3rd Trimester

Dr. on call?

I am sort of confused... I have a friend in who just had a baby. reading her blog she posted she hoped she would go in to labor this day this day or this day because thats when her dr was at the office or on call. (and I dont think her dr delivered her baby) and I've also heard other people say they want to go in to labor on certain days cuz then their dr would be the one on call. So my question is, isnt the reason for finding a good OB is so THEY are the one that deliver your baby or just it just depend on the dr? I am going to ask my OB cuz I want to make sure she is the one there. When my sister had her baby her dr was at home sleeping and they called him. How many people are garaunteed their dr will be there or how many people will just get the on call dr?

Re: Dr. on call?

  • My OB's office has 6 rotating doctors.  You have to see all of them throughout your pregnancy, and whoever is on call the day you deliver is who will deliver your baby.  We don't get to choose.
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  • It's very common that if you are seeing a practice with multiple OBs that your primary doctor may not be the one there to deliver you - it will be whoever is on call at the hospital that day. In the end the OB really only catches the baby - the nurses and hospital staff are the ones with you before, during and after. I personally pick an OB that I am comfortable with providing care throughout my pregnancy instead of who I want to deliver my baby.

    In my case, my induction took so long that I rotated through all three OB's on-call shifts before DD was born. I got lucky that I finally delivered about 6 hours before my favorite OB's on call shift ended, but I really wouldn't have cared who was there while I was in the moment.

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  • imagemabenner1:
    My OB's office has 6 rotating doctors.  You have to see all of them throughout your pregnancy, and whoever is on call the day you deliver is who will deliver your baby.  We don't get to choose.

     

    Yes This.

     

    Also, my practice shares on call duties with another smaller office.  So.... I could end up having a doctor I've never met deliver the baby.  As long as the baby is delivered safely, I don't care which doctor it is.

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  • i think it's actually pretty rare for the OB you have been seeing to be "guaranteed" to deliver your baby.  Usually in a practice it is whoever is on call.  I'm glad I'm seeing a CPM because she is guaranteed to deliver.  If i would need a transfer it would be one of the four docs in the practice who would deliver, not necessarily my midwife's specific backup.
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  • There are 5 OBs and a midwife in my OB's office. My doctor is on vacation this week so If I do go into labor this week I get someone else. Luckily I go to a great practice and know that they are all good. With my DD I went some where that had 4 rotating and I ended up with someone I had never met before. OBs need a life too...At least I know that my prenatal care and post partum will be taken care of by the same person. 
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  • ohfourohfour member
    I don't go to a practice, it's just my OB. So, unless she is on vacation or sick and someone is covering for her, she is always "on call".
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  • My doctor "tries" to delivery the baby if shes available but that just isnt always the case.

    the last doctors appointment i had she said "you will have this baby this weekend because i'll be out of town. It always happens..."

    sure enough my water broke on saturday and the on-call doctor had to deliver my son. Theres nothign you can do about it and in the long run it just truly doesnt matter as long as that baby comes out safe and healthy.

    Your doctor cant be on call 24/7. even they need a break. and it really isnt a big deal!

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  • imagekjg5445:

    My doctor "tries" to delivery the baby if shes available but that just isnt always the case.

    Your doctor cant be on call 24/7. even they need a break. and it really isnt a big deal!

    This, exactly.

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  • imagekjg5445:

    Your doctor cant be on call 24/7. even they need a break. and it really isnt a big deal!

    not always true.

     

    My OB will be the one to deliver this baby, no matter when I go into labor. He bought a house 3 minutes from the hospital, and delivers all his patients babies. He does not take patients who are due within so many weeks of his scheduled vacations. it is extremely rare that he misses a delivery (usually only happens if a patients ends up with a preterm delivery during his vacation).

    So, you can find a practice that operates that way...but they're very rare these days.  

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  • imageohfour:
    I don't go to a practice, it's just my OB. So, unless she is on vacation or sick and someone is covering for her, she is always "on call".

    This is how my dr works also.  He isn't part of a big practice.

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  • I had an on-call Dr., he was horrible and it was awkward dealing with someone who I had never met before.  His style wasn't with mine and we had some tense moments between the Dr. and I and the Dr. and my family.

    Obviously this was an isolated incident, but for me my on-call Dr. was an asshoIe.

  • I also go to an office that has 6 doctors.  In the beginning of my pregnancy I rotated around so I got a chance to meet with all of them.  Of course, I have a favorite...so the last couple months I've made my appointments with him.  While I hope he is on-call when I go into labor, I know the chances are slim and I'll have one of the other doctors.   I don't "dislike" any of them so I'm not too worried. 
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  • My office has 9 doctors that rotate.  I have seen 5 of them over the last 40 weeks.  I love the 2 women and have been requesting them as much as possible lately.  Two of the men I can tolerate and 1 i absolutely hate and hope that he is not on call that day.  It's a lotto draw for me.
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  • I'm also a patient at a practice with 6 or so doctors, all of whom I have met once throughout my pregnancy, and then "my" ob. If I go into labor during my ob's office hours, she'll throw on scrubs and come over to the hospital, otherwise it's whomever is on call for the practice.
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  • I will have one of the 3 MWs on my team, and I have had multiples appointments with each.  If they had to transfer my care in an emergency to the on-call OB, I could care less who it is as long as they do their job.  I wasn't a fan of the Dr. on call in emerg that performed my D&C last year, but I was knocked out, he did his job, and I woke up with no complications. 

    Also, from what I have heard, most OBs are pnly there to "catch" the baby and much of the time you're in labor you're with the nursing staff, etc. (one of the reasons I love getting to work with my MWs instead).  When I was in L&D overnight in April for a glabladder attack, our room was close to the esk so I got to listen to the random resident phoning the OB at 3am and saying, "I told her I am giving her 30 mins to finish pushing it out or I will wake you up again and call you in to section her."  Awesome. Yes  DH looked at me like, "Huh, what do you know?  Maybe those books and docs aren't completely blowing things out of proportion..." 

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  • The only guarantee your doctor will be the one to deliver your baby is if you get induced or a scheduled C-section. Which that would be the case for me.
  • My doctor doesnt share an office with any other docs. But, like others said, they cant be on call 24/7. There are 4 other doctors in her group, for on call purposes. I think its quite rare to be guaranteed your dr for your delivery. The dr's deserve a life too.
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  • imagemabenner1:
    My OB's office has 6 rotating doctors.  You have to see all of them throughout your pregnancy, and whoever is on call the day you deliver is who will deliver your baby.  We don't get to choose.
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  • imagemabenner1:
    My OB's office has 6 rotating doctors.  You have to see all of them throughout your pregnancy, and whoever is on call the day you deliver is who will deliver your baby.  We don't get to choose.

     This is the way mine works too.

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  • imagemabenner1:
    My OB's office has 6 rotating doctors.  You have to see all of them throughout your pregnancy, and whoever is on call the day you deliver is who will deliver your baby.  We don't get to choose.

    I also had to see all 5 doctors. I still might not even get one of them, because I am going to the northern campus and the 5 doctors I met with (including mine), are mainly at the main hospital in the city. I weighed the pros and cons of both hospitals and chose the one in which I will most likely not get my doctor. I couldnt pass up avoiding Atlanta traffic, parking garages and a hospital that delivers about 80 babies a day. Instead Im going to a new/gorgeous campus, 4 miles from my house, no parking fees (for the family), and one that has about 2 or 3 babies a day.

  • You need to ask your doctor, but I don't even know of any practies in my area where you are guaranteed to get the doctor you have seen for your whole pregnancy. I went to and OB practice with DD#1 where there were like 7 OB's and & CNM's and you got whoever was on call. And by on-call, it meant the one who was going to come and catch the baby. I didn't see anyone from my practice until the end. I was under the care of the resident and attending on call for OB within the hospital.

    This time around, I go to a practice where there are only 2 OB doctors, but they still take turns on call. They make sure you see the other doctor at least once during 3rd trimester, just to get acquainted with them.

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  • Thank you all so much for your responses! I will be sure to ask my dr how it's all gonna work. I totally agree that she needs a life too and would understand if I got the on-call dr. : ) Thanks again.
  • It also isn't always about being in a practice with multiple doctors.  With DS, we lived in a rural area and there were two OBs who both had their own separate private practices that had privileges at the local hospital.  They would each deliver their own patients during work hours, but if a woman went into labor and delivered at night or on a weekend - it depended on which one of them was on call.  I delivered DS on a Saturday and the on call doc was not my OB; didn't end up mattering though because I LOVED the OB that delivered DS.  I almost wish I'd had her for my prenatal care too :)
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  • imageMrsGo4Hockeychick:
    imagekjg5445:

    Your doctor cant be on call 24/7. even they need a break. and it really isnt a big deal!

    not always true.

     

    My OB will be the one to deliver this baby, no matter when I go into labor. He bought a house 3 minutes from the hospital, and delivers all his patients babies. He does not take patients who are due within so many weeks of his scheduled vacations. it is extremely rare that he misses a delivery (usually only happens if a patients ends up with a preterm delivery during his vacation).

    So, you can find a practice that operates that way...but they're very rare these days.  

    I agree. I think its rare but this is how my doctor is too. He said he has only ever missed three deliveries. Of course I am prepared to be #4 because he is human, but the odds seem to be in my favor of having my own OB deliver my baby.

     

  • Yeah, it is really nice if you go to an office where your doctor will be the one delivering, but in my area it is so rare now. My office has 4(including my doctor) I have to meet that could be on call-they are all really nice..

    Former nest name=nettie Mom to Nick 09/13/05, Isabel 07/20/07, and Tori 09/08/11 image
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