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chattybadtz in naturalfamily


Can you refuse an IV or Hep block during labor? I'm 23 weeks and this is my third pregnancy. I just hate the thought of being "hooked up" to anything but a fetal monitor.

Am I being too extreme with this request or is this just hospital policy?

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where I plan to birth as long as you have a negative hep-b test result you can decline the IV

you can do anything you want, as a good friend of mine who is a doula has taught me, the phrase "I do not consent" is your friend :)
I did not have a hep lock or an IV during my 30+ hour labour. I didn't even let them hook me up to a fetal monitor. It's not extreme at all, I wanted a natural birth and it was clearly outlined in my birth plan.
same here. I had an intermittent (sp?) fetal monitor.
Me too. Some doctors were more pushy about it than others but I ran the damn show.
you definitely have options. I didn't have either at my birth, but it really depends on the hospital you are birthing at. Some have 'policies' in case there is an emergency, etc. I would check with your practitioner. You might want to check out the naturalbirth lj community as well. I had two hospital births- one natural, one not. Next time I'm opting for a homebirth :)
If you are low-risk and there is no medical need, you can certainly opt out. Whether either is routine differs by hospital.

Around me, something like 99% of hospital births have an epidural, so for those people, there will be an IV.

So, expect to be the exception, but that doesn't mean it is a problem.
You can refuse anything, but they can react any way they want to your refusal...

I think an IV or Hep lock is not necessarily standard with some exceptions. I had a birthing center birth turned hospital transfer (for pitocin) and then I think I had an IV, but I was in too much immobilizing pain to care. If I did have one, I think it was because of the Pitocin, not because I was in labor or at the hospital.

My second will be a hospital VBAC and for that a Hep lock is considered "required" (though I could probably refuse if I wanted, but I don't think it will be too constrictive to just have it as long as it isn't attached to an IV). If it was a first labor or a non-VBAC it would not be "required."

Don't give birth in a hospital?
+1, yes!

Because fighting doctors and nurses while you are in labor sucks major donkey balls.
You can always refuse anything. My first birth was in a hospital, and I didn't have anything except intermittent fetal monitoring.
Routine IVs are probably hospital policy but hospital policy is not the law. They can't kick you out in the middle of labor for refusing an IV or saline lock.
Around my area, IVs are for epidurals, inductions, GBS+ for antibiotics, and heplock for VBACs. In other words, you get an IV when there's something actually going in, otherwise, no. And I think we're about average when it comes to natural-vs-interventions.

With my VBAC-turned-truly-emergency-CS, my water broke early and my midwives said not to even show up to the hospital until it'd been almost 24 hours, and I labored in the hospital for a few hours before anyone even said anything about a heplock, and I had intermittent EFM. And that was with a VBAC-- they're even more loosey-goosey with uncomplicated vaginal births.

Both of my hospital births i did not start out with an IV. First birth- i only got one because i requested after 25+ hours of labor with a malpositioned kid pain relief.

Second birth- no IV, had kid in the tub 100% natural.

IT IS POSSIBLE TO HAVE A NATURAL BIRTH IN A HOSPITAL. HOwever, you NEED to make sure your provider is 100% behind you and will back you up.
i didn't have one with my first. with my second, i needed hydration after a day of barfing. it wasn't as bad as i'd imagined. still waterbirthed and everything.
I want to say this is pretty rare, for my sister as soon as she had the IV they told her she could walk around... her room. They said the shower was off limits. there was no tub. she was basically confined to a pretty small area, maybe 9 x9? This hospital "offered" a laboring tub (not allowed to actually birth in the water, they claim it gives the baby wet lung) but the nurse got down right offended when we asked.
The levels of pressure and resistance you face will largely be geographic - I live in South Florida, for instance, where people really try to strong arm you to accept the care that is "standard protocol," sometimes to a scary degree. Here, a hep lock is the compromise between the moms who don't want an IV and the doctors who do, and if you resist you will have rotating teams of people in and out of your room trying to explain to you that if you start hemorrhaging and your veins collapse and they can't find a vein, (dun dun DUN) YOU WILL DIE O_O

I don't know what it's like where you are, but it's not hard to find statistics for hospitals if you know where you're going in advance (so you know what you're up against...) In any hospital birthing situation, your chances of avoiding unwanted interventions are greatly increased by heading there later in labor :)
I had no issues turning down a saline lock. I discussed it with my OB beforehand and he agreed that it wasn't necessary. I don't think he routinely places them unless a mother wants interventions.
I think, like what some other people have said, that it largely depends on the hospital. My first was born in the midwife-led unit of a hospital and I didn't even get offered an IV or hep-lock. My second was born in a birthing centre, where they just kind of let you go at it, so no IVs there, either. But my sister had a midwife-led birth in a hospital and she had a hep-lock, so I think it really depends on where you are. I figure you might as well ask to not have one -- it can't hurt, surely.

October 2015



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