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Having a baby is one of the biggest events of your life. Women have a different idea of what makes a good birth experience. If you are considering giving birth in a hospital, it can be helpful to understand what is involved.

What To Expect With A Hospital Birth

If you have never had a baby before, you may not be sure what to expect if you deliver in a hospital. Knowing what will occur can reduce uncertainty and fear. Most hospitals offer childbirth classes and tours to expecting parents.

Prior to your due date, you will have the option of attending a class or series of classes where you learn about pain relief options during labor, including natural methods. A tour of the labor and delivery area will also be included. Nurses will explain what happens in the event of complications. Many hospitals allow you to preregister, which makes the process easier when you go into labor and arrive at the hospital.

When the big day arrives, most hospitals admit you directly through their labor and delivery area. Hospital protocols may differ, but the next step usually involves giving a urine sample and possibly blood work.

After changing into a hospital gown, you may have a fetal monitor placed on your abdomen to check the baby’s heart rate. An internal exam is also done to check your progress and determine how many centimeters you are dilated.

During the course of your labor, you may be given pain medication as requested or medication to increase contractions if you are not progressing.

During the delivery of your baby, your doctor or midwife, along with a nurse will be present. Immediately after birth, your little one will be placed on your chest if you wish. A quick assessment will likely be performed at some point to make sure the baby is doing well. Most hospitals have babies room in with the parents and are only taken to the nursery for routine exams or if you want a break to rest.

The Pros And Cons Of A Hospital Birth

Although things may vary, there are some general pros and cons of giving birth in a hospital. Consider some of the following.

Pros:

  • Easy access to pain relief: If you decide to use pain medication or get an epidural, you have easy access to this in the hospital. Keep in mind, hospitals offer pain medication to make your delivery more comfortable. Some women may do fine without pain medications. Other women lose focus when the pain becomes intense, and it interferes with their birth experience. No one will force you to use pain medication.
  • Advanced technology is available if needed: Although it is uncommon, some babies may require the use of lifesaving equipment after birth. For example, in rare cases, a baby may need breathing assistance from a ventilator. Even if it is unlikely, having immediate access to certain equipment can be lifesaving.

Cons:

  • You may have to adhere to hospital policies: Although many hospitals do their best so a woman can have a positive experience, there are policies in place. For instance, hospitals may limit how many people can be present during a birth or visiting hours.
  • You’re not in your own environment: Sometimes it is soothing to be in your own home. Giving birth in a hospital may seem impersonal.  
  • You will have less privacy: Hospital staff have their job to do, and that means certain people may be coming in and out of your room. You are likely to have less privacy in a hospital than you would at home.

Developing Your Hospital Birth Plan    

Gone are the days of a hospital dictating a woman’s birthing experience. Most hospitals expect women to take an active role in stating what type of delivery experience they want.

Myths Of A Hospital Birth

It is essential to separate myths from reality when deciding where to give birth. If you have an accurate idea of what will occur, it can help you make an informed decision. It is also important to understand that hospital policies can be different and unexpected situations arise, which may change the typical hospital birth experience. Some common myths are listed below.

Myth: You are forced to stay in bed during labor

Reality: If you choose an epidural, you will need to stay in bed since it's difficult to feel your legs and walking is unsafe. Some hospitals have a birthing ball, or you can bring in your own. If you decide against the epidural, you can walk around as much as you want.

Myth: You will have to give birth lying in bed on your back.

Reality: This is almost never a hospital policy. Ask the hospital ahead of time if other birthing positions are OK. The physician wants you to have a quick, easy and uncomplicated delivery. That is the goal with every patient. If alternative birthing positions facilitate that, most doctors will give the OK.

Myth: Hospital birth can’t involve a midwife.

Reality: If your midwife has hospital privileges where you plan to give birth, she can assist in the delivery the same as a doctor would.  

Myth: You are separated from your baby immediately after birth.

Reality. You will likely be asked if you want the baby on your chest immediately after delivery or want the baby cleaned up at the warmer. In most cases, the baby can go right to mom. In a small percentage of cases, a baby needs a little extra help transitioning and may need oxygen or other interventions. This will require the baby to go to the warmer.

Tips For Having A Positive Hospital Birth

Develop a plan. Most hospitals ask you to write a birth plan. In the plan, you will be able to state your wishes for labor, birth and after the baby is born. Hospitals do their best to honor a woman's requests. Remember, you have a voice and can use it if you feel something is not right for you and your baby.

Ask about hospital policies: Hospitals often have different policies on when visitors are allowed and how many people can be present for a C-section. Check policies ahead of time, but many hospitals let siblings be present for the birth. A birthing partner is almost always allowed. Even during a C-section a partner can be in the operating room.

Bring a few items from home. Consider bringing a few things from home, such as music, pillows or a birthing ball. Having a few comfort items may make your room feel little homier.

Keep perspective:Your goal is to have a positive birthing experience. 

But it is critical to remember the health of you and your baby is the ultimate goal. There are times complications develop, and the unexpected happens.

If you have to alter your birth plan, try to keep perspective. 

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