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#1
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I was just wondering, is it standard procedure in a normal delivery...
....for the doctor who is delivering your baby to only show up when you
are at the pushing stage? I guess it doesn't really bother me, as my doctor was in contact with the nurses at the hospital and everything, and I did see him earlier in the day when I first went into labor - I just was surprised that this was so. Now I am due with a second, and my first doctor has retired, so I am wondering if this is normal procedure or if basically the doula/midwives are the ones who spend time with you during the labor process and the doctor only shows up at the end? I have to find a new doctor, and I don't know if what I'm looking for (more handholding I guess???) is more of a doula thing than a doctor thing... |
#2
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I was just wondering, is it standard procedure in a normal delivery...
That's pretty much the norm here where I am in newfoundland Canada.
"don_tspamme" wrote in message ups.com... ...for the doctor who is delivering your baby to only show up when you are at the pushing stage? I guess it doesn't really bother me, as my doctor was in contact with the nurses at the hospital and everything, and I did see him earlier in the day when I first went into labor - I just was surprised that this was so. Now I am due with a second, and my first doctor has retired, so I am wondering if this is normal procedure or if basically the doula/midwives are the ones who spend time with you during the labor process and the doctor only shows up at the end? I have to find a new doctor, and I don't know if what I'm looking for (more handholding I guess???) is more of a doula thing than a doctor thing... |
#3
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I was just wondering, is it standard procedure in a normal delivery...
"don_tspamme" wrote in message ups.com... ...for the doctor who is delivering your baby to only show up when you are at the pushing stage? I guess it doesn't really bother me, as my doctor was in contact with the nurses at the hospital and everything, and I did see him earlier in the day when I first went into labor - I just was surprised that this was so. Now I am due with a second, and my first doctor has retired, so I am wondering if this is normal procedure or if basically the doula/midwives are the ones who spend time with you during the labor process and the doctor only shows up at the end? I have to find a new doctor, and I don't know if what I'm looking for (more handholding I guess???) is more of a doula thing than a doctor thing... I'm in New England, US and that's the typical situation here. In fact, I was seeing an OB practice at the start of my pregnancy and started asking questions about when the Dr would come, etc and didn't like the answers. This practice had 7 Drs and whoever was on call for deliveries when you were ready was the one to deliver the baby, no matter who your primary Dr was. The Dr was called in only after at least 5cm dilation and basically aimed to be there for less than a hour before the actual birth. This seemed to be standard practice when I compared answers with other people in the area. So, I switched to a midwife in the middle of my second trimester and was very happy with the experience. This practice was two midwives under the supervision of an OB practice, so you'd get either one of the midwives that was on call, and if they felt that the OB needed to be called in, they had one they were affiliated with. I alternated visits between the midwives so I knew them both, and met the OB once so he would't be a stranger if I needed him. I went to the hospital at 11pm, but was only 3 cm dilated, so the nurses just notified the midwife on call and I stayed there since it was 30min from home and I did NOT want to get back in the car. At 7 am one of the midwives came in to check on me and I was 5 cm dilated, so she stayed and was very supportive. I didn't deliver until 1pm (after two hours of hard pushing), and the midwife was with me the whole time. She never mentioned C-section even after two hours of pushing because I was making progress, albeit slow, and I had a completely drug free delivery that I am very satisfied with. Long story short, if you want lots of support and don't have any serious complications to your pregnancy, I highly recommend nurse midwives. If you need to be followed by an OB, get a doula. Good luck, Amy |
#4
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I was just wondering, is it standard procedure in a normal delivery...
don_tspamme wrote:
...for the doctor who is delivering your baby to only show up when you are at the pushing stage? Yes. It is also no uncommon for your doctor not to deliver your baby. In the 2002 Listening to Mothers survey, it said that 19 percent of women didn't know the person who attended the delivery and another 10 percent were attended by someone they had met only briefly. If continuity of care is important to you, midwives are more likely to be there for the delivery and to be with you for more of the labor. A homebirth with a small practice is pretty much the ultimate in continuity of care. It's also a question you can (and should) ask of prospective caregivers. Best wishes, Ericka |
#5
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I was just wondering, is it standard procedure in a normal delivery...
don_tspamme wrote:
...for the doctor who is delivering your baby to only show up when you are at the pushing stage? I guess it doesn't really bother me, as my doctor was in contact with the nurses at the hospital and everything, and I did see him earlier in the day when I first went into labor - I just was surprised that this was so. Now I am due with a second, and my first doctor has retired, so I am wondering if this is normal procedure or if basically the doula/midwives are the ones who spend time with you during the labor process and the doctor only shows up at the end? I have to find a new doctor, and I don't know if what I'm looking for (more handholding I guess???) is more of a doula thing than a doctor thing... In my experience it's not uncommon. Otherwise the Dr. would never be able to schedule office hours because s/he'd be sitting in the hospital most days and nights waiting it out with whoever was in labor. gloria p |
#6
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I was just wondering, is it standard procedure in a normal delivery...
"don_tspamme" wrote in message ups.com... ...for the doctor who is delivering your baby to only show up when you are at the pushing stage? I guess it doesn't really bother me, as my doctor was in contact with the nurses at the hospital and everything, and I did see him earlier in the day when I first went into labor - I just was surprised that this was so. Now I am due with a second, and my first doctor has retired, so I am wondering if this is normal procedure or if basically the doula/midwives are the ones who spend time with you during the labor process and the doctor only shows up at the end? I have to find a new doctor, and I don't know if what I'm looking for (more handholding I guess???) is more of a doula thing than a doctor thing... Very normal over here, and I'm in Alberta, Canada. For all 3 of mine, the doctor was called towards the very end. For DS1, my regular doctor was on holidays (of course, this happened over Xmas), and that left the 2 other OBs in his office as the ones on call and covering for my doc. Another doctor in original doc's office was the one called in for my delivery, and she's the one that did my emergency section. After DS1 was born, I requested to stick with this doctor that did the delivery, saw her for my post-op and all that, and kept her as my doctor for DS2. Again, she was called in towards the end and was not on holidays, was there for my VBAC and I kept her for DD. She was actually on holidays when DD was born, so the 3d doc in her office and the first doc I had originally were both on call and covering for my doc while she was gone. The 3d doc in the office did the VBAC for DD, and she was great, but I went back to my doc that delivered DS2. I have her for #4, and I'm hoping she's not on holidays or something come the end of this month! DS1 was born early evening - 4:48pm on a Wednesday. DS2 was born right afternoon - 12:14pm on a Wednesday. DD was born mid afternoon - 2:46pm on a Thursday. If my doc sat around waiting the whole day with me, basically from start to finish, then there'd be no possible way she could have had any other women for appointments or deliveries. I don't think it's possible for an OB or doctor to basically hold each and every person's hand for labor and delivery. Also, some could be on holidays, or unavailable for whatever reason. |
#7
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I was just wondering, is it standard procedure in a normal delivery...
don_tspamme wrote: ...for the doctor who is delivering your baby to only show up when you are at the pushing stage? I guess it doesn't really bother me, as my doctor was in contact with the nurses at the hospital and everything, and I did see him earlier in the day when I first went into labor - I just was surprised that this was so. Now I am due with a second, and my first doctor has retired, so I am wondering if this is normal procedure or if basically the doula/midwives are the ones who spend time with you during the labor process and the doctor only shows up at the end? I have to find a new doctor, and I don't know if what I'm looking for (more handholding I guess???) is more of a doula thing than a doctor thing... It depends on the doctor and the practice. The OB practice I used had an arrangement that one of the doctors was in the hospital for 24 hours straight. (While the other docs in the practice handled office visits.) You saw every doctor during your prenatal care, so none of them were strangers. Because the doc was in the hospital, he was in and out of my room through the entire labor, checking on me often. When it was time to push he wasn't there the whole time (I pushed for two hours and there were other women in labor), but he was there for about the last hour. I had no objection to the setup. It seemed a good way to handle it. (The L&D nurses were also all great.) Naomi |
#8
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I was just wondering, is it standard procedure in a normal delivery...
Puester wrote: don_tspamme wrote: ...for the doctor who is delivering your baby to only show up when you are at the pushing stage? I guess it doesn't really bother me, as my doctor was in contact with the nurses at the hospital and everything, and I did see him earlier in the day when I first went into labor - I just was surprised that this was so. Now I am due with a second, and my first doctor has retired, so I am wondering if this is normal procedure or if basically the doula/midwives are the ones who spend time with you during the labor process and the doctor only shows up at the end? I have to find a new doctor, and I don't know if what I'm looking for (more handholding I guess???) is more of a doula thing than a doctor thing... In my experience it's not uncommon. Otherwise the Dr. would never be able to schedule office hours because s/he'd be sitting in the hospital most days and nights waiting it out with whoever was in labor. gloria p I agree that it's not uncommon (I used an OB for my first birth -- never again!) but it can't simply be because of office hour concerns. Many midwives run practices that are identical to OBs, but are nonetheless able to "wait it out" with the woman in labor, often by having group practices where one midwife is "on call" for office visits, while the others attend laboring women. OBs, in my experience, just have a different standard of care. If you want someone to be with you during labor, use a midwife. Bryna |
#9
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I was just wondering, is it standard procedure in a normal delivery...
Bryna wrote: I agree that it's not uncommon (I used an OB for my first birth -- never again!) but it can't simply be because of office hour concerns. Many midwives run practices that are identical to OBs, but are nonetheless able to "wait it out" with the woman in labor, often by having group practices where one midwife is "on call" for office visits, while the others attend laboring women. OBs, in my experience, just have a different standard of care. If you want someone to be with you during labor, use a midwife. As noted in my post, many (most?) OB's have group practices too, to allow some docs to be in the office while others are at the hospital for labors and deliveries. I'd guess that a bigger difference (allowing the typical midwife to spend more time with the laboring woman) is simply the size and scope of the practice. Midwives have fewer patients (and since they usually only handle childbirth they DON'T also have patients with gyn-related concerns), and are able to plan their schedule so that they won't have more than a few women due any single week. I'm sure that when OB's are hanging out in the hospital anyway, they aren't just sitting in the doctor's lounge watching Oprah while waiting for Mrs. Jones to crown. They are tending to the other 5 women who are in labor at the same time, being called down to the ER to check on OB/GYN-related cases, doing emergency c-sections, and much more. Naomi |
#10
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I was just wondering, is it standard procedure in a normal delivery...
...for the doctor who is delivering your baby to only show up when you are at the pushing stage? I guess it doesn't really bother me, as my doctor was in contact with the nurses at the hospital and everything, and I did see him earlier in the day when I first went into labor - I just was surprised that this was so. Now I am due with a second, and my first doctor has retired, so I am wondering if this is normal procedure or if basically the doula/midwives are the ones who spend time with you during the labor process and the doctor only shows up at the end? I have to find a new doctor, and I don't know if what I'm looking for (more handholding I guess???) is more of a doula thing than a doctor thing... this is fairly normal, but of course what are the chances of it being your doctor that actually makes it, a while back Ericka gave a figure of around 30%. It also means you have less skilled attendents earlier on, and then by the time the doctor arrives, what to they actually do? Ok, so it is a time when things do go wrong and interventions can be needed, but not as commonly as you might think. As for the handholding, no doctor is going to do that, there time is too precious, if you have a good L&D nurse they may do that, but ideally it would be a midwife, with a doula as the 2nd choice. Have you considered trying to find a midwife, not all are able to practice as one mother one midwife, say in a birth centre setting, but many do. Anne |
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