web analytics
April 20, 2014 / 20 Nisan, 5774
At a Glance
Sections
Sponsored Post
Spa 1.2 Combining Modern Living in Traditional Jerusalem

A unique and prestigious residential project in now being built in Mekor Haim Street in Jerusalem.



Oh the Options… Where to Have a Baby in the NY Area


Wizenfeld-032213-Birthing

Share Button

“New York hospitals are very, very crowded. The nurses tend to be very frustrated due to the intense workload, so many people giving birth in such small areas, and so many different demands coming from physicians, midwives and then women coming in with their doulas,” Silverstein said.

But while a smaller hospital may boast a more personalized, homey experience, they may not offer as high a level of NICU services or medical expertise as a larger hospital.

Obviously, women should know whether or not they’re high risk and choose a hospital with physicians who are knowledgeable in their area of risk, Jaffe noted.

Jaffe also said that while there’s a tremendous commitment in New York City to diversity, “you want to see if that’s practiced.” Expectant parents can get a sense from the classes or conversations with their healthcare provider if they are open to different ethnicities and religious groups.

“My own personal experience, being an observant Jew and knowing the issues that concern observant Jews, made me more sensitive to the Muslim women who come to classes with their own particular religious requirements.”

Doulas, birthing centers and home birth

Because of the rising C-section rate in New York – most major NY hospitals are tending towards a rate of 30% or more, in contrast to a rate of 15% previously recommended by the World Health Organization, (they officially withdrew their recommendation in 2010, saying that “there is no empirical evidence for an optimum percentage,”) along with other reasons – including crowded hospitals, routine interventions and impersonal medical care, many women are opting for more natural methods, such as birthing centers or home births, or at the very least, having doulas accompany them to hospital births.

According to Silverstein, who has worked as a doula in all the major hospitals in NYC, “the doctors are so busy and overwhelmed that to get them to give you the attention you need, you have to be in crisis.”

In addition, she said that nurses, especially in NY, are going to be very quick to do what’s best for them – not necessarily what’s best for you.

She gave an example of one client she worked with who was admitted to a hospital to give birth, and the nurses were about to treat her for group B strep, a condition Silverstein asserted her client did not have. The nurses showed Silverstein the woman’s name in their computer as having the condition. Silverstein demanded they run another test, and it turned out the woman did not have group B strep – there was another woman in the hospital directory with the same name – and Silverstein’s client was about to have an unnecessary procedure. “These things happen all the time in New York,” said Silverstein.

Hospitals often have many protocols about interventions, including induction and augmenting of labor, monitoring of the baby’s heart rate, episiotomies, using forceps and vacuums to ease delivery and more. Natural birth advocates attest that these are often done unnecessarily for women with low-risk pregnancies and that they also introduce many risks for the mother and baby. Because of this, Silverstein contends that home birth is the safest way to give birth in New York – and if a woman opts for a hospital, she should make sure to have a doula or an assertive friend or family member accompany her.

Many OB/GYN practices frequented by Jewish women in the NY-area who have Medicaid are huge, meaning that you rarely see the same doctor twice. According to Silverstein, this means a woman’s chances of creating a meaningful relationship with her healthcare provider, in which he or she is focused and understanding of your expectations for birth, is lessened.

In contrast, choosing a practice with a midwife – who is usually more accessible and less time-crunched than a doctor – and selecting a birthing center can create a more personalized experience which is respectful of a woman’s emotional needs during pregnancy and delivery. This also diminishes the use of interventions.

Birthing centers offer a comforting, calming environment with Jacuzzis, tubs and home-style furnishings, and usually allow an entire family or group of people to accompany the laboring woman, in contrast to one or two extra people usually permitted in a hospital delivery room.

Share Button

About the Author:


If you don't see your comment after publishing it, refresh the page.

Our comments section is intended for meaningful responses and debates in a civilized manner. We ask that you respect the fact that we are a religious Jewish website and avoid inappropriate language at all cost.

No Responses to “Oh the Options… Where to Have a Baby in the NY Area”

Comments are closed.

SocialTwist Tell-a-Friend

Current Top Story
ancient skull discovered Gush Etzion
Hikers Find Human Skull and Bones in Gush Etzion Cave
Latest Sections Stories
Schonfeld-logo1

Regardless of age, parents play an important role in their children’s lives.

Marriage-Relationship-logo

We peel away one layer after the next, our eyes tear up and it becomes harder and harder to see as we get closer to our innermost insecurities and fears.

Gorsky-041814-Torah

Some Mountain Jews believe they are descendents of the Ten Lost Tribes and were exiled to Azerbaijan and Dagestan by Sancheriv.

Baim-041814-Piggy

Yom Tov is about spending time with your family. And while for some families the big once-in-a-lifetime experience is great, for others something low key is the way to go.

A fascinating glimpse into the rich complexity of medieval Jewish life and its contemporary relevance had intriguingly emerged.

Dear Dr. Yael:

My heart is breaking; my husband’s friend has gotten divorced. While this type of situation is always sad, here I do believe it could have been avoided.

The plan’s goal is to provide supportive housing to 200 individuals with disabilities by the year 2020.

Despite being one of the fastest-growing Jewish communities in the U.S. – the estimated Jewish population is 70-80,000 – Las Vegas has long been overlooked by much of the Torah world.

She was followed by the shadows of the Six Million, by the ever so subtle awareness of their vanished presence.

Pesach is so liberating (if you excuse the expression). It’s the only time I can eat anywhere in the house, guilt free! Matzah in bed!

Now all the pain, fear and struggle were over and they were home. Yuli was safe and free, a hero returned to his land and people.

While it would seem from his question that he is being chuzpadik and dismissive, I wonder if its possible, if just maybe, he is a struggling, confused neshama who actually wants to come back to the fold.

I agree with the letter writer that a shadchan should respectfully and graciously accept a negative response to a shidduch offer.

Alternative assessments are an extremely important part of understanding what students know beyond the scope of tests and quizzes.

More Articles from Rachel Wizenfeld
Wizenfeld-032213-Birthing

Having a baby today is all about making decisions. Which doctor to go to. Which hospital to deliver at. What are your health concerns. Do you want to go natural. Do you want convenience. Where is your insurance accepted. Which hospital has the best reputation. Etc., etc., etc.

book-cooking-w-o-measuring

There are two primary forms of measuring when it comes to cooking, and our goal is to wean you away from both of them to the greatest extent possible. (There is also a third form of measuring, but doing without it can be risky and, based on my own disaster-stories, I don’t advise it.)

Like clockwork, the question of school vouchers makes a prominent appearance whenever the media focus on a statewide election in New York, particularly one in a heavily Orthodox district. The latest chime was sounded during the battle between Lew Fidler and David Storobin to fill an open state senate seat; both promised constituents that they would make the fight for vouchers and tax education credits their priority.

For today’s Jew seeking to grow spiritually, there’s mussar, and then there is modern psychology. Armed with 20th century research on how behaviors develop and how humans create internal change, today’s Jewish do-gooder has an arsenal of tools beyond Pirkei Avos and the mussar masters to work on problems like, say, gossiping or overeating.

    Latest Poll

    Now that Kerry's "Peace Talks" are apparently over, are you...?







    View Results

    Loading ... Loading ...

Printed from: http://www.jewishpress.com/sections/health/oh-the-options-where-to-have-a-baby-in-the-ny-area/2013/03/21/

Scan this QR code to visit this page online: