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[quote=Anonymous]I delivered my first at INova Fairfax and had a mixed experience. I got HELLP, which my OB missed for four days because she was so convinced everything was fine that she didn't bother to read my lab results, and had to have an emergency c-section as my platelets kept going lower and lower. My OB wasn't at the hospital, she kept just checking in over the phone as nurses are telling her induction isn't working at all and new (worse) lab numbers every few hours. I'm on pubmed reading about the best treatment for HELLP and my husband was on the phone with an anesthesia colleague asking about the platelet cutoff for a spinal (husband is a pediatrician). Finally, we're both getting really worried and start voicing our concerns aloud and two of the nurses pipe up like "yes, we'll get your OB on the phone... this is bizarre... you need a c-section now." I got one. DD was fine. For 24 hours post delivery, I was on a mag drip (so feeling like shit) as my platelets kept tanking and it got really scary when I started leaking blood from my orifices (nose bleeds, gums, etc) and my pulse ox alarm kept going off... but just as everyone started to panic, my platelet count finally stabilized around 20K. In the end, everything was OK.

So, on the one hand, good experience with nurses in the end. Also, I was really impressed with the pediatricians who checked on my DD a lot as they became concerned about jaundice (we were held an extra day and told to supplement/power pump overnight to try to get my milk to come in faster; not so impressed with the fact no one ever told me delayed milk is a frequent occurrence with mag drop recipients). On the other, so so not impressed with the private doctor with admitting privileges means no one is checking/rounding on you at all if your OB is not at the hospital model that INova apparently permits, but I definitely didn't know I was getting myself into. It seems crazily dangerous to me based on my experience, though I know that was mostly because my OB sucked. If we hadn't voiced our concerns, it seems no one was going to step in re: my OB who wasn't even in the hospital; later, when my BP spiked to the 170s, she apparently asked them to check more frequently (or so she claims), but there was no one to talk to when they didn't or ask what the plan was if things started to go wrong/when someone would intervene.

I had DS at GW with the MFA practice and it was 1000x better all around. The only thing I was less impressed with was the quality of the pediatricians/thoroughness of their exams, but I admittedly cared less since DH is a pediatrician and I felt more comfortable on that front. Well, also the fact they woke me up every hour overnight for 3 nights in a row.. and often woke up DS in the process.... that sucked and was so unnecessary.[/quote]

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