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can I sue for unnecessary c-section? - Page 2

post #21 of 30

So---any suggestions of how to get this mother on her second pregnancy who has a proven pelvis, and an excellent chance of vaginal birth NOT to have a C. Section  just because she is breech---she AND her family AND the climate around here are all against it!

 

Another mom last week absolutely refused a VBAC!  That's a hard sell too in a community that has posters on web sites calling me the VBAC QUACK!!!

 

What is an OB to do here???

post #22 of 30

Information is the answer right?

 

Have you been able to provide her with the number of breech births you have attended and their results?  How about providing her with information about the extent of your training on vaginal breech births? 

 

Have you been able to guarantee her that it will be you who will be at the delivery and not someone less skilled at vaginal breech births?

 

Have you been able to assure her that the hospital she is delivering at has 24 hour dedicated anesthiesology so that there will be no delay if a c-section is needed? 

 

Have you been able to step her through what guidelines will be used for her labor and how her labor will be monitored so she feels comfortable that you will step in before a situation has become emergent?

 

Have you been able to step through what makes her a good candidate for breech vaginal birth and what her/her baby's likely complication rate is based on the most recent literature?

 

 

 

 

post #23 of 30

A


Edited by member234098 - 5/25/12 at 10:57pm
post #24 of 30

Quote:

Originally Posted by obdoc View Post

So---any suggestions of how to get this mother on her second pregnancy who has a proven pelvis, and an excellent chance of vaginal birth NOT to have a C. Section  just because she is breech---she AND her family AND the climate around here are all against it!

 

Another mom last week absolutely refused a VBAC!  That's a hard sell too in a community that has posters on web sites calling me the VBAC QUACK!!!

 

What is an OB to do here???


She is probably being told by family and friends that she would be selfish to follow the "crunchy"  agenda of avoiding c/s... and that she will win "no awards" and risk her baby's life by birthing vaginally...

 

...but this topic is total thread hijack...

 

post #25 of 30

"She is probably being told by family and friends that she would be selfish to follow the "crunchy"  agenda of avoiding c/s... and that she will win "no awards" and risk her baby's life by birthing vaginally..."

 

Let's not act as if this is a crystal clear that she should have a breech vaginal birth.  For me, personally, the thought of my child suffocating to death between my thighs while I am awake, aware and conscious is near to one of the most horrific things I can think of.

post #26 of 30

Quote:

Originally Posted by Buzzbuzz View Post

 

Let's not act as if this is a crystal clear that she should have a breech vaginal birth.  For me, personally, the thought of my child suffocating to death between my thighs while I am awake, aware and conscious is near to one of the most horrific things I can think of.


I already brought that up in another place obdoc was discussing this breech momma,

http://www.mothering.com/community/t/1348850/are-obstetricians-considered-birth-professionals-i-dont-see-a-forum-here/20#post_16927132

 

Quote:

Flip side ?--- if a woman with a breech wants a c/s, and feels that is the safest option for her, shouldn't that be respected too? 

 

 

I guess it is about listening to women and allowing them some capacity to make decisions in their healthcare, even if someone else doesn't like their decision.

post #27 of 30
Q

Edited by member234098 - 5/25/12 at 10:54pm
post #28 of 30

  When I offer a woman a vaginal breech I am certainly going to make sure it is safe for her to do so--so am fully aware of dating and birth anomalies etc.  So everything in the check list is something I am well-versed in doing.

 

But knowledge and teaching, and testimonials from a couple of my patients who delivered PRIMIP breech in the last year--did not help.

 

Her pelvis is PROVEN and this babe is smaller than her first by palpation

 

I am solo-- so guaranteed I would be there.  Anesthesia in house for all breech and VBACs---so we have everything in place that I can think of.

 

I spent quite some time over the last few days talking with her.  she has gone to the hospital and talked with the nurses and they too encouraged her and said that I had delivered a few this year even and no problems.

 

She presented and was not in labor, and wanted a C., Section  (past her due date)  --was offered a ECV---since everybody was there---nope

 

I respected her wishes--she expressed appreciation that I was respecting her right to choose--and she had her C. Section--for a baby who weighed less than her first by a few ounces.  She is happy---......baby is fine.......I am bummed-- but then it is not my birth experience--

 

Just don't know what else I could have done. 

 

 

 

 

post #29 of 30

Obdoc, 

 I think there are a ton of women interested in natural childbirth, vbacs, vaginal for breech, low interventions, etc. There are also a TON who aren't. It sounds like you are stuck in a geographical area where there is a high percentage of women not really interested in the type of care you prefer to provide. And I can see where you got frustrated here on mdc when you see women angry at their obs, or women trying to avoid obs altogether - but you have to remember those obs they've dealt with are not you.

I don't know the rules about this (maybe someone else knows or you can find out), but have you looked in the tribal area to find your state? I always see lots of women posting there to find hcp recommendations. It seems to me there are always lots of posts from women desperately searching to find someone who does vbacs, vaginal breech, etc. ( but I don't know if there are rules about self-promotion? / advertising services??)

 

ETA: Do you have much relationship with local doulas,mws, cb educators, ican, etc.? I saw in your other post you are getting called the "vbac quack" irked.gif... but there must be some women in your area searching for your type of care...


Edited by slmommy - 3/28/12 at 8:00am
post #30 of 30

I have spoken with Bonnie Mathieson from ChildbirthSolutions.com about the doula situation-----nearest doula in abut 3 hours away---and around here----if it isn't paid for by welfare it isn't going to happen.  I have worked with midwives---non here--not even "out in the community"---nada!!!

 

I have searched for tribe--none around here---

 

I like the geographical area here--but childbirth is a LOT different that working in a white collar town---I used to wrok in a city whre there were plenty of educated women who didn't smoke etc----but here---well---so many babies get shipped to the BIG CITY children's hospital to go though withdrawal---enough said.

 

Bonnie has looked---and she has found nothing ANYwhere near me!    BUMMER

 

 

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