We chose the hospital for our two. We had a fairly minor complication with our son, and he had to be in NICU for the night, but it fortunately it worked out great and he and my daughter are both heathy. Either way, hats off to the ladies who go through this with the bravery that none of the strongest of us men would have. V
For a low risk pregnancy? I don't think we rolled the dice at all. In fact, low risk pregnancies in home or at a birthing center result in an average cesarean section 3-4% of the time. Low risk pregnancies in hospitals have a cesarean rate of 19%+.
Explain? What would occur in a hospital setting that doesn't in a birthing center that would account for the increase. Assuming low risk in both instances.
there is really no such thing as a low risk pregnancy? while some are lower then others all contain risk and anything could and does go wrong at times.. My wife is very small which is the reason they did C sections on all three of our boys..
My obstetrician once mentioned to me that there are a disproportionate number of caesareans done on Fridays. You figure it out. He said he assumed when he became an obstetrician that he would be just as likely to work on Saturday night as any other time. He had no problem with that. Some do. This came out in a discussion during my first pregnancy. I am a high risk pregnancy. I have a metabolic problem triggered by pregnancy. It's like having morning sickness most of the time. He had me drinking Pedialyte some of the time. But there was no reason to expect problems at delivery. But those kinds of problems can be unanticipated. The hospital he sent me to also has an NICU. I'm very small (four foot seven and 73 pounds) but my babies were also small. (Luckily)
Right, and there's no such thing as a safe trip to the store..... Our midwife said the biggest baby she's delivered came from a 5' asian woman.
Yes..on my 10th year of "intense schooling".... few pregnancies require medical training/specialization garnered through a "doctor". Midwives have significant training themselves and for most situations, are more than adequate. How often is a doctor with a woman during contractions etc... just like a dentist who sees you for 2 minutes out of a 30 minute appointment or for serious surgeries. Stats speak for themselves.. see c-section comments and friday working notes made above.All true.. so Im not on my own!! T
Speed, convenience, Tee times There's a ton of influences. The high rate in use of pitocin for one, which induces labor and quickens labor's pace instead of letting it naturally progress. The stress of the environment can cause a longer labor. Lack of options for birthing positions. Some mom's aren't allowed to get up and walk around during labor, which can help to better position baby and move things along. Though I tend not to be pessimistic and a "conspiracy" type of guy, cesareans are also big money. To me C-sections are the ritalin of the labor world. They have their place but are unnecessarily over used. Here's an article & video from Consumer Reports about higher rates of cesareans in the US. C-Sections Increase Risks For Mothers & Infants - Consumer Reports
I suppose I never really looked at it from the medical industry point of view. I tend to have more faith in the system I suppose, and maybe I'm naive. Good thing is we have a stellar OBGYN who will be ours when the time comes. Definitely a choice all couples are free to make. Glad the baby and mom are healthy. In the end that's all that matters. Sent from Samsung Galaxy Note 10.1
I don't think it's a conspiracy nor do I think they do it to increase income. I think it's just as my obstetrician hinted, induced labor and caesareans are more likely to give the doc the weekend off. I think that's unprofessional and a bit shabby.
Question regarding delivery at home or in a birthing center via mid wife During labor and through out the birthing what equipment is use to monitor and track throughout labor? For example heart rates and SPO2 rates for the mother and the baby? Also are contractions graphed?
That's was a big part of it for us. Knowing who was there, and then knowing us. Also, in Ely, if you go into labor from 7am on Friday to 7am Mon, they send you to Virginia or Duluth anyway. I didn't want my plan A to only be applicable 40% of the time. After looking at all the options, we chose the a birthing center in Duluth. We just were a lot more comfortable with the environment there. We got to meet all the staff and were guaranteed to be surrounded by the people we knew.
In our case, mom's respirations, heart rate and temp were continually monitored (manually) and entered into their system. Contractions were timed for awhile, but my wife was fully dilated within 5 minutes of arriving at the BC. I had monitored them on my own with an app on my phone the morning of and the whole car ride down. Fetal heart rates were also monitored throughout labor, but at no time was my wife hooked up to a machine. She didn't even need an IV. Once baby was born they started regular monitoring of his heart, respirations, temp and the occasional pulseOx. He had great color and vitals from the get go. The official newborn exam didn't take place until he had a good hour and a half to lay skin to skin with mommy. Mom had some tearing and got several stitches, but otherwise was top notch. The novocaine she got for the stitches was the only drug she had in her system the whole time.
They are also about 10 blocks from both Hospitals in Duluth, which they have good working relationships with, including monthly trainings/dry runs with the ambulance crews that would respond should an emergency take place.
