Apologies for my absence . . . I'm in the midst of the final weeks of the semester and it's a bit hectic. Plus I spent my memorial day weekend playing with this. But, instead of telling you about the wonders of house guests and what Freak and I learned about 15 month olds or telling you about how HUGE I am at 25 weeks today, I get to tell you about doctor politics.
Way back in January, I did a lot of agonizing over where this hypothetical birth might take place. I still have a 3 page list of home versus hospital, and then another list about WHICH hospital. But, in the end, I decided to stay with the same woman centered practice that I've been with since coming to Salem. They diagnosed my PCOS, helped me understand it, referred me to my endocrinologist, educated me on the links between birth control and depression, and overall, my experience with them was stellar. My only hesitation, and the reason for all the lists, was that I just couldn't see giving birth at this hospital.
Turns out, I was right. I won't be giving birth at this hospital. This hospital has suspended the privileges of my doctor, and is refusing to offer back-up physicians for the midwives and/or allow the physicians to deliver there. (This article and this article provide more information). Now, why doesn't the practice just shift to another hospital? My parents live in a town of 60,000 with two major hospitals. My city of 100,000+ has one mammoth complex. The smaller towns in the area aren't able to accommodate my practice. More politics at play.
Now, in an ideal world, my doctors would have sent a letter to OB patients and I wouldn't have found this out two weeks after the first news article via a random mention in a listserve that I'm on. But, that frustration aside, I'm really steamed at the politics of the situation. After talking to my current midwife, my doula, and others, and doing my own research (I pulled the med mal files among other things), I see the dispute as largely one of personalities and politics. I don't see the OB whom the hospital has issues with, but I do see a group of amazingly committed midwives who form the backbone of a woman-centered environment that lets you see both doctors and midwives under a single umbrella and transition between them as needed. There is no other practice like this in my town, and now it appears that politics may be its undoing.
This would be tragic. A lot depends on an injunction which may force the hospital to allow the practice to continue, but really, who wants to deliver with a back-up doctor who's forced to be there by court order? So, I considered my options, and I'm switching to a smaller town's hospital and the associated midwife/OB combo practice that serves that town. My Doula is thrilled because she loves this new hospital choice, and in her opinion, it's worth the 20-30 minute drive.
And I'm sure it is. Freak and I will take a tour this weekend, and I've got an appointment in two weeks with the new doctor. We're lucky: we're insured by the biggest group in the state, we have access to transportation, I'm not high risk (knocking on wood), and I've got a little time. I'm not a pregnant teenager with medicaid due next month. Those are the women who are truly hurt by this development. Situations like this remind me of why I went to a law school. Part of me wants to sort this all out, figure out the multiple sides that certainly lurk beneath the sound bites and rumors. But, I'm also still a little bitter and agitated right now. and feeling a bit rattled by the whole thing. Rattled might be winning right now.


