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Minimal Interventions in a Hospital Setting

From: Jane (anonymous@obgyn.net)
Sat, 29 Jun 2002 23:15:59 -0500 (CDT)


I am in the process of working on a birth plan. (I'm at 28 weeks no complications, and my first birth had no complications). I have a OB and will be giving birth in a hospital. Assuming that everything is going well, I would prefer that not much stuff was done unto me during my labor.

I have had some terrible reactions to various medications in my life and am more afraid of drugs than pain. Various narcotic drugs give me the ghoulies and make me think I am going to die. The small time I was on a pitocin drip last time I had such a prolonged contraction that they immediately had to turn it off.

It seems when reviewing stuff about birth plan subjects, there is a wide gulf between docs who want to do all sorts of stuff to you and earth mamas that embrace giving birth in yer own bed or something. What do non-interventionist docs recommend as things that are good for mama and baby if things aren't an emergency?

For example, I would prefer no IV, intermittent monitoring so that I can move, ability to drink clear fluids as desired, and no drugs except local if repair is needed, no early AROM. Do you have to have an IV if they are going to give you pitocin for third stage of labor? If you are going no IV, do you have to have a hep lock? I don't want to be unreasonable in what I would prefer but at the same time I completely freak at the whole "active management of labor" stuff. Thanks!

--
Jane



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