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Thread: Episiotomy ?
April 14th, 2014 06:00 PM #11
Galatea! I didn't realise that after having an epidural you have to lay down, I guess that explains why she said it to me. She seems to prefer that her patients do it this way, and that is going to be a problem for me. I mean maybe that is the route I will go down, but I'm not going to be making assumptions.
A midwife has been ruled out - although this would be my ideal way of doing things - my Husband is completely and utterly terrified of something going wrong and wants a surgeon doing the delivery. I have never seen him afraid of anything before, and I don't want him to be afraid. I am happy to stick with an OB/GYN... just maybe not this particular one. I'm from England and a midwife delivery is standard unless there are any complications. People seem to have much nicer experiences doing it this way. Hopefully if all goes well with my first, my husband will feel more comfortable using a midwife the second time around.
At my appointment on Thursday I am going to explain that I am considering switching to someone else because of my concerns. I will see how she responds. I think the biggest problem for me is that she doesn't explain her reasoning for anything.
Thanks again everyone.
April 14th, 2014 10:47 PM #13Senior Member
- Join Date
- Jul 2013
Would your husband consider you seeing a midwife that practices with OBs? The practice I used with my children there were midwives and OBs in the same practice and overall they had some lower C-section rates compared to other practices in my area. I delivered in a hospital with a midwife but if something had gone wrong they would have had an OB there immediately to take over and I could have even met with an OB while having prenatal visits.
The not sharing C-section rates (for whatever reason she should be honest with you), assuming an epidural and position seem red flags to me. I did have both my children laying down since my son descended too quickly to move (I asked while pushing if that was the best position and the midwife told me it was too late to move) and I had leg pain with every contraction with my daughter. Both babies were born very quickly without any issues from me being on my back.Mother to: Patrick Werner (3/10) , Mary Claire (06/12) and Margaret Rose (05/15)
April 15th, 2014 09:21 AM #15Member
- Join Date
- Jun 2010
I have heard lots of moms say the same thing: "I will use a doctor with my first, and then a midwife with my second," but the problem with that reasoning is that the first one sets the tone for the rest, and it is in the first delivery that so many interventions can happen that might lead to a section and then it will be harder to have that second birth be more natural. The first birth is the most important, as in many communities, VBACs are not the standard of care. To give you an example, my first was induced because of very low fluid. It took 20 hours just to get to 3 cm, and then I got an epidural (not really sure why) and I fell asleep for two hours and woke up at 10 cm. Then it took 3 hours to push him out, but because I had a CNM, she was patient and let me do my work, despite the OB who was their attending specialist out in the hall pushing for a section. There were no disturbing signs with my baby; it was just taking a "long" time. It was only long by OB standards; I think it was pretty darn quick for being pretty numb and stuck on my back! In fact, my midwife covered the clock and kept encouraging me, and she was the only reason I did not have a section.
My husband was also weird about midwives when we were pregnant the first time, so I bought this book (http://www.amazon.com/Thinking-Woman.../dp/0399525173), and he only needed to read the intro before he agreed to see a CNM. We had #1 and #2 in a hospital with a CNM and thus had all the safety of the hospital (quick surgery times, etc.) with the humane treatment of a midwife. I would highly recommend seeking out a CNM group and using them in a hospital.
April 15th, 2014 09:24 AM #17
In my training, I've only performed one episiotomy in 45 deliveries. I don't like doing them personally but there are certain circumstances where they are appropriate. Anecdotally, I feel that tears tend to heal better but episiotomies are more controllable and less likely to go through something they shouldn't. Also, I wouldn't trust any practitioner who does midline episiotomies as they can cause more damage than a third degree tear in the long run.Name lover & Engaged to a wonderful man
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April 15th, 2014 09:40 AM #19
To weigh in on the last part of your post, I had a second degree tear and it was fine. I was overall sore of course, from the birth itself, and sitting in one position was uncomfortable, but within a week I felt normal again.
I'm sorry to hear about the troubles with your doctor. Mine doesn't have the greatest bedside manner, but he's excellent at what he does. It was also never assumed I would get an epidural, although I ended choosing one anyway.