September 2015 Moms

Becoming fearful of hospital birth

This is going to sound terrible, and I really don't mean to make anyone feel bad for the type of birth experience they have, but am I just screwed for trying to have a natural birth at a hospital? It seems like almost everyone gets pitocin (like it is forced on you at the hospital) which ultimately leads to more painful contractions, which in turn makes things unbearable so you then need an epidural. The epidural/pitocin combo often causes fetal distress, and then mom is rushed off to c-section after which everyone praises the doctor for "saving" the baby who wouldn't have been in distress if none of the intervention would have been started in the first place. And/or they tell you after the fact that it was a good thing they delivered via c-section because the cord was around the neck. Cord around the neck is usually not dangerous and occurs in one third of all births, so they just tell you about the cord around the neck to make you feel better about getting the c-section....as if baby would not have survived otherwise. I don't know. This sucks because I am starting to feel like it is safer to have my baby on the bathroom floor than go to the hospital. Can anyone ease my fears, or am I just destined to be pushed through the hospital system without any say?

Re: Becoming fearful of hospital birth

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  • Yes I did tour the hospital. We don't have tubs or showers to labor in, but I am hoping to stay at home as long as possible to keep comfortable. We live ten minutes from the hospital. I am not really sure about my medical provider's attitude about natural birth. It is my fault for not bringing it up sooner, and now I feel like it is too late since I am due in two days. I have an appointment this afternoon at which point I could mention some of my concerns, but it may just create friction... What to do..? Next time around I will prepare and do my research earlier on.
  • I had my first at an independent birth center with a midwife. There was no option for pain meds and the few interventions she would/could do were considered last resorts. It was wonderful. Fast forward two years and we have moved cross country to an area where our only option was a hospital birth. I was scared to death for many of the reasons you described. I found an OB who was supportive of natural births (she had three herself) and she has a very "less is more" philosophy. (I had only one ultrasound despite being AMA, she was fine with intermittent fetal monitoring, etc etc). Even though I was very comfortable with my OB, I then hired a doula because I had no guarantee my OB would be on call or if the hospital staff would give me a hard time. Turns out my OB was on call and she was amazing. She barely said a handful of words to me and let me direct my pushing, she let me catch my baby myself, she was just there in case anything went wrong. My doula was great but ended up being kind of unnecessary in the end. She didn't have much to do because the nurses were awesome. I could tell the nurses were very unaccustomed to natural births (they seemed confused by some of my requests, like not being on an IV) but they never pushed anything or challenged my birth plan. After delivery, the nurses were all pretty inspired by my birth, they don't get to see it done med-free often. They all told me I was a rockstar and how cool it was to watch. So all this is just to encourage you, it can be done. I had a great hospital experience despite my initial fears. Here are my tips for you:
    1. Try to go into it confident and empowered rather than scared. So much of it is mental.
    2. Your partner needs to be prepared to advocate for you. You can't keep track of everything while you're laboring. He needs to speak up if they're clamping the cord too soon or whatever.
    3. Labor at home as long as you can. I went in at 7cm and pushed DD out three hours later. It really helps to be close to transition when you get there, there's no time or reason for them to do or suggest much at that point.
    4. You may not get as lucky as I did with your OB, but if you have a pushy or uncooperative nurse, request a new one. You absolutely have that right and your delivery nurse is a huge part of your birth.

    You can totally do this, and you'll be so glad you did. My two natural births are my biggest and best accomplishments. I had two very different experiences but wouldn't change either of them. Good luck, mama!!!
  • Have you created a birth plan? And would your partner be comfortable advocating for you during the birth? I gave birth at a hospital but under a midwife's care - I wanted to be in the birthing center, but due to come complications, I was on the regular labor/delivery side. I pushed for three and a half hours, and my midwife was so amazing about advocating for me and not doing interventions if the l&d nurses brought them up. It might help you to make a birth plan and go over it with your provider, and that way you can also have a realistic idea about what you will or won't be able to do (for example, I talked to my midwife about having the dropcloth lowered if I needed a c-section, and she said there was no way the hospital was going to let me do that, so I adjusted my expectations). And get your partner on board, or another person who will be with you during the birth, and get them to advocate for your wishes during labor. Good luck!
  • This. Exactly why I drive 2.5 hours to my birthing center even though there is a hospital 15-20 minutes from my house. All the pressure from doctors when labor "isn't progressing" fast enough for them. I feel like if your labor is going picture perfect they will be very supportive of all natural, but as soon as things slow down or you hit a bump they start pushing pitocin and then the snowball effect happens.
    I feel like it might not have been a mistake for you not to discuss your idea of natural birth. They might be fully supportive, and if not, you avoided months of stressing out about your doctor being on the opposite page. Either way you are in charge of your decisions and you can tell your dr no. You don't need pitocin just because your labor stalled. If it stops completely no big deal, go home and it will start again when it's ready. If your water is broken deny cervical checks, THAT'S how you get an infection. You have 48 hours and they can monitor your temperature and baby noninvasively. Just remember what you want and take 15 minutes or so to think about your decisions. There's no rush if it's not an emergency. You can make it through the hospital system without giving in to their fear tactics and modern medicine lifestyle!
  • I am hoping for a natural hospital birth too, and also chose to go 2 hours away from home to be at a hospital that is more natural birth friendly (my local hospital has 3x the c-section rate of the one I chose, and pushes interventions like crazy, I've heard almost nothing but bad experiences there). I think you can absolutely do it if you and your SO are prepared to advocate for what you want. But I would talk to your Dr about whether you are able to do certain things like intermittent monitoring, declining IV, etc. Some places try to act like you have to do certain things because they're standard, but if you actually insist it turns out they aren't required. Labor at home if you can, and don't give in to crap about not progressing requiring pitocin. You have time, you have lots of time. If they are being pushy you can absolutely leave and come back later when you're closer to transition, and you can request a different nurse. Being stressed out from all of it can actually cause you to stall, so try to focus on making yourself the most comfortable you can and if you need to tell people to get lost unless there's a problem then do it. But you never know, you could show up and let everyone know your plans and have total support. Don't go in afraid, go in with confidence that you are doing the right thing and I bet everything will be fine. Good luck! 
  • I only got pitocin because my water had broken at home and I wasn't dilated at all when I got to the hospital. Ftm and it broke at home at 6 am and I had my precious baby boy at 6:36 pm that evening. The pitocin helped a lot but yes, it did make the contractions much worse than a natural labor. And I also tore a considerable amount as my body was not ready and was forced into labor so quickly. But if my water hadn't broken they would have let me choose my birth plan and bit forced the pitocin. My hospital was fantastic. Very happy with my birth experience.
  • FTM ... I didn't have a natural birth, but at no point did I feel pressure to do something I didn't want to do at the hospital. My water broke at 9:45 p.m. and I was admitted at 10:30 p.m., dilated to 3 cm and 90% effaced. Pitocin wasn't even suggested and they let me progress on my own throughout the night. I ordered the epidural (at my own request) at 4:30 p.m. when I was 6 cm dilated. I then fell asleep for 3.5 hours and when I woke up was 9 cm dilated. An hour later I was 10 cm and was told I could start pushing if I felt the urge, otherwise I could wait an hour for my contractions to make baby fully engaged and hopefully turn toward the back (baby was faced sideways). An hour later (at 10:30 a.m.) they checked and baby was in position and I was feeling the urge to push. I pushed for an hour and baby was born at 11:30 a.m., almost 14 hours after my water broke and 13 hours after I was admitted to the hospital. They followed my birth plan and I was so happy with my birth experience. That being said, I had a pretty easy experience and everything went the way it should. If there had been issues or an emergency, I trusted the doctor to do what needed to be done to ensure the health of me and my baby.

    I will say after reading a lot of the birth stories on here similar to mine (water breaking, admitted to hospital at 3 cm), I was surprised how many ladies were given pitocin super early on before they were even given a chance to progress on their own.
  • I have had epidural a for two out of three of my darlings and one time with pitocin. That being said the nurses encouraged and supported my decisions to labor med free for as long as possible.

    The best advice is to labor at home as long as you feel comfortable. With my first, I jumped out the door the minute I thought I was in labor. I really don't know why they even let me stay at the hospital, but they did. Unfortunately, I was then on their clock, and as a first time mom, I did not advocate for myself so when labor wasn't progressing quickly I was given pitocin. Shortly after I opted for an epidural.

    Fast forward to #3 and I was in control. I labored at home for as long as I was comfortable and went in at 4cm. Walked and bounced around L and D until 8 cm at which point I decided I wanted an epidural (I delivered #2 without and it is something I preferred in the end). These were my decisions and I felt completely supported by my nurse in whatever direction I chose.
  • I really think it depends on the hospital. The hospital I had DD1 at and where I am going again is very pro-natural birth. They actually usually refuse to give epi's to patients or at least encourage you to go without. I was induced for DD1 only because she gave us a scare during an NST and they didn't want to send me home after giving me a heart-attack and I was already in pre-labor with small contractions. I was fine with that because I was 40w6days. Otherwise their philosophy is not to induce before 42 weeks in the hope nature does it's magic naturally. Other than getting an IV of oxytocin, which they then removed after 1.5 hrs once my contractions kicked in properly, everything was 100% natural. I had told them I didn't want an epidural and boy did they make me stick to my word because at one point when I had terribke leg cramps and felt I couldn't go further I screamed for it. My mid-wife was incredible. She coached me through it, told me I could do it without the epi. She told me when to push and when to stop so that I wouldn't tear and they didn't need to give me an episiotomy (which I was also dead set against). For me it was an incredible experience but I agree with PPs, make sure you voice before you go into labor what your birth plan wishes are and make sure your birthing partner helps to uphold them. My DH was amazing throughout it all. Good luck!
  • I had two natural med free hospital births and they were both amazing. My nurses were amazing and so supportive of me wanting to have a natural birth. My husband was a huge help thru the process, whatever you set your mind to you can do, just make sure your so and nurses are all on the same page as you and it'll be fine!! Good luck!
  • I had a natural hospital birth. No pitocin, no pain meds. I'm a FTM but I could not have asked for a better birth experience. That being said...I labored at how for a long time. In fact, I got to the hospital at 8 cm. baby girl was born less than 2 hours after I got there. Only took 4 pushes. I had planned to labor at home as long as possible, but I had no idea I was so far along! Stay at home to do the early laboring. When you get to the hospital, stay active...walk, change positions...it will help keep labor progressing. You're in charge of your body and as long as there is no risk to you or LO you can refuse any treatment you want, including pitocin.
  • I had a great natural birth in a not very natural hospital, but I'm not sure I could have done that without my doula. she was able to gently advocate for me when I couldn't express myself easily. could your husband advocate for you? also, I took classes and learned a lot of natural methods to cope with the pain; otherwise I'm sure I would have been screaming for the epi.

    I will say that once they got over their surprise at my refusing the IV (which they didn't ask me about, they just brought it in and said "ok here's your IV!" and I said uh no!), the nurses were pretty supportive. I hope yours will be too. I would go in expecting people to be helpful and hopefully a positive attitude will win the day :) good luck mama!
  • My SO says he will support me but at the same time acts like I am crazy and stops listening when I start to spout out facts and statistics about labor/childbirth. I can tell that he is going to be on the doctors/nurses side when the time comes because he doesn't have the facts and instead of listening to my concerns, just keeps telling me that I need stop stressing. Well, I would be much less stressed if I knew I wasn't going at this alone and that he was informed and on the same page.
  • I never felt pressured to do anything I didn't want to - pitocin was never brought up, even when my monitor was not picking up my contractions and it seemed like nothing was progressing. But I also went to an old-fashioned OB who is not part of a rotating practice - he just has his own office. He doesn't see more pregnant women than he can handle, and he is just naturally against any unnecessary interventions. He refuses to induce unless there is truly a medical reason, even. But then, that's why I chose him. I feel like, reading the birth stories on here, there are a large number that ended in c-section and follow the outline you describe (not that there is ANYTHING wrong with that!!!). I don't know if it's coincidence or what, but I personally know very FEW stories like that. I think it's absolutely possible to have the type of birth you want if you are firm and have someone to advocate for you, as well.
    Baby Birthday Ticker Ticker
  • @DottieEmbers you make a lot of sense and your concerns are valid. The time to prepare well has come and gone, but it's not too late to positively affect your birth with your decisions.
    I fully agree with the people who said labor at home as long as you can. Also, make a list of your top priorities. If it's avoiding pitocin or being free to move in labor or delayed cord clamping etc. Keep it brief and clear.
    I'm praying for you.
    Let love be your standard for all your decisions. Fear can't be a factor. We women are incredibly tough, and we can move mountains for our children. No one is going to force an intervention on a mother who is laboring well.
    Best wishes from all of us!
  • Also!! We avoided pitocin by using a breast pump! Kicked me right into full blown productive labor and we had our son 7 hours later! (In case it helps.)
  • I've had two unmediated births in the hospital. I told them from the start not to offer an epidural under any circumstance. In fact with my second I ended up asking as I approached transition and the nurse reminded me that that wasn't something I wanted. She was very professional and helped me change positions to get through the hardest part.
    I'm due (tomorrow) with my third and am expecting the same this time experience.
    Lilypie Second Birthday tickers BabyFruit Ticker
  • I also had a natural hospital birth! I did have a pic line put in, just in case (which ended up being good, since I needed some fluids afterward due to high blood loss). No epidural, nothing to induce labor. It depends on the hospital and doctors, etc. 

    My labor was easy and fast, which was part of it. Also, I only saw the nurses, midwife and a resident since it was in the middle of the night and the on call doctor was with higher needs patients. 
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  • I think you should definitely talk to your doctor today!  It's never too late.  I'm giving birth at a hospital and I am okay with meds, but I had the conversation with my doctor a while back and he said that it is my decision and he is there to support me and help me through it whatever I decide and that I can change my mind up until the minute before.  I also have had the discussion about induction, which I will probably have to have because I have gestational diabetes, however, again when we discussed it he said that they have much stricter protocols (at least at my hospital) about not pushing pitocin on women and giving women more of a chance on their own.  It may be doctor by doctor and hospital by hospital, but there are definitely very supportive doctors and hospitals out there.  It can never hurt to ask, discuss and self-advocate.  As others have mentioned, the doctors and nurses may be much more supportive than you think! Good luck!
  • FTM whose water broke at 37+1. I hadn't started talking birth plans with my midwife/doctor or anything at that point. I loved my midwife/doctor combo because they thoroughly explained what they recommended and why throughout but left all decisions up to me.  My partner was there and made sure to advocate for me and asked me after every 'decision' if I felt pressured to make it or if it was really what I wanted. My original plan was to go as natural as possible, but I hadn't made any progress 12 hours after my water broke, we started pitocin. Even then, we started the lowest possible dose, gradually increasing/decreasing as needed to stimulate labor progression.  Baby girl wasn't born until 26 hours after my water had broken, and that was with intervention... I can't imagine how long it would have taken if we'd continued to wait for my body to catch up and labor on its own. Even then it earned us an extra day at the hospital because they wanted to monitor baby for any signs of infection since it was so long between rupture and actual birth.

    tl; dr version:  it's good to have a plan. Make sure you have a partner who knows your plan and isn't afraid to advocate for you.  Ask questions. Try to have some flexibility - even the best laid plans can go awry!
  • If it makes you feel better, I gave birth at a hospital and they tried to convince me to have a natural birth, even though an epidural was in my birth plan.
    My doctor also wanted to put me on pitocin because I wasn't dilated when I got there, but the nurse decided to hold off on that...glad she made that call because my body got into gear on its own.
    I would put into writing what you want, and take it with you so there is less room for confusion. Best of luck!
  • @DottieEmbers I can see why you are scared. Reading the birth announcements and it seems to me the majority site either induction or c-section. It made me wonder if everyone is just induced now a days. I'm looking at a possible induction by next Tuesday if this little guy doesn't make an entrance soon. Trying to stay positive and hope for the best outcome. Lots of good advice and positive stories here. My BFF had her first child at 40+5 at a hospital completely natural. Good luck!
  • These thoughts are why I'm having a planned home birth with s medical team. Non intervention can happen at the hospital but there is such a small chance that it will. I'm eliminating all chances since I'm a healthy candidate for home birth.

    Having a doula can help you with advocating your birth plan to your doctor! Also be very clear with your doctor's that you on no circumstances want to be administered any interventions. I'm sending you positive vibes and all of the luck!
  • I've had 2 natural hospital births. The first I had to fight my way through, and ended up with some unnecessary things (like aROM). The second I went to a friendlier hospital, had a doula and a written birth plan, plus a supportive dr. I had the most beautiful experience-I couldn't believe I was in a hospital. I felt so respected and in control. I definitely credit my doula and Dr for helping me through mentally, and my nurse stuck to my birth plan, and piped up with reminders as we went (as she crowned she reminded the Dr that I wanted DH to announce gender and delay cord clamping).

    It is too late to change hospital or Dr, but you can still do little things to prevent interventions. Labour at home as long as possible, decline cervical checks after the first until you either hit a wall or feel ready to push (so that no one knows how much you progressed in x hours), and have a written birth plan (even just a couple items point form, like "don't want meds offered, augmentation for fetal distress only").
    Baby Birthday Ticker Ticker
  • I've had two natural hospital births. With my twins I was made to have an epidural because of the higher risk of needing an emergency c-section, but I delivered vaginally anyway. It's definitely possible to have a meds free birth at a hospital but you have to advocate for yourself.

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    BabyFruit Ticker
  • This thread has been wonderful! Thank you to all the mommas who shared their natural positive hospital birth stories. It's been a great read and boost of encouragement!

    XO

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