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.(Of course best laid plans can certainly change , requiring interventions )

• 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 interventionalist view of birth

Where would you like to birth

•Ensure the obstetrician is affiliated with a birthing hospital 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 but your OB may have rights at a public hospital that does .

The OB support team

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

Some OBs have midwives attached to the practise who can spend time providing you with more education about childbirth and breastfeeding

• 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.

Some OBs have midwives within the practise 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