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[quote=Anonymous]I had a very severe postpartum hemorrhage after my first birth, which was at a local hospital that has a good reputation for childbirth. I received very good care once everybody realized what was going on, but they weren't weighing the chuk pads for blood, and the nursing staff (while incredibly caring and competent) didn't seem to have much experience with things like interventional radiology or intensive care. We also had to wait for an interventional radiologist to be called. But I survived with no lasting damage and am very grateful for the care I received.

We are thinking about trying for a second. We've had two preconception consults and been told that I am at higher risk for another postpartum hemorrhage (something like 15% chance), and that I would be closely monitored/aggressively treated for bleeding at any subsequent birth.

My question is whether I should switch to an OB practice that delivers at the local teaching hospital if we do get pregnant again. I met with one doctor recently, and while I didn't like him as much as my old one, but he did say that the practice at this hospital is to weigh blood loss, which suggests that they follow best practices for preventing/treating PPH. I also wonder whether there's an advantage as far as access to things like interventional radiology. I also felt like he was somewhat cagey about giving me advice because I'm a lawyer (not med mal and not interested in ever being a plaintiff in anything), which was kind of a bummer too.

Any thoughts appreciated. Thank you![/quote]

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