02 PM

Default Re: An OB's Birth Plan
How lovely, Poppy! You should send a letter back to your original OB telling him how his "birth plan" lost you as his patient, and how well you and the baby did without his "assistance".

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No. 37
from jonesecho
Old Oct 17, 2009, 02:42 AM

Default Re: An OB's Birth Plan
Originally Posted by Poppy_Petal View Post
Hello,

I've been a member here for a long time but don't post because I decided nursing school with young children at home wasn't something I could personally pull off. I'm 26 weeks with my 3rd (1st 2 were hospital births) and at my last appointment my OB folding a piece of paper in half and handed it to my husband. He told us it was information on hospital policies and things and we could discuss at my next visit. All I saw was the title Dr. ________ "Birth Plan" and I was amused because I know that birth plans can be irrational and badly researched. After I read it I was less amused and now plan on finding another care provider. I do believe the OB is a good doctor and I plan on sending a polite but honest letter and I would also like to cite research in order to leave some possibility that he will rethink his position. I am having trouble finding research.
I worked 11 years in labor and delivery. I think if you like this dr. as a person and he listens to you i don't see anything wrong myself with how this reads. As you know ob has a high rate of lawsuits and very high malpractice insurance for a reason. I think what he has there are intelligent and well documented reasons for what he does. This may not be popular with a lot of nurses, but I don't necessarily think he is a control freak, If I had time I could explain his rationale for these points as I am sure you understand most of them. However this is a free world and if you wanted some type of home birth, etc. you should. I will say that I would not want to be home if an unusual or dangerous situation arose, and I have seen them. good luck. they look like good rationale to me. nurse for 29 years total in many areas of nursing.
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No. 38
Old Oct 17, 2009, 10:00 AM

Default Re: An OB's Birth Plan
Wow! This is an old post but I do hope you went running looking for another OB or midwife. Ouch! No way would I let this guy be my Dr. It's your birth....not his!

Edit....just read your update. I'm so glad you got YOUR birth the way YOU wanted!! If only all mothers were informed like you! Congrats!
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No. 39
from crissrn27
Old Oct 17, 2009, 10:19 AM

Default Re: An OB's Birth Plan
Congrats!! I'm glad your birth turned out the way you hoped. Did you ever send a letter to that OB?
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