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Forum LockedNeed advice about giving birth in Kapiti

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Sharlene28 View Drop Down
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    Posted: 13 November 2009 at 2:14pm

Hi there I would like to hear from other mums who have had their baby/babies in the Paraparaumu maternity ward, Keneperu hospital, or have made the long drive during labour to Wellington or the Hutt.

I am due to have my first baby in March and live in Paraparaumu.  I've heard that its a bad idea to travel to Wellington hospital because of the potential risk of being caught in a traffic jam during labour.  When it comes to the Paraparaumu or Keneperu hospitals though I am not happy that an epidural isn't available if needed/wanted nor any emergency services.  I'm not really comforted at being told that an ambulance is available for such a situation.  A friend of mine has suggested that I travel to the Hutt or Wellington during early labour but I'm worried that it's a long way to go if it happens to be a false alarm.

Any advice from other women who have been in the same situation would be much appreciated thanks!



Edited by Sharlene28

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ALittleLoopy View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote ALittleLoopy Quote  Post ReplyReply Direct Link To This Post Posted: 13 November 2009 at 3:49pm
Hi, though im not preggo yet and am in levin now (used to be pram) I have heard that it is potentially harder to get to welly. My MIL when she was having DH was told that if they didnt make it she would be having a C-Section in the ambo as DH was breech. so it is a long way to go. I have heard good things about pram center and I go to a gynae there but in any case i think if it was anything but a straightforward birth they would transfer you to welly anyway. You could always try the hutt as it is slightly closer and also the road is less likely to be clogged up with traffic.
I too am interested in possibly birthing in the future in the levin center but am much more comfy going to palmy (40mins away).

Maybe go into the center and ask them heaps of questions and info on different senarios.
One other thing i thought of if for some reason your were in a life threatening position they would probably just chopper you into welly.

GL hun



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Sharlene28 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sharlene28 Quote  Post ReplyReply Direct Link To This Post Posted: 13 November 2009 at 4:15pm

Thanks Nic, I think the possibility of going to the Hutt might be a good one.  I've also heard that they aren't as much of a conveyor belt hospital as Wellington.  I'd much prefer to just go down the road really though as Pram Hospital is about 5 mins drive but I'm just so paranoid about the birth not being straight forward.  After hearing about your MIL being told that there was a possibility of having a C-section in the ambulance I'm really put off, I guess I should talk to my midwife but we haven't really got to the 'birth plan' part of our meetings.


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ALittleLoopy View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote ALittleLoopy Quote  Post ReplyReply Direct Link To This Post Posted: 13 November 2009 at 4:18pm
lol sorry to put you off, wasnt my intention!!
I have had surgery and stuff with Hutt hospital and do find they are really friendly and good service etc, havnt been in the maternity ward though lol.
I reckon you should organize a tour with each as then youll get a feeling for what feels the most comfortable for you, and yes definitely give it a thorough talk through with the MW as shell have past experiences she can share too.



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Bexee View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Bexee Quote  Post ReplyReply Direct Link To This Post Posted: 13 November 2009 at 4:49pm
I can't comment on down there but I had a similar situation up here. I gave birth in Taupo which has similar facilities (or lack of) and was initally really uptight about it. It meant that if I needed any interventions etc it was a 60 minute trip to Rotorua. Same with the no epidural - the only pain relief offered were either gas or pethidine. And there was the knowledge that 1 out of 3 first time mums got transfered.

But it worked really well. But talk to the midwife about your concerns, organise tours and make sure you're happy with your decision. In the end I wasn't worried as I was confident in my midwife knowing early enough if I'd need that transfer. You have to be confident in your decision.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Babe Quote  Post ReplyReply Direct Link To This Post Posted: 13 November 2009 at 7:13pm
Also don't worry too much about a false alarm coz you'd get checked out by your MW before you left anyway.
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Sharlene28 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sharlene28 Quote  Post ReplyReply Direct Link To This Post Posted: 13 November 2009 at 9:46pm

Nic - I know you didn't mean to put me off, it was a good knowing that a kind of situation like that can arise, being a first time mum I have really no idea of what to expect.

Thanks for the tour idea Nic and Bec, I think I might try that.  I've seen the Pram birthing room already because I had to be checked out when I started having extreme cramps, it was quite nice and I think if I remember correctly the room had its own seperate bathroom and birthing tub.

Babe - thanks for letting me know about the false alarm thing, I was just concerned that if I turned up too early they'd either send me home or try to get me to agree to an induction, so I feel a bit better about that now.

 

 


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Post Options Post Options   Thanks (0) Thanks(0)   Quote Flutterby Quote  Post ReplyReply Direct Link To This Post Posted: 13 November 2009 at 10:06pm
I was in a similar situation, though different hospitals. Our small town hospital only offers gas and pethidene and the nearest big hospital is hamilton which is 2 hrs drive from here. I did tell my MW at the start that I wanted to go to Hamilton but later on I decided that I really didn't want to be driving all that way during labour. And I knew that they would transfer me if they really needed too, small town hospitals would be prepared for anything to happen.

It all ended up good in the end and I am glad that I did it without pain relief (though I plan on an elective c-section next time
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Daizy Quote  Post ReplyReply Direct Link To This Post Posted: 13 November 2009 at 10:52pm
I have birthed at both Paraparaumu and Wellington.

By far preferred Paraparaumu! I had pretty straight forward births, the only reason they wanted me to go into Wellington was because of my height. Luckily I went into Labour in the early hours of the morning so had no issues with traffic. I was checked before I left so no need to worry about a false alarm and also she tried to check to make sure that baby wasn't going to arrive before we would make it. We ended up only just making it with me pushing minutes after we arrived (the longest drive in my life!). Because it was so fast I had no time to even think about epi's or anything, I guess if you have long enough to need them you would have enough time to get right in.
After she was born I was immediately transferred back to Paraparaumu which was really good.

Second time around ended up a little more complicated. A week before I was due we found out I had extreemly low iron and the Paraparaumu were not willing to take me because of the risks of me bleeding and not having the right equipment to sort it out. The problem with that was after a very quick labour with the first one it became too dangerous for me to even attempt driving in and end up giving birth on the side of the road. Fortunately No 2 was late enough for me to get it all ok again. Did make it very tricky and made me wish I lived closer.

Personally as long as everything seems to be going pretty straight forward I would just go to Paraparaumu. If you do decide to go all the way into town, your midwife should know what to do, when to go as chances are they have had to deal with the same situation many times before.


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Sharlene28 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sharlene28 Quote  Post ReplyReply Direct Link To This Post Posted: 14 November 2009 at 1:00pm

Thanks for all your comments and advice ladies, you've all been really helpful!  I think I'm leaning towards going to Pram as long as everything is straightforward and I'm sure if its not I'll know with enough time to get to Welly or the Hutt 



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T_Rex View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote T_Rex Quote  Post ReplyReply Direct Link To This Post Posted: 14 November 2009 at 1:41pm
The other thing to consider is where your MW is licensed to operate. She may not have access to both the Hutt and Wellies?

Personally I'd go with Pram in your case too, but then, I was going to have a home birth before I became *high risk* (and I found out I was high risk at 32 weeks, so plenty of time to organise getting to hospital instead )
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sharlene28 Quote  Post ReplyReply Direct Link To This Post Posted: 14 November 2009 at 3:22pm

T_Rex - I didnt realise that a midwife had to be licensed to operate at specific hospitals.  Her website says that she has experience at Pram, Keneperu and Welly so I assume that's where she's licensed to.  I guess its Welly then if intervention is needed.

I've decided that I feel alright about an epidural not being available at Pram because I wanted to avoid it if I could, I was just scared that gas/pethidine wouldn't be enough if I was really screaming the house down!  Plus my best friend has had a baby already and said that she couldn't handle giving birth without one.  I've since read many stories of women handling the experience without the aid of an epidural.  The idea of a needle in my spine creeps me out considerably anyway.


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Post Options Post Options   Thanks (0) Thanks(0)   Quote escadachic Quote  Post ReplyReply Direct Link To This Post Posted: 14 November 2009 at 9:29pm
LOL! And I would be that friend who is a wuss and wants an epidural this time LOL!

But that is because with DD I did want to try natural, with gas as an option if I needed pain relief, but after being fully induced(as in gel, then waters broken by m.w and then the drip) the gas and breathing techniques just wasn't enough pain relief wise, so therefore I decided to get an epidural.

So yeah, now I'm a wuss and wouldn't mind having the epidural. But that is based on a bad experience of labour and the pain.

Good on everyone who can do it without. My feeling is, all good to go natural or with the gas, but don't be afraid to ask for an epidural if you just can't cope, as you're not a wuss or a failure if you have an epidural.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sharlene28 Quote  Post ReplyReply Direct Link To This Post Posted: 14 November 2009 at 9:51pm

Escadachic - If I was giving birth in Wellington and I really needed an epi I would have one, its just that driving all that way just because I might need one, or I might need intervention isn't really good enough reason to go to Wellington for me.

So, I think I'll go to Pram maternity unit where although an epi isn't an option, the fact that there are only 6 beds in the unit (which means I will be looked after alot better I feel than a busy hospital) and I won't have to leave within hours of giving birth (which I've heard is quite often the case in Wellington unless you're having problems) makes up for it.  Plus I quite like the fact the epi isn't available because it means that I won't be able to ask for one in the midst of labour pains, as I don't really want one.  I don't have anything against anyone who gets one, I'm just not into the idea because I am very prone to severe headaches and backpain which I've heard can be just two of the side effects of an epi.


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Post Options Post Options   Thanks (0) Thanks(0)   Quote escadachic Quote  Post ReplyReply Direct Link To This Post Posted: 14 November 2009 at 10:23pm
Yeah I think Pram maternity unit would be good aye. I'm still trying to decide whether to go to Lower Hutt or Wellington. LOL And being the wuss that I am these days, I'm just going with either of them simply because they have an the epidural as an option if I want one.

I really don't like how Wellington Hospital don't give much in the way of support and after-care. Especially for 1st time Mums.

By the way Sharlene, you can just call me by my first name LOL! It feels a bit funny being referred to by my username by my best friend.

I hope you can manage to give birth naturally. It's nice if you can I think. It'd just be annoying if you need assistance and have to be transferred. As I don't think people need the stress of being transferred during labour.

You'll learn all about breathing techniques and massage at antenatal classes, so hopefully you can use those methods to work through your labour.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Berg19 Quote  Post ReplyReply Direct Link To This Post Posted: 17 November 2009 at 9:44am
Im in Otaki, and i had to decide with the levin birthing centre and palmy and choose levin. I had a all natural birth, i put trust and faith into my body and myself that i could do it and all was going to be fine. I felt alot more comfortable at Levin, without the sterile hospital feel.

Like others have said, if there were problems in your pregnancy the smaller hospitals won't take you. And for me, when i wanted to push, the 20 minute car drive was horrible! The last thing you want to do is be driving in labour, so if everythings going well, trust your body hun, and that everything will be fine.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote FionaO Quote  Post ReplyReply Direct Link To This Post Posted: 17 November 2009 at 3:29pm

Hello, offering my two cents worth, I had my first baby in paraparaumu birthing clinic, it was good and bad for probably all the reasons you are concerned about.

I wanted to go there as its close to where we live, it was great no traffic, dh could come and go really easily and that was lovely, it was less great because I had no pain relief and I am a wuss and would have probably have opted out of natural when it came to it..........having said that, my friend went to welly and wanted one and nobody was able to give her one so that was useless.

Its really good to start in paraparam cos even if you have to go to welly they bring you back, its small, very quiet and peacefull and they really look after you.

I think the key part is what do you want, and talk to your midwife and have confidence in her, they are really onto it and at the slightest fear its not going ok you are in welly before you know it.


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Sharlene28 View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Sharlene28 Quote  Post ReplyReply Direct Link To This Post Posted: 17 November 2009 at 6:20pm

Berg19 - I agree, I definately don't want to be in the car during labour, state highway 1 is just far too unpredictable when it comes to traffic!

FionaO - If you don't mind me asking, why didn't you end up having any pain relief?  Did you originally refuse and then change your mind possibly but it was too late?  I'm just wondering because I thought that Pram M.ward offered pethadine and gas?


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Post Options Post Options   Thanks (0) Thanks(0)   Quote FionaO Quote  Post ReplyReply Direct Link To This Post Posted: 17 November 2009 at 8:29pm
Sorry had gas, but I wouldn't really say that gas is pain relief, others may disagree but gas made me feel drunk but I was still in heaps of pain.

I think you can have pethadine, but it was never offered and I didn't have great rapport with my midwife so i didn't ask, first time mum and I was a bit unsure of the whole process.


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Post Options Post Options   Thanks (0) Thanks(0)   Quote Berg19 Quote  Post ReplyReply Direct Link To This Post Posted: 18 November 2009 at 3:13pm
The smaller clinics offer gas and pethadine - but only allowed to give you a certain amount i think. If you go have a look they will be able to help you with any concerns :) also wanted to say - a lady i knew was having her baby at pram and something bad happened so the helicopter air lifted them to wgtn. So if something serious happens theres lots of back up!
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