I have a lot of questions and concerns.

I'm nearing the end of my first trimester and I have to take it easy because of very high blood pressure. I've had two miscarriages in the past and have never carried a pregnancy this far before. I'm also quite a bit overweight due to a thyroid condition that I had gotten under control just in time to get pregnant!

I recently watched the documentary and did some research in the medical community and found some of the same information that exists in the film but it was underplayed and more subtext than anything. I found that the statistics in the film are correct and so was the info on medication given during labor. I'm so glad these ladies made this film or I would never have been exposed to the information. 

In the face of this info, I've decided not to have an epidural since I don't want the domino effect of medications that follow. I have created a birth plan that I will be showing my OB for the first time at my appointment next week. I'm hoping that since she is young and only just completed her residency a couple of years ago that she will be more flexible and open to what I would like than other OB's might.

I know I'm a high risk situation so I need to have my baby at a hospital just in case, but I really want to deliver without medications (other than my standard blood pressure meds). Can anyone give me insight into a similar situation? Has anyone had a birth plan that their OB agreed to and then ignored during delivery? I'm concerned this might happen.

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So I had my appointment with my OB. I told her I didn't want an epidural and I especially don't want pitocin. She said it's fine with her if I don't want the epidural but she told me the following:

1) Even if my blood pressure is under control but excess protein appears in my urine, she will induce me two to three weeks early

2) If I go one week late, she will induce me

3) If I dilate to 10 they start the clock and if the baby hasn't come out in 3 hours, she will give me PIT and they'll give me one more hour then it's C-section.

So basically she's telling me that she's going to give me pitocin whether I want her to or not. She also told me that more than likely she won't be at my birth. She said the women in their practice (I chose it because it's an all woman OB office) only attend deliveries during the week before 7pm - anything in the evenings and weekends will be one of the male doctors at the hospital that I won't ever meet unless they attend my birth.

All of this information was very discouraging to me.

My husband and I decided to have a doula because I'm in my late 30's and I wanted someone to help keep things progressing and help me manage everything. I called the doula organization that I chose and she pointed me to some nurse-midwives that deliver in hospitals in Fort Worth. She said they are the best in the Dallas/Fort Worth area and women drive up to 100 miles to get care with them.

I'm supposed to meet with them next week with my medical history and they will determine if I'm a good candidate. I'm hoping that my risk factors won't exclude me since the birth is in a hospital and they have an MD that is the medical director at the hospital for their practice and he steps in when there is an emergency situation at the hospital. The MD has a bio on their website and he says he believes in no-intervention childbirth unless there is an extenuating circumstance. It sounds like a good option for me and I hope that it works out. 



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