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

Who is kate bergamasco ?

Who is Kate Bergamasco ?

Let’s throwback to student midwife Kate Bergamasco –

This was me when I began my midwifery career. Although when I was 17 and fresh out of school.I knew from the time I was 16 when I witnessed a birth on work experience that I wanted to be a midiwfe
So this photo is me living my dream 

I was 22 years old and this was me during my midwifery training at Modbury hospital.My midwifery training days were focused on learning about how birth happened.We were taught to listen to mothers, build a rapport with families and become proficient at monitoring mums and babies through pregnancy , birth and the postnatal period..

By the end of the 12 month course we were all too aware that while we had passed our exams and delivered many babies, we still needed to gain a lot more experience .There was so much more to learn and I acknowledge now, 33 years on , I will never know everything.

I was very conscious even as a 22 year old graduate that my knowledge about helping mums breastfeed was limited.

WILL  I be able to breastfeed if my mother couldn’t ?

In 1990 so many practises we adopted with breastfeeding caused so much pain for mothers.We used to bath babies within the first hour of birth, we cut the umbilical cord as soon as the baby was out, we wrapped baby and THEN handed b aby to mum for her first breastfeed.We didnt know then the value of skin on skin or the golden hour.

I can remember mums with bleeding painful nipples trying to tolerate breastfeeds.and then sitting with red lamps faced toward their nipples to dry them out with the belief it would +toughen + them up.

No wonder so many mothers stopped breastfeeding before they even left hospital..

This experience is what lead e to study to be a  lactation consultant  , I wanted to ensure i could have a positive impact on mothers feeding journey.

Fortunately over the past 30 years our knowledge and practises have improved greatly and Im always quick to reasure mums whose own mothers couldnt breastfeed (in the 1990s) that our techniques have improved .

How have things changed ?

  • Skin on skin 
  • The golden hour
  • Rooming baby in with mum 
  • Not bathing baby in the first 3 days of birth
  • Giving mums and partners antenatal education on breastfeeding 

 

 

 

Your amazing uterus

 

Did you know your uterus goes from the size and shape of a pear before pregnancy, to the size and shape of a watermelon when you’re full term!?

At this point it is arguably the strongest muscle in the human body. 

It’s during labour though when the uterus really shows its incredible muscle strength; as it helps encourage the cervix to dilate, and then ease your baby out.

Uterine contractions are so powerful it is actually possible for an unconscious mother to deliver a baby without actively pushing. How incredible is that!

In my Hypnobirthing classes, I teach two different styles of breathing to use during labour so you can work with your uterus; first to keep relaxed and then to encourage baby’s descent. It’s nothing like you see in the movies!

By minimising fear and releasing tension from your body you CAN have a positive birth experience.

Youll learn about just how amazing your body is during your positive birthing class