Interviewing Providers Handouts

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  1. Dani Lasher, Childbirth Educator

    TRANSCRIPT:

    Hello, hello. Alright, so we’re here to talk about handouts on interviewing your providers. And you should have received those with your membership this month. And I just want to do a touch base and kind of go over a little bit what they say and, and what they mean and how it relates to our latest course content. So, I am looking at the interviewing obstetrician’s file right now. And just a few things I want to note on here. Obviously, at the beginning, pay attention to how the answers you add to the questions you asked make you feel and trust your gut reaction. This is absolutely on the mark.

    A lot of what I went into with lesson one of the birth planning masterclass that you got this month was about gauging your providers responsiveness to your birth goals and desires. So much that you learn about your provider is going to come by way of how they respond, not actually what they say it’s going to be how they say it, you absolutely should trust the feeling it gives you and that instinctual kind of, you know, feeling in your gut in your belly that says Like, this person is amazing, or this this provider is, you know, making me feel uncertain, I walked away still with questions unanswered. I’m not sure what to expect next time, if you’re having this feelings. Do not assume that is the norm.

    And that that is what everyone feels like, you can have a much better experience by just filtering through these interviews and finding the right one. And when you do, it’s going to be like, hallelujah, this is what I was missing. I promise you. Ah, so ask what if scenario questions, check in with yourself and decide if they’re giving you facts or feelings? That’s important. But like I said, in my lesson, the red flags are huge. You have to really gauge what kind of tone your provider has? Do you feel like they’re being condescending? Are they explaining things to you? In a way you understand? Are they purposely Do you feel like they’re purposely trying to kind of invade you or skirt around the truth? Or talk in terms you don’t understand to confuse you? Are they actually fully answering your questions? Or are they kind of giving you that? half truth, and then they divert to somewhere else to make you feel like your question got answered, but you walk out of there later thinking, Wait, did they even answer my question that is not transparent. And that’s not the kind of person that you would expect to give you informed consent when you’re kind of vulnerable and in the lurch during birth?

    So just a few of the questions that I think you should go over with your over, do you feel safe? Or do you feel pregnancy and birth are normal? Are they something you need to manage to make it safe? Or is it safe on its own, and you’re going to get very varied responses to this from different obstetricians, what you’re really looking for is whether their response says, you know, as long as you’re okay, I’m okay. As long as I’m like, I have no problem with a hands off labor and standing back and letting you do your thing. If there is some kind of distress or emergency, that’s my role, and if they know how to stay in their lane, when there isn’t distress or emergency, and they don’t go looking for something to do because they’re twiddling their thumbs watching you give birth, then that’s a good person, that’s a good provider, I’m going over weight over your primary goals, what kind of relationship your provider normally has with their patients? What? How many appointments, you can expect, how long those appointments would be? How many people are in the practice, if you have to rotate what happens if they’re out of town when you’re due? What kinds of situations might require monitoring more closely or more, act more frequent appointments.

    And really, a lot of these things that are covered in this cheat sheet are things that you should be considering as well for your birth plan. How do you feel about eating and drinking during labor? What prenatal tests do you recommend and why and the Why is way more important than why they recommend them? And you should really be looking for the kind of verbiage they use are they are they literally reciting what you know, CDC bulletins, say?

    Or are they giving it to you in a broken down way that you can tell? They understand this so well, they could explain it to me and they’re not parroting. So that makes sense. What position do you prefer? To catch babies and if you want to catch your own baby, certainly ask them if they’re comfortable with that, what they would do if your labor stalls? One question I love to give OBS because they rarely answer it correctly, if I’m testing on is how they proceed with induction, how they decide which method is best for me. And if they don’t bring up the bishop score, it’s a red flag. How comfortable are you going past an estimated due date? What situations do they recommend and do seen? What does informed consent look like to them? And you can even ask them for an example. You know, like I said, in my lesson, you really dictate this and what their response should be, should be all encompassing. So it’s smart to throw questions at them. That comes off. It might be a little deceptive, but you’re looking out for yourself and rightfully so.

    Give them a question on a topic you know a lot about you don’t have to make it sound to them, like you know a lot about it, but just give them kind of blanket and question and let them chart the course where the answer goes with that and you’ll be able to gauge because you know so much about that topic. whether or not they’re fully informed more fully informing you. In what circumstances would you want to break my waters? How do you feel about using water for relief during labor? A lot of doctors are actually opposed to hydrotherapy. It’s nuts. How familiar are you with family centered Syrians, all the good, gentle Syrian recommendations, what situations they would want to do a C section?

    You know, what are their epidural VBAC and susteren rates, that’s huge. It’s very important and make sure that if it is a practice that you’re asking for their individual rates and the practice rates, and definitely ask them, you know, how they defined a normal physiological birth. That’s a fun one to listen to the answers on from from some of the medical line Adobe’s. So this isn’t always an unpleasant experience. Even if you walk out of an obstetricians office knowing they’re absolutely not for you, you might always remember some of them because some of the responses are, well, not too well informed. You know, asked about doulas about their philosophies on pain relief. And just generally, you know, you’re trying to get an idea of what they think about childbirth, especially in its natural on altered state where they’re not poking and prodding, they’re not digging for anything, they’re just there to support you, and your body as it carries out this magical process that it already knows how to do better than your provider could.

    So with midwives, most of the questions are very similar. You’ll find one that sheep some of them vary a little bit just because obviously, there’s a little bit difference between them between labor experiences, and certainly you can tweak some of the questions if it’s for a home birth midwife as well, because that does change things a bit or birth center, changes things a little bit. So that wraps that up, and stay tuned soon for my next handout. You’re gonna love it!

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