Posted by My OB said WHAT?!?.
Posted by My OB said WHAT?!?.
“…The Doctor Won’t Let You Go Overdue…”
“Just so you know…the doctor won’t let you go overdue. We like to start internals around 37 weeks to stretch things out, get the cervix ripe, and strip the membranes. The doctor will induce by 39 weeks because there is too much risk after that and the baby just keeps getting bigger.” – CNM during interview with parents looking for a practice supportive of natural births.
Okay then I’m outta here. Not what I was looking for at all. And who is teaching them this? This is crack pot medicine! Now we are inducing by 39 weeks! WTH happened to 40 weeks. I go almost 41 weeks if I remember to adjust for late ovulation. If I give my true LMP I go longer than that. F you, but thanks for the heads up! No seriously F you. I AM NOT A LIBRARY BOOK!
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Oh my God. This is horrifying. But at least they’re honest. If the OP stayed with this practice, I hate to say it, but they had fair warning.
Wait– internals to “stretch things out?” WTF? I only had two internals my whole pregnancy. One to check for amniotic fluid leak (false alarm), and one minutes before pushing. The L&D nurses didn’t appreciate it that I arrived at the hospital fully dilated, LOL. But my reasoning was, I’ll give them less time to do unneeded stuff to me.
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This one is mine! I just finished fertility treatments and I was uncomfortable with my midwife that i was transferring care to. Due to the insurance i was on to cover IVF, i was very limited in options. I was so happy to find this practice’s web site!
This comment came AFTER the CNM told me all about her medicated birth, etc. (not that there is anything wrong with that choice, but i thought that was odd coming for a midwife). She was continuously offered me sonograms and i kept declining. I was still under the care of my RE and was uncomfortable with any more than absolutely necessary. Apparently they do them as routine practice at every appointment!
I was shocked when she said i wouldn’t be able to go overdue, but what about to term? I was so dumbfounded and already ready to run after talking to this woman for a few minutes, but i was polite and sat through it all. They charged my insurance $150 as an appointment to boot! They did not even participate with any remotely mother or baby friendly hospitals in the area. I joke now that the only thing remotely natural about their practice is that the baby *may* come out your vag, if you’re lucky!
I was able to get in with the midwife i really wanted due to no other midwives being covered for home birth on my policy
I was so happy to find out about that!
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Lauren Reply:
December 16th, 2010 at 5:39 am (Quote)
Good for you for getting awayyyyyyyyy! This post scared the bejeezus out of me!! *blahhhhhhhhh*
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Sarah Dorrance-Minch Reply:
December 17th, 2010 at 6:51 am (Quote)
Scary. I’m glad you eventually found somebody competent and supportive.
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I didn’t know you could mechanically ripen a cervix. Is that like smashing a banana with your fist until it turns brown so it looks ripe?
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Midwife really means:
“The doctor will induce by 39 weeks because there is too much risk after that of spontaneous labor, which might happen at an inconvenient time and the baby just keeps getting bigger, which makes Dr. Stabby-Hands really uncomfortable because babies over 8 pounds are totally passe.”
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so this guy must induce every one because not many women go into labor on their own by 39 weeks. jeez what are they afraid of?
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Kate Reply:
December 15th, 2010 at 1:19 pm (Quote)
Blowing their tee-time. Those things have to be booked ahead of time, you know.
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Alyson Miers Reply:
December 15th, 2010 at 1:31 pm (Quote)
They’re afraid of finding out that most women could actually give birth just fine if left to their own devices.
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And the baby just keeps getting bigger……..
Aaaaaand what’s wrong with that, what with all the news about preemies and tiny babies not being able to nurse or regulate their temperature?
I should think docs would be happy to see big babies!
I’m glad this couple had fair warning of this doc’s practices, but it’s sick to think that he has a practice at all, which means there are women out there who think they’re broken, and can’t birth on their own without a sci-fi horror movie happening to them.
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Weekly internals at 37 weeks? That sounds stupid. How many infections do they have to fight since they keep sicking their hands where they don’t belong? And what if the “due date” is off by a week or more (been known to happen)…how many babies come out to early? This one really ticks me off. I sure hope the CNM was telling the parents as a warning so they could find someone sane.
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I wonder what’s their rate of iatrogenic prematurity, since they’re monkeying around with the system and stripping membranes at 37 weeks. If their dating is off, the baby could be born early enough to require NICU and breathing assistance.
And this is better than waiting for spontaneous labor because as we all know, any natural system is inferior to the artificial replacement provided in the hospital setting. :-b
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I still want to know where this consent form is that strips mothers of all physical autonomy once they enter a doctor’s practice. I don’t remember ever signing that one.
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Ugh.
I admit I’m a tiny bit concerned for my best friend, who is low-risk and due with her first in March/April. She saw BOBB and chose a hospital-based CNM practice, which is cool (I’m a HB person myself and didn’t want to be pushy). But when she said “I think where I give birth is less important than who I give birth with, you know?” I thought, “I hope she knows about medwives.” I’m not saying her CNMs are medwives (nor that HB MWs can’t be “medwives” too), but if she’s going by Ricki Lake’s birth* and thinks a midwife is a midwife is a midwife, well…
*I haven’t seen the movie– I just mean I know she had a HB.
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A midwife said this? More like a “med”wife. This just pisses me off. I’m glad you had the sense to run!
On a side note: My midwife had 2 c-sections. That’s why she became a midwife. She knew that she would have been fine with both of them if she’d just been left alone. She let OBs do what they do best (scare and treat non-existent issues) and it ended up in emergency. Sadly, 7 years into her practice, my son was the first all-natural birth she attended. My daughter, 3 years later, was her third.
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Guess my 42 week 8 lb 10oz VBAC would have made this practice pee itself out of fear. Glad I’m a little braver than that.
They would have been really excited about my 38 week 5 lb 13oz C/S that required a week in the NICU- I guess that’s how they like ‘em…
Personally I love both of my children, but the “big” (for real- they actually think 8 lbs is *big*?) one has been happier and healthier from the get-go (which makes for a happier momma too…).
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My *former* OB that I had during my first pregnancy wouldn’t let women go to their due dates to prevent stillborns… He said that every 3 years or so of him allowing women to go to their due dates he has seen a stillborn or two and now induces everyone at 39 weeks to avoid it… thankfully I went into natural labor beforehand but regrettably ended up with a csection because of too many interventions and a very impatient delivery doctor…
I am so happy that my midwife is letting me go to around 42 weeks!
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It ticks me off to no end that doctors get all panicky at the (SLIGHT increase in) risk as babies go beyond term (that’s 42 weeks, btw). These are the same doctors who have NO problem with the vastly increased risks of prematurity. 2 weeks early is a heck of a lot more risky than 2 weeks late.
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On Facebook, there’s an ongoing discussion on a fan page for homebirth regarding a blog by an otherwise level-headed midwife who, in that one particular entry in her blog, says that midwifery care should not be framed as superior to obstetric care, because that’s divisive, but rather be acknowledged as merely “different.”
I disagreed heartily with that opinion. I think this MOBSW submission in particular is a perfect example of why the midwifery model of care is superior to the medical, not just different – and an even better illustration of how doctors LOVE midwives, provided the midwives act as assistants and “support” rather than as independent care professionals and competitors.
Not that MEDwives will go away if direct entry midwifery is legitimized and protected everywhere, but the current system encourages a lot more medwifery. Like this. And obstetricians know a good thing when they have it. They love CNMs like this one, because they have a partner who can offer all the emotional support, personalized care, and labour-sitting that they themselves have no time or inclination for, and meanwhile, the medwife who lures mothers in can be the enforcer and push all the interventions the doctor orders.
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Wow, No I think I have lots of other options, trusting my body to do what it knows to do it the main one…. thanks but NO Thanks….
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Gross.
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