Top tips for choosing an OB in Adelaide

What’s the lowdown on choosing an obstetrician for birth

Choosing an obstetrician for birth is an important decision that involves a number of considerations

Cost

•  Check the out of pocket expenses for your obstetrician , paediatrician and anaesthetist ( in case you decide to have an epidural)
• Many couples choose to see a private OB because they have private insurance BUT don’t realise there are a lot of out of pocket expenses $$$

Philosophy and Approach:

Does  the obstetrician’s approach to childbirth align with your preferences, such as a natural birth, epidural use,  Communication and shared decision-making are crucial.

• When you look at their website – do you get the feeling they’re more c section focused !
• Their website may give you a good indicator of their values
• Ask the receptionist for their c section and induction rates•
WHO says c section rates should be 10-15 percent BUT in Australia our rates are around 30 percent – an OB with rates of 40-50 percent is concerning
• When you sign up with an OB you must be aware the medical view of birth is one of managing risk – which may sound comforting BUT can come with a very interventional view of birth

Where would you like to birth

•Ensure the obstetrician is affiliated with a birthing centre that you are comfortable with and is conveniently located.
• You may not know if you’d like your birth in water right now – but it’s a great way to labour and reduces the need for pain relief significantly – most private hospitals in South Australia DO NOT “allow” water birth

The OB support team

• Inquire about the obstetrician’s support team, including midwives.

• Understand their availability for antenatal visits, emergencies, and labor. Will they be available when your due date approaches ? What are their backup arrangements? Are you just as comfortable with their back up OB ?

Continuity of care with a known midwife is important

• Usually the midwives in an OB practise are there to check BP and have a brief chat before your

Continuity of care with a midwife is associated with lower rates of stillbirth, prem birth and greater satisfaction

Just because your friend loved their OB doesnt mean that is the right fit for you

• Patient Reviews and Recommendations: Read reviews from other patients and seek recommendations from friends, family, or online communities. Personal experiences can offer valuable insights.

• Communication Style: Consider their communication style and how comfortable you feel asking questions, expressing concerns, and discussing your birth plan with them.
• If you feel that you can’t discuss your preferences on an even playing field – they’re not the OB for you

Aftercare

• Postnatal Care: Discuss their approach to postnatal care, including follow-up appointments, breastfeeding support, and postpartum wellness.Most OBs don’t have midwives who can provide extensive lactation support for you after birth – you may want to meet with a lactation consultant (LIKE ME ) before birth to ensure you know what to expect and what you can do to minimise nipple pain after birth

By considering these factors and conducting thorough research, you can choose an obstetrician who aligns with your needs and preferences, ensuring a positive and safe childbirth experience

If you would like to discuss your options please contact kate

My baby is gassy and has squirty poo !

Gassy baby

Squirty poo and a gassy baby often go hand in hand

So often I see mums with baby’s around 3-4 weeks old and they tell me – “my baby is gassy , has squirts poo and seems to be hungry all the time “

The mums will often worry that their baby seems so want to feed ALL the time , they seem to be unsatisfied and won’t settle unless being held .

It’s confusing because on one hand they are feeding baby lots of, they seem to have plenty of milkBUT the baby just isn’t happy !

The big clue – is the nappy – if there’s loads of wet nappies and lots of poop – then there must be plenty of milk going in.

We begin bay talking through what has made them feel as though baby isn’t getting enough

I’ll often show them an article which explains how some mums who have an “oversupply “ can actually mistakingly believe they don’t have enough milk.

As they read through the article – they’ll often nod , agreeing it’s sounding so familiar. The baby who feeds often , cries and passes loads of gas ( farts ) .

Fortunately I can often help them with just one or two calls or visits .

We look at positioning and ensuring that bubs decided when he or she has had enough from one side before switching sides

Some mums also struggle with their baby pulling on and off the breast – this seems to be associated with the technique of attachment- forcing baby’s head into the breast while the let down reflex is often overwhelming

If you are struggling with these symptoms – let me know

Even if we can’t meet in person – I may be able to help you soon with a phone / video consult

CONTACT ME

 

 

Why do I have nipple pain?

My Postnatal Story