Posted by My OB said WHAT?!?.
Jan
9
Posted by My OB said WHAT?!?.
“…Your Baby Will Be *KKKKHHHK*…”
“If we don’t get your baby out today, you’re going to come back Monday and your baby will be….[draws finger like knife across neck] ~kkkkkhhk~” – OB to mother after not finding sufficient fluid pockets at 40 week ultrasound.
There are 33 comments to this post.
Do these medical personnel even have to do oral presenations at university? Surely someone, somewhere along their training path has assessed their ability to speak or communicate in a professional manner? Oh, I forgot. They come out of the womb knowing everything.
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You’re going to cut my babies throat if I don’t induced today (or let you cut my belly)?? Om, wow, can I get another doctor…now.
And I love how when they are going to break your water it’s always ‘don’t worry, we can always put some water back in if the baby goes into distress’ but if it comes up low on an ultrasound the world is ending! I know chronic or extreme low waters is absolutely bad and dangerous, but a single poor showing on an ultrasound can also just mean mom’s dehydrated!
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Details Reply:
January 10th, 2012 at 5:05 am (Quote)
Do you have a link showing that chronic or extreme low waters is absolutely a bad and dangerous thing? I havn’t been able to find any. And apparently Wellbegun has done research and the medical community can’t even agree on how to measure the AFI or what the thresholds should be. So maybe it is all smoke and mirrors.
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amanda Reply:
January 10th, 2012 at 7:03 am (Quote)
is that not what leads to Potter’s syndrome?
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laurel Reply:
January 10th, 2012 at 10:33 am (Quote)
Apparently, no. Potter’s syndrome causes low fluid because the kidneys do not form properly and therefore they cannot produce fluid.
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amanda Reply:
January 10th, 2012 at 1:38 pm (Quote)
i think that potters is the result of renal agenisis (no kidneys) primarily, but that the syndrome itself describes the effects on the baby of low/no fluid – underdeveloped lungs, facial and limb abnormalities – sometimes caused by things other than BRA that cause chronic low fluid.
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Melissa C Reply:
January 10th, 2012 at 1:01 pm (Quote)
The CNM who blogs at Birth Sense did a nice piece about “low fluid” in late pregnancy http://birthsen.tmdhosting930.com/?p=1141
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Ash had this to say,
Jan 9, 2012 @ 4:22 pm (Quote)
Hopefully this guy has decided to read the latest research about low fluid levels which say that in the absence of another condition (pre-e, ect) that low fluid levels are not a reason to induce that in fact the biggest outcome for inducing for low fluid alone is dr caused prematurity. Oh but wait a dr who is still learning how to use words rather than sounds surely can’t read yet :p
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Why does the mother waiting until Monday to return to the office? Either the baby needs to come out now (induced or c/s) or she can be rechecked before then. Maybe with something more informative, say a biophysical profile.
Reminds me of what happened to a friend of mine 30-odd years ago. OB was worried because her blood pressure was high–on Thursday. So he scheduled her for a primary cesarean on Tuesday. I’m still trying to figure that one out.
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Andrea Reply:
January 9th, 2012 at 7:18 pm (Quote)
Yup, that is one of the settings on my BS-ometer. If the situation isn’t so dire that the induction needs to happen today, but can be “scheduled” for a couple days in the future, then it’s not necessary and I’m not going to do it.
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Jane Reply:
January 10th, 2012 at 4:25 am (Quote)
I think the doctor is saying that if mom doesn’t get the baby out today that the baby will have its throat slit by Monday. BUt your point is well-taken. I’m always a little goggle-eyed when I hear about doctors describing these terrible-awful-no-good-very-bad situations and then scaring the mother half to death in order to get her to agree to an induction or cesarean…and then they make the mom WAIT until it’s more convenient to the hospital. “YOU MUST DO THIS NOW!!!” becomes “Oh, wait, all the beds are full, so you’ll have to wait until Wednesday.”
It’s like a rolling emergency. “We tried to schedule your emergency for monday, but we didn’t have any openings, so instead you can have your emergency on Tuesday. See you at nine o’clock!”
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Nica Reply:
January 10th, 2012 at 7:05 am (Quote)
I think I need to adopt the term “rolling emergency”. I cannot tell you how many times I’ve had ladies in my mom’s group describe some “dire” childbirth situation and say “Oh, my doc scheduled me for a Monday induction, but when I got there all the beds were full so I had to come back on Tuesday.” I just not my head and try my best not to comment. What’s done is done. Gotta love those “rolling emergencies.”
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Rachel T Reply:
January 10th, 2012 at 10:51 am (Quote)
I always think to myself “Well, that wasn’t very emergent, was it? Pretty static, actually.”
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Kathryn Reply:
January 10th, 2012 at 5:12 pm (Quote)
A friend of mine just had something like that happen. She was just past 39 weeks and the doc is all you-aren’t-going-to-ever-go-into-labor-naturally so scheduled her for an “outpatient induction” (a cervidil treatment each day until labor began…I’ve never heard of this before and it sounds nuts to me). Then they wanted to check fluid levels and she was “low” (low end of normal, they meant), so she needed an emergency induction NOW (this was on a Monday afternoon)… but it ended up that she was in the hospital on cervical ripeners for 38 hours before the doc started pitocin. The reason for the delay? The doc had a 7am surgery scheduled for Wednesday and didn’t want her sleep to be interrupted the night before. Baby was born around 11am Wednesday. NUTS.
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Ooh, it’s the Dead Baby SOUND card! How 21st century! :-\ The whole amniotic fluid thing is so bogus… if there’s a cord compression problem, the heart tones will be dodgy and the doc will be concerned and send mom right to the hospital. Otherwise, most “low fluid” problems are fixed by having mom drink a liter or two of water and do a bunch of pelvic rocks. I did a paper on fluid anomalies a few years back (both oligo and poly), and the medical community can’t even agree on how to measure the AFI or what the thresholds should be.
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Rebeca Reply:
January 10th, 2012 at 5:04 pm (Quote)
You sound so casual about something that indeed carry risks. My son’s heart beat away like a healthy baby his gestation. An unplanned u/s showed different. AFI of zero. He was stillborn a few days later. Lest you think that only anhydramnios is dangerous, I have met several friends who have lost babies to oligo. An AFI of 3 is nothing to scoff at. Just because this doctor is being idiotic and insensitive, and just because some of the clinical parameters are still being worked out does not mean that “the whole amniotic thing is so bogus.” babies do die from problems where amniotic fluid abnormalities are important clinical indicators. My son couldn’t be saved, but some babies can.
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While I appreciate that severely low fluids are a valid problem,in this case it was quite obviously an excuse to induce for the doctor’s convenience. She went on to be surprised that I was not over the moon thrilled about immediate induction. And even severe fluid loss does not excuse the bedside manner of a mafiosa threatening to give my baby a pair of cement shoes.
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Rebecca Reply:
January 14th, 2012 at 8:53 pm (Quote)
I don’t disagree that your OB was looking for an excuse to make you cave. I was commenting on that particular poster’s blasé attitude about fluid problems. I’m really sorry your OB was so inappropriate. Having lost a child, if an OB had spoken to me as she spoke to you, I probably would have reached over and strangled them. My hat is off to you for retaining your composure.
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There are no words. What is this guy? A super villain?
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