We went over my record from my last C-section, which is in the system's computer. I realized they don't have my birth center records of my whole pregnancy since I was a transfer from the freestanding birth center, just the surgical records. There are no surprises: got to 9cm, 100% effaced, baby remained at -1 station the entire time, it had been 42 hours since water had broken, and that's when the decision for the C-section was made. Technical reason was failure to descend with clear, copious notes about her being stuck in the canal in her malposition with her hand on her head.
She tells me I was in labor way too long and that I dilated too slowly. I said, but I got to 9 and was 100% effaced. See, it says right there her head arm were in a position so that her head was starting to mold in the birth canal and was wedged in there. She said it didn't matter and that since she was over 8 pounds that I was not able to birth such a big baby and that she would never have come out in the first place. I said, but SHE GOT STUCK DUE TO HER HAND UP NEAR HER FACE, not because she was an "enormous 8-pound baby" and got wedged in my narrow hips (ha! 'narrow' is not anywhere near my hips). Her heart rate was fine; she was never in distress. I said her labor is unique and there is no indication to expect this baby will follow the same path.
Cue her epic cat butt face mouth formation!
I was tired of correcting and arguing with her, so I moved on and asked the only question I still wanted to know from the last birth: Why did I bleed 1200ccs of blood and have to have a blood transfusion? Do my records say what caused the bleeding? She said it was just due to normal surgery. I said, so I do not have a hemmorhaging problem or a blood clotting condition, my placenta wasn't retained, everything is fine with the anatomy? It was basically the OB's fault? She said, no, there's no indication that your body caused the bleeding. That's all I wanted to know, really.
I say, what about uterine rupture risk? She examined my scar. She did say since my scar looked exceptionally good it was not an issue other than the normal small risk.
So we move on and she says, I'm going to pull up a website we use to give you an estimated percentage based on a NIH VBAC study that will give you a success rate.
Here it is in case you are curious:
She asks me my age, my height (I don't know, it's either 63 or 64 inches) my weight (again, I don't know, so I give her an estimated number), my race, if I have had a vag birth or a vbac at all, and this is the one that really burned my biscuits--if c-section was due to arrest of dilation/progression. I can't believe they lump those 2 together. Not once does she say, let's get your accurate height and weight right now.
So my number spits out a 44.9%!!!!!! I was like, THAT IS TOTAL BULLSH!T. I could have said I was 64 inches and the number changes to 61%. That's how whack the predictor generator is!
She said to get an ultrasound so she could see if there were any placental or scar tissue issues, and to get an estimated weight of my "giant baby." I am rolling my eyes inside so hard because ultrasounds are notorious for being off in weight, and I know she is dying to pull the big baby card on me.
The silver lining of this whole visit was the ultrasound tech. I had her last ultrasound for DD #1 and she is kind, gentle, amazing, and has had 6 babies naturally and breastfed all of them, and truly was sent there to be with me that day to help me through. Baby looks great, is "measuring" right at 35 weeks and some days, was already 6 lb 4 oz estimated to weigh between 8-9 pounds at birth, heart beat was great, kidneys looked good, just the right amount of amniotic fluid, was head down, placenta is in a great location, no scar tissue issues, etc.
I go back into the office where doc says, "See? Your baby's stomach is already measuring at 84 percentile, which means she'll probably be so big that she'll get dystocia if you try to birth her. (Then she looks me up and down like I am up for auction at a meat market). You look overweight and all your overeating is going straight to her stomach. Based on your failure to dilate and descend combined with only a 44.9% success rate, you should go schedule your C-section with the front desk."
So not only does she insult me, but she called me fat. AND my baby fat.
At this point I have already gone to my happy place where I just have to fake it 'til I make it out of there intact and in one piece lest I strangle her throat and start shoving nearby office supplies up her nose. My midwife was horrified and had no idea that I was going to be thrown under the bus so badly and was livid of how unprofessional and rude the OB was, apologized to me for having me go, and just talked to me until I calmed down. She said if she truly felt I was at such a low percentage for success, then she would have risked me out at our first appointment. She reassured me that I am a wonderful candidate to homebirth, let alone VBAC, because my baby was stuck and the next birth will be nothing like the first. She said the dystocia due to a huge stomach was the dumbest thing she had ever heard.
So THAT, my friends, was one of the most ridiculous appointments I've ever had. I am now proceeding with even more confidence that my body knows what to do, and I just feel sorry for that OB that she doesn't look at individual people's experiences and relies so heavily on such a flawed generator to advise people to get sliced up for no good reason.
Not once did she practice true consultation/medicine. She just used one study plus her own feelings toward the situation to tell me her opinion, not a true evidence-based individualized care plan for my particular labor. If I had not been in such a good headspace or trusted my body as much as I did and still do, I can only imagine I'd be signing up for the c-section and deciding it wasn't worth it. Thank goodness for being even one bit educated and/or trusting my gut that she was a quack!
Maybe the whole point of this experience will be to share my story so someone else will not be strongarmed into making decisions based on such quackery.