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Needing OB info on where to find one in Thames/Coromandel area Rss

Hi everyone, I am expecting my first child next year and want to know if anyone has any info on how to contact an OB for an elective c-section as i have been told midwives will try to persuade you out of having one of these unless you can convince them otherwise. Any help or info is greatly appreciated. And is going through an OB expensive?Thanks smile
Why do you want a c-section for your first child?
I have had 3 (good) c-sections experiences (1 emergency and 2 electives) and I'll be having my 4th in a month or two.
It is much easier on your body to have a vaginal birth and if there is no medical reason for a c-section, it is much better for baby as well. Do you know much about c-sections? I would suggest you do a lot of research as the risks of a c-section birth (for no medical reason) are much higher than a vaginal birth for mum and baby. Also there are longterm risks and complications.
No doctor in their right mind will let you have a c-section for your first baby when there is no medical reason for it. Sorry, not trying to be rude, I just hope you are well informed.
If you have fears about a vaginal delivery, it would be wise to talk these through with a doc and/or midwife.
I'm fairly sure you can't have an elective c-section in a public hospital, either.

Oh thanks for sharing your experiences, Im wanting a c-section because of medical reasons but havn't yet discussed this with a midwife yet because im only 6weeks along. I have def done my research on c-sections and vaginal births and the risks in my situation are in the same boat. my cousins both had c-sections and said thier experiences were fine.

But if anyone has any feedback on my original question that would be greatly appreciated. Thanks heaps guys and good luck with the journey of being a mum smile
If you're high risk because of your medical condition, you can just ask your GP to refer you to the High Risk team at the hospital in your DHB. You won't see the same person every time, but they will be able to do what's best for you, and monitor you correctly etc, without paying through the nose. And I've heard there's very few private Ob's around these days.

Mum Of 3 Cuties wrote:
I would try the high risk clinic referral at the hospital which is what I had for my most recent baby. I also had an independent midwife so I had a little bit of consistancy. Your midwife should be prepared to do shared care in this situation but you will have to talk to her about your concerns.
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I didn't know you were able to do this? I will have to go high risk team, and feel like I won't mind about the inconsistency but that may change once I'm in the situation. How do you go about this?
My biggest reason for wanting to def go high risk is I will need drug monitoring, and specific fetal scans at 18-20weeks, a super specific birth plan in terms on monitoring and bloods and referrals and I want to be sure that who ever is my LMC knows what they're doing. But someone who will can be there on the day and through the journey might be nice..

Mum Of 3 Cuties wrote:
Becaful wrote:
I didn't know you were able to do this? I will have to go high risk team, and feel like I won't mind about the inconsistency but that may change once I'm in the situation. How do you go about this?
My biggest reason for wanting to def go high risk is I will need drug monitoring, and specific fetal scans at 18-20weeks, a super specific birth plan in terms on monitoring and bloods and referrals and I want to be sure that who ever is my LMC knows what they're doing. But someone who will can be there on the day and through the journey might be nice..

When you book in with the midwife you just need to ask if she is happy to do shared care based on why you are high risk.

If you end up birthing naturally with her in attendance but without the help of a ob she will be paid for her service but if you end up with the ob delivering baby via c/sect for any reason she will not be paid so may not be prepared to attend thre birth in this situation. She will also be your post delivery carer and will be paid for this. I think basically it is a money decision as to whether or not the midwife will do shared care.

My midwife was the same for my 1st and 3rd and she was disappointed that she missed DS1's birth because I was flown out of town due to an emergency situation and she said that there was no way she would miss dd's birth so she was in attendance at my c/section.

I loved having the consistancy of a midwife because it meant I knew who I was talking to when things went a little pear shaped, she was my first person to call rather than the hospital.

Do you mind me asking why you consider yourself high risk?


I'm considered high risk as I have bipolar, and am going to continue with Lithium treatment (after much deliberation) while pregnant. Both GP and Maternal Mental Health suggest going with High Risk referral.

Lithium crosses the placenta into the fetus and can cause toxicity in bub, and levels have to be monitored to ensure I have enough as body volume gets bigger and that baby isn't toxic, also have to have more thorough thyroid testing etc. It also has a 1 in 1000 risk of causing a heart defect, so the right things have to be booked/looked for at scans. Birth wise, labour changes how your body metabolises the lithium, so increased chance of fetal distress, toxicity in mum/baby etc. Then once born will have to stay in hosp for a few days to re initiate Lithium, make sure baby is ok.

I will still be seen by Maternal Mental Health, but you still have to have a LMC as they aren't ob's or gynies or anything, they just specialise in mental health in pregnancy and that aspect of it..

So yeah all in all not sure how many midwives are around here that would even be happy to take me on, and that would have the experience..

And yeah understand the birth attendance thing, and understandable. Some won't stay with you if you get an epidural either, will hand you on to hospital team.. It can be a bit of a mixed bag who you get on the day anyway in some places from what I hear!

OMG thanks so much for all your comments guys. It has helped alot. I will discuss options with my gp and midwife when i appoint one. Thanks for the support smile
Like everyone else has said, with a medical condition that will require you to have a c-section, you still have a lot of options about your care.
You can still use a midwife and no midwife will pressure you into a vaginal birth if you have a genuine medical reason why you will need a c-section. As others have said, you will probably need to go to Waikato Hospital for high risk clinic appointments (I live about an hour from Hamz and I have to travel there for high risk clinic appts. occasionally) and you will more than likely have baby at Waikato. Good luck with your search for an LMC.
PS: I have an independant midwife (even though I'm high risk and see and OB at Waikato as well) and she will attend my c-section too.
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