I live in a small town where my delivery options are limited. There is the really crummy "band-aid station" of a hospital in my town that's 5-8 minutes from my home, but I wouldn't go there even in an accident- much less to give birth.
There IS a birthing center that's a little more than an hour drive from my house- this is the only place even remotely close to me with midwives. I was really interested in touring there since I first found out that we're expecting because I want a natural birth. To register for the tour the site says to email soandsoladyperson, and so I did. Nothing. So I waited a few weeks, and emailed her again. Nothing. So I called the birthing center and the apathetic-sounding woman who answered suggested that the easiest way to register was to email soandsoladyperson. So I hung up and emailed her again. I got an automated "away until march 5th" message. BAH. So, at this time I feel that I have given up on the birthing center because they are obviously to indifferent to care or to busy to bother with me.
So I have been going to the OB that is (thankfully) stationed in my town, 15 mins away, but is connected to a hospital that is an hour away, but is the better of the two located in that city. All the nurses at my OB have been super nice- the head nurse always makes me laugh, the ultrasound tech was super patient with my tilted uterus and all the first-time-grandma's requests, and after just a few visits the front desk nurses know me by name. I've only seen one dr (though there are about 10 who could possibly deliver my baby- depends who is on duty or on call) but he has been great- eager to answer my questions, really delves into how I'm feeling and concerns I have. So far I have learned that the practice c-section rate is between 15-20%, the hospital encourages skin-to-skin and as of recently has pretty much done away with the nursery (so I get baby the whole time YAY!), I will be allowed to walk and move around as I please during labor, soak in a tub until actually giving birth (no birthing tubs) and give birth in any position that feels comfortable (he went on to tell me about a lady who decided on giving birth on her hands and knees facing away from him.. He said it took a few minutes for him to adjust, but he delivered baby no problem).
So it SEEMS that the hospital I've chosen is pretty supportive of natural births, but for some reason I can't help but be skeptical.. I'm terrified I'll be pushed into a c-section, or pushed into be induced.. And I'm still mad as hell that the birthing center wont give me the time of day. I guess all of this is in part because of all the stories I find about natural births in hospitals seem to be about fighting the drs will or being traumatized by being pushed into something against the mothers wishes.
Re: unnecessary concerns? (and frustrations!)
Would you want to hire a doula? That might help you feel better about giving birth with an OB. 15-20% is a good rate, is that for first-time moms?
If you've contacted the birth center that many times without a decent response, I would stick with what you know. Both the MW practices I went to were really large (15+ MW), but I still ended up knowing who was on call for at least my first birth. I would probably go to the other OBs for visits, just so you know faces/names? But that's also another reason for thinking of getting a doula. hth!
DS2 - Oct 2010 (my VBAC baby!)
I'd stick with the OB/hospital and also hire a doula if you can.
I loved my doula last time and have my first meeting with her on Saturday for this pregnancy. I have a good doctor and an okay hospital, but I want the support that I get from a doula.
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ITA. It sounds like you have a NB friendly OB who is very supportive, as well as a supportive hospital environment with a low c-section rate. (All of the hospitals in my area have a c-section rate of almost 40%, so I'm very jealous of the 15% rate at your hospital!).
I think you will be just fine there. I wouldn't go with a birth center that has midwives that can't be bothered to answer a damn email. As a pp said, that tells you a lot about their level of organization and how much they care.
It sounds as if you have a winning combo at your fingertips. Lucky you! It also sounds as if your fears are hormone-driven more than anything. "Hospital" is not a bad word, and "birthing-center" is not a mystical one! I checked out a birthing center here in Miami only to find out it had been investigated by the FBI and shut down. So if you have a great team working with you then you are a lucky mama and your LO is a lucky new baby!
And most of those movies/books about the impossibility to achieve natural birth in a hospital are written to be scary/propagandist. Don't buy the hype. Trust the evidence before you.
oh wow thats so high! (even the band-aid station has a rate of 30% but they only deliver about 300 babies a year.) I'm feeling very fortunate!
I just want to say thank you all so much! All these things are just super scary when you don't know what you are doing in the least.. I will definitely look into finding a doula- I have a strong feeling that DF will be freaking out as bad as me when it comes time.
Over-40 parents...what we lack in vigor, we make up for with cunning.