PREGNANCY-BIRTH Messages for June, 2002: Re: Minimal Interventions in a Hospital Setting

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Re: Minimal Interventions in a Hospital Setting

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 30 Jun 2002 09:27:24 -0500 (CDT)

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In reply to: Jane: "Minimal Interventions in a Hospital Setting"

At Sat, 29 Jun 2002, Jane wrote: >
>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
>

Jane

All great questions, and ones you need to have one on one with your doc. BTW--I consider myself pretty noninterventionist. Intermittent monitor is fine if all is well, clear liquids and ice are ok. Would prefer hep lock, but ok to do without, as long as understand there is always risk of postpartal bleeding and need to quickly get iv in

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: William F. von Almen, II, MD, FACOG: "Re: pregnancy spacing"
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In reply to: Jane: "Minimal Interventions in a Hospital Setting"

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