Posted by My OB said WHAT?!?.
Jan
4
Posted by My OB said WHAT?!?.
“…And Pop, It Explodes.”
“Imagine your uterus blowing up like an over-filled balloon and ‘pop,’ it explodes.” -OB to a woman pregnant with twins, and looking for a VBAC provider. The interval between births was less than 18 months.
There are 17 comments to this post.
All around the hospital bed
The doctor chased the mother
The doctor thought it was all very fun.
POP! goes the uterus.
A hundred for some surgical thread,
A hundred bucks a needle.
That’s the way the money goes…
POP! goes the uterus!
[Yes, there are risks to a VBAC with twins with a close interval between births. No, that is not the way to discuss them.]
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why oh why would anyone wanting a vbac go to a dr? go see a midwife!! get a doula!!
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Kat Reply:
January 4th, 2010 at 9:33 am (Quote)
Midwives are awesome, but please keep in mind not all areas have access to good midwives. And sometimes in the interview process to try to find VBAC-supportive care, you run into every single UNsupportive condescending arrogant creep before you find the right one.
And really, we don’t know what other risk factors this mom might have had that led her to want OB care and monitoring for her pregnancy.
Regardless, wouldn’t it be nice to be able to walk into an OB office to discuss a situation like this, and be able to have an intelligent conversation without all the sensationalized condescending nonsense?
Why should being higher risk mean you have to settle for being treated like a hunk of meat with a kid inside? It Should Not!
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Judith Reply:
January 4th, 2010 at 9:39 am (Quote)
I would agree yet reality intervenes. in many places, hospital based midwives are not allowed to take on VBAC patients and birth centers are no longer allowed to do VBAC, at least if they follow AABC rules.
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Heather P Reply:
January 4th, 2010 at 10:03 am (Quote)
Also, this was not just a VBAC mom. It was also a twin mom. So her midwifery options might be limited. Her OB options could be very limited for that matter. I hope that she was able to find a provider that was more thoughtful than this one.
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Crystal @ Semi-Crunchy Mama Reply:
January 4th, 2010 at 2:02 pm (Quote)
I want a VBAC when I have my second child…but I have to see an OB. I don’t have a choice — I have a blood clotting disorder and I risk out of midwives care. Trust me, I want more than anything to successfully VBAC at home with a midwife, and I can’t…and I hope that doesn’t doom me to a repeat c-section.
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Heather Reply:
January 24th, 2010 at 10:47 pm (Quote)
It most certainly DOESN’T doom you. In my area, the legal midwives were not the go-to for VBACs. They had a lower success rate than the OB I chose. In fact, they even sent one mom to him to have a cesarean, he said “No, give her more time,” and she had a VBAC. Some of the most insulting and disappointing things said to me in my first labor came from a midwife 
(the absolute worst came from my OB, though)
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What a disgusting thing to say to a pregnant woman. Reminds me of when I was in the hospital at 32 weeks with a kidney stone (they kept me for 3 days because at first thought it was a kidney infection). I was planning an HBAC, and the head OB flipped out on me. In front of my husband and 3 year old, he actually said “How dare you try to VBAC at home?! You could leave your husband and daughter alone in the world!” Add that to his fearmongering about my choice of prenatal care and I just began to cry. SUCH a creep.
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The only midwifery group in my town did not support multiples in birth. I had to leave them and spent several weeks searching. I found a ‘lukewarm’ to VBAC practice and had my twins vaginally, in spite of pretty unsupportive doctors at delivery. My doula was awesome though. I also chided THAT OB for his manipulation tactic.
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Kat Reply:
January 6th, 2010 at 7:55 am (Quote)
That is wonderful! I am so glad you overcame the odds and things worked out for you!
Congratulations on your twins. 
Having twins vaginally these days seems to be rare enough, let alone twin VBAC. I had an acquaintance who literally interviewed every single OB/practice in the county before she found one who would even consider vaginal birth for her twins (who ended up being head down at the birth, both born just fine)!
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I just thank GOD that I had fought the L&D nurses with my first when they said they would not call the midwife in our practice because she wasn’t on call. I threatened to leave (I did that with both births, lol) so they finally called her, and when my son’s heart rate dipped too low for too long at the end, she turned off the pit and told me not to push for as long as possible.
She said if it happened again she is required to consult the on call OB and they would not be happy that it had been 23 hours since my water had broken, even though there were no signs of infection, and may try to pressure me into a c section.
I held off pushing as long as possible, and everything was fine. But when the on call OB checked me in the AM she looked at my chart and said, “25 hour labor? I would’ve sectioned you after 12!” I looked right at her and said, “and that’s why I threatened to leave the hospital if you came near me last night.”
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You really should have to pass an exam on bedside manner. What about that wording is educational, let alone empowering or reassuring? If this doctor was unwilling to perform a VBAC (most likely because of his own lack of skill as opposed to the actual, very small risk), couldn’t he have just directed her to another provider? Stuff like this just makes my blood boil!!
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