Reply to Delivering at Shady Grove Hospital versus Medstar Georgetown

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[quote=Anonymous]I am debating whether to stick with my current OB practice (Simmonds, Martin, Helmbrecht) that delivers at Shady Grove, or to switch to the Georgetown OB group and deliver at Medstar Georgetown.

Originally I was set on delivering at Shady Grove because it's known as a lower intervention hospital than Sibley, for instance, and generally gets favorable reviews online, including on this forum.  However, I've realized that overall, the OBs at my current practice are very much on the young side, and many new hires aren't even board certified yet. That makes me nervous if things go south during delivery and urgent/important decisions need to be made. I also can't find another OB practice that is calling to me that delivers at Shady Grove, particularly because Capital Women's Care is now out-of-network with my insurance.

Currently my MFM doctor is with the Georgetown practice and I'm super impressed with her, and it looks like the Georgetown OBs all have stellar reviews online and other than two new hires, they all seem like seasoned, well respected doctors. So I figured I might switch to the Georgetown OB general practice and deliver at Medstar, given my hangups about Simmonds. However, given that Georgetown is a teaching hospital, a similar "lack of experience" issue concern arises in that I understand residents are completely involved in your delivery, including any c-section, and an anesthesia resident is often the one inserting the epidural. That scares me. I also understand that junior residents do your cervical checks, which also scares me when I compare that to a long-standing labor and delivery nurse at Shady Grove doing them instead.

On the flip side, in favor of Georgetown, I've been assured that an attending is always present during delivery and is the main lead on c-sections, and I know Georgetown is known for serving high risk pregnancies, so I imagine they have to be on top of their game and must see a lot of complicated cases, which could translate to good experience for all, including residents.

Does anyone have any insight into delivering at either of these hospitals? My main concern across all of this is having an OB present during delivery who isn't pressuring me into unnecessary interventions but can make good decisions and be a good surgeon if things go south rapidly during delivery. My mind goes to the worst possible case scenario and that makes me nervous about resident involvement at Georgetown (albiet with attending oversight). On the other hand, having a brand new not-yet board-certified OB at Simmonds without any oversight (as they would be the primary OB) may not be much better. Or is Shady Grove preferable due to their nurse involvement after all? (You can see how I'm going back and forth with this decision all day long!)

If anyone could share their experiences I would greatly appreciate it! Thank you! [/quote]

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