Posted by My OB said WHAT?!?.
Jan
27
Posted by My OB said WHAT?!?.
“…VBAC…I Don’t Like Those. You Should Have A Repeat Section Next Time.”
“There’s an error in your history, it only lists one surgery, but you have two children….” [mother responds with successful VBAC details] “VBAC… I don’t like those. You should have a repeat section next time.” – General Practice doctor during appointment where mother was being seen for skin allergies.
There are 29 comments to this post.
and here I know a practice of midwives who say as long as you have one successfull VBAC then they treat you like you never had a CS before….
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Serah Reply:
January 29th, 2012 at 6:11 am (Quote)
Perhaps this is going a bit too far too the other extreme…I am supportive of VBACs, but having a successful one does not erase the scar on the uterus. Albeit a small one, there is still risk associated with this scar and to pretend that risk is not there may not be in the best interest of the pregnant mom.
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Jade Reply:
January 29th, 2012 at 7:19 am (Quote)
My interpretation of this wasn’t that they dismiss the risk (although the risk of UR does decreasse after one VBAC)but more as “yes you have had a c/s but your pelvis is “tested” so we know you CAN birth vaginally and therefore we will support you in doing that again”
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My face when reading the “headline” for this:
>:(
My face after reading the rest of it:
O.o
Seriously?!!
The woman has already had a successful VBAC, and she’s asking about a SKIN CONDITION but you’re gonna tell her she needs surgery in case she ever has another baby?
What the actual HECK is wrong with you?
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Alyson Miers had this to say,
Jan 27, 2012 @ 8:26 pm (Quote)
Error in her history? What?
Without going further into her obstetrical history, she could’ve had a vaginal birth the first time and a c-section for her second. Would that have been an “error in her history”?
Right, she should totally subject herself to abdominal surgery for her next child, when she’s already had a successful vaginal delivery since her c-section, because her GP “doesn’t like” VBAC. Sure.
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Kate, Ren's Mama had this to say,
Jan 27, 2012 @ 8:34 pm (Quote)
Well then I guess it’s a good thing that your opinion carries zero weight.
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If this is in a country other than america it may be more concerning. In Australia we generally don’t see OBs, the most common method of care is shared care between a midwife who works under an OB, and a GP. OBs don’t even come into the picture unless you have a lot of money, or are high risk in which case the midwife consults the OB on your treatment (At least, that’s my understanding and what happened with me when I became high risk in the third trimester). I never even met ‘my OB’
Point being, if this woman is in a country where GPs take some of the care for a woman, RUUUUNNNNNN (however, he was also just slightly more valid in voicing his opinion on VBACs since he would be the one in charge of her care should she fall pregnant, thus knowing a bit more about childbirth than an american GP)
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“I don’t like those”??? Is this doctor a petulant five year old? I’m imagining this being said with a wrinkled nose as if over a plate of broccoli.
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jenni Reply:
January 28th, 2012 at 9:06 am (Quote)
but i like broccoli! its peas i don’t like… even then, i make peas AND broccoli so i can have broccoli and my hubby can have peas and we’re both happy. even on my planet i’d leave the peas at someone elses place on the table and go back to my broccoli, silly Dr should do the same thing, leave the VBAC (broccoli) and go find some peas (repeat c-sections) if that makes them happy. Of course, there should be someone around who wants the broccoli first…
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Jenny Islander had this to say,
Jan 28, 2012 @ 10:09 am (Quote)
It is not my job to arrange my life and body in a way that pleases you. It is your job to help me preserve and restore my health. If you can’t grasp this fact, I would like to see another doctor right now, please.
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first time mommy had this to say,
Jan 28, 2012 @ 11:09 am (Quote)
LMAO!
that sounds like my brother! He used to say “I don’t like that kind of *insert topic here*” For example, my mom took us a local pizza joint for lunch. He happily ate the pizza there. Few days later or so, my mom made us frozen pizza. My brother said “I don’t like pizza” and she’d say “you ate the pizza ate the restaurant!” and he’d say, “Ok I don’t like that kind of pizza!” while pointing to the “offending” pizza! LOL
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Almost forgot that it’s all about what the doctor likes or dislikes. It has nothing to do with mom, baby, or any type of evidence-based practice that shows the risk of rupture for a mom with one prior c/s is 2 out of 1000…in other words, 998 women who attempt to have a VBAC will not have a uterine rupture. Okay, I just re-read this and realized the advice giving doctor wasn’t even the OB…wow.
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Just throwing this out there even though I know it is sorta off topic. Anytime a medical professional asks me about surgeries and hospitalizations, they get the whole story about the three labors and 3 c-sections along with my commentary about the first one being iatrogenic and they get the message real fast that if they have an opinion otherwise they better keep their mouths shut. I consider it a learning opportunity for them on the topics of VBAC and c-sections. They also get an insight into how involved I will be in my own medical care.
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Add Your Comment.
Thanks for your personal opinion. Now can we get back to the reason I paid to see you today?
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