Obviously your medical history, your birthing ideals, and your level of comfort all play into the course of action you take. Most care providers have an idea of how long they feel comfortable watching and waiting to see what happens after a woman's water breaks. That time frame is important to know before this scenario is reality.
What kinds of things should you discuss with your provider in case this is the hand labor deals you?
- What signs of concern should I be looking for when I call to update you?
- If everything looks good, how long can I stay home and attempt to get things moving?
- What at home induction techniques do you recommend?
- What techniques should I avoid?
- Should I decline cervical checks to avoid infection?
- If I'm group beta strep positive, can I get a dose of antibiotics in early labor then return home until things pick up?
- If I check in at the hospital and everything looks okay, can we talk about going back home?
How can a doula help with this? That's a tough question, because as you know a doula doesn't give medical advice. What I can do is support you and your choices, assist you in gathering evidence based research, and point you in the direction of a care provider that will be respectful of your wishes. I'll never pressure you to do something that goes against your gut, or tell you your plan is against my policy. I'll simply continue the physical, emotional, and educational support I was hired to provide. As always, I am here to support you giving birth, your way.
Alecia Miller, CD
Breaking Birth Barriers