Posted by My OB said WHAT?!?.
Posted by My OB said WHAT?!?.
“…You Can Never Really be Sure Who The Father Is.”
“Well, we like to give the shot anyway, because you never can really be sure who the father is.” -OB to mother after the mother explained that no Rhogam shot was needed because both the mother and the father had A- negative blood types.
I (thankfully) never had this problem with an ob I had a similiar problem with obgyn when I went in right after I was married because I hadn’t done an std test before I got married, you know, because I wouldn’t know what I might give my husband. I was a virgin when I married and the doctor had been informed of that. Guess they though a 21 year old couldn’t be telling the truth about their sexual history (or lack thereof!)
[Reply]
There’s a way to determine the fetal RHD genotype from the mom’s blood. And you don’t need to do an amnio or CVS.
http://www.lenetix.com/html/rhd___sry_genotyping.html#Problem
This is probably new enough that not all medical care providers have heard of it.
[Reply]
I’m a midwifery student, and this is so hard to deal with; the STD and blood type questions. In the three years of my training, which is not long at all, I’ve had so many women come in who have been with one man for years, or for their entire sex lives, and had to give them positive STD test results. It’s horrible. I don’t know who lied to who and thank God, it’s not my job to find out. It would be more horrible to skip those tests,though, and see someone later who can’t get pregnant due to an infection ravaging their reproductive tracts. I don’t force testing on anyone, all I can do is fully outline the consequences of untreated STDs, or in the case of Rhogam, the bad, bad consequences of Rh incompatibility on future pregnancies. I can understand what the nurse meant, and she needs to work on her tact. These are really difficult conversations to have.
[Reply]
TJ Reply:
May 9th, 2010 at 7:55 pm (Quote)
What’s extra special awesome is when you get a call saying you need to be treated for gonorrhea and you’ve lived and worked with your husband for years. To the point you’re hardly apart. After I told the nurse that, she thought it was odd and had me come in and get tested again. They went ahead and treated me still, but the second test came back negative. The lab wouldn’t admit they made a mistake even though the count on my positive was lower than anyone else’s in that batch. The only way we could prove that no STD existed was for my husband to go get tested and the county health department tried like crazy to get him to admit he gotten some on the side. Of course, his test was negative as well. It was nuts.
[Reply]
You can’t be too sure who the mother is, either. Better give Rhogam just in case. Oh, and that also explains why we must all assume that the baby needs erthromycin in the eyes (just in case of gonorrhea), hepatitis vaccines from the get-go (mom, or should I say “mom,” might actually be an IV drug user or a streetwalker and exposed to unprotected sex and sharps on a daily basis), and of course, “mom” needs Rhogam and HIV lecturing, er, counseling and a complete lab workup for all STDs and certain disease antibodies (the ones we have vaccines for and can double check to see if she believes in the recommended shot schedule for, anyway) in pregnancy because we can’t trust that she is who she says she is, or who the father is, or anything like that.
I prepaid my CPM for my upcoming homebirth with money from the family tax refund, but because I really would prefer to have a doctor listed on my record (and a few office visits) if an emergency happens, rather than throw myself at the mercy of the ER and possibly be removed from my baby indefinitely, I signed up for services from a local sliding-fee clinic that uses CNMs with obstetric backup. That, and the clinic also offers other services on a sliding scale, like dentistry, which I am far more interested in making use of. Anyway, I had to run the gantlet and wait for almost two hours for a couple of very clinical appointments, one of which was a five minute urine test and weight/heartbeat/fundus measurement, the other of which was a blood draw (with followup). Because I never learned how to drive a car and the bus system in my city is listed as thirtieth worst on a list of thirty U.S. cities, this also involved a two hour bus trip. Each way.
At the followup to the bloodwork, I was lectured for half an hour on why I REALLY needed to reconsider my stance on getting HIV tested, because what if I were to give birth to a baby and expose it to HIV? (I am married. I had a decidedly wicked youth, but I’ve been monogamous for the past eight years, and so has my husband. In my aforementioned youth, I had HIV tests every six months, just in case, and was consistently negative, but I saw no reason to discuss that.) It was also revealed that I had “inconclusive” antibody results for rubella, and I really ought to get revaccinated after giving birth (spare me; rubella is only dangerous to fetuses, and I’m getting spayed after this), and by the way, they did not have a statement on record as to whether I had availed myself of an H1N1 vax (I had not; we caught swine flu when it first came around, and survived what seemed to us to be just your basic, run of the mill, miserable but survivable flu) and, oh, yes, what were my plans/views on vaccinating my offspring? (What business is THAT of theirs? They aren’t pediatricians, they’re midwives.) And they didn’t give a fig how offended I was at being tested for a battery of STDs automatically, and lectured on safer sex, public health, what HIV was (I have a master’s degree and am not stupid, and at one point in my undergraduate days I actually did peer counseling on HIV/AIDS, so yes, I think I know what it is!)
Humiliating.
Dehumanizing.
Not going back again. My direct-entry midwife (who does have professional certification, albeit none related to nursing) treats me like a human being. I’ll take that over public obstetrics any day.
[Reply]
That is very sad. Maybe it’s true for some mothers with our loose culture today, but if any doctor said that to me, I’d probably slap him or something. I mean, I was a virgin on my wedding night, and I have never known any other man… So the chances of my baby having another father other than my husband are… let’s see… I think this is a bit too complicated for me. Or NOT!
[Reply]
« “…Baby Is Measuring A Week Ahead And Going To Be Big.” Next Post
“…You’ve Got Such A Lousy Track Record.” »


Right, because you never really know for sure who gets you pregnant. Or the lab work could always be wrong. Or maybe doc just wants a little more money and control.
You know, hasn’t this been said before? Idiocy is rampant apparently.
*sigh* You can’t fix stupid.
[Reply]