M.,
As a midwife and long time doula you have to understand that you have the right to refuse anything you want. Sometimes you do find great opposition when delivering your baby in a hospital. This is understandable since they have certain policies, guidelines and liability concerns dictates most medical care.
Here is what I recommend to clients that deliver in the hosptials: Develop a Newborn Care Plan, 90% of babies are born healthy and breathing and if this is the case for you all medical procedures can wait. Hospitals have policies, yes, but this is the birth of your baby a once in a lifetime event. You can not give birth to this baby twice so doing a little more footwork prenataly can make all the difference. If you visit www.adobedoulas.com their is client information packet and the very last pages include a Newborn Care Plan document.
Once you research and decide on what is best for your baby, for example, waiting on Hep B etc. write up your Newborn Care Plan then set-up a meeting with your baby's Pediatrician. Have the doc review your care plan give his/her advice and enlist their support. Once this is achieved when you enter l&d provide them with a copy of the care plan and let them know your baby's doctor approves, you'll review consents and sign any refusal waivers, and if they have issues to contact your baby's peidatrician:) This usually settles everything. make sure your baby's doc has privlegs at your hosptial. Remember, an OB/GYN has no say over the baby. Once the cord is clamped an cut you are dealing with nursery staff. My good friend that is an OB/GYN shared, "I just don't cut the cord!" This solves all the issues of interrupting the most precious time immediately after birth. I suggest to clients ask for "Uninterrupted contact until after the first breastfeeding is complete"
Best wishes,
M. Langlois, LM CPM