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Doctor refusing to take cerclage out until labor - Page 2

post #21 of 53
My mom has had cerclages in three of her five pregnancies. They were all removed at 37 weeks but the first, which the doctor forgot and it wasn't removed until she was in labor. Luckily her cervix wasn't hurt by it. Can you midwife remove it or is there any chance you can find a doctor to remove the cerclage at 37 weeks?
My son was born at 37 weeks and neither the obgyn nor the pediatrician were concerned about it. In fact, the obgyn refused any Terbutaline after 35 weeks as he said the risks outweigh the benefit at this point, apparently, so we see how medical professionals don't even see eye to eye on these topics. I personally would feel very comfortable doing a homebirth at 37 weeks and I will have a birthing center (freestanding, absolutely no MDs) birth with this one if I make it to 37 weeks. It is absolutely your right ot have this cerclage removed and not being forced into a c-section. Just because this situation isn't according to textbook we do not need to panic and schedule a c-section. Going into labor will show if it works out - if you stall, or whatever, need to transfer one still can have a c-section. It's rather crazy to just want to schedule it, I would run from such a obgyn in no time. It just shows again how wrong this system is, gosh I wish a more European approach would change the American health system (as: midwives always attend births and the obgyn if wished only shows up at the end, homebirths are a normal choice, vaccination choice is not a bully matter to peds, they just let parents choose, and so on).
post #22 of 53
Evergreen, for the record, it is not illegal anywhere in the 50 states of America to have a homebirth. What is challenged in some states is the attendance of a midwife. And if Aslanawake steps foot in a hospital if she doesn't need to, it sounds like they are ready to cut a hole in the OTHER uterus, thereby removing the likelihood of finding an attendant for future homebirths... I would stay farrrrr farrrr away from any med professionals in her area, if that's the case.
Aslansawake, I applaude you for going to so much work researching your options and deciding what is best for you and the baby! I hope a mw can clip the cerclage at 37 weeks, and you have a happy homebirth! You and your baby deserve it! FWIW, I do personally know two ladies who both had didelphis uteri, and both birthed vaginally in a hospital- one was early 80's, the other was 5 years ago...both carried to 37-38 weeks, without a cerclage...happy home birthing!
post #23 of 53
Thread Starter 
Thank you cathicog! Even though this is stressful to have to deal with, I feel I am doing the right thing by standing up for my rights, and for what I believe is reasonable. My midwife is thankfully telling me if there is no other option she or another midwife WILL take out the cerclage. EVen though the doctor made me feel it was a difficult and very painful procedure, to which i replied Ive had 2 removed before with no epidural or meds and it took less than ten minutes? Tell me how this is complicated???
post #24 of 53
Hi, I know this isn't remotely helpful, but I just wanted to say that I am really fascinated by your multiple uteruses and there is actually a woman right now with Uterus didelphys and she is pregnant in both wombs, due four days apart.
http://pagingdrgupta.blogs.cnn.com/2...-baby-in-each/
I am glad you are sticking up for your medical rights, and I hope this situation resolves itself well.
post #25 of 53
Honestly, I would contact a lawyer. That doctor is possibly trying to force you into obtaining care from him, and maliciously prevent you from having a homebirth, which is your choice.
post #26 of 53
Thread Starter 
I am seriously considering contacting a lawyer at this point!
post #27 of 53
wow....Seems like this ob is trying to get you to have a cesarean. I realize that it is tempting to stand up for yourself (and possibly the other women in his care that he is possibly manipulating as well) but you know, the stress of it is no good for you right now. I was thinking that a cerclage was just a few stitches in the cervix, can't imagine why it would be a big deal for a midwife to take it out for you (maybe a little research on the procedure might reasure you) I say go with the least stressful route at this point. Enjoy your pregnancy! What if this is your last one?
post #28 of 53
Thread Starter 
The stress is the one thing keeping me from persuing anything legally...I am calling a doc tomorrow, I will keep an update going here....
post #29 of 53
Hmmm, it may be premature to contact a lawyer anyway. At least if it were me, I'd talk to the doc first and see what happens from there. Ask/insist that he give you some time to discuss your care and history; maybe he can be persuaded to try something different (especially if you make it clear that you are taking full responsibility for the outcome of your own decisions). And if he is persistent/stubborn about his plan, well, THEN might be the time to mention that you don't believe he is behaving in accordance with your right under the law to make informed decisions, and you will be speaking to a lawyer to investigate that. (or, just say, 'fine', and nothing more, and go to a lawyer without giving him a warning).

Just my opinion, of course. But one informed by my experience with the law, which makes me loathe to actually go to court if it can be avoided...however, I have learned that it can be very persuasive, making people aware that you know your rights and intend to pursue them! Even if it is essentially a bluff, I have seen it work on various occasions to shift people/events sufficiently in the direction I desire.
post #30 of 53
Quote:
Originally Posted by MsBlack View Post
Hmmm, it may be premature to contact a lawyer anyway. At least if it were me, I'd talk to the doc first and see what happens from there. Ask/insist that he give you some time to discuss your care and history; maybe he can be persuaded to try something different (especially if you make it clear that you are taking full responsibility for the outcome of your own decisions). And if he is persistent/stubborn about his plan, well, THEN might be the time to mention that you don't believe he is behaving in accordance with your right under the law to make informed decisions, and you will be speaking to a lawyer to investigate that. (or, just say, 'fine', and nothing more, and go to a lawyer without giving him a warning).

Just my opinion, of course. But one informed by my experience with the law, which makes me loathe to actually go to court if it can be avoided...however, I have learned that it can be very persuasive, making people aware that you know your rights and intend to pursue them! Even if it is essentially a bluff, I have seen it work on various occasions to shift people/events sufficiently in the direction I desire.
Excellent advice!! A threat can be just the perfect amount of fire under their feet.

(hugs) I'm so sorry you are dealing w/ this extra stress.
post #31 of 53
thanks, GOPLawyer.

Are you actually a lawyer? I mean, duh, right? Given your screen name...then again, people choose all kinds of screen names. My own comes from the name of the best dog who ever lived--but my name actually isn't Black, and I'm not a dog (well, maybe I am, but only in the *best* sense of that creature )

anyway, thanks, some other lawyers I know might just scold me for 'practicing without a license', hehehe .
post #32 of 53
Is it possible to convince the dr that you'll go in to get it removed, refuse the epidural, then leave when it's out because you're not in labor? They might be pissed if he booked a room for a c/s, but it's a tricky way around the situation.
post #33 of 53
Just wanted to chime in that MGG -- an emergent c/s does not equate to having a uterine scar that is not the normal.

I had an emergent c/s in 2007, and I had a normal incision on the outside and inside..and just had an almost at home VBAC (last minute transfer) in May 2010 of an 11 lbs 1 oz baby...
post #34 of 53
[QUOTE=khaoskat;15711670]Just wanted to chime in that MGG -- an emergent c/s does not equate to having a uterine scar that is not the normal.
QUOTE]

I'm not sure if I follow this. I thought a c/s meant cutting into your uterus, therefore you would have a scar.
post #35 of 53
[QUOTE=mrsberman;15712982]
Quote:
Originally Posted by khaoskat View Post
Just wanted to chime in that MGG -- an emergent c/s does not equate to having a uterine scar that is not the normal.
QUOTE]

I'm not sure if I follow this. I thought a c/s meant cutting into your uterus, therefore you would have a scar.
I think she means having a scar that is in a direction that is not normal. Such as an up and down scar (I am blanking on the names for all of this right now).

I totally don't get MGG's issue. 37 weeks is full term. Is it ideal to get the baby to 40 weeks? Probably. But geez, even my birth center takes women at 37 weeks. As the OP said, her deliveries aren't high risk (outside of the risk of a VBAC, and with the double uterus thing even that risk may not be as "high" as normal, and it's not normally all that risky!), it's her pregnancies that are.

So, really, once she gets to full term I wouldn't even think her pregnancy would fall under the high risk catagory. I wonder if your original dr could take you back at that point.

Basically... if you take out the double uterus part of the equation here is what you have:

A mom with a cerclage. A dr refusing to remove the cerclage and instead demanding that the mom come in for a c-section.

So, assuming that VBACs aren't illegal where you are, the dr is basically forcing you into a c-section against your will. The double uterus thing only factors in to this in YOUR FAVOR since the scar wasn't on that particular uterus.

I think I'd wait until you're 30 days before your due date, and then if he is still refusing to remove it at 37 weeks I'd mention that you are considering contacting the medical board, insurance company, and your lawyer. If you say all this within 30 days he can't fire you as a patient. Though, since you're unable to find another dr anyhow, I'm not sure he could even fire you prior to that.
post #36 of 53
Thread Starter 
Just a quick update on the situation!

I am now nearly 38 weeks pregnant, I still have the cerclage in BECAUSE the Doctor I found that was willing to remove it could not remove it because the original Doctor put the stitch up so high in the cervix he cannot get to it without causing too much pain. Therefore he said he will not be able to remove it until I go into labor....but will then send me home afterwards(he is a homebirth supportive family practitioner) While I am thankful I am very stressed that he couldnt get it out....ugh! Ill keep the thread updated and thank you everyone for all the responses!
post #37 of 53
I'm so sorry you are going through this but glad you found a supportive doc. Are you still seeing the doctor that did this to you? What a jerk.
post #38 of 53
Hum, that might explain why the original doc said you needed an epidural. Maybe the way he puts in the cerclage, you actually DO need one! Oh, I would be so mad....

I am glad you found someone more supportive to try and take it out. There is no other way for pain relief to get this one out before labor?

I hope things go well for you. And you send the original doctor a letter describing in detail how well things went by not going his route.
post #39 of 53
Just wanted to say that I hope you get the birth you want. And I hope the doc can easily get the cerclage out when labor begins.

I wonder if the first doc knew he put it in too high, if it was on purpose, if it was "wrong" and he just did not want to admit it. Or, if he just assumed you were going to do a section, therefore did one that he would normally do for a section patient.
post #40 of 53
kidzaplenty- I just went in for my cerclage yesterday, and while talking to the doctor about how it's removed, I was told that there are actually several ways to place a cerclage. It was probably just a different style than she is used to... Though he may have used that kind assuming she'd be getting the cesarean because he thought she should. Mine is placed with a little tab that they'll snip and then just pull it out at 37 weeks. No anesthesia or anything necessary. I think this is the most common kind.
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