OB Appointment from Hell yesterday - Page 2

[weliveintheforest]

I'm sorry you're dealing with this guy :(   I hope you can make it work!

[heathenmom]

I don't have any hope of making it work, meaning I cannot imagine this guy being anywhere NEAR me in labor.  He's made his views very clear and I'd be a fool not to take him at his word.

I'm feeling very, very positive about the pregnancy in general.  My bG #'s are STELLAR these days (amazing what a little tweaking of the diet and meds will do!), my quad screen came back all-clear, and the baby and I are doing just great.

My husband is a ROCK.  The (horrible hospital) birth of our first threw him for a loop, but the u/c of our second really showed him what birth can and should be like.  He has seen and heard so much crap from so many OB's (and midwives) thrown at me in the last 7 years that he completely gets the manipulation factor and has NO issues standing up to any of them.

I'm going to continue to look for other options for prenatal care, but I'm leaning more and more towards another u/c with this baby as long as we both remain healthy.

[Cativari]

DDCC Like the other ladies I say run! But if you must see this doc again take a tape recorder and record the visit.

[heathenmom]

Originally Posted by Cativari 

DDCC Like the other ladies I say run! But if you must see this doc again take a tape recorder and record the visit.

If I had somewhere to run TO, I would.  This is not my first pregnancy in this town; I've been researching prenatal options - literally - for YEARS.  The c/s rate at the local hospitals is way above the national average.  There's ONE ob office who employs a midwife.  They are very, very conservative in their practices, and by conservative, I mean if you are outside the norm in any way at all, you are subjected to as many interventions as they can make stick.  The very few doctors who have a better reputation aren't accepting new patients.  There is a perinatal specialist who has a GREAT reputation, but he requires a referral from a regular ob, which I have yet to be able to get.  I'm too high-risk to treat normally, but not high-risk enough to see a high-risk doctor. 

But recording appointments is a fantastic idea!  I can definitely make that happen.

[tourist.]

DDCC

 First and foremost - your doctor sounds like a mean, intimidating, cruel piece of trash.  His threatening attitude and unwillingness to compromise on *your* birth are signs to seek care elsewhere.  I agree with everyone to find a more reasonable care provider.  Plus his stance on c/s is absolutely frightening! 

Second, not at all to side with your doctor - because he’s a douche - but do as much research into the risks of being pregnant with diabetes as you can.  There *are* increases risks for diabetics, even with well controlled blood glucose, but that doesn’t necessarily mean that those risks apply to you.  At the very least, when you have this knowledge you will be able to confidently explain to your doctor that you know what your risks are or are not.

Just because you have been diagnosed with GD, that doesn't ever mean that you should automatically consent to something you do not want nor agree with.  It's still your body, your rights.  There has got to be some common ground like, in lieu of induction, agreeing to NST's, kick counting etc... Some doctors are so afraid of everything.

FWIW, my bff is T1 and she was “told” she’d be induced at 39w (despite amazing management of her bg), I think that’s pretty standard unfortunately.  Here’s a great thread, and although it’s talking specifically about T1, there are some really cool homebirth stories on here talking about managing blood glucose levels during and after labor, for the baby too.  http://www.mothering.com/community/forum/thread/434335/mamas-with-type-1-diabetes

[msmiranda]

What is your doctor's specific concern?  Shoulder dystocia?  Stillbirth?  Both?  If your numbers have been perfect, I don't see why he is stressing.  Does he not believe that you are recording them correctly?  I'm just confused.  My understanding has always been that if blood glucose is well controlled, additional risk is negligible. 

I have never understood the hysteria among OBs trying to prevent shoulder dystocia by inducing/sectioning every woman who will agree to it.  There are risk factors for it, yes, but it is impossible to predict accurately in advance.  All OBs WILL, at some point in the course of their practice, have to deal with unexpected shoulder dystocia.  If you don't like that and can't handle it, don't become an OB.  But quit trying to bully women into unnecessary interventions because of YOUR fear of that situation.  It is part of your job to deal with it, and you should have known that going in. /end rant

I hate that you are feeling forced into a UC ... because the thing is, if you did (god forbid) have a shoulder dystocia or other emergent complication, it would be nice to have a care provider there who could treat it.  Are there really no HB midwives who would take you, or no OBs in another town who might be willing to treat you with more respect?  Oh, and are you at all worried about this doctor dropping you from care if you continue to refuse induction?  It kinda sounds like that's where this is headed.

[sharita]

This Dr sounds like the growing breed that wishes they could just section every woman, have it done on their time, not waiting around for labors own clock.  I would be so afraid that even if I agreed to the VERY UNECESSARY induction, he would still manage to end up giving me the section he wants.  In the throws of labor, it isn't as easy to fight for your rights.  I don't care if I had changed OB's 20 times already, I'd be outta there!  Is a homebirth with a midwife totally out for you? Not sure about your insurance, some don't cover it, some do.  If not, maybe you could get a reccomendation from one on who their back up Dr's are and those guys are usually more chill OB's. 

I am so sorry you had to deal with such a bully like that!  Anyone managing the care of you and your baby, you should trust and be at ease with.  If this isn't the case...Run!  It can only go downhill from here.  Again, I would be very afraid of what he would pull during the actual birth.

[elisheva]

Originally Posted by msmiranda 

I have never understood the hysteria among OBs trying to prevent shoulder dystocia by inducing/sectioning every woman who will agree to it.  There are risk factors for it, yes, but it is impossible to predict accurately in advance. 

No one has ever successfully sued an OB for "wrongful c-section". I'm sure there are plenty of lawsuits on record for "failing to perform a c-section when shoulder dystocia was a risk/suspected". Sad, but true. I have no solution. Sorry... now back to the original topic of OP's OB...

[heathenmom]

This OB *IS* a backup to local midwives.  That should tell you volumes about the birth culture here. 

[Tumble Bumbles]

Originally Posted by heathenmom 

This OB *IS* a backup to local midwives.  That should tell you volumes about the birth culture here.