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What are your care provider's "routines"?


Forum: Natural Childbirth

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  #1  
June 5th, 2012, 12:17 PM
therevslady's Avatar Built for Birth
Join Date: Jun 2008
Location: Atlanta, Ga
Posts: 6,194
Just wondering about how the styles of care differ, knowing that we all live pretty much all over. It's interesting to see different care provider's styles and how they affect birth outcomes and such.

So, do you know your care provider's typical routine (standard method of care in labor and delivery)?
What do you like or what don't you like about your care provider's style of care?
Do these procedures affect your feelings toward birth or experience?
If you birthed or are birthing in a hospital, did your care provider's routine differ from many others in the hospital? How did the nurses respond to this?
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  #2  
June 8th, 2012, 11:37 AM
daneeleigh's Avatar Platinum Supermommy
Join Date: Jan 2008
Location: San Diego, CA
Posts: 6,647
During labor, my midwives only came into the room to check me every two - three hours in the beginning. They just let you labor throughout the birth center room wherever you want. This is where I'm greatful we had a doula. We wouldn't have really had any guidance and Dave wouldn't have been enough to get me through the contractions. My back labor was horrible so I really loved having my doula there to help. Once I hit transition and got into the tub, my midwife never left my side. So the first 7 hours I was there I barely saw her but the last 2 she was there the whole time. I'd prefer if they were playing a supporting role the whole time but that's not what they do. I think the thing it affects for me is that I have to have a doula.
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  #3  
June 8th, 2012, 01:31 PM
MissusF's Avatar Mega Super Mommy
Join Date: May 2009
Location: Central CA
Posts: 3,555
So, do you know your care provider's typical routine (standard method of care in labor and delivery)?
I adore my midwife. She and I saw eye to eye on everything so I was very relaxed knowing that nothing would be done that I didn't agree with. She also asks permission before she does anything and we had been over all the birth procedures during my appointments she knew my wishes beforehand. I think she kind of goes with the flow during labor. I did not need that much attention through most of my labor so she and her assistant just hung out until I hit transition and then I needed a lot of support.

What do you like or what don't you like about your care provider's style of care?
I can't think of anything I don't like.

Do these procedures affect your feelings toward birth or experience?
Yes! I feel so blessed that she was my care provider during pregnancy and birth. I had Claire at 42 weeks and had some issues going into labor. I know if I had given birth in a hospital I would have ended up with a huge episiotomy, vacuum/forcep delivery if not a section. I feel so glad that she was my midwife!
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  #4  
June 9th, 2012, 10:53 PM
JulieMc's Avatar Loving my babies. :)
Join Date: Nov 2008
Posts: 9,004
So, do you know your care provider's typical routine (standard method of care in labor and delivery)? My midwife will follow your cues. In my case, I'm an easy patient...I don't like to be bothered and I don't need coaching or help...just pop in every once in awhile, catch the baby and check on me afterwards is what I like. lol.


What do you like or what don't you like about your care provider's style of care?
I love it. She's adaptable to what her patients want. Some of them want more hand-holding and as long as she's not got more than one birth happening at a time, she'll do it. She knows me very well I would say and if in doubt, errs towards the option with the least amount of intervention.


Do these procedures affect your feelings toward birth or experience?

I found her support of natural birth and her belief in me made the experience much more empowering and euphoric than my first birth, which was induced and included an epidural..I was a bit more detached from the experience, honestly. Now, I'm all about natural birth and wouldn't have it any other way!

If you birthed or are birthing in a hospital, did your care provider's routine differ from many others in the hospital? How did the nurses respond to this?

I birthed in a "birth center" within the hospital. The hospital was very pro-natural and water birth prior to the opening of the "birth center", but this is the only area where the norm is no constant fetal monitoring, no epidurals available, no IVs required as standard (obviously if you are strep b pos. then you'll need it), etc. It's very much a home-like environment. I found the staff in general to be very well educated on natural birth. However, my midwife didn't get there right in time and my labor was very fast..so the on-call OB was called in to be there in case she didn't make it there in time (she did end up making it with a couple minutes to spare), and he was probably the most anti-natural birth person I've met..and it was sorta a mood killer..but I was too far gone to even pay him any mind...if I was all there in the head, he'd have been thrown out of the room and I'd have demanded someone else...but again...I was way tooo far gone and already pushing, so there was no stopping anything.
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  #5  
June 10th, 2012, 03:50 PM
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Location: Bay Area CA
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My hospital has CNMs for delivery from 7am to 7pm M-F and the OB on call the evenings/weekends (plus always there for emergencies). So, you do not necessarily get your care provider for your birth.

Lily and Grant were both born there with CNMs and it was great both times. The providers were 100% supportive of a NCB and left us alone most of the time. Didn't require IV, monitoring, etc. I'm not sure if an OB there would be different. With Grant, I had both a family physician and a CNM overseeing me and the family physician was just as supportive as the CNM during the labor/birth.

All the nurses were amazing as well and fine with me going natural. One of them said that she would ask me again if I wanted pain meds with Grant, but the CNM told her that I'd ask if I wanted them.
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  #6  
June 12th, 2012, 01:23 AM
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Location: New Zealand
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So, do you know your care provider's typical routine (standard method of care in labor and delivery)?
In New Zealand maternity care is totally midwife led. You can choose a midwife who works in a hospital, birth centre or is independent, but you can still have a home birth if you go with a 'hospital' midwife... I've always gone with independent midwifes as I feel they are a little more hands off, listen to the womens cues, more home birth friendly etc.

What do you like or what don't you like about your care provider's style of care?
I love it, they believe the women's body knows what it's doing, so they don't need to interfere unless there is an issue.

Do these procedures affect your feelings toward birth or experience?
In New Zealand it's just assumed that women giving birth is a normal experience, so I've always just assumed I'd do it naturally... it never really occurred to me to do it any other way! My midwife just reinforces that that attitude is the right one to have.

If you birthed or are birthing in a hospital, did your care provider's routine differ from many others in the hospital? How did the nurses respond to this?
If I was to birth in hospital, my midwife would still be the one delivering my baby unless an issue came up (ie emergency c-section etc). If there was an issue, she'd be the one discussing it with me and making sure I understood what my options were.
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