September 2013 Moms

Hospital or birthing center

I think I always wanted to have the experience of having a baby at a birthing center but I am too nervous about the what ifs and feel more comfortable delivering in a hospital. What does everyone else plan on doing? I think it would be cool to have a midwife or doula experience or a water birth, but alas I will probably deliver in the hospital! On a side note, I do not know much about midwifery, can someone explain?

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Re: Hospital or birthing center

  • If I had the option of a birthing center I would choose that in a heart beat. Unfortunately, my town only has the option of a hospital :(

    Have you watched "More Business Of Being Born"? It can answer your midwife question very, very well.

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  • This is my first baby, and I'm absolutely terrified for delivery! Haha. I think we will stick to the hospital. 
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  • imageWashingtonQueen:
    If I had the option of a birthing center I would choose that in a heart beat. Unfortunately, my town only has the option of a hospital :Have you watched "More Business Of Being Born"? It can answer your midwife question very, very well.

    Haven't heard of it but now I want to watch, where can I find it? Is it like a YouTube thing or do I have to buy it?

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  • A doula is someone who advocates for you during birth and assists you as needed, they go wherever you go hospital or birthing center.  An OB is a surgeon, a MW is not.

    I am trying for VBAC (hopefully), so since that comes with it's own set of risks I'll be in a hospital.  Even before I knew I needed a c/s I was all about the hospital with an OB.   

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  • Also we have a birthing center and its across the street from my hospital so that is awesome....however if you need a hospital the birthing center doesn't use mind, it uses one like 10 mins away!! Based of y last delivery experience I do not have 10 mins to spare....but I might at least give them a call tomorrow to be more informed.

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  • imageTristaD81:
    A doula is someone who advocates for you during birth and assists you as needed, they go wherever you go hospital or birthing center. nbsp;An OB is a surgeon, a MW is not.I am trying for VBAC hopefully, so since that comes with it's own set of risks I'll be in a hospital. nbsp;Even before I knew I needed a c/s I was all about the hospital with an OB. nbsp;nbsp;


    Thanks! I had an idea of what a doula was but didn't realize a midwife is like an OB minus the surgeon part!

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  • imagesmscartozzi:
    imageWashingtonQueen:
    If I had the option of a birthing center I would choose that in a heart beat. Unfortunately, my town only has the option of a hospital :Have you watched "More Business Of Being Born"? It can answer your midwife question very, very well.
    Haven't heard of it but now I want to watch, where can I find it? Is it like a YouTube thing or do I have to buy it?

    Do you have Netfilx?

    The first one is "The Business of Being Born". The second one, with tons of really good information, is called "More Business Of Being Born".

  • imageWashingtonQueen:

    imagesmscartozzi:
    imageWashingtonQueen:
    If I had the option of a birthing center I would choose that in a heart beat. Unfortunately, my town only has the option of a hospital :Have you watched "More Business Of Being Born"? It can answer your midwife question very, very well.

    Haven't heard of it but now I want to watch, where can I find it? Is it like a YouTube thing or do I have to buy it?

    Do you have Netfilx?

    The first one is "The Business of Being Born". The second one, with tons of really good information, is called "More Business Of Being Born".


    No Netflix:. I will see if I can find a friend to let me use their Netflix! Thanks!

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  • I will definitely be sticking to the hospital.
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  • imagesmscartozzi:
    imageTristaD81:
    A doula is someone who advocates for you during birth and assists you as needed, they go wherever you go hospital or birthing center. nbsp;An OB is a surgeon, a MW is not.I am trying for VBAC hopefully, so since that comes with it's own set of risks I'll be in a hospital. nbsp;Even before I knew I needed a c/s I was all about the hospital with an OB. nbsp;nbsp;
    Thanks! I had an idea of what a doula was but didn't realize a midwife is like an OB minus the surgeon part!

    Well, that and an OB is a medical doctor and a MW is not.  Which sometimes translates to OB's are quick to suggest medical interventions while a MW is more likely to suggest natural interventions (when it comes to birthing). 

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  • hospital for us.  I was high risk for the last part of my first pregnancy, I was glad to be there and also glad they were hands off as much as they could be :)

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  • imageTristaD81:

    imagesmscartozzi:
    imageTristaD81:
    A doula is someone who advocates for you during birth and assists you as needed, they go wherever you go hospital or birthing center. nbsp;An OB is a surgeon, a MW is not.I am trying for VBAC hopefully, so since that comes with it's own set of risks I'll be in a hospital. nbsp;Even before I knew I needed a c/s I was all about the hospital with an OB. nbsp;nbsp;


    Thanks! I had an idea of what a doula was but didn't realize a midwife is like an OB minus the surgeon part!

    Well, that and an OB is a medical doctor and a MW is not.  Which sometimes translates to OB's are quick to suggest medical interventions while a MW is more likely to suggest natural interventions (when it comes to birthing). 


    From my last birth I remember someone saying you could get all your prenatal apps at the birthing center. Wonder if that is a midwife or doc there. I kind of prefer a medical doctor for some reasons and made a midwife for others. I would have prayed to have the help of a midwife while I was having trouble BFing because my OBs solution was to stop. Not okay in my book!

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  • imageilovetolaugh:
    hospital for us.nbsp; I was high risk for the last part of my first pregnancy, I was glad to be there and also glad they were hands off as much as they could be :

    That is nice the hospital was mostly hands off, that is not usually the case. My hospital was very hands off too for the most part.

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  • imagesmscartozzi:
    imageTristaD81:

    imagesmscartozzi:
    imageTristaD81:
    A doula is someone who advocates for you during birth and assists you as needed, they go wherever you go hospital or birthing center. nbsp;An OB is a surgeon, a MW is not.I am trying for VBAC hopefully, so since that comes with it's own set of risks I'll be in a hospital. nbsp;Even before I knew I needed a c/s I was all about the hospital with an OB. nbsp;nbsp;
    Thanks! I had an idea of what a doula was but didn't realize a midwife is like an OB minus the surgeon part!

    Well, that and an OB is a medical doctor and a MW is not.  Which sometimes translates to OB's are quick to suggest medical interventions while a MW is more likely to suggest natural interventions (when it comes to birthing). 

    From my last birth I remember someone saying you could get all your prenatal apps at the birthing center. Wonder if that is a midwife or doc there. I kind of prefer a medical doctor for some reasons and made a midwife for others. I would have prayed to have the help of a midwife while I was having trouble BFing because my OBs solution was to stop. Not okay in my book!

    Aw, that is crappy, I'm sorry  :(  Most hospitals will have a lactation consultant,  they are there to help!  I had a hard time at first too, but thankfully I had support from friends and here on TB.  And my DD's pedi oddly enough!  Better luck for us this time! 

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  • I am definitely going to deliver in the hospital again, as I will need a repeat c-section.  It is worth doing some research about different hospitals- some have birth centers, birthing tubs, etc. in the hospital and many have doulas and midwives on staff.  Some are definitely more friendly towards non-intervention than others.

     A doula is a support person during labor, delivery, and post-partum.  They can help with breathing, different labor positions, and help advocate for you.  They are not medically trained, and experience can vary.

     Midwives are nurses who get a masters in midwifery and have a lot of additional training in ob/gyn.  They can provide medical care under the supervision of a physician, like a nurse practitioner.....at least this is my understanding from birth class with DS#1. 

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  • I used a midwife and birth center but after 32 hours of labor I got stuck at 9.5 ins and needed pitocin to fully dilate & deliver.  Off to the hospital we went (10 mins away but the worst car ride of my life) and the midwife joined us there roughly 30 mins later; she stayed through the birth acting as a doula/L&D nurse and for about 45 minutes afterwards.  I'm planning to try the birth center again -- hopefully this time will go much faster but my mom needed pitocin with all 3 of her deliveries so we'll see.....

    I recommend the Business of Being Born documentary (didn't see the 2d one) to help make your decision.  For actually preparing for the birth experience read anything by Ina May Gaskin -- I wish I'd read her books earlier in my first pregnancy and am planning to read them again beginning next week.

    Whatever you choose, make sure you are comfortable with your decision and avoid conversations about your choice with anyone that won't support YOUR decision.

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  • One compromise you might consider is to deliver at a hospital, but have a doula as part of your delivery team. Also, if you are able to specify your desires in a birth plan, you may get the more "hands off" experience you desire while still being at a hospital if a CS is necessary. At least, these are the suggestions I received from the nurse educator who worked in labor and delivery at my local hospital. 
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  • imageMrsBabySmith:

    I recommend the Business of Being Born documentary (didn't see the 2d one) to help make your decision.  For actually preparing for the birth experience read anything by Ina May Gaskin -- I wish I'd read her books earlier in my first pregnancy and am planning to read them again beginning next week.

    They did an interview with her for the second one. It was amazing! She is an awesome woman!

  • Before making your decision I suggest that you do a lot of research in regards to the pros and cons to both. Ever since we've been TTC we have been doing our homework and now we are scared to have our baby in a hospital. There is so much we didn't know. Like the other women suggested, watch "Business of being born" it's very interesting!
  • I checked out The Business of Being Born from my local library.  
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  • My OB practice has certified nurse midwives as well as OB's and DO's.  I haven't decided on whether I will use the midwives or my usual OBGYN.  She is pretty even keeled, and I don't think she would pressure me into medical interventions I am not comfortable with.

    We will be delivering at a hospital, as there are no birthing centers anywhere near me.  I think I would probably deliver in a hospital anyway.

    As for The Business of Being Born . . . it was very interesting and informative.  But keep in mind that it has a bias.  They are trying to convince you to have natural home births.  While that seems like a wonderful experience, I think you need to be critical of any film or book that paints one side or the other (traditional medicine or natural midwifery) as the "bad guy."

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  • I personally am more comfortable with a hospital birth so we are doing that again.
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  • Since my husband is a physician and works at the same hospital I will be having a hospital birth. I've always been fascinated by a MW but I really like my OB.

    I think people that go into this type of field have to love it.

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  • They just opened a birth center in our town about a year ago. I'll be delivering there. Its only a mile from the hospital.
    TTC since 11/1/12
    BFP 1/2/13
    Ultrasound showed no heartbeat 2/14/13

  • The only birthing center near me is well over an hour away. After having a pPROM and a preemie and now potentially being high-risk again I will delivering in a hospital with a NICU. Not the experience I wanted but the end result was a healthy baby!
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  • I'd be dead or a few blood transfusions in now if I'd using a birthing center (the only one within an hour has absolutely no capability to handle complications needing medical intervention, you get stuffed in an ambulance and transported to the better hospital 30 minutes away) and I'm sure DS would have needed more NICU time as well.   So it really depends on what is available in your area....there are some amazing birth centers out there, just like there are some amazing hospitals.  I'll be delivering at the same hospital again with a Level III NICU.  The only thing our hospital doesn't have was a water birth, which held zero interest to me anyway.


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    2 years, 2 surgeries, 2 clomid fails, 2 IUIs, 1 loss, IVF #1 - 10/25/10 = BFP!, DS is now 3.5yrs!
    TTC #2 - 6/12 surgery #3, FET #1 & 1.2 = BFN, 12/2012 FET #2 = BFP! DD is 1.5 yrs!
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    I can't wait for the "im getting a divorce" post in 5 years or so because your husbands were fed up with your disgusting chair asses from playing on the knot all day and getting fired 4-5 times for not doing any work. you guys are all winners!! ~ Laur929

  • I will be birthing at a hospital. Atlanta has a great women's center that is really nice. The delivery rooms are huge and very "home like". Personally I want the best care available for me and my baby if something were to go wrong, If the baby is not doing well or me I don't want to have to wait for an ambulance or have to drive . I guess I do not understand why women are so scared to birth at a hospital, my birth with DS was great at the hospital, they asked me about my birth plan when I got there and nothing was pressured. If anything I felt more comfortable knowing that if something went wrong doctors were there to help. I was with one of my best friends through her delivery ( her hubs was in Afghanistan) and the baby had inhaled meconium (sp?), it was very scary for a few minutes . If she had not been at a hospital it is scary to think what could have happened. But its a personal decision for everyone ! 


    BFP#1.11/2/12-EDD 7/16/13-M/C.11/6/12
    BFP#2 1/2/13 EDD 9/13/13 DS#2 8/19/13!


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  • I am using a midwife but will be delivering in a hospital since I'm hoping for a VBAC. The midwifes can only deliver VBACs at the hospital rather than the birth center because of the risks of complications. 

    We will also be hiring a doula in hopes of having a natural birth.  

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