She pushed back on a few of the items on our birth plan, but we were prepared for some resistance; especially on me moving freely throughout labor, eating and drinking to maintain my blood sugar and hydration, and preferring intermittent fetal monitoring vs continuous monitoring. We compromised on a few things and I verbally agreed to a couple of things I had no intention of actually following through with.
Some of the things she said about my birth plan should have been red flags:
"I won't let you suffer in agony for hours without pain medication"
“After your water breaks, I don't want you walking around in case the umbilical cord tries to come out first."
When I stated I would prefer to tear than to receive an episiotomy she said, "Well, I'm going to cut your perineum if I think you're about to tear up top, by your urethra." Despite those comments, I was naively confident that we would be fine. That OB was on vacation when I went into labor anyway.
The nurses at the hospital were WAY more supportive and never once asked me if I wanted pain meds. They actually took the time to read my birth plan, dimmed the lights, brought me some cranberry juice, and pretty much left my husband and me alone to do our slow-dancing-labor thing. Immediate skin-to-skin bonding for mama and baby was standard practice too.
When we moved to Utah a few years later and were trying for baby #2, I was afraid we wouldn't get as lucky the second time around. Not wanting to have to interview OBs and research hospitals, or potentially have to find a new OB midway through my pregnancy, I searched for freestanding birth centers in the area. Luckily there was one just twenty minutes from us and that's where our second son, M was born.
It was a completely different experience with my second pregnancy. I have listed some of the biggest and most noticeable differences.