Do I have to lie on my back to deliver my baby?
What happens during a hospital labor and birth depends greatly on your advocacy and your OB. It is important for you to speak about options with your OB before you head to the hospital to birth. Making sure they are open to what you want and need is crucial to avoid being super uncomfortable at the hospital. If they are not open to your wishes, it is never too late to find a different OB.
One option to ask your OB is if they are open to birthing in different positions, not just on your back and your legs in stirrups. Now, I have heard OBs say to clients, “Of course you can labor in different positions.” However, that wasn’t your question. Your question is birthing in different positions. That is a HUGE difference. You may end up feeling that your back is the best way for you at the time, but maybe in that moment, it is better if you stand, be on all fours, or be in a side-lying position. An OB should really be the guide and help if there is a complication, and allow you the freedom to birth as you wish. If they are not or are sticklers for being on your back, then you need to decide if that is the right OB for you.
What If I Want Delayed Cord Clamping?
Your idea and your OB’s idea of delayed cord clamping may be vastly different. Again, I believe in hospitals and doctors, and if there is an emergency, there is no other place I would want to be. That said, having babies is a numbers game. Quick in and quick out, make room for the next family. For most OBs (huge generalization here), their idea of cord clamping is about a minute to, at most, 5 minutes. They want to sew you up (if needed for tearing), make sure there is no excess bleeding and move on.
The reason for delayed cord clamping is to allow for the transfer of blood and stem cells from the placenta to the newborn. These benefits include increased blood volume, improved iron stores, and potentially better neurodevelopmental outcomes. So, for these reasons, delayed cord clamping should be done until the cord turns white. That means all the goodies have gone to the baby, and there are none left in the cord. This, generally speaking, is going to be longer than 5 minutes. It could be up to 10 minutes. That is a long time in a doctor’s world. It is important to talk to them before your baby’s birth date. This should be included in your birth preference plan.
What if A Different Doctor is Delivering my Baby?
You may be surprised how often this happens. I would say it is about 50/50, in my experience, that a family’s chosen OB does the actual delivery. It is important that you give and have the on-call OB (as well as the nurses) know that you have a birth preference plan. The on-call OB needs to know your wishes. This is where advocacy for yourself is super important because now you need to start over with this new on-call OB, and make sure you convey the importance of your wishes.
What about the Golden Hour?
After the whirlwind of giving birth, you’ll find yourself in a magical moment of bonding with your new family. There’s a soft hush in the room, punctuated only by the gentle sounds of your newborn’s breaths. For about an hour, you’ll have the precious opportunity to soak in this new reality.
However, the first 15-30 minutes might feel like a bustling hive of activity, with nurses coming in and out, checking vital signs, and ensuring everything is just right. But don’t let that distract you; once those initial flurries settle down, you’ll be left with 30-45 minutes of uninterrupted togetherness. This Golden Hour is generally given unless there is some issue with you or baby.
What about newborn shots?
This is something they will ask if you want. That is entirely up to you.
The vitamin K shot: Newborns have low levels of Vitamin K, which is essential for blood clotting.
Eye Drops: Eye drops (often erythromycin) are given to prevent conjunctivitis (eye infection) caused by certain bacteria that can be present during delivery.
Hepatitis B Vaccine: This vaccine protects against Hepatitis B virus, which can cause liver damage. The first dose is usually given within 24 hours, with subsequent doses at 1-2 months and 6-18 months.
To learn more about vaccines at the hospital, you can follow this link to UCLA Health
In Summery
I truly hope you found Parts I, II, and III helpful. I want to encourage you to consider hiring a doula (like me!) if you ever feel uncertain about navigating the hospital. Having a supportive guide can make all the difference in your experience.
Going solo is absolutely okay, but be mindful of the potential for information overload. It’s easy to get lost in the sea of links and resources, spiraling down a rabbit hole that might leave you feeling overwhelmed. A doula can help you stay focused and ensure you have the right information at the right time.
Investing in this support can provide peace of mind and empower you to make informed decisions throughout your journey. Your experience matters, and having a dedicated advocate by your side could turn what may feel like a daunting journey into a more manageable and positive one. Consider the benefits—it could be the best choice you make!