Were it not for the homebirthing issue, the clinic itself would be fine with seeing the new baby, but I would have to get an exception to policy through the insurance company. I had a friend that went through that last year when her new baby was born, same clinic. But our old doctor was still there then, and that's who she saw, too. In fact, back in June when Aaric fractured his skull, it was just 2 days after the doctor had left. The clinic had not yet gotten all his patients switched over to new primary providers in the system. So, when I called to get a necessary referral, they said they couldn't do it because we weren't assigned to anyone. I had to call the insurance company to get the kids reassigned to a different doctor in the same clinic. First, I was told that I HAD to switch them to an on post clinic, due to the current policy. When I explained that this was an urgent need, and I did not have time to wait for an appointment at a new clinic (which is what the clinics on post would require before just randomly submitting a referral for a patient they've never met), and it was necessary for us to stay at this clinic. She was able to over-ride the system and switch all 3 kids at once, at that time. They'd do the same thing for the new baby - just over-ride the system so that all kids could be seen at the same clinic. We just can't choose to switch to a different off post clinic.
And it's a family practice. A couple of the doctors there are even DO's, but I don't know them very well. That's the other thing I have to figure out - if I switch them to this other off post clinic, it's a pediatric one. My homebirthing/nonvaxing friend gives him a glowing review. But then, I have to figure out who to go to myself. I never go in anyway, so it's not a huge deal. But at our current clinic, they don't seem to be the most knowledgable in the breastfeeding arena, and having a doctor who isn't constantly going to be telling me to wean, or refusing to Rx even drugs that are safe, etc, would be nice.
Now, a short vent. Dh was just telling me last night how I need to be resting more, blah, blah, blah. He knows I can't fall asleep easily at night, and that I'm up throughout the night to pee. Yet, who got up at 9 and made breakfast and who is still in bed at 10:45?? How am I supposed to get more rest if he won't get his butt out of freakin bed?
And that's my mini vent. He is a wonderful husband and helps out a lot around the house and would probably not bat an eye if I told him I was taking a nap once he gets up. But I don't nap well, and I would have loved to have slept in, and he does nap easily.
ETA - LOL, of course, as soon as I hit submit, I hear water running up there, and a minute later he sends me an IM saying that he's sorry, and had no intention of sleeping so late.
Last edited by kellyr2; 01-10-2009 at 11:51 AM.
I emailed my friend who recommended this new doctor, to get the details on switching to the plan where we'd have to pay some out of pocket. She responded that a friend of hers was just able to go online and switch to an off post doctor with no problem. So, that's what I did! We could very well get a denial letter in the mail soon, but hopefully, it'll go through without any problems. She suggested just stopping by his office and asking, and he'll stop out to meet me in between patients, and jsut introduce myself and let him know that we've got a homebirthed baby on the way. He'll want to see us sometime within a week.
Worst case scenario, we're prepared to just make the switch to paying out of pocket. Well, there's always the possibility that he's not accepting new patients, too... Don't even want to think about that one. I'll beg and plead and assure them that we'll rarely ever be there anyway!
Ugh! I am sorry the system is so hard to work around. The alternate insurance doesn't sound too bad, though it is a big switch from having everything covered. Hopefully your online change will go through without a hitch!
My DH did almost the exact same thing yesterday including the apology! At least they are aware of their actions.
I'm feeling good about the pediatrician thing. Not nearly as stressed as I had been. We can handle even the worse case scenario (having to pay some out of pocket), so it's not the end of the world.
I'm stressing about inducing. Will taking the cohoshes speed up my labor, so that the mw can't make it in time? What if the cohoshes don't work? When I asked her that last night, she said that if we had *anything* to work with, she'd come on up and we'd see what we could do. She mentioned that worst case scenario, she has some cytotec. I love her and I trust her... but I just don't know if I'm comfortable with cytotec at a homebirth. I suppose I need to research it and ask her about her experiences with it so far. But, she's very, very hands off and non-intervention, so I also think that surely, if she'd go that far, it's necessary, and my only other choice would be the hospital. Where do we draw the line? It's got me feeling anxious.
Hypnobabies stuff recommends visualizing (or more, BEING there) the birth. I do that all the time anyway, so that's nothing new. I have always just spent some time, often in the tub, visualizing how it will go, with the best case scenarios. This morning, I woke up around 6 to pee, and couldn't go back to sleep. As I hung out in bed, my mind kept visualizing the birth. But instead of automatically going to the best case scenarios, it was always going wrong. Like, the one that I mostly remember - I really could feel him moving around down low, most likely wiggling his head down further and hopefully perfecting his position. So, in my mind, I got up to go pee and when I did, he was born within seconds. And it was like it was happening right NOW - and my dh was already gone out for PT, and he doesn't usually have his phone physically on him while doing PT. So then my mind starts racing to think through what all I'd do in that situation - my legs would likely feel weak, so I'd need to yell to wake the kids, and send them one at a time to gather supplies for me - blankets for the baby, the birth supplies box so i could get the nose suction bulb out, my chlorophyll to keep my bleeding under control... and then it dawned on me that I could always call a neighbor to come help, but of course, all their husbands would be out at PT, too! And then, what? It would take the mw a few hours to get here, IF she could get on the first flight out. Would I take the baby to the new pediatrician first thing, knowing that he's okay with homebirthed babies? Go to the ER and sign out AMA once they assured us that he was healthy? Trust my instincts and if he looked pink and healthy and was breathing and nursing okay, just wait on the mw??
Ugh. That's not how I need to picture the birth. I finally got out of bed because I was a bit hungry, and grabbed a protein bar. I went back upstairs and grabbed a hypno cd and stuck it in. I started dozing back off some, and then Xander (who has started sleeping in his own bed, but joins me around 4-5 am) woke up and started climbing on me and talking to me. I shushed him as much as possible, finished the CD, and then turned on PBS for him while I dozed on off for a while.
I think I need to keep the Pregnancy and Birth affirmations CD's going all day today. The kids will get annoyed, but clearly, my mind needs a reboot, and reassurance that everything will go perfectly. I'll be going to the chiro at 2 this afternoon, and I'm going to ask him to do any manipulations that he knows of that will help encourage my body to go into labor. (And deal with my tingly fingers again!) I'll also be dropping by the pediatrician's office to meet him, and actually do plan to ask him - should the baby arrive before the midwife, would he be okay with me just coming in to let him check him over. It would ease my mind a lot to not have to worry about choosing between waiting on the mw to check him out (if she was no where near us yet) or heading to the hospital. And then, I'll be doing the EPO tonight, and starting the black and blue tomorrow.
Boy, I"m rambly today. I think I'm just feeling really conflicted. I've always been very against doing anything to urge the baby out, unless there was a clear medical reason. Anything that was considered to be effective at all, I'd want a medical reason to do it before resorting to it. I don't like screwing with nature unless we have to.
So that leaves me asking - do we have to? If I were seeing an OB, and he said that I needed to go to the hospital tonight for the cervadil and then we'd start pit in the morning, I'd question him. Not necessarily say no, but I'd ask about the risks of putting it off a few more days, ask about alternatives to cervadil and pitocin, etc. So, I feel hypocritical that I just said "okay" when Lulu told me the plan for this week.
I think I need to call her. I'm sure we'll go ahead with the plan, but for my peace of mind, I need to hear from her what the risks are, if we wait. If my BP and swelling stay the same, then is that a horrible thing? What are the benefits of a pre-emptive strike? Is it riskier to have a baby a few days earlier than he wants to be here, at home; or to develop pre-eclampsia and him be born a few days later, in the hospital?
All these things are swirling around in my mind. I just want to be at peace with it all.
I know a bit of how you feel... I did everything I could to prepare for an intervention-free birth. My OB was excited and looking forward to helping me get a NCB (he's real into natural birth, teaches NFP classes, and knew my Bradley instructor personally!). The last month of my pregnancy my blood pressure started rising, we thought I was carrying breech (turns out he was just very high!), and then an u/s showed my amniotic fluid was almost completely gone.
My OB actually gave me the option of what I wanted to do. I felt really torn! I ended up with a c-section and at 1 1/2 weeks old Ethan was almost put in the hospital and diagnosed failure-to-thrive. Would that have happened if I had decided to keep him in longer? I don't know. I decided the possible complications outweighed the chance of stillbirth in my case.
Sorry, didn't mean to ramble! But I've been there myself. It's not an easy decision weighing between different options with you and the baby's health hanging in the balance! Just do what you think will be best and try not to second-guess yourself! Remember to use your mom's intuition too!
I talked to Lulu a while ago. She assured me of a few things. She says that if it's truly not time, all the cohosh in the world isn't going to get him out. She also said that yes, we're doing this now, in order to avoid being at the hospital with pitocin next week. we're enhancing what my body is going to do anyway, not forcing. She says it's pro's all around - we avoid medical interventions, we avoid the hospital, and since I do have babies on the larger side, we decrease the odds of a big baby by encouraging him to come out sooner. (Not that CPD is a concern at all, but tearing is.)
She says that she does not expect these herbs to change my typical labor progression at all. While you can always have a wild card in the bunch, there's no reason to expect that the herbs would be responsible for making me progress way faster than usual.
She said that unless we call her sooner, she plans to come up on Friday. That is, unless there has still be zero change in me. Even then, she might would come up to do a prenatal exam herself before saying I had to go to the doctor. But assuming that there's any change, she'll come on Friday, and we'll look at other options for getting him out. She did not mention cytotec this time, and I didn't bring it up yet, but I think it's possible that she was joking about resorting to it.
She's from my hometown, and my mom is on her way up her right now, and so they met up this morning and my mom is bringing the majority of Lulu's supplies up. Maybe all of them. So, everything will be here and ready to go.
Oh, and chiro appointment went well. He just showed me the basic pressure points - the one in between the finger and thumb, one on the ankle, and one on the shoulders. Said to start rubbing those. He adjusted pretty much my whole body, but especially the lower back and sacrum.
Stopped by the new ped's office but he was still out to lunch. I didn't want to wait around or have to go back out, so they said he could call me this afternoon. Hopefully I'll hear from him soon. I'm fine with just touching base over the phone, though meeting in person would have been nice.
So, I'm feeling much better.
Now, mom will be here in about an hour and the downstairs is a wreck! Gotta run clean!
I'm about to head to bed and fold laundry, and at some point in the next little bit, insert a bunch of EPO. I'm hoping to wake up to a different cervix! Right now, it's not effaced at all, and is pretty far back so I can't tell for sure if there's any dilation yet.