Management of Labor
Assuming that you have no complications of pregnancy, we do not subject you to very many “routine” procedures during labor and delivery. We do not request perineal (vaginal) shaving. We do recommend an IV (intravenous) line during labor, although a saline lock is an option (this is a short IV catheter filled with saline so you do not have to be connected to the full IV line and bag of fluid).
Episiotomy is an incision made in the area between the vagina and the rectum at the time of the delivery of the baby’s head. It is done to try to prevent spontaneous lacerations or tears of the vulva, vagina, urethra or clitoris. Many patients wish to avoid an episiotomy. We believe that patients truly wish to avoid or minimize any damage to that part of the body, and that is our goal. However, at times there may be a medical indication for episiotomy, such as fetal distress, or to prevent a potentially large tear. Our goal is for you to go home with the fewest stitches possible!
We do believe in the use of external electronic fetal monitoring. This need not be continuous and we offer intermittent monitoring at your request. Internal fetal monitoring is performed for medical indications.
You are not “strapped down” in bed during labor. Patients may ambulate during labor, go to the restroom, even shower if they wish to (and if there is no medical contraindication).
There are 2 patients
It is important to understand that an obstetrician is responsible for two patients, the mother and the baby. If a situation presents itself that appears to put the fetus at risk, then the doctor is obligated to suggest and encourage interventions designed to minimize and/or prevent a possible adverse outcome. This may mean completely disregarding a “Birth Plan” and implementing various degrees of medical care including the possibility of Cesarean Section.
No medical intervention
Some patients want to have an entirely natural delivery. No medications, no fetal monitoring, no intravenous, and essentially little or no medical intervention. Dr. Jick does not feel comfortable with this situation and feels that you would be much better off finding another obstetrician who would be more accommodating to your preferences.