Switching OBs at 32 weeks

  1. You have chosen to ignore posts from AinArlington. Show AinArlington's posts

    Switching OBs at 32 weeks

    Hi all - Two questions for the veteran moms on these boards.  I like my doc but am not crazy about others in her practice, and am also getting concerned about how difficult it's likely to be to try for a natural birth at the Brigham (if I switched practices, I'd be looking for someone at Mt. Auburn). 
    So, question 1: Has anyone switched docs in the third trimester and if so, did you feel like you had enough time for the new practice to get to know you? And number 2: Anyone have any luck doing natural childbirth at the Brigham?

    Thanks for your wisdom!

     
  2. You have chosen to ignore posts from lemonmelon. Show lemonmelon's posts

    Re: Switching OBs at 32 weeks

    A friend of mine switched from Mass General to Mt Auburn at the end of the third trimester because she wanted to avoid a c-section. But this was her second, and she'd delivered her first at Mt Auburn. I don't know if that makes a difference. As far as getting to know the midwives goes, they have a regular "meet the midwives" session where you hear all about them and ask questions and tour the birth center (and they give you snacks!).

    I had my baby at Mount Auburn and it was a wonderful, empowering experience. I never saw an OB and didn't want to -- I just saw the midwives.
     
  3. You have chosen to ignore posts from jc428. Show jc428's posts

    Re: Switching OBs at 32 weeks

    I had to switch OBs at 35 weeks during my first pregnancy (due to my husband being transfered).  The doctors in the practice made an excellent effort to get to know me in a limited amount of time.  We had a midwife for our second child and, as lemonmelon said, it was an empowering experience.  A phone call to the office @ Mt. Auburn would be my next step. 

    Best of luck! 
     
  4. You have chosen to ignore posts from rhm327. Show rhm327's posts

    Re: Switching OBs at 32 weeks

    I had to switch in my third trimester due to insurance changes - I was going to deliver at MGH, but found out our insurance was going to a tiered plan and it was going to be cost prohibitive to deliver there. I switched to Tufts Medical Center on January 1st (and delivered on March 8th). It was actually at a point where you start going more regularly (every other week and every week) so I felt like they did have a little more of a chance to know me. I wasn't happy about the change at the time, but my experience at the hospital ended up being very good.
     
  5. You have chosen to ignore posts from nene72. Show nene72's posts

    Re: Switching OBs at 32 weeks

    I just delivered at the Brigham.  I was planning on having a natural childbirth (was practicing hypnobirthing) and ended up with a C-Section.  My ob/gyn decided to begin induction since my cervix was closed at 40 weeks, I have a history of high blood pressure (which was controlled for most of the pregnancy but was starting to creep up), and I'm AMA.  I believe that the induction caused the c-section and the night I had my section, there seemed to be alot of other emergency sections.  Although I've heard stories of women who delivered naturally at BHW, I felt that most of the staff felt that hypnobirthing was a dirty word. 
     
  6. You have chosen to ignore posts from merilisa. Show merilisa's posts

    Re: Switching OBs at 32 weeks

    It is "common wisdom" that you do not switch your OB mid-game, and I have heard a ton of justifications why, but of my seven close friends who have been pregnant, four of them switched mid-way for different reasons.  One wanted a different hospital, another wanted a natural birth.  One other discovered she could get OB care closer to her and still deliver in her choice of hospital, and the fourth had a jerk for an OB.  All four switched, all four are grateful they did!  If you need to switch, just go ahead and do it, but not without meeting with the new OB first and making sure you are not going from the frying pan to the fire!
     
  7. You have chosen to ignore posts from MichelleandtheBoys. Show MichelleandtheBoys's posts

    Re: Switching OBs at 32 weeks

    I actually switched to a doctor Brigham and Women's at 27 weeks because my doctor in Melrose, whom I adored, would not let me try for a vbac.  My first baby was over 11 lbs and they expected the second to be big, too and said it was too risky.  I switched doctors because I thought Brigham would let me try, and if not, I'd be at a better hospital for the c-section. 

    It was totally fine switching doctors.  They made me feel like I was a patient of theirs all along.  Unfortunately, they also said it had to be a c-section for the same reasons.  I was very disappointed initially. However, when my son was delivered with a true knot in the cord, I was so thankful I had the c-section!  It could have been a very bad outcome had it gotten pulled tight during a vaginal birth!  Also, he seemed small compared to my first, but 9lbs 8 oz was still pretty big, so it was probably for the best all around. 
     
  8. You have chosen to ignore posts from BsBride. Show BsBride's posts

    Re: Switching OBs at 32 weeks

    I never switched doctors, but I did deliver naturally at Brigham, though to be honest it was never my plan to do so. Everything just went too quickly, got to the hospital at 8:20am, into my room at 8:55, started pushing before I even got my pants off, baby was born at 9:28. The staff did seem pretty unprepared for the whole thing, about 6 people came running into the room when they realized I wasn't kidding that the baby was coming right now.
    I think a lot of it depends on your Doctor or Midwife. My midwife would encourage natural birth, told me beforehand to try to hold out on the epidural as long as I could, but they would give it to me whenever I asked. In the end the decision just wasn't mine to make...
     
  9. You have chosen to ignore posts from 1stTimeMom90709. Show 1stTimeMom90709's posts

    Re: Switching OBs at 32 weeks

    Just curious - when you say you want natural birth and have concerns about B&W, is it because they push people to get c-sections or to use epidurals?

    I have heard of hospitals pushing people towards c-sections but never heard this about B&W though I did not deliver there.

    It's frustrating to hear something like this.

    Regarding switching, its all about what makes you comfortable and if you are uncomfortable with other docs in the practice and have concerns about the hospital following your wishes then I would switch ASAP and maybe go with a midwife so you don't have to worry about a doc you don't know delivering.
     
  10. You have chosen to ignore posts from amy-lynn. Show amy-lynn's posts

    Re: Switching OBs at 32 weeks

    I had a natural birth at B&W (using hypnobirthing techniques). I had a great experience. I also used the midwives - go to one of the meet the midwives sessions they have. the midwives seemed so down to earth and terrific - They have a much lower rate of C-section than the OBs at B&W, if that is what you are afraid of. I never felt pushed to go for meds, although afterwards so many nurses came by to congratulate me on a job well done, I was a bit surprised, and wondered if hypnobirthing/natural birth was really all that unusual.
    I also had a pretty short labor at the hospital. My water broke at home around 6 am and had meconium in it, at that point we headed to the hospital. DD was born at 9:26 am.
    Because of the meconium there were 2 pediatric docs in the room in addition to the labor & delivery team. DD was fine though, so the extra docs were really just that - Extra audience to a fairly uneventful birth.
    If the only reason you are thinking of switching is because you want a natural birth, find out about delivering with the midwives. If there are other reasons you are not happy with your OB, go ahead and switch, I've heard good things about Mt. Auburn from a friend who delivered there.
     
  11. You have chosen to ignore posts from AinArlington. Show AinArlington's posts

    Re: Switching OBs at 32 weeks

    Thanks everyone - I appreciate the thoughts and stories.  I think my main concern is that I'll feel rushed at the Brigham and pushed into more interventions than I need, and that I'll find myself in an antagonistic situation with the staff.  I have hired a doula and it's really good to know she'll be with me wherever I end up.

    Thanks again!
     
  12. You have chosen to ignore posts from jag27. Show jag27's posts

    Re: Switching OBs at 32 weeks

    My OB left the practice was going to when I was 36 weeks, so I just went to the other Dr in the practice, but was also meeting with a Maternal Fetal Medicine specialist since I was high risk with GD.  I wasn't thrilled about and won't be going to this OB for next pregnancy.

    I didn't deliver at B&W, but I am suprised that they would steer you away from have a natural birth, unless you have a high risk pregnancy.  I would write up a birth plan and take it with you and make sure that they stick with it.
     
  13. You have chosen to ignore posts from grimalkin. Show grimalkin's posts

    Re: Switching OBs at 32 weeks

    I delivered at BWH and really wanted a natural birth. Unfortunately, it did not work out. I do not blame the OB since it was my decision alone to finally get pain meds but I do sometimes wonder if things might have been different if I'd had a midwife or a supportive OB. I  had persevorated for quite a while about switching to a midwife late in my pregnancy after it became apparent that some of the OBs at my practice were not supportive or enthusiastic. The responses that I got from the docs ranged from neutral, to dubious, to annoyed and downright rude.  None of them were outright supportive.

    I chickened out and stayed with my OB practice. We had a mixed experience. My nurse in the laboring room was fantastic and knew exactly what went along with wanting a natural birth w/o even having to read my birth plan (not wanting an IV, wanting to eat, etc...)

    We were not happy with the OB I ended up having. We received a lot of pressure to intervene after I "failed to progress." The OB seemed very irritated by our resistance and request for more time even though I was fine and the baby was fine. She also made condescending remarks about some of the Bradley method materials my husband was consulting during labor.

    I do regret not switching practices. It's all water under the bridge but we will be doing things differently with the next one.

    I'm sure it's not impossible to have a natural birth at the BWH with OBs but having supportive medical professionals is important.  If you want to stick w/ BWH, you might look into switching to a midwife who delivers there. Like others, I have heard great things about Mt. Auburn from friends and couples from our natural childbirth class.

     
  14. You have chosen to ignore posts from beniceboston. Show beniceboston's posts

    Re: Switching OBs at 32 weeks

    I wouldn't worry too much about the OB's in your practice or other potential practices. The OB that delivered me wasn't even from my practice - so don't necessarily make your decision on that. I'd put more weight into the hospital itself. The majority of the time the nurses are checking you; I saw an OB once in the morning and then a different one in the evening when I finally delivered - she was called in just before the baby was going to come out. I delivered at Winchester, fyi.

     
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