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  • Anyone have experience with delivering with minimal interventions at NY Presbyterian Cornell? What's the best approach/strategy to "fight" for things like limited monitoring, no IV, no induction, etc.?

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    07.28.08, 12:54 PM [ Flag ]
    • Best approach is to stay home until you are fully dialated. Otherwise, be ready to fight every step of the way, and train DH to speak up for you.

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      07.28.08, 12:56 PM [ Flag | link to this post ]
      • ITA! You are putting yourselves in the hands of folks who have EVERY possible tool and you expect them not to use it? (that said, they are the best!) Just wait until late in labor to go in and put your DH on the case.

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        07.28.08, 01:18 PM [ Flag | link to this post ]
        • No WAY could I have waited until fully dialated (I would have bit my fingers off) - I did wind up asking a lot of questions and refusing some things (like a catheter), and holding off on breaking of water until later on. I was just very polite but firm - some stuff I won, some I lost (I had an IV in the whole time)

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          07.28.08, 01:40 PM [ Flag | link to this post ]
          • Labor is different for different people. My water broke spontaneously at home after several hours of crampy discomfort - maybe usual menstrual cramps plus backache x 2 but nothing that made me feel I needed to leave the bathtub, glass of wine, and comforts of home. My husband is a full-service kind of person so he was on the case with massage, etc. When water broke it took us a while to make it to the hospital. Once there, I was examined and, fully dilated, ready to push (even started on toilet because it felt so much like a bowel movement.) I moved to a table and in a semi-sitting position pushed baby out. Nothing needed to be done for me but my girl needed some suction and stimulation to get going so I'm glad I was at the best children's hospital for her sake!

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            07.28.08, 01:55 PM [ Flag | link to this post ]
    • Delivered uptown with no interventions. Stayed home till fully dilated

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      07.28.08, 12:58 PM [ Flag | link to this post ]
      • Thanks for all the comments - does staying hom until fully dialated mean staying home past the "contractions 5 min apart for over an hour" ? How do you know when you're fully dilated?

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        07.28.08, 01:22 PM [ Flag | link to this post ]
        • np. I delivered there and did end up with induction etc but I made them explain everything to me pros and cons before doing anything. I felt happier that way knowing what was going on and why. I would have felt comfortable refusing to have certain things done but they would strongly try to persuade you. GL If you really want no/min intervention why not look at a birthing center?

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          07.28.08, 01:32 PM [ Flag | link to this post ]
          • Thanks - too late now that I am 35 weeks. I didn't realize how hard it was to have them respect your wishes. I understand the "need" for certain medical interventions, but from what I gather they do them when not needed. Depending on how it goes, I may look into it for #2

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            07.28.08, 01:37 PM [ Flag | link to this post ]
        • Yes. I stayed home till ctx were every two minutes. I live close to the hospital. Delivered w/in half an hour. Also, you can check your own dialation. (Didn't occur to me with first, but you can).

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          07.28.08, 05:34 PM [ Flag | link to this post ]
    • I was at Lennox Hill. But, the best thing is to make sure your ob understands what you want going in. There is not a way around iv & monitoring, although you can get up and move around.

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      07.28.08, 01:42 PM [ Flag | link to this post ]
    • You need to take a good speed childbirth class (Bradley is what you'd want) if you honestly don't know what fully dilated is and you're 35 weeks! Call Sandy Jamrog. If she can't help you she'll know who can.

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      07.28.08, 01:47 PM [ Flag | link to this post ]
    • Why did you pick the doctor(s) you have if you don't trust them and feel that you need to "fight" with them. If you wanted no interventions, you should have been seeing a midwife with plans to deliver at a birthing center.

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      07.28.08, 05:55 PM [ Flag | link to this post ]
      • At least should have taken natural childbirth classes and worked all this out before. But you're 35 weeks so call a Bradley teacher quick and get a crash course.

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        07.28.08, 05:59 PM [ Flag | link to this post ]
      • np: It's hardly a "fight". The hospitals are predisposed to intervene - IVs, monitors, epidurals. It's easier on them to have the patient in bed being monitored w/pain killers. It is a real struggle I think to not have interventions. OP is well within her rights to try.

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        07.28.08, 06:08 PM [ Flag | link to this post ]
    • Write out a birth plan detailing what you want. Give it to your OB before delivery and bring it with you to the hospital. They have to honor it to the best of their ability. I had a wonderful birth there but I brought along a doula for extra advocacy (had a difficult first birth elsewhere).

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      07.28.08, 06:02 PM [ Flag | link to this post ]
    • I had both my kids at Cornell and both w/o epidural. I had a great doula who sort of did what the nurses didn't have time to do (help me through contractions, give me tips on coping, etc). She advocated for me and drs and nurses were much more open to her than to me. My 2nd baby I had a dr who was totally OK w/my wanting no epidural. He told nurses who pretty much left me alone w/DH and doula. Good luck!

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      07.28.08, 06:06 PM [ Flag | link to this post ]
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