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Childbirth

Share experiences and get support around labour, birth and recovery.

Consultant-led - any good "natural' experiences out there, despite the surroundings?

8 replies

floozietoozie · 16/09/2010 22:06

I have one DS, 3.5, who was born at 31+4 and was diagnosed with cerebral palsy at 21 months. I'm 34 weeks tomorrow and have been more or less advised by the consultant that, if I make it to 37 weeks this time, staying consultant-led and having continual monitoring might be advisable. It's the opposite to what I would choose in other circumstances (although is what actually happened last time, and I did have a natural delivery with only G&A despite having back labour and the circumstances - was a 4lb 2oz baby though). She knows I would prefer a more natural style birth (home was always my pipe dream as that was what I planned first time round) but gave me very balanced advice about the positive and negative sides of CM, saying they can intervene if it picks something up, but also that there is a highish false positive rate on interventions.

Because I have a few other issues as well - an ovarian cyst, although it's not likely to be a problem at all during labour, and a lower than average platelet level, although not low enough to be worrying, but apparently the baby can be prone to it if you are - she was inclining towards consultant-led. However she has arranged for me to see her and a haematologist about the platelet thing along with the consultant midwife who runs the MLU at the hospital to discuss the options on delivery. I went to visit the hospital on Tuesday for a tour of both consultant and MLU bits. It's the same place where I had DS and where he was in special care for five weeks. Now I was very tired after a bad night, and we couldn't see all the bits because some were full, but I came away feeling quite close to tears and depressed and hoping that I could actually have a home birth if I got to 37 weeks. I think, despite many, many visits back to the hospital, it brought back the whole post-birth trauma of having DS removed from me after birth, although I completely know that was essential, you can't quite tell your emotions that! However, my actual birth experience there despite everything was fine, and with enough time to prepare mentally, I'm hoping it would be ok and I could stay calm and relaxed even with monitoring. the consultant also said there is one birth pool on the CLU which you can use even if being monitored, so if it was free that's a possibility too. I really want to avoid unnecessary intervention if possible. I also want to give myself the best chance of getting breastfeeding going well, as it was a total nightmare with a prem baby last time, and very painful for the whole time I did it.

What I'm looking for is tales from other people who were consultant-led but who did have a natural-type birth. What kind of things could you still do - use a birthing ball, move position, be active, birth pool? I did move around quite a bit during my last one. The other thing is, my labour was very quick - from waters to birth in six hours, only really in proper labour for 3.5 hours, and while that is quite common in prem births and I have no way of knowing if it would be the same this time round, or more like a first-time full-term delivery (ie quite a bit longer) then if I did go fast I wouldn't really care that much where I was I suppose!

Thanks for any responses.

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SelinaDoula · 16/09/2010 22:42

As a doula I have supported quite a few women on consultant led unit to have pretty intervention free births. You can't use the pool here when constantly monitored (attached to machine) so it really does limit mobility (but I have seen women standing, dancing,using birth ball etc)
If I'm honest, it sounds like you're consultant (not knowing all the details of course) is being over autious (just in case).
Can they really quantify the risks if you go to term? It does not sound like you are high risk because of you're previous birth, and I can't see why homebirth would not be an option for you.
Selina x

CurlyCasper · 17/09/2010 21:43

I was set up as high-risk, CL from the start. But at 35+ weeks finally got the sign off from consultant to have a MWL water birth. All the problems they were anticipating had been dismissed. All it took was for me to get them to review my notes (pushy phone calls!) and of course it was on the proviso that I made it to 37 weeks without any problems. So, as Selina says, this might be an option for you.

However - I ended up having my baby at 36 weeks, three days after getting the MWL go ahead, and had to have a CL birth after all.

My birth plan had been based around the water birth, and while I could not have that, they tried their best stick to it. They set up monitoring so I could move around etc. But in the end, it was all about the baby and intervention only happened when I asked for it or it was required to keep her safe.

PLease thoroughly discuss all your options. CL-led might mean you are on their territory, but you are still in charge.

Littlefish · 17/09/2010 21:45

I was under the consultant because of my BMI.

I had the most wonderful, calm, relaxed water birth. I didn't see any doctors at all, apart from when they came to check dd over when we left the hospital.

mollycuddles · 17/09/2010 21:53

Hi. I was CL because I was too fat. No other complications antenatally and previous normal deliveries did not make any difference as the lead MW on the MLU is a stickler for rules. There were issues on CLU because the midwife was clearly an interventionist but my dh was an amazing support and we managed a lovely normal delivery with just gas&air. There were times when I had to be very clear - she kept pushing me to take pain relief I really didn't need and tried to get me to lie on my back so she could listen to baby's heartbeat when the head was crowning (no idea why - there had been no problems before and even if the heartbeat showed a problem the answer would have been to get baby out which was what I was doing). But it was a great birth because I had a supportive birth partner who knew what I wanted.

Honeydragon · 17/09/2010 21:54

I was CL led - he allowed me to consult with midwives for a waterbirth vbac. I was monitored throughout, and a canula popped in just in case. The consultant popped in a few times but left me well alone with my midwife, and didn't involve herself at all as things were progressing well. It was a wonderful experience I birthed in water and it was great.

herjazz · 17/09/2010 22:00

Hi floozie. Can really empathise with yr post. My dd is profoundly disabled- genetic but also distressed at birth, iugr, in nicu for a month. I had ds1 2 yrs after in a birth centre. I really wanted the birth experience I felt I'd missed out on 1st time round.

Just had ds2 last week. Loads more paranoid this time around. Was under consultant care. Birth centre not an option. I was induced early, needed iv antibiotics and continuous ctg and I can honestly say despite it being far more medicalised than my previous birth, the actual experience was really v similar. I was active and upright. The mw encouraged me into some fantastic positions. I didn't feel too restricted and it was nothing like my first birth experience

Happy to talk more if you want to.

LiegeAndLief · 18/09/2010 17:30

I can really empathise - ds (dc1) born at 34 weeks by cs as I had severe pre-eclampsia. I was planning a homebirth...

I was in hospital for 4 weeks, he was in NICU/SCBU for 8 weeks with breathing problems, I hadn't really gotten over it when I fell pregnant with dd (dc2) over 2 years later! Cried every time I went into hospital for antenatal appts and shook as I walked past SCBU.

Anyway, MLU or homebirth just not an option for me because of the history, and I got pre-eclampsia again at around 39 weeks. I was booked for a cs at 40+3 but miraculously went into labour at 39+6 (really really wanted a VBAC). It was actually fine, despite being CLU, and my mw was lovely. I had CFM with a wireless monitor, so I could move around as much as I wanted to, although didn't have the option of the pool as my hospital didn't have the underwater monitors. Mw was great at gently suggesting things without being pushy or in the way, and the consultant only turned up once to see how I was getting on. I had TENS and gas and air towards the end - no one tried to persuade me to have drugs or an epidural, which I was worried about. I was upright until pushing and walking around for most of it.

Good luck!

floozietoozie · 19/09/2010 21:59

Thank you for all the responses. It's really heartened me. I'm keeping an open mind about my final decision now I've had a bit more time to think about it.

Littlefish can I just check - you had the water birth on a CLU? And Honey, were you also on CLU?

Herjazz - what made you decide on the birthing centre option second time, apart from wanting the experience, which I can totally relate to. Did you feel confident that history wouldn't repeat itself so to speak? Thanks for the offer of a talk too.

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