I think I might need some advice. I am not overly crazy about my OB. I am going to give it another shot on Tuesday...and I've heard great things...but here is the situation. First, I very rarely get any time to talk to anyone in the office. Second, I had to actually request an anatomy scan (no one suggested any testing or ultrasounds at all), which they are giving me on Tuesday, but they told me that my ultrasound appointment is at 2:45, my OB appt is at 3. Isn't the anatomy scan supposed to be detailed and take a long time? Don't they check every organ that they can to make sure all is okay and measure everything on the baby, the placenta, etc? How can this happen in 15 minutes? They also haven't done ANY tests at all. I told them I didn't need genetic tests but I know there is a urine protein test that should have been done around week 16 and that time period has passed. I am getting confused.
Then, this morning, I went to a prenatal aqua fitness class, which was fun. However, of the 5 other women in the pool, 4 of them have had repeat c-sections and the 5th one had her first baby 16 years ago, so she doesn't really count. This prompted me to do some research. It turns out that NY is one of the worst states for c-section rates. The rates are incredibly high - mainly b/c of malpractice insurance. However, the World Health Organization has researched this issue and found that the ideal number is 15% of births can be c-sections. Over that number and women start having complications and babies have health problems and higher mortality rates. Well, NY's rate is 36%. My hospital's rate is 33.7%. My OB, though he hinted we'd be going for a vaginal birth, seems to go along with these stats- of the 2 women I know who have gone to him, both have had c-sections. I am not anti-c-section. I am anti-unnecessary-c-section. My thought is that God provided an exit for them and if the exit is available, the baby should use it. If something causes a problem and the exit is blocked or inaccessible or the baby is in distress, my doctor is free to create another exit. Until that point, I'd like to go the natural way, please. So, now I have more research to do and more questions to ask my elusive OB.
I realize that it is early to be considering labor and delivery type things but my concern is that birth has very much been taken away from women. Our decisions frequently are made for us and, if they are not, we are rarely provided the information to make our own informed decisions. So, I want to know now and discuss things this early so that, if I don't like the answers, I can find other options (aka, other OB's or midwives, etc). I wish I could come up with another OB practice in Syracuse that I heard was good and delivered at my chosen hospital...but maybe they are fine. The truth is that I am not very high maintenance in this department at all...I just want to feel like I am included in my own care and have things explained to me. I'd also like to feel cared for so that I don't need to research all of my own options and ask them to give me scans. It seems that all of my fellow February Due Date girls get suggestions for tests from their OB's - not the other way around. I'm frustrated.
Things I am going to ask my OB:
1. How long do you allow a patient to go after her due date before you induce? (ideally, he should say up to 2 weeks if all is fine)
2. What is your practice's particular c-section rate and what medical reasons would prompt you to perform a c-section? Do you automatically do c-sections if the baby appears "big" and how big is "big"?
3. How long do you allow your patients to labor (in early labor) before you either break their water or give pitocin to move labor along?
4. Do you allow your patients to get up out of bed or sit up on a labor ball to let gravity help with labor?
5. What are your recommendations about the swine flu and the vaccine? Will your practice be getting the vaccine?
6. Are there other screening tests that I need to be aware of?
Do you guys have any other ideas of questions I should ask? I really have no idea, I've just been paying attention to stories of other women and recommendations made by friends. So, please share if you have ideas that I've forgotten about.
Also, what is your take on the anatomy scan thing? did yours take longer than 15 minutes?
Sorry I've been away...I think I am trying to just live again a little. I am at the boring stage in pregnancy (which is LOVELY), where nothing much is happening, I'm not overly stressed, I'm not feeling movement yet, not showing too much yet, etc. So, I'm just trying to get by. Tomorrow night, I have a great date night planned with my hubby. First we are going to one of the most elegant restaurants in Syracuse (not saying much, lol) but truly, this is one of the only real culinary experiences in the area with a chef from NYC (food is what I miss most about living in NYC) and they are willing to cook gluten free for me!!! They were very gracious and confirmed that my favorite salad - lobster and goat cheese- is gluten free and the cheese IS pasteurized, so I can eat it! yay! Then, we are going to Cirque du Soleil! Granted, it is probably the "D" string of performers since we aren't in a big city, but I think it'll be fun anyway!
In other news, the state fair was in town and Brett and I hit every country concert that they had. We do it every year. And, just in time b/c our little girl already started hearing...so we've got her started early. During the free Darius Rucker show (which was seriously a BLAST- he did his new country stuff but then lots of Hootie too - and random other fun stuff. surprisingly good performer), my neighbor on the grass leaned over and said, your daughter is getting an early start -she's going to love this music. How fun was that? Then I got nervous at the level of noise at Big and Rich (we were in the 7th row on the floor, center), but looked around and from my seat, could see 2 other HUGELY pregnant women who were doing just fine too! I think I am done with loud concerts for a while, but it was fun. There were some great shows and it is really rare to get good shows up here.