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 VeritasVinum

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 VeritasVinum

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

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

 

Celeste Barber: the hilarious Aussie mum you must follow

If you have ever looked at a photo of a celebrity mum and felt a pang of despair then Celeste Barber is your new best friend.

18 tips for surviving the first few weeks with a newborn

Here are 18 tips I think would have helped me when I went into this whole parenting thing blind.

Share your baby's first taste photos to win

Heinz and Essential Baby are giving away $1000 and baby food hampers - enter today!

Thumb-suckers could have less allergies, study shows

Thumb-sucking and nail-biting might alter the immune system function.

The shocking statistic that shows pregnant women need more support

For women suffering from chronic morning sickness or hyperemesis gravidarum (HG), pregnancy is the roller coaster from hell.

Free ticket offer

Pinky Mckay joins us again at the Essential Baby & Toddler Show presented by Blackmores with her expert baby settling advice. Register now for your free ticket.

Dad-to-be plans big surprise for gender reveal party

But for one mum-to-be, the big announcement was mixed with another emotional moment, all planned by her partner.

I was a victim of narcissistic abuse - now I'm speaking out

I met a guy who immediately swept me off my feet. Fast forward five years and I'm sitting alone in a house, crying and pregnant.

Alanis Morissette welcomes baby girl

Alanis Morissette is sharing pictures of her baby girl on social media.

Enduring postnatal anxiety

My hopeless, paralysing love for my children wasn't useful; it wasn't practical. I wasn't in charge.

New mum shares photo of herself in a "giant diaper"

After giving birth, most mothers post a photo to social media.

The art of oral storytelling - and how you can start it with your kids

In this form of communication, the heart listens as well as the ears.

Healing after miscarriage: 6 ways to soften the grief

If you have suffered a pregnancy loss, here are six ways to help soften the grief.

Your handy guide to a mum's tired signs

From the minute that tiny babe is out of you, you'll start hearing about "tired signs".

Prince George checks out helicopters at air show

The Duke of Cambridge has shown his son the inner workings of a helicopter at the Royal International Air Tattoo at RAF Fairford.

Dad catches a Pokemon as his wife waits to give birth

An Aussie dad found himself capturing a Pokemon in a very unusual place: his wife's hospital bed as she waited to give birth.

Mum's warning on dangers of liquid detergent capsules after toddler's accident

A mum has taken to social media to warn others about the dangers of laundry liquid capsules after her daughter was left with serious burns in her eyes.

Mum left reeling over 'breastfeeding' toddler post

For so many little kids, breastfeeding is just something that mummies do.

Does cannabis affect a man's sperm?

If you're pregnant or planning to be, tobacco and alcohol are high on the list of things not to use.  But do we need an equally loud message about avoiding cannabis too?

 
Advertisement
 

Top 5 Articles

Advertisement
 
 
 

What's hot on EB

Why drinking water can be deadly for babies

H2O is one of the necessities of life, but for babies a seemingly harmless amount of water can be fatal.

5 ways having a baby is different when you have older children

So much parenting advice is geared towards having your first baby, but what's it like having a baby when you already have children?

You can now make your own plush Falkor

Fans of The NeverEnding Story – of which there are certainly plenty – went crazy for these plush Falkors when they first went on sale last year.

Baby steps

10 things that will actually happen after having a baby

I thought I had prepared myself for motherhood. Then my baby girl arrived and knocked everything flat.

Having a baby: expectations vs reality

People love to warn you about what to expect when having a baby, but they can be way off when it comes to the reality.

Are we having fun yet? Thinking positively as a parent

Motherhood is wonderful ... except when it sucks.

The adorable smile of a baby seeing his mum clearly for the first time

There is no doubt seeing their child smile for the first time is an unforgettable moment for parents everywhere.

When breastfeeding doesn't go with the flow

Breast is best, except when it's not. And in our case, it most definitely wasn't.

'If you don't vaccinate your kids you're a bloody idiot'

The photos are heartbreaking and almost too difficult to look at, but Kayley Burke is begging other parents to take notice.

Why pregnant women should eat chocolate

In news that will make expectant mums jump for joy - and reach for a block of Cadbury - scientists have revealed chocolate could provide health benefits during pregnancy.

The baby born with an incredible head of hair

If you're in any way challenged in the follicle department, prepare to feel a jolt of envy - at a two-month-old baby.

The push for Medicare to fund lactation consultants

While meeting with a lactation consultant can make an enormous difference to a new mother, it's not a service that is available through the public health system.

Parents, this is how to cut grapes to avoid choking

One mum has learnt a harrowing lesson about the best way to cut grapes to make it safe for toddlers and little kids to eat.

Three truths about C-section mums

Lately I've been thinking about the caesarean stories and the brave women who birth their children with strength and beauty.

Help! My baby will only sleep in my arms

It's stressful to be the one who is holding your baby most of the day, but it's even more stressful to wonder, 'am I doing something wrong? Or am I creating bad habits?'

 

ENTER NOW

Win $1000 with Heinz!

We want to see photos of your baby eating - and by sharing, you'll be in the draw to win $1000 and baby food hampers. Enter today!

 
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.