Posted by My OB said WHAT?!?.
Posted by My OB said WHAT?!?.
“…Your Baby’s Heart Is Beating…For Now.”
“You are not being a good parent and the only piece of medical information I can give you is that your baby’s heart is beating for now.” -OB to a home birth transfer mother who wanted to wait before proceeding to a cesarean upon arrival and then refused again a few hours later, while baby had been on the monitor the whole time without incident.
I am so sorry! I hope you had the chance to report this poor excuse for an OB!Please, if this birth happened in the last 3 years, go to birthsurvey.com and fill out the survey so we can get the word out on these people. This will allow you to do something proactive and help other women.
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Breaks my heart that this scare tactic was used. More subtle and more common I’ve heard is “we just want to do what’s healthy for your baby” when I was trying to get out of bed and off the monitor/oxygen. Dr. let me off O2 and apgars at birth were 8 and 10.
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Sorry but I have to agree with the OB in this one. There are too many natural birth advocates nowadays that believe they know more than an OB that spent more than 6 years studying what they do.
Refusing treatment when an OB is concerned about an outcome for mum or baby is plain ridiculous and I’ll bet my bottom dollar that if something went wrong the mother would have been the first person to sue.
Looking at the monitor and noting “no incident” is only one piece of it. An OB has a lot of other factors before proceeding with a c-section.
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Holly Reply:
December 29th, 2009 at 1:27 am (Quote)
Then he should’ve given another reason, based off of his fact-based evidence to prove to the mother that a c/s was in order instead of bullying her and manipulating the situation with scare tactics. Very poor bedside manner at the very least. Any mother in labor deserves to be treated with respect, even if the OB did not agree with the situation, he should’ve been professional enough to handle the situation appropriately instead of berating and belittling the mother’s choices.
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Aron Reply:
December 29th, 2009 at 5:58 am (Quote)
Nope. Sorry. If the situation was such an emergency that it required a surgical birth then he would have had more to say than just “the ONLY PIECE of medical information I can give you is….” (emphasis mine). That right there proves it is a lie. If he truly had no other information to go on in that moment than he had no business refusing to obtain more info.
And just so you know, statistically the most likely people to sue are those treated the most disrespectfully regardless of the actual outcomes. Whereas when people are able to feel they have made informed decisions without having been coerced they are statistically far less likely to sue, even in the event of a poor result.
But you are right when you say an OB has a lot of other factors [to look at] before proceeding with a c-section. That’s why these parents were well within there rights to insist that he do so, and that he inform them as to what those other factors actually were.
Chris: Sorry but I have to agree with the OB in this one. There are too many natural birth advocates nowadays that believe they know more than an OB that spent more than 6 years studying what they do.Refusing treatment when an OB is concerned about an outcome for mum or baby is plain ridiculous and I’ll bet my bottom dollar that if something went wrong the mother would have been the first person to sue.Looking at the monitor and noting “no incident” is only one piece of it. An OB has a lot of other factors before proceeding with a c-section.
Chris: Sorry but I have to agree with the OB in this one. There are too many natural birth advocates nowadays that believe they know more than an OB that spent more than 6 years studying what they do.Refusing treatment when an OB is concerned about an outcome for mum or baby is plain ridiculous and I’ll bet my bottom dollar that if something went wrong the mother would have been the first person to sue.Looking at the monitor and noting “no incident” is only one piece of it. An OB has a lot of other factors before proceeding with a c-section.
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Jane Reply:
December 29th, 2009 at 6:09 am (Quote)
If the baby was fine after a few hours on the monitor without incident, then clearly it wasn’t an emergent situation. Calling a woman a bad parent because she wants to wait before having major abdominal surgery that may be unnecessary is a *scare tactic.* It’s manipulation.
If the doctor had come in saying, “Your baby’s heart rate is in the fifties and we believe he’s in distress. We need to have a C-section now,” that’s different from “Well, let’s just section you. No? Well, then you’re a bad mommy!”
What the hell is it with doctors who are afraid that giving information to the patient is going to remove it from their own brains forever? If he could justify his decision to have a section, then he should have provided that information. If he wants to proceed to a c-section on NO OTHER GROUNDS than “the baby’s heart is beating” then which babies will be delivered vaginally?
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Sheva Reply:
December 29th, 2009 at 7:09 am (Quote)
Exactly what are you agreeing with??
The only thing he said was that the mother was a bad parent and that the baby’s heart was beating.
If he’s refusing to give the mother more information, which he clearly did, why should she agree to major abdominal surgery?
I’m all for cesareans when they save a mother and baby’s life, but at least give me a reason!
I’d love for the mother to chime in here so we can find out what happened.
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Kat Reply:
December 29th, 2009 at 7:58 am (Quote)
You’re making so many assumptions, Chris.
You’re assuming the caregiver the parents had for their planned homebirth was less educated and experienced than the doctor. While they might have been less trained in surgical procedures, it’s very likely they had extensive training and experience in variations or normal birth, AND assessing fetal heart tones for signs of distress.
You’re assuming the only reason a mother would choose to transfer is for a surgical birth. This is not true, as sometimes a transfer is chosen for maternal exhaustion, for IV fluids, or administration of pain relief. Yes, sometimes an epidural actually helps, in certain circumstances.
If the baby was not in distress before or during the transfer, immediate consent to major abdominal surgery without a clear reason given as to its necessity doesn’t make sense. Clearly the mother had her reasons for refusing unnecessary surgery, and clearly she was right since the baby was not in distress!
I do agree that refusing surgery *when it is necessary* is irresponsible. There is nothing in the information presented here to indicate anything except that the doctor was mad at this woman for planning a homebirth, and refused to answer her legitimate request for information about why he wanted to cut her open.
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Michelle Potter Reply:
December 29th, 2009 at 4:39 pm (Quote)
“Refusing treatment when an OB is concerned about an outcome for mum or baby is plain ridiculous…”
If the fact that the OB was concerned is grounds to call refusing treatment “ridiculous,” then any time an OB is concerned his suggested treatment must be right. Do you agree with that?
Then I guess I am ridiculous. I didn’t consent to a routine, repeat c-section with my 2nd baby just because my OB was concerned that VBACs were always dangerous. I still didn’t consent to a c-section for that 2nd baby when my new OB was concerned that I was suffering from CPD and FTP just because I couldn’t push him out while the nurses held my legs down. (I was so ridiculously stubborn that when they let go of me, I changed positions and gave birth vaginally. SHOCKING!)
I also didn’t consent to another c-section when, after 3 successful VBACs, one of the OBs I interviewed for my 5th birth became very concerned that having another VBAC would be “very dangerous,” telling me that the more VBACs you have, the more likely you are to have a uterine rupture. (I think she was confusing “VBACs” with “c-sections.”) I ultimately decided not to use an OB for my prenatal care, and when I arrived at the hospital in labor, the OB on call was *very* concerned. She worried that since I had not been seeing an OB, I needed an immediate c-section. How ridiculous that I didn’t consent to that, right?
Ultimately, I consented to a c-section with my fifth baby. But crazy, irresponsible, and ridiculous as I am, I waited until there was an actual medical reason and used actual medical information provided by the OB (a different one) to make my decision.
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I was at this birth-the mom is my closest friend. She was actually transferred from a birthing center and was under the care of a midwife her entire pregnancy. She was transferred to the hospital because of sheer exhaustion after many MANY hours of active but unproductive labor. She walked up and down stairs,she tried the birthing bath, she tried the birthing ball, I have never ever seen anyone try so hard to have a vaginal delivery, and I’ve had two children of my own and work in an ob/gyn’s office.
When she transferred, her midwives told her it was her choice but they did not know what else to do for her. She was hoping, as we all were, that she might be able to get an epidural, would be able to relax, and then she would be able to deliver vaginally. Her midwife, her husband,me and she herself made these wishes known to her OB, who mind you she had never met before this day. He all but dismissed her wishes and went straight to scare tactics for no other reason than I truly think he just didn’t want to deal with her. There was no evidence that the baby was in any distress, she was on the monitor as soon as she got to the hospital and at the birthing center prior to that.
I feel like any time you are a patient you have to be your own best advocate.I also feel like scare tactics in a situation like the one I saw used on my friend are manipulative and totally unfair. I understand that the job of the OB is to assure the safety of the baby and the mom but the wishes of the mom have to be respected and there is a way for all of those things to happen. This OB was condenscending and dismissive and I am in no way anti c-section nor am I pro c-section. I am pro-mom, anti condescending,doctor. Because of where I work I’ve been lucky enough to see first hand that it’s possible for the doctor to respect the wishes of the patient and not use scare tactics. I just don’t think it’s done enough. .
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I am the mom in question and I was not transferred to the hospital due to an emergency as Amy mentioned. I was exhausted and need some pain relief. The OB tried to pressure me to have a C-section within minutes of my arrival even prior to my being put on a monitor. He had no medical reason for aggressively pushing a surgery other than he wanted to go home for the night. I was with 2 midwives and several doulas at a birth center for 2 days prior to the hospital arrival who had dozens of years of both medical and practical experience. My baby was born healthy 9 hours after that OB tried to force a c-section and NO ONE has a right to call me a bad mother when my entire birthing experience was designed to bring a healthy and calm baby into the world. And FYI, Chris, you don’t know me and you’re a jackass for assuming I would sue anyone. Wake up and realize there is more to birth and life than what the medical establishment thinks.
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Kat Reply:
January 4th, 2010 at 9:28 am (Quote)
Cara, I am so sorry you were treated this way. I do not understand why hospitals jump straight to “abuse” so many times when someone transfers there. Does that not just further alienate someone who is already not wanting to be hospitalized? Does it not just validate every single fear or concern they feel about hospitals? So counterproductive!
I am glad your baby was born safely and healthy, and I say GOOD FOR YOU for not allowing an incompetent and rude doctor bully you into something completely unnecessary!
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Cara Reply:
January 4th, 2010 at 9:35 am (Quote)
thanks, Kat. I was informed enough and had excellent support, so his bullying fell on deaf ears. It’s so true that he’s doing a disservice to his profession as I know several women who’ve had really positive experiences with OBs in hospitals. JERK!!!
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No, you have no clue what you are talking about. That statement in that situation is not justified regardless of how it came to be. Look at the statistics and ratios between home birth and hospital birth. Home birth is safer in most cases and most “emergencies” by doctors standards are not truly emergencies but rather them covering their ass in case of an unlikely outcome. I am glad that we have OBs to save mothers and babies but pregnancy is not something to be treated in most cases.
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Fictional reply: “Oh, my mistake, I thought you were a doctor. Can you please page a doctor, then, so I can have some medical information? Thanks!”
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Mistie Reply:
December 29th, 2009 at 6:02 am Mistie(Quote)
O! So muc more tan just a “like” .. “LOVE IT” perfect..
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