I did it!!!!! I took the last spot for a June birth at the midwifery clinic. Woo-hoo....I feel better already!
I suppose it could have gone worse. I've had to continually remind myself that by sticking it out with her and the hospital I am saving over $4000. If we weren't sinking a TON of money into our house in hopes of selling it in the next 5 years, I'd be making the switch.
She asked if anything was new since our last appt. I said I had decided to do NCB this time and had hired a doula to help me manage the discomfort without the epi. She gave me a "you're weird" look and said "why do you want to do that?" I explained that I always envisioned myself giving birth naturally and wanted to do a water birth and the only reason I didn't with Zoe was b/c my anxiety was out of control at the time and I chose induction at 41 weeks due to having to start a new job only 3 weeks later. She asked if I was doing any sort of class to prepare for NCB and I said hypnobabies. She did seem to know what it was and thought hiring the doula was a good idea too if I was committed to NCB.
She then said "most people that want that give birth at home with a midwife." I explained that I really didn't want to give birth at my home, not for safety reasons, but b/c my home is very cramped and full of animals--not a relaxing place. I made it clear that the only reason I am going to the hospital is because my insurance won't cover a birthing center. I also asked her about how many of her patients do NCB and she said about 10-15%, which is considerably higher than the hospital's stats which are 3%. So I know she is at least familiar with delivering babies in that manner.
As for the IV--she said it is not "standard" to do an IV. I had one b/c Zoe's heart-rate was unstable and they were trying to stabilize her with fast fluids. I'm going to have to look into that a bit more since I don't really know if it was "necessary." If it was and actually helped keep me from getting an emergency c-section then I guess the IV was the right thing to do. I did agree to the hep-lock since the idea doesn't really bother me that much.
Movement during labor will not be restricted and I can choose to push in whatever position I want to. She does not do episiotomies and she will not break my water if I don't want her to. I asked about when the cord is typically cut and she said she usually clamps it once the baby begins crying. I asked if that meant it stopped pulsing and she said there is no way to tell when it's stopped for sure and that if the baby is not wrapped up well he could go into shock (not sure how that relates to cord-cutting). So that's an issue I need to look into more as well. She had no problem with DH going with Liam to get circ'ed and that it is done the day after he is born, which we are okay with.
I then asked her about how my induction may have altered my birth experience (making it more intense and difficult). She said since I was not given pitocin, that it probably was not much different that if I had not been induced. Since I had a very fast labor the first time, I can expect it to be similarly fast this time. When I asked her how long I will be allowed to labor before they try to augment, she said that it was going to most likely be a non-issue given how fast things went with Zoe.
So, yeah...not great, but not terrible either. Especially since she has always been respectful of my decisions regarding birth, pg, and my m/c.