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[quote=Anonymous][quote=Anonymous]Hi, I'm the OP-- I should've known that my topic would've generated a lot of discussion (Wisdom: them's fighting words!), but at the time I just learned about the diagnosis and it was on a Saturday and I couldn't talk with anyone for several days and I really didn't know what was going on (I have the emotional stability of a teenager right now, it seems). My apologies to anyone who was frustrated or vexed by the discussion.

Anyway, I still don't really know what's going on (I will see someone this week), but now that I've known about the diagnosis for awhile, I just have two points:

1) Part of why I freaked out was because I had a set idea of what labor and delivery would look like (well, I mean, no one really knows until it's happening, but you have a rough idea). I've just become more aware that there are variables beyond my control because of the GD. I may still have an uncomplicated, natural birth, or I may have one that requires a lot of intervention. Most likely, I may have something in-between. I can try to do what I can for a natural birth, but I need to trust that the OBs/midwives/whoever will end up delivering the baby know what's best for my health and the baby's.

(This isn't knocking anyone who elects to have a c-section, btw--I have friends who have done so and do I like them less? To each their own)

2) At the same time, I acknowledge that hospitals/OBs/midwives have inclinations on natural vs. assisted labor and delivery. In an ideal world, I'd try to find OBs who are more aligned to how I view labor and delivery (well, in a truly ideal world, I wouldn't have GD in the first place). But time isn't my friend: I'm at 29 weeks, I have to address this GD issue right away, and GW already has my medical records. Plus, I hear the GW OBs are all right. So, I'll just stay where I am for now, and it was reassuring to hear that some people also risked out of Wisdom and they also were OK in the end.

[b]This doesn't address a lot of the issues raised in the last several pages (to be honest, I haven't read through it all so I'll do that when I have a little more free time), but I think it's good that there is even a discussion going on about how there should be more options for women to approach labor and delivery. The next question is, how do you get the prevailing medical establishment on board to be open to those options as well (I'm really thinking of Inova Fairfax, which is nearby where I live)? Do you volunteer to be on a committee at a hospital, do you donate money in such a way that reflects your beliefs? I don't really have any answers, but it's something to think about.[/b]

Sorry for going on for so long![/quote]

I, too, live so, so close to Inova Fairfax that it seems asinine to drive between 20-60 minutes, depending on traffic, to a different hospital. I think we are spoiled by the illusion of choice. If one looks at the entire metro area (and, sorry, DCUM purists, this board has many non-DC residents), sure, there are options, but are they geographically accessible? How many patients can x-practice take? Is everyone equally vocal and assertive about their choices in birth? Does everyone even know equally what is a choice, what is best practice, what is for someone's convenience?

OP, I wrote to Inova and let them know that I am interested in a climate that is more similar to Wisdom's model, not because it's the end-all, be-all birth experience, but because by and large what they do is supported by evidence. They don't tell women at 5 cm but not in labor that they better be induced because they "can't walk around like that". From what I know about them, no one's going to say it's c-section time just because that's what the clock says (Friedman's curve has been disproven, but it's still the standard of care most places), etc.

If you are interested in unmedicated/low-intervention/evidence-based birth, let the hospital where you would like to deliver know. Tell your provider. Of course we should all be advocates for ourselves, but it's insane that we expect every single woman who wishes to give birth in anything but the most standard way should have to push against an entire system.[/quote]

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