Reply to Delivering at Shady Grove Hospital versus Medstar Georgetown

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[quote=Anonymous]I had a pregnancy go south at 32 weeks and delivered at Georgetown. I had a week long hospital stay there being watched by the MFMs like a hawk and then when home for a couple of weeks before eventually delivering in an urgent c section and my daughter spent two weeks in their NICU. This was (I cannot believe it, ten years ago). They also supported me through month 8 of my second pregnancy. I moved to another state at that time and they were very helpful in making sure I was transferred to the new MFM practice with all the necessary context.

Obviously, because of all of the above, I'm very happy I was at Georgetown to start with (I was just with their regular OBs before it got scary).

The biggest con to GT to me (like by far) is how long everything takes there. I was always waiting for awhile before appointments and getting there is a PITA. Also the food truly leaves a lot to be desired. But seems like small potatoes compared with the saving our lives part!

The pros are that the NICU is level 4 and onsite and that you're really getting a very high standard of care. Of course with the teaching hospital not every person there has a depth of experience but there is always SOMEONE there with a depth of experience. I felt very very very much like I was in capable hands, and I didn't mind the teaching hospital thing so much because you know, doctors have to learn to create experienced doctors.

The way it would work (and this was annoying I'm NGL) is whenever you need like, a check in (this for me happened like every four hours because I was very high risk) first a medical student would come in and take vitals/ask questions. Then a resident would come in and ask all the same questions and sometimes recheck vitals. Then an OB or MFM would come in and ask all the same questions and sometimes recheck vitals. So this got repetitive, especially when they were waking me up at 6am. But they got to learn and like that's how it should be. A med student's evaluation should not be sufficient. And it never was! So all just to say you will be around inexperienced people but ALWAYS being supervised by very experienced people.

My pregnancy issues were atypically presenting preeclampsia (my BP wasn't THAT high, I seemed KIND OF ok) and my baby was IUGR (stopped growing normally around week 31 ish). The whole time I was hospitalized I basically felt fine and was more worried about my daughter than me as my symptoms all seemed very mild. On the day I delivered (36+5) I walked in for one of my multiple weekly appointments at that point and they said my fluids had decreased and it was go time. I sat there feeling totally fine for a few hours getting my epidural and starting the pitocin. And then I got HELLP syndrome rather quickly with again, no symptoms. I had been seeing nurses/residents but like immediately my MFM came in when they found that and told me they were going to still try with labor but you could just feel the level of vigilance around me increase at that point. Then the pitocin kicked in and I had one single contraction. I had been listening to my baby's heartbeat in hospital rooms for weeks at this point and I heard the decel. I said to the nurse who was talking to me 'I think that's bad' and she joked about how it was fine and there were a bunch of people monitoring me and if it was bad they would be in there and literally as she was saying that like eight people, including my MFM, charged in and stopped the pitocin and said it was c section time.

I am only going in to this level of detail to show you that while it may feel at times like a resident is taking care of you, it was never just a resident.

This is long and I think rambling, sorry! Mostly saying that Georgetown felt like the safest place to have a baby and while I sometimes regretted that choice while stuck in GT traffic and sitting in the waiting room in the end it felt like the best choice I'd ever made in my life.[/quote]

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