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 HIH.GD.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 HIH.GD.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

 

Get your FREE Baby & Toddler Show ticket!

Get your free ticket to the Sydney Essential Baby & Toddler Show for September 25-27 - register online now.

Win Love Child Season 1 & 2 on DVD

To celebrate the release of Love Child Season 2 on DVD from July 9, Essential Baby and Universal Sony Pictures Home Entertainment are giving away Love Child Season 1 & 2 on DVD to 13 lucky winners.

10 things I wish my pre-baby self knew

I look back at my pre-baby self and laugh at how ridiculously easy I actually had it. I remember complaining about how tired I was and how little time I had.

Creative ways to store your child's art

Ideas for storing your child's artworks have moved on from sticking them to the fridge door before guiltily dumping them in the bin.

Child abuse ignored because 'it's not your children': Waleed Aly

Waleed Aly takes apart the immigration law that's designed to "protect politicians"

How a newborn niece changed star Australian basketballer's life

In August 2013 star basketball Abby Bishop was 24-years-old and in the prime of her sporting career.

Guilt is my new shadow

No one warned me that when I gave birth there would be an additional side order of guilt.

12 brilliant Ikea hacks for kids’ rooms

Check out these creative upcycling ideas that transform regular Ikea items into something special for your little ones.

Child's nightmare about 'man with a light' turned out to be real

For three days, a three-year-old boy had been saying there was "a man with a light" outside his window at night.

Toilet truths after giving birth

The thought of going to the toilet after giving birth is often feared, but there are ways to make it less painful.

Woman asks strangers for $1 million to stop her having an abortion

An anonymous woman is taking an extreme moral and ethical stand by seeking $1 million in donations to prevent her going ahead with a planned abortion.

How a woman's dying wish made another woman a mum

"I kind of think about, 'What did I do beforehand? What kept me so busy back then?' Because now I'm really busy."

The parenting do-over: what six parents did differently second time around

In playgrounds across Australia, you can hear parents lamenting, "When we have our next baby I swear I won't be doing THAT again".

A solo birth, a wasp swarm and a forest fire: mum and baby's amazing story of survival

Desperate, out of petrol and low on food, a new mother lit a fire in the hope of attracting attention.

Boy found on swing died of hypothermia and dehydration, autopsy finds

The story was chilling and heartbreaking: a three-year-old boy was found dead in a Southern Maryland park, his mother pushing him on the swing.

Child's play and laughter help battle fatigue

Feeling fatigued? Uh-huh, thought as much. Join the queue.

Dad shares entertaining 'how to hold a baby' clip

For many new dads, their own child is the first baby they have ever held. So one dad has posted an instructive YouTube video titled "How to Hold a Baby".

The Australian baby with 100,000 Facebook fans

She may be only eight months old, but Egypt has already amassed more than 100,000 fans and received a letter from royalty - Hollywood royalty that is.

Tongue tie: what you need to know

Tongue and lip tie can lead to many problems for babies - and their parents. Here are the signs of tongue tie and how it's treated.

My daughter is small but that doesn't matter

My daughter may be small, but it's my job as her parent to refocus back where it belongs - on who she is as a person

Wet wipes linked to rise in allergic reactions

The government has issued a health warning after a rise in allergic skin reactions has been linked to a preservative found in some wet wipes.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

27 funny ultrasound pictures

Ultrasounds give you a look at your growing baby ... and sometimes what appears to their womb-buddy, or your bub in an amusing position.

What all parents should know about safe babywearing

A picture of Ryan Reynolds always gets the girls talking, and a recently shared photo has done exactly that - but this time, it's for all the wrong reasons.

Baby's head shape reveals potentially fatal condition

Thinking her baby just had an unusually shaped head, a mother was shocked to discover it was instead linked to a dangerous condition.

Why IVF success rates may not be what you think

Transparency, accountability and responsibilityare essential measures to protect IVF vulnerable patients.

Mother-in-law 'from hell' inspires survival guide

The happily ever after Nicola Milan had imagined wasn't to be – and she blames her mother-in-law.

Owning a pair of nail scissors does not make me a hairdresser

It's been a whole year since sleeping in until 10am. A whole year since having a peaceful shower.

The 83 children who were tragically let down in the last decade

Over a 10-year period, 83 children died from domestic violence abuse in NSW, with three quarters of the victims aged five years or under, the NSW Ombudsman has revealed.

Is it reasonable to expect your partner to give up drinking in pregnancy?

From the moment that I fell pregnant with my son, I realised just how much my life had already started to change.

Stroke victim joins class action against makers of popular contraceptive pill

"I was terrified I would always be this way. The pill needs to come with a much higher warning."

Sexy time

Why you should get excited about scheduling sex

Unfortunately, the belief that sex should always be spontaneous is a myth. It just isn't.

When newborn photoshoots get messy

When it comes to newborn photoshoots, it is all about the timing.

Expert Q&A: Gross motor skill development in toddlers and preschoolers

Dr Katie Heathershaw answers questions about jumping, toe walking, riding a bike and being pigeon toed.

'Samuel is our firstborn, and he will never be forgotten'

Having lost their firstborn at one day old, the Carrolls were overjoyed to welcome their daughter Isobel into the world a year later.

Dad takes miraculous catch while feeding baby

One American father has taken multitasking to a new level at a Cubs-Dodgers baseball game at Wrigley Field.

Name your baby Quinoa, win a $10K gift card

Choosing a name for your little bundle of joy is always a major decision. It can be something traditional, trendy, creative … or inspired by the menu of your favourite chain restaurant.

On the 10th anniversary of my son's death

This day marks a significant day. Today marks 10 years since I lost my son Kai.

'Help - my toddler hits me!'

My toddler has started hitting when he gets frustrated, is feeling ignored, or just thinks it might be fun.

The top 6 misleading parenting terms

From 'morning sickness' to 'the terrible twos', there are many parenting terms that are misleading.

When 'good' nannies go bad

While most nannies take pride in their work, there can be some who have a hidden side.

Woman hospitalised for skinny jeans injury

Beware: skinny jeans might be bad for your health.

Gauze seeding: the bacteria-breeding birth trend

A number of women having caesarean deliveries are now taking steps to give their baby a better 'microbiome' start in life.

Jimmy Fallon writes new children's book for dads

Jimmy Fallon, host of NBC's The Tonight Show, recently wrote a children's book about every father's secret wish for their baby's first word to be "dada" - not "mama".

28 names for babies born in winter

Looking for some baby name inspiration for a bub born during the colder months? Here are 28 options from around the world to consider.

 

FREE TICKET

Get your FREE ticket to the Baby & Toddler Show

Get your free ticket to the Sydney Essential Baby & Toddler Show for September 25-27 - register online now.

 
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.