Posted by My OB said WHAT?!?.
Posted by My OB said WHAT?!?.
“What If You Have The Baby While I Am Stuck In Traffic?”
“What if you have the baby while I am stuck in traffic?” -OB trying to convince mother to switch hospitals to his “preferred” facility closer to the doctor’s house, despite the mother having indicated a strong preference for another hospital.
“If I have the baby while you’re stuck in traffic, then I probably didn’t need you there anyhow.”
Or, “Then maybe you need to be more available, Doc.”
Or, “Then maybe you should turn down your hospital privileges at that facility because it’s too far away.”
Or, “Maybe I should call the hospital administration there and ask how often you’ve missed a birth because you were stuck in traffic.”
Or, “Oh, do you really think my labor will be that rapid and easy? Awesome! Then I’ll just birth at home!”
Or, “Well, you ARE going to be at the hospital the whole time I labor, right? You aren’t going to wait for the hospital to call you when I’m 8cm,right? Because if there’s an emergency, you’d want to be right there, right? For safety?”
I could go on, but why? Sheez.
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This is another one of mine. When I was pregnant the first time, I specifically picked an OB to deliver at the hospital where my stepson was born, since my husband said it was great. When I was six months along, my OB started telling me that he wanted me to register at a different hospital, closer to his house. I went there once after he suggested it, and it was filthy and the staff was rude. One morning when I was about 7 months, I was home sick (threw up CONSTANTLY that whole pregnancy), and the doc called and asked if I was going to change hospitals. When I said no, he told me to find a new doctor. I was furious! And, of course, the doctor he referred me to refused to take me because I was too far along.
I ended up with the doctor who delivered my stepson, the one I had wanted all along (he wasn’t on my insurance before, but I got new insurance.) I felt so lucky until he cut me open for no reason.
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I’ve had 3 babies in hospital with the doctor NOT in the room. Uhmmm..they know how to handle it. At least if the nurses are trained. I did have one nurse NOT catch, the baby bounced on the bed…but you know, the baby is fine (and is a bright 7 year old).
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I watched a baby born in the hospital with no medical staff around. The nurse had checked mom and told her that she wasn’t ready. 2 minutes later mom started to bear down and I sent dad after the nurse…who argued with him in the hall telling him again “She’s not ready, I just checked her.”
Dad made it into the room just in time to watch his daughter slide calmly into the world. I thought that the nurse would faint dead away when I peeked into the hall and said “Could we get someone in here to clean up this baby?”
Seriously, you would have thought I had announced to her that the room was on fire.
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Jane Reply:
February 23rd, 2010 at 2:48 pm (Quote)
Or you could have just waited until the next time the nurse noticed the contraction monitor wasn’t picking up anything and let her come in to discover Mom and Dad cuddling the newborn. “Oh,” you could have said blandly, “don’t worry, she’s not ready. You just checked her. But until she is, this lovely baby showed up to be cuddled!”
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Sheva Reply:
February 23rd, 2010 at 2:59 pm (Quote)
I love it!
This kind of happened to my friend – baby born in the car, and they were mad at her for not coming sooner! ?!?!!?
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Meg Reply:
February 24th, 2010 at 7:10 am (Quote)
You can understand their ire… they missed a lot of billing opportunities, and the 30% chance (average) of turning another birth into a lucrative surgery.
So of course they are angry when birth succeeds without them. It’s an embarrassment as well as missing out on money they feel is rightfully theirs. If every woman obediently came in the moment she went into the earliest stage of labor, (or better yet, came in for her scheduled induction long before her baby or body were ready) and got hooked up to her Pitocin and Epidural like a good girl, a lot more of those renegade natural births could be stamped out!
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Nicholas Fogelson, MD Reply:
February 28th, 2010 at 3:41 pm (Quote)
Actually if one is the OB for a patient and they deliver while you are enroute to the hospital, with most insurers you can still collect the global fee for the pregnancy management.
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Knitted in the Womb Reply:
February 25th, 2010 at 8:24 am (Quote)
LOL! I’ll have to remember that line in case I ever have a situation like that. So calm and controlled, as if it happens every day…
But then again, I like the idea of the commentor who suggested not saying anything, and playing dumb when the nurse comes in when she notices (probably 30 minutes later–sigh!) that the fetal monitor isn’t showing anything.
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Probably the same thing that would happen if the doc were stuck in traffic while a human body is doing its other autonomic functions such as breathing, beating the heart, and so forth.
The physiologic processes do not need an overseer in order to proceed naturally.
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I can see how some folks might find this comment off, but its more a sign of how obstetrics must be practiced than some bad comment.
I used to practice in a city where there were two major hospitals that did obstetrics, and I delivered at only one of them. My office was very near that hospital. I occasionally had a patient that wanted to deliver at the other, and I nicely told them that I didn’t deliver there, and that I’d be happy to refer them to another doc that practiced at that hospital.
Its not all about each individual patient – its about all the patients. If I had delivered at both hospitals, and therefore run all over town all the time, my ability to take care of all the patients in my care would have been severely hindered. Because I delivered at only one I was able to spend more time with each patient. As such, I had no pressure to schedule inductions and could wait out long labors with much less issue than doctors that had to cover many hospitals.
There are many sides to this coin, and a doctor delivering at one hospital is far more likely to be able to deliver the kind of care that most of this site’s patrons advocate.
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Lauren Reply:
February 28th, 2010 at 3:50 pm (Quote)
Thank you for your perspective. Unfortunately, this site exists because of the many horribly insensitive and stupid medical professionals we have encountered.
My OB with my first child delivered at only one hospital in a metro area….want to hear what he did to me? After weeks of fearmongering and putdowns, he bullied me into a C-section I did not need. After my daughter arrived and was healthy, she was taken from me for TWELVE hours. My husband was kicked out into a lobby area. I was alone and crying in recovery, while everyone passing by ignored my pleas to see my child. I was denied painkillers in a timely manner, which made the pain so bad that the pills given much later did nothing to help. My story goes on and on since the hospital and dr were that bad, but I’ll end it here saying I suffered from PTSD for months after she was born.
I understand not all drs are that heartless and money-hungry, but the sad fact is that many ARE.
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When will these docs learn that their convenience is rightfully not the mother’s primary concern?!?!
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Mistie Reply:
February 23rd, 2010 at 6:04 am Mistie(Quote)
never Sheva, they can’t understand why it wouldn’t be.
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Knitted in the Womb Reply:
February 25th, 2010 at 8:19 am Knitted in the Womb(Quote)
The sad answer to that Sheva is that they will not learn until women start showing that by their actions.
I just met a woman this week who was induced with her first baby for precisely the reason in this situation–her OB did most births at a hospital different than the one she had to birth at (insurance issue–she worked at a hospital, so had to birth there). So she was induced at 39 weeks, and ended up having a cesarean after pushing for 3 hours, which OF COURSE was because her baby was too big, not because her body wasn’t ready to open for the birth, or she had unnaturally strong contractions so she had an epidural which minimized her ability to choose positions that would open her pelvis more.
She had a planned cesarean for suspected big baby with her second…so basically she had two cesareans for her OB’s conveniance. And she’s totally happy with that.
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