I'm sorry that you had such a difficult, unwanted cesarean :( I'm glad your healing went well.
due12409with#2:I do not want any pitocin at any point i will not allow it.
That's good. Pitocin often leads to distress & interferes with the normal release or hormones during labor which can actually increase pain & even negatively affect progress. It also increases the risk of uterine rupture.
due12409with#2: I want my membranes swept at 38-39 weeks. I do not want anything to "get me going" either my body is having this baby or it isn't;
I see what you're saying, but the second statement is still contradictory to the first. Sweeping the membranes is not without risk & it is done to "get the body going". In a healthy, normal pregnancy, there is no need to rush. Not even after the due date. Not even at 41 or 42 weeks necessarily. Some studies show an increase in complications when going 'overdue,' but there isn't a significant increase until 43 weeks. Even then, it's not necessarily being overdue that causes the complications- often it's a preexisting problem with the baby that cause the post dates so the problem isn't actually going overdue, it's something else, ykwim? Also, while some studies show an increase risk of complications with being 'overdue,' those studies also don't control well for which of their 'overdue' moms have induction (which is known to increase complications at any gestational age).
due12409with#2: However i am very confused on my options during that actual hospital labor time. . .What are my options in the hospital?
Well legally, you have the right to refuse to consent to anything. It all depends on the support team you have set up, what you want, & how much you're willing to fight for it. Look into your care providers' & facility's intervention statistics to know more about what you're up against.
due12409with#2: I understand I have to have constant monitoring.
No you don't. Doesn't matter if it's "routine" or "hospital policy," you can decline anything you want. Continuous electronic fetal monitoring is not shown to improve outcomes, but it is shown to increase intervention rates like cesareans. For a safe way to be monitored, look for care providers who practice the midwifery model of care, which includes one-on-one labor support & monitoring with a fetoscope or doppler so that you can remain mobile during labor.
due12409with#2: i do not want any narcotics. After i've reached 5-6 cm I will likely want an epidural but not a second before that.
This is where setting up a good support team comes in. It doesn't matter what you say ahead of time- if you show up in labor & say "I want drugs!" they'll probably give them to you if they're handy even if you said you didn't want them before & you're just expressing frustration, ykwim? A doula would be very beneficial.
due12409with#2: I am also wondering if i should make the switch to seeing the midwife at the practice where I go. Her husband is currently my OB and I am feeling really concerned about when the time comes them pressuring me/attempting to force a repeat C. My Dr. is also my friends Dr. She had twins via c-section almost 2.5 years ago. She just had another baby in Dec. She usually sees the second Dr. at the practice who was on board for her VBAC. He was on Vaca and she saw my Dr. He freaked because she had been having contractions for a while and scared her into a c-section. I DO NOT WANT THAT. Should I switch to the midwife?
Well, chances are that just b/c she has the title of 'midwife' if she's part of a practice that practices this way, chances are you can expect the same kind of 'care' from her, whether it be the way she actually feels to practice or if it's just due to pressures from others in her practice that conduct business that way. Look for the midwifery model of care; having the label 'midwife' doesn't necessarily mean that's how they practice. Look at their intervention rates. Of course just b/c your friend or someone else has that kind of experience with them doesn't mean that you'll necessarily have the same experience, but it's certainly food for thought. It doesn't sound like that's the only red flag you've seen from them. Don't ignore that.
due12409with#2: I do not want to find a new Dr. all together as he is familiar with me and I do like him overall.
Excuse me for being blunt, but why do you like someone who you know used scare tactics to pressure your friend into a cesarean she likely didn't need? Why do you like someone that you're afraid might try to scare you into another cesarean? Of course ideally you'd be able to stay with a care provider you already know, but honestly, how familiar with YOU is he really? If he saw you on the street, would he call you by name & ask how your family is? Would he know anything about your history, your body, & your wishes for this birth if he didn't skim it over in your file outside of the door before walking into your appointment? Because if he's part of a practice & seeing that many other patients/clients, you're not going to hurt his feelings personally if you leave his practice.