You all sound like you've covered all of the bases. Very good input.
I hope you got the birth you wanted. Please share when you have the chance.
Maybe I didn't have a "true" walking epidural (that's just what the hospital called it) because I wasn't allowed to walk around during labor and I had to wait at least 2 hours after before I could try and get up. I had feeling, but I wouldn't have been able to walk around anyway.
I was as well, but considering I don't know how I will handle the other medications (I had an allergic reaction to a pain medication in a hospital about 2 years ago out of state and no way of finding out what it was without going through hoops). I know how I handle demoral at least. Though I am hoping that if this one is front labor I might be okay and not need it, that is my goal at least.
They told me they stopped walking epidurals because of the risk of cord prolapse and that it was more a concern than worth the ability to move about.
Immortal,
They must be some of the last to still use it. I'm pretty surprised!
At my hospital, they only do walking epidurals. I liked mine, I was able to feel enough to push effectively and wasn't dying either. They also use Nubain. They almost had to use a vacuum on DS because his heartrate was so low, but at the last possible second before she was going to use it, I got him out. I also didn't want an episiotomy, but hearing that little beep so far apart, I didn't care how he came out.
I talked to my doctors and the nurses at my hospital today during my NST. I asked about walking epidurals (they don't do them anymore there), and the demoral (they still give this medication for labor and delivery with heavy monitoring). *wipes brow* I'm a creature of habit and familiarity, I'm glad they still do the demoral at least.
I wanted my birth to be as natural as possible aswell. I looked at a bithing plan but realised that it was just to hard to forsee everything. As it turned out I had all of the drugs available and ended in an emergancy c-section after 25hours (and we have laughing gas in Australia). I think the best thing to take into a birthing room with you is the trust in the medical staff. You will feel alot more relaxed if you let go and trust people that do this day in and day out then getting yourself worried about everything that may need to happen during your labour. I believe in being informed but I also believe in getting to much information, which then tends to cloud or confuse your judgement. At the end of the day, all that matters is that your baby arrives safely and healthy.
My doctor refused to even look at a birth plan saying that they would do whatever suits the situation best. Initially I was appalled but I do understand where they are coming from. So when I actually went into labor, I had a two-liner birth plan with a request to help avoid an episiotomy and a joke. They passed it around and laughed. I never saw my doctor and the delivery nurse made a huge effort to fulfill my only request. I got away without tears or episiotomy despite a large baby. Everything else we discussed during labor.
Oh, forgot to add that especially with the midwives, if the woman has delivered before, almost never got an episiotomy.
I think that one of the most misconceptions is that once you go into labor you cannot make any choices. That's just wrong. I worked and delivered in a small hospital, but also worked in the 2nd largest women's l&d in the state. Unless of an emergency ex. decreased hb in baby, crashing vitals, etc., you are in control of your birth. Things that are "routine" can be refused and it's not a big deal. Some dr's prefer certain ways and have reason's to back their beliefs. If you trust that your dr will do the best for you and the baby, I think that you would be able to do anything to get that little one out safely. I could not have an epidural bc of a past back injury and I told myself that I could do anything for 24 hours for my baby-luckily it wasn't that long but you get the point.
I've never met a nurse that didn't say whayt she was going to do before she done it. Like, I'm going to give you a shave or enema,etc-if that dr even uses it anymore. As for the episiotomy, the dr's and midwives that I worked around would let you push and see how well you could stretch out the perineum, some women are more prepared with it than others. Also, I've found that midwives are more patient in letting women push. BUT on the other end, in the event of fetal distress, an immediate delivery is necessary. Also, an episiotomy can help prevent jagged tears that are hard to repair and go into the rectum sometimes. There are medical reason's behind everything that is done, it's not done to be barbaric or whatever.
Anyhow, I'll stop here because I could probably go on for days. It is great to have an idea of what you would like or dislike before delivery. Knowledge is the key. But, just remember to be flexible. The staff is out to take the best care of you and your baby. They know what's best when emergencies arise.
Yeah that's what I heard about things as well Nicole. I was rather annoyed that it wasn't the case, but then again #2 was purple and blue when she was born as well (cord around her neck and bruising on her face from my pelvic bone because she was born face upwards). I never had normal BH contractions with their of them either, not like this baby, I am hoping for no more back labor, it might mean I can get through the labor.... I am concerned how my incision is going to feel with all that tightening though, even now (6 months later) its still sore....
Yeah my mother is absolutely worried about me going into labor again ... she told me just rent a hotel close to the hospital so you'll make it... Yeah I guess I just wish I had more time to sink it all and kind of enjoy it ... I packed all these clothes for my daughter to and when she came out she couldnt fit one out fit I packed she was 6 lbs 2 oz ..so my mom rushed to wal-mart and bought all these premmie clothes for her...Wow I thought they always said labor is a lot faster with the more children you have and you went longer than the first one ... wow I hope number 3 will go by a lot quicker for you then
God I hope my labor and delivery with Lilith is that easy Nicole. It was like 10+ hours with #1... and 36 hours with #2. My SiL had her daughter in 4 hours, counting the onset and the pushing, I am so jealous. But I guess its better than the baby being born in the backseat of my Jetta.
I agree with a lot of you guys its nice to have a birth plan but a lot of things can happen and change during delivery although I knew nothing about a birth plan with my DD so I guess I just decided to take it when it happens and go with the flow....I had back labor with my daughter I was mainly home through it all by the time I made it to the hospital I was 4 cm they asked if I would like an epidural and I said yes please!! but they werent able to get the needle in the right place because the guy doing it said my bones are to close together that there isnt enough cartilage to get it through... so I had to deal with no epidural but I said ok fine as soon as I layed down I felt the need to push called a nurse in and she got the doctor and he said your at 10 already ready to have the baby and I started pushing although it took me at least 30 mins to push her out I didnt tear at all he said a couple little ones but not enough to put stitches in... so I plan just to take it how I took it with her although it went so fast it turned out ok!!
Wow! Yeah you've moved often! I'm having Lilith at St. John's Medical Center in Detroit, the one on the boarder of Grosse Point and Detroit on Moross.
The last Was St. Joes Livingston. Why did it bleep that???? In Howell.
One was a branch of St. Johns...cr@p, I can't remember the name, it was in a bad area near Detroit...Providence! I worked there, I worked at...cr@p again...St. Mary's in Livonia, and then finally at...***@**** Howell...St. Joes!
LOL Peek, did you work at St. John's? Damn it sounds like you travel/move as much as I do!
You're in Michigan...we didn't use it at any of the 3 places I worked there, either.
Yep, ask what he uses for pain control.
Hmmm Well that throws my plan out the window... I should probably call my Doc and ask if they stopped using it too.
Demerol is very long acting, and if given too close to delivery time can completely depress the baby's respirations. Not always, but more often than not. Perhaps there are still some places using it, but not in the last 5 places I've worked at across the U.S. Maybe in Canada its still used.
Nubain and Stadol are shorter acting, and that's the advantage. But, with the shorter action, it also wears off faster, and subsequent doses may not work quite as well. I don't see much advantage of either on over the other. They seem about the same.
Demerol was great, and I was sorry to see it go, actually. Used properly and not too late in labor, it was a great medication.
Really? When did that change Peek? LOL see Lily! It's been 15 and 10 years for me and still they change the rules! :oP
You rock Peek, what are the effects of Nubain or Stadol and what are the differences in those and Demoral?
We don't use Demerol anymore, either. Nubain or Stadol, mostly. Less risk of respiratory depression in the newborn.
I had demoral with both my daughters. With #1 the doctor gave me a final dose too close to delivery and I couldn't hold her at all, almost dropped her and thankfully mom was there to take her. I was completely aware of what was going on, and sleeping in between contractions with it.
With #2 I again had demoral and I fully remember that birth, the pain, the excitement, and every step of what was going on when I wasn't sleeping. It's a good drug, it takes the edge off a difficult labor and helps to relax without having something stuck in your back (I have had too many spinal taps which is why I don't want an epidural, my back is not cooperative with needles).
And again just look over the samples, see what you like and what you don't, make a note of it and talk to your doctor about it. Remember that the important thing is to be flexible about things.