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Natural Birth & Parenting Natural Birth & Parenting

What would you do (pregnancy/birth)? (kinda long)

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A little back story... I am 15 wks with baby #4.  I've had 3 previous hospital births, two with CNM's, and one completely natural, unmedicated birth.  I am planning another natural birth with this baby.  I have never had any pregnancy/birth complications. 

We are living in a new area now, and there are NO midwives anywhere within 2 hrs, so I am stuck with an OB... and OB that I am not very fond of, to make it worse.  This is not my 1st rodeo, and I'm frustrated by the appts.  Feeling like they are a complete waste of time and money, since I already know what to expect, and the dr spends maybe 5 min per appt with me (last one was 2 min tops... no joke).  On top of that, my insurance is only covering a tiny portion, which will put me around $3200 out of pocket for the prenatal care + delivery/hospital stay. 

I have been seriously considering doing the rest of my pregnancy unassisted and monitoring myself at home.  I will be going for my 20 wk anatomy/gender scan, but thinking of calling it quits after that.  I still plan on doing a hospital birth because my husband really isn't on board with an unassisted homebirth and I'm GBS+. 

Does this seem crazy, or a reasonable thing to do given my situation.  I'd love to just go completely unassisted, but not sure I have it in me.  I like having that extra support/reassurance at the very end. 

by on Jan. 27, 2013 at 11:50 AM
Replies (11-20):
BaileysMom9
by Member on Jan. 27, 2013 at 1:03 PM

I AM looking into ways to treat/clear my system of GBS, so that I will not be positive at the time of birth.  That being said, if I am still GBS+, the hospital/OB will require an antibiotic drip (which I don't want).  And using a doula for what?  I am tryng to avoid extra cost.  Never had a doula in the past... never needed/wanted one.


Quoting doulala:

How do you know you will be gbs+ at birth?  And why not clean-up prenatally so that is one less thing to think about?    ;-)
How about using doulas?



BaileysMom9
by Member on Jan. 27, 2013 at 1:05 PM

And to be clear, I DO still want an ultrasound.  I know there are differing views on this, and I understand the less exposure the better... but we want it done.  It will be our only U/S.

doulala
by Gold Member on Jan. 27, 2013 at 1:17 PM

You are able to decline any procedure you don't want, though-  you can say no to antibiotics if you like.      How will they know if it's gone/returned, will they test you then?    ;-)
You don't need to spend any extra money.
A doula to help you achieve you
r preferences.

Quoting BaileysMom9:

I AM looking into ways to treat/clear my system of GBS, so that I will not be positive at the time of birth.  That being said, if I am still GBS+, the hospital/OB will require an antibiotic drip (which I don't want).  And using a doula for what?  I am tryng to avoid extra cost.  Never had a doula in the past... never needed/wanted one.


Quoting doulala:
BaileysMom9
by Member on Jan. 27, 2013 at 1:40 PM

Well that's a good point.  I could just decline the swab test later in pregnancy... or tell them no to the antibiotics in the hospital.  It's funny how you often forget you do have rights when it comes to your pregnancy/birth and hospital stay.  Dr's/hospitals are so good at convincing/manipulating you into thinking it's mandatory and you have no choice.  Up until my last pregnancy I didn't realize I could decline the glucose test (which of course I did after finding out).

  I've never found a doula for free.  Besides, I like just having my husband there for support.  I like the least amount of people possible around me, and I just don't think a doula is necessary for me.  However, I would have been more than grateful to have one with my 1st birth as I was younger and less sure of myself.


Quoting doulala:

You are able to decline any procedure you don't want, though-  you can say no to antibiotics if you like.      How will they know if it's gone/returned, will they test you then?    ;-)
You don't need to spend any extra money.
A doula to help you achieve you
r preferences.

Quoting BaileysMom9:

I AM looking into ways to treat/clear my system of GBS, so that I will not be positive at the time of birth.  That being said, if I am still GBS+, the hospital/OB will require an antibiotic drip (which I don't want).  And using a doula for what?  I am tryng to avoid extra cost.  Never had a doula in the past... never needed/wanted one.


Quoting doulala:



rachelrothchild
by on Jan. 27, 2013 at 2:44 PM

Reasonable.  Sounds like you know the drill.  A lot of the appts are a waste of time.

GoodyBrook
by Silver Member on Jan. 27, 2013 at 6:05 PM
1 mom liked this

 I didn't have a GBS test done, and when I went in for a hospital delivery, I simply declined the antibiotics.  They didn't even blink.  No problem!

Quoting BaileysMom9:

Well that's a good point.  I could just decline the swab test later in pregnancy... or tell them no to the antibiotics in the hospital.  It's funny how you often forget you do have rights when it comes to your pregnancy/birth and hospital stay.  Dr's/hospitals are so good at convincing/manipulating you into thinking it's mandatory and you have no choice.  Up until my last pregnancy I didn't realize I could decline the glucose test (which of course I did after finding out).

  I've never found a doula for free.  Besides, I like just having my husband there for support.  I like the least amount of people possible around me, and I just don't think a doula is necessary for me.  However, I would have been more than grateful to have one with my 1st birth as I was younger and less sure of myself.

 

Quoting doulala:

You are able to decline any procedure you don't want, though-  you can say no to antibiotics if you like.      How will they know if it's gone/returned, will they test you then?    ;-)
You don't need to spend any extra money.
A doula to help you achieve you
r preferences.

 

 


 

Magnolia7
by on Jan. 27, 2013 at 6:25 PM

My patients are always surprised when I ask permission to do something or remind them that ultimately the choice is theirs.  Just so routine for the dr/hospital staff to make it seem like there are no choices.  :(

As for GBS - you could do the garlic prep and then get swabbed.  That way you would show negative and wouln't be hassled for the antibiotics during labor.  (Search this group for GBS posts, more info on how to test negative explained.)   Some hospitals will hassle you after birth and say they need to treat the baby or keep the baby longer if you decline both the swab and the antibiotics .... just depends on when you want to deal with the hassle.    

As for appointments, schedule and go as you feel necessary/comfortable.  I would explore every option for a different provider in the meantime. 

Mrs.Salz
by on Jan. 27, 2013 at 9:59 PM

It sounds reasonable to me, but that's just what I personally am comfortable with. I'll be having a UC about a month from now and have been doing my own prenatal care since 28 weeks.

Lots of info about how to change GBS status if you do a group search :)

Would having a doula for support at a UC help? Maybe you could live with a relative for a few weeks around your due date and have an attended homebirth elsewhere? Or have a birth with the midwife a few hours away either at a hotel or her home? Just throwing out some other ideas that might be options.

littlelambe2
by on Jan. 27, 2013 at 10:28 PM
1 mom liked this


Bacteria levels change constantly and there are ways to control and manage it. As I stated before, the new guidelines are that GBS test results expire after 5 weeks. Just because you were positive with your last pregnancy, doesn't mean you'll be positive upon delivery with this one. Levels can be dropped with garlic and probiotics. Just wanted to make you aware. You should still retest around 36-38 weeks. 

Quoting BaileysMom9:

Well, I was GBS+ w/my last pregnancy as well.  This one they found it in my urine early on.  I am not one for antibiotics, and with my last I showed up to the hospital so late they only had time for half a bag of antibiotics, which was a plus.  I'd rather not have them at all, but not sure the hospital will even "allow" that. 

As for switching OB's... there is one other office in town, but all male providers and I do not want a male OB.  And regardless, I still feel like the appts are a waste of time.  And no, I would not do a UC if either of us were not completely and 100% on board and dedicated to it. 

Quoting littlelambe2:

GBS test result expire after 5 weeks, so how do you know you'll be GBS positive on delivery? 20w scan is not necessary unless you're at risk for certain things. Can you change OBs? How about a family doc? Your choice in health care provider is very important. I wouldn't do an unassisted home birth unless both you and your husband are on board. 





polkaspots
by Bronze Member on Jan. 27, 2013 at 10:38 PM
1 mom liked this
They can't make you go in more than you want to. And no good doctor is going to turn you away because you aren't going in every few weeks. You know your body. It's not like you're going to not go in if something goes wrong. I had so many pointless visits with my first. And as you get farther along the exams become more and more uncomfortable. It hurt me. I didn't want to go through that again. Nobody should have to unless there are complications.


Quoting BaileysMom9:

Hmmm... well hopefully I will get lucky and my OB office will be that understanding.  I have a very clear EDD though, so I feel like I might just want to go once or twice toward the end to make sure everything is kosher :)  All my babies have been born within a week of the EDD, so not too concerned.



Quoting polkaspots:

He didn't really get mad, he just told me I had to do the more freuquent appointments towards the end because we had an estimated due date of anywhere between February 2nd and the 23rd.





Quoting BaileysMom9:

How did that go over with your OB?  Did they give you a hard time or were they understanding?  I'm just worried mine is going to be a huge headache if I only go when I want. 



Quoting polkaspots:

I only had about half as many ob appointments as I was supposed to with my second. I did it the way my doctor recommended with my first, but it seemed pointless.











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