Jump to content

How to choose OB & hospital?


9 replies to this topic

#1 epl0822

Posted 14 January 2013 - 05:10 PM

My DH and I are having a minor disagreement on where to deliver our next  (hypothetical) baby. I went public last time and, due to various  reasons, I now want to go private. DH has been doing some research and  quickly discovered giving birth at a private hospital with private OB  has a much, much higher rate of intervention. He is worried for me about  having an unnecessary c-section. Neither of us have any medical  background so if an OB said "you should get a CS because there will be  XYZ risks to you/your baby...." then I can't imagine us feeling very  confident about disagreeing and going against medical advice.

We've  moved into a new area and the few friends who gave birth around here  have all gone public. I don't know who to ask to recommend a good OB who  strongly supports natural births. And if I ring up and ask, of course  they will say they support a natural birth.

So my questions...
(1) when you were contemplating private vs public, did the higher intervention statistics put you off going private?
(2) how do you choose a good OB? Are there any specific questions I need to ask?

#2 IsolaBella

Posted 14 January 2013 - 05:17 PM

I asked online for personal recommendations, experiences with particular OBs.

I also found a blog of someone who used my OB too.

I also did lots if reading about my PG and any potential complications. I knew my bubs was breech so from 30 wks started to research breech bubs. My bubs was one of the few who didn't turn. So when at 37wks my OB recommended cs for XYZ reasons, that concurred with what I had read.



#3 whale-woman

Posted 14 January 2013 - 05:26 PM

Part of the reason private obs have higher intervention rates is people who WANT more interventions know they can ask for them and get them. Other private obs are used by high risk people, or people with bad experiences in earlier deliveries not to mention older and wealthier women might be more likely to go privately, all factors which might increase the intervention rate. I wouldn't use public as I wanted a c/s which my private ob will provide. There is nothing inherently wrong with interventions, it's about what style of management you want. A private ob will give you different options than the public system and ultimately you can refuse intervention if you want.

ETA I was recommended my awesome ob by a friend I trust. Book in early if you go privately as the good ones book up fast. (as I suspect do the good birthing centres etc.)

The other thing to consider, since you say you have no medical background, is whether you should be so biased against interventions. Interventions can be lifesaving so it is possible (though a lot of EB will disagree with this) that a care provider chosen for a low intervention rate might be a bad choice. If you wanted to avoid íntervention at all costs fair enough, but I think good, competent care is much more important and a care provider that takes the time to understand your attitude to risk (as all delivery options have risks and benefits) and work with you to get the best outcome for you and your bub. A good private ob will take the time to do this.

Edited by whale-woman, 14 January 2013 - 06:00 PM.


#4 Futureself

Posted 14 January 2013 - 05:29 PM




QUOTE (epl0822 @ 14/01/2013, 05:10 PM) <{POST_SNAPBACK}>
(1) when you were contemplating private vs public, did the higher intervention statistics put you off going private?

No, because I understand the many factors that surround statistics and numbers written in isolation are essentially meaningless. For example: older woman are more likely to go private and older women have more complications therefore require more medical assistance to give birth safely. Another example is woman who need/want an 'elective' caesarean go private so they have the power to choose. Both these scenarios push a certain Private hospitals rates of intervention like epidural or caesarians way up but as you can see, don't necessarily apply to you.

QUOTE (epl0822 @ 14/01/2013, 05:10 PM) <{POST_SNAPBACK}>
(2) how do you choose a good OB? Are there any specific questions I need to ask?

How long do you 'allow' me to go overdue before talking intervention?
What is your experience with breech vaginal delivery?
What circumstances do you recommend induction?
How many caesareans did you perform, or average % last year? Is this due to you 'speciality' i.e If take on high risk mothers, are experienced with twins, etc

Ask on here for recommendations for OBs in a particular area. We can PM recs, just not post publicly.  original.gif

#5 Girlo

Posted 14 January 2013 - 05:35 PM

You might like to think about whether they are close to retirement if you want more than one more. I took a recommendation and was v v happy with my OB, but depending on when we start TTC for number 2, he may have retired!!

#6 epl0822

Posted 14 January 2013 - 08:35 PM

QUOTE (whale-woman @ 14/01/2013, 05:26 PM) <{POST_SNAPBACK}>
The other thing to consider, since you say you have no medical background, is whether you should be so biased against interventions. Interventions can be lifesaving so it is possible (though a lot of EB will disagree with this) that a care provider chosen for a low intervention rate might be a bad choice. If you wanted to avoid íntervention at all costs fair enough, but I think good, competent care is much more important and a care provider that takes the time to understand your attitude to risk (as all delivery options have risks and benefits) and work with you to get the best outcome for you and your bub. A good private ob will take the time to do this.

I'm not "biased" against interventions, I simply don't want to have one unnecessarily if an OB is overly cautious. I am not trying to avoid interventions at all costs, just want to minimise the chances of having them done unless necessary.

I am aware of the other statistical factors regarding the higher intervention rates in private hospitals.

#7 07gbam

Posted 15 January 2013 - 05:31 PM

Your question highlights one of the many problems and misconceptions ( no pun intended) surrounding modern obstetric care in the private sector.

We should not assume intervening in birth is a negative thing. Especially not because a nameless, faceless natural birth proponent has successfully planted the seeds of discontent and mistrust among inexperienced mothers-to-be. Nor at the very least because intervention is what has brought maternal and infant mortality to an all time low in the first world.
Intervention is not without risks but despite what some will try to convince you, is not done to make anyone's life easier other than that of you and your precious baby.They will come up with all sorts of seemingly convincing arguments, mostly emotive and based on ideology. Few have ever taken full responsibility for a labouring mother and those who have  will almost always have someone else to hand over to and go on to blame when things don't go as planned.
Obstetric intervention is a victim of it's own success, and like most things, becomes taken for granted and misrepresented in some sectors, turning it into a battle between women's perceived control over their bodies, and that of a male dominated profession hell bent on depriving you of what nature drove you to do. Ask your Ob what he/she did when their child was due, and if they will share their personal story with you , you will quickly see that no doctor takes unnecessary risks with their own child let alone that belonging to another family. There is no such thing as 'unnecessary caution' in medicine, and especially not in obstetric practice when anything unnecessary and in fact that IS necessary comes with a risk. Ask yourself whether the risks of letting nature taking it's course are more acceptable to you than the risks inherent in modern obstetrics with it's aim to anticipate risk and intervene when the risks outweigh letting nature do it's own thing. When the time comes to welcome your baby into the world you invited him/her into, you may feel driven to take whatever advice is given to you as mothers are inclined to do. There is no such thing as excessive caution when it comes to your precious baby. I felt I actually wanted my Ob to be 'overly cautious' about my baby.
The natural birth proponents are all about informing women that doctors 'unnecessarily intervene' without perhaps understanding that absolute risk is often impossible to assess , and that doctors act to avert disaster based on what they know is most likely to happen in a situation and not on what is certain not to happen. The birth process is unpredictable, there is no such thing as a low risk woman, and unless we come to understand that, birth in the first world will continue to be a battle ground between women who want 'control' over what is essentially a complicated and risky process, and those who wish to have someone 'look after' them during the birth.


#8 IsolaBella

Posted 15 January 2013 - 06:08 PM

As PP said modern obstetric intervention is why my first child and I are still alive (and also why I am still here with my third), it is why my SIL and her children are here, it is also why my sister and her baby are here (emergency premmie cs due to HELLP eclampsia).

We are very happy with that. My SIL wanted a water birth, that was not to be.



#9 SeaPrincess

Posted 15 January 2013 - 06:15 PM

(1) when you were contemplating private vs public, did the higher intervention statistics put you off going private? No. I went private primarily for continuity of care and secondarily for my choice of hospital.  I was lucky in that both of the private hospitals that I delivered in are well-supported by a team of midwives and both of my OBs were very much in favour of natural birth if possible.  The OB who delivered my first and 3rd babies normally works out of a low-risk hospital, but is also able to deliver at the main public hospital where high-risk pregnancies are referred, so I would have had that as well.  I never asked, but I suspect that was also the case with my other OB, since the 2 hospitals were neighbours.

(2) how do you choose a good OB? Are there any specific questions I need to ask? One of my OBs was recommended by a friend - she was a bit ahead of me and having twins.  He was happy to deliver twins naturally and is also pro-VBAC.  My first baby was induced for medical reasons, but he still arrived at 3.30am, so it certainly wasn't for convenience (although when I was induced for #3, he didn't make that mistake again!) My other OB was in another state, where at the time, the choice of private specialist was extremely limited.


#10 premmie_29weeks

Posted 16 January 2013 - 12:38 PM

07gbam that's the best post I've read on eb on this topic bravo!

I'm in Sydney's eastern suburbs and gave birth twice with an ob at prince of Wales private. Pm if that's anywhere near you and ill give you my obs details. He was wonderful, and I was lucky that neither birth presented any challenges. One was vb with epi and one all natural unexpectedly.



Reply to this topic



  


1 user(s) are reading this topic

0 members, 1 guests, 0 anonymous users

 

Tot meets his heroes, falls apart with excitement

Two-year-old Quincy finished his potty training last week, and as part of his reward he was able to meet his idols.

Beautiful in our eyes: Georgia's story

I will never deny the fact that grief has a place when you give birth to a child who brings a set of circumstances very different to what you imagined. Because for nine months, I thought I knew my Georgie.

'It's been phenomenal': widower dad of quads thankful for support

There was nothing Erica and Carlos wanted more than a baby.

Vin Diesel names daughter after actor Paul Walker

The actor said there was "no other person" he was thinking about when he chose the name.

How midwives can help women who experience domestic violence

More than half of women who live with abusive partners experience violence during pregnancy.

Mum describes giving birth during Cyclone Pam

A new mother was told she must flee Port Vila hospital with her baby as Cyclone Pam bore down.

6 signs you're done having babies

There were a few signs I'm never going back to the land of maternity jeans, breast pumps and bassinets.

Marta Dusseldorp reveals breastfeeding cost her an acting job

Australian actress Marta Dusseldorp has revealed she was forced to withdraw from a Sydney Theatre Company production because a director did not approve of her breast feeding.

Female celebs (or their babies) with traditionally male names

Looking for a name that's a little bit different for a girl? Turn to names that have been traditionally used for males, as these celebs (or their parents) did.

'If you're anti-immunisation ... take a look at this picture of my son'

Greg Hughes is "an absolute shell of a man" as he and his wife Catherine struggle to come to terms with the loss of their newborn son Riley to whooping cough.

How an extrovert can raise an introvert

Introverts are often misunderstood as shy, and sometimes even rude. A timid child can be difficult to build rapport with, but it's important we nurture their sensitive natures.

Sheryl Sandberg's advice

'Choreplay': Help out at home to get more sex, Sandberg tells men

Forget foreplay. The new and improved route to intercourse is "choreplay" - it's good for your spouse, good for your house, and comes with the imprimatur of feminist du jour Sheryl Sandberg.

How to play with your baby

The first time your child learns a new skill at playtime is very exciting - for both you and your baby! Play is important to your child's development for a variety of reasons - here are some simple ideas for you to try at home.

I'm a single mother by choice

For me, being the best mother I can be means being a mum alone, at least for now. Thinking of my friends with inadequate partners, I wonder why more people don’t choose single motherhood.

Awkward wedding photos

Weird poses, surprise photobombs, bizarre editing: these are the wedding photos that should have never seen the light of day.

Four-week-old baby Riley Hughes dies of whooping cough

The mother of a four-week-old Perth baby who died after contracting whooping cough says her family has been left devastated by the loss of her "gorgeous, sweet" son.

Win a Ben & Holly's Little Kingdom prize pack

To celebrate the April 1 release of Holly's Magic Wand on DVD and Digital, we are giving away five DVD packs featuring the newest installment of Ben & Holly's Little Kingdom Holly's Magic Wand and many more hours of family entertainment! Enter Now!

Oh boy! Video shows family's reaction to baby surprise

Little Peyton Williams thought she was getting a baby sister named Charlee. But the two-year-old has had to settle for a doll dressed in pink after her baby "sister" turned out to be a boy.

How to help build up your baby's immune system

We all know that having a strong immune system is the best way to stay healthy – but what can we do to help it along?

'Nick, you need to call an ambulance': home birth mum's tragic death

A Melbourne mum who died after the home birth of her baby pleaded with her husband to call an ambulance because she felt she was going to die, the Victorian Coroners Court has heard.

When dads believe their baby doesn't 'like' them

Q: My two-month-old baby doesn't like me. He's perfectly content with my wife, but when I try to hold him, he gets upset and cries. I've backed off a little, thinking that he just needs a little time to get used to me, but that doesn't seem to be working. I'm starting to think I'm just not a very good dad. Is it too late for me to build a relationship with my baby?

When was the last time a stranger praised your parenting?

Wouldn’t it be great to get some nice feedback every now and then? After all, everyone likes to hear positive praise, particularly when it comes to parenting.

Special Ticket Offer, Save $8!

The Essential Baby & Toddler Show is back this April! Save $8 off the door price for a limited time only!

15 names on the verge of extinction

If you're looking to revive an older name, or don’t want anything near the top 1000 list, check out these rare monikers for your unique baby.

5 characteristics of great dads

It’s great to see a generation of dads who are more actively involved with caring, nurturing and loving their kids.

Why doesn't Australia have more breast milk banks?

When there’s no question that milk banks are important, why don’t we have more of them in Australia?

Carrie Bickmore announces birth of daughter

Television personality Carrie Bickmore has given birth to her second child.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Sign up to our 30 days of #PlayIQ challenge

Sign up to receive 30 amazing tips and ideas for play with baby during the month of April and submit a picture or tip on our social wall for a chance to win an amazing Fisher-Price prize pack.

Man faces jail after giving woman abortion pill smoothie

A Norwegian man is facing jail after putting abortion pills in his ex-girlfriend's smoothie, causing her to have a miscarriage.

'He's a blessing': family of baby born without eyes

Jordy Jackson was born without eyes. He has anophthalmia, which affects one in every 100,000 babies born.

Win one of 5 Cadbury Easter Hampers

With Easter fast approaching, Cadbury are giving away 5 Cadbury Easter Hampers. Enter Now!

Super fit model Sarah Stage defends her pregnancy body

Model Sarah Stage has defended her pregnancy body after critics claimed her slim figure at eight-and-a-half months pregnant wasn't "normal".

Win a Ben & Holly's Little Kingdom and Peppa Pig prize pack

To celebrate the April 1 release of Holly's Magic Wand on DVD and Digital, Essential Baby and Entertainment One are giving away five bumper DVD packs featuring the newest installment of Ben & Holly's Little Kingdom Holly's Magic Wand and many more hours of family entertainment! Enter Now!

Why I post breastfeeding photos online

I love to take pictures of my children. In some of the pictures, my younger son is nursing.

The day I broke my baby

There are things I wish I didn't know. I wish I didn't know that companies make tiny braces, small enough to hold necks no bigger than a wrist.

The place just for dads of multiples

When a couple discovers they're expecting multiples, the dad can sometimes be almost forgotten in all the excitement and preparation. But one group offers a space just for dads of twins and higher-order multiples.

Brave mum calls for domestic violence law reform

A brave mum of two has shared details of the harrowing attacks she suffered at the hands of her partner in a bid to help other victims of domestic violence.

Why I had the new test for Down syndrome

Early last year I turned 35, and having just found out I was pregnant, I opted to have the new test for Down syndrome.

Geeky baby gear

If your family is more into Star Wars, gaming and the periodic table than most, you might want to check out these geek-chic baby items.

2015: the year of the sheep

According to the Chinese zodiac, babies born in the year of the sheep are creative and enjoy spending quiet time with their own thoughts.

Breakthrough genetic testing now available in Australia

Pregnant women will for the first time have access to locally analysed, accurate, non-invasive pre-natal genetic testing when the first Australian clinic to offer the services opens its doors next week.

Grandbabies: the babies born looking old

Not a day under 65 and a lifetime of struggle! That's the look of these newborns, who look adorably older than their real age. Social networking site Reddit recently featured user submissions of adorable grandbabies, here are our favourites.

Family kicked off flight after toddler seatbelt drama

An entire family was kicked off a Cathay Pacific flight when a misbehaving toddler refused to put his seatbelt on.

Stolen baby found after 17 years

A baby stolen from her mother's arms shortly after birth has been found through an astonishing coincidence.

53 creative pregnancy announcements

Announcing that you're expecting can be a time to express your creativity, sense of humour and imagination. Check out how other parents and parents-to-be have broken the news to friends and family.

IKEA hacks for the nursery and kids' rooms

Are you one of those that know the whole IKEA catalogue by heart? Love their stuff but want to personalise it? Here's some inspiration to help you realise the potential of IKEA furniture and fittings.

36 baby names inspired by food and drinks

A French court may have ruled out Nutella as a baby name, but that doesn't have to stop you from taking inspiration from the supermarket (or bottle shop). See what parents in the US have chosen for their delicious little ones.

Clever breastfeeding products

Check out this range of products designed to help make your breastfeeding journey more enjoyable, manageable and convenient.

 

Sign up now!

30 days of #PlayIQ challenge

Receive a daily email from Essential Baby during April with great play tips and ideas, then submit your baby at play photos to our Playwall, Instagram or Twitter for your chance to win.

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.