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  1. #21
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    it would be amazing to see how the views of Ob's would change when and if you actually needed one

    I love my ob for both babies no ob would mean dead babies and dead mother hows that for intervention and natural

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  3. #22
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    Quote Originally Posted by goldencrumble View Post
    I am in melb and my ob is very pro vb, especially for first time mothers. Doesn't like inducing, and wouldn't even talk to me about it until close to 42w, which I am happy to say I didn't reach. A c/s was never even mentioned once.
    This is exactly it for me, but my OB only works from Frances Perry. Is this an option for you?

    I highly recommend it and my OB - helps that he's extremely easy on the eye and is only in his 40's He is already teaching at Royal Women's so is highly regarded in his field.

  4. #23
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    Quote Originally Posted by Annabella View Post
    I would not go private unless you have good advice on an oB who truly is pro-vb. A lot say they are but then will recommend induction (which often leads to an instrumental delivery or c/s), or a c/s straight out closer to the date.

    If homebirth is not an option, I'd go through the birth centre.

    Good on you for doing your research!

    I agree, a birth centre is preferable over a hospital or home birth, and is probably cheaper then a private hospital..

  5. #24
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    Hey OP

    Just popping in to mention that there can be lots of reasons for why going private means high intervention.

    The demographic of the private patient is such that there are often older mothers, higher levels of obesity, and more likelihood of complications - all of which can lead to higher rates of intervention.

    It is also the case that in private hospitals there is a higher proportion of mothers who request elective c-sections too.

    All of these things can drive the rates up. It's not always a case of higher rate of intervention = obstetrician pushing for it.

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  7. #25
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    Make a few appointments with different OB's and suss them out. Get your paper full of questions ready and shoot the questions at them. Pay attention to the way they react to certain questions and what their answers are. Not every OB or private hospital has high intervention rates.
    I had an absolutely wonderful OB. She knew that I wanted a natural birth and she went out of her way to make sure that I had the birth I wanted. I had to be induced due to medical reasons but she let me walk around the hospital, bounce on my exercise ball, get in a hot tub etc.
    The hospital I was at only allow you to push for 1.5 hours before wheeling you off for a c-section. She let me push for 2.5 hours.
    You really need to do your research and shoot a million questions their way.
    I hope all this made sense. I'm a little high on pain meds at the moment.

  8. #26
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    I'm from SA but in total same dilemma as you! I want a completely natural birth. I think people forget the definition of an obstetrician. They're surgeons and only needed for high risk pregnancies. I've decided in a private midwife but it means I'll have to go public so won't necessarily have own room.
    I decided I'd rather have a natural active birth with no intervention ( and not being told my frames too small!) than a private room. I've been given a good wrap about birth centres

  9. #27
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    Obstetricians are specialists in surgery and complications. It is great we have this option and access to specialists care, in case we fall into the 5% of women and babies who become unwell and need this care.

    However we also need equal access to and funding for the midwifery model of care, for those women who choose it and need it and prefer it. Midwives are specialists in normal birth and in keeping birth normal. Midwifery can't work when it has to be under the hierarchy of obstetrics, subject to obstetric protocols and conventions - then midwives end up functioning as obstetric nurses and they are unable to deliver the midwifery model of care to those women who choose and prefer it. This hierarchical system makes it hard for midwives to help (healthy women having normal births) to avoid intervention.

    So independent midwifery is essential for women's birth choices to remain, and to remain accessible. Unfortunately there are few places in Australia where women can access independent midwifery without having to pay out of pocket (which is of course a contravention of women's basic human rights).

    If you seek a normal birth with no intervention unless it is truly necessary, there are a few options:

    *stay home for most of labour then go to a birth centre,

    * hire a midwife to support you to labour at home, then transfer to hospital with your midwife who will stay with you and help you negotiate the hospital system;

    * or hire a midwife/s, labour at home, actually give birth at home, with a back up plan to transfer to hospital should you want or need to (and the midwives will stay with you.)

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  11. #28
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    Sorry I didn't catch which state you are in, but if you are after a pro-natural ob in Melbourne then you can;t go past Lionel Steinberg. His nickname is 'vaginal Lionel'. That says it all!

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    Quote Originally Posted by Girl X View Post
    Hey OP

    Just popping in to mention that there can be lots of reasons for why going private means high intervention.

    The demographic of the private patient is such that there are often older mothers, higher levels of obesity, and more likelihood of complications - all of which can lead to higher rates of intervention.

    It is also the case that in private hospitals there is a higher proportion of mothers who request elective c-sections too.

    All of these things can drive the rates up. It's not always a case of higher rate of intervention = obstetrician pushing for it.
    I agree it is important to look at statistics carefully when comparing private and public. Good studies look carefully at the demographics and when this is done studies still show that women in the private sector have the highest intervention rates followed by pubic hospitals.

    When choosing the model of care that suits you, you need to have all the information which is actually really hard to access and dissect.

    Good luck!

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  14. #30
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    Default Does anyone know any Ob's with low intervention rates?

    I had this same dilemma, even though I pay top health cover I went as a public patient in the midwifery group practice at our local public hospital. I had the same midwife for the whole pregnancy and for 3 weeks post (visits every few days at home - priceless!) and had an 11 hour labour, completely drug and intervention free. Bub was delivered in a water birth and my husband actually caught her. I simply left hospital 24 hours later so that I could spend my time at home with my new family - bub was latching well and I knew I would have my middy visiting the next day, and her on call 24/7 for anything I needed. It really was so awesome and I didn't pay a cent.


 

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