Originally Posted by doctorjen
I recently had an interesting discussion with an OB. He did a colposcopy on a pregnant patient of mine and feels she should be induced 2 weeks early so she can get treatment done sooner (which in her case is debatable anyway, but not the point of this story.) I mentioned that I just didn't think the few days or weeks would really make much difference clinically for treatment for her, while it might make a difference for her risk in labor and delivery, and for her baby who might not be ready. Then he went on about the real reason he felt she should be induced early. "And anyway, her last baby was 9 1/2 lbs, so you surely don't want to face that again! It'll be big enough at 38 weeks." Then he suggested I just use cytotec if she got to 38 weeks and her cervix wasn't favorable. Yeah, because a 9 lb baby is such an emergency, I better use a non-FDA approved, possibly dangerous drug to get the baby out before it's ready - even though last time she pushed out a 9 lb 9 oz baby with no problem.
I think you are unfortunately a minority, Jen. My OB was casually throwing in comments about the size of the baby (from an u/s to check his enlarged kidneys) and how the size of the baby might call for more "things" being made necessary, whatever the heck that means. I wasn't worried at all about "the SIZE of the baby." Big babies run in my family, cesareans do not. I hate how so many OB's are so vague and and ominous. Not to mention treat you like you're either stupid and couldn't possible understand what they know or that you don't need to know. Hey! I carried some friends in college through o-chem who are now MD's, I think I might be able to understand. Grrr!
Anyway, I think her little coments caused me to A) go into labor 2 weeks early before they tried to force induction (he was 9lbs 4oz at 38w 1d and I pushed through 3 contractions and that was it. and he was asynclitic. I don't think I have to worry about any sized baby.
) and B) for my contractions to keep going but not finish dialating when I got to the hospital. I was too worried about what she was going to do to me after all that talk about my big baby and how things might need to be done to get him out.
I was at 9 when I got to the hospital and stayed at 9 until I finally got an epidural 5 hours later. (And the epidural was traumatic for me. So I get really po'd when people roll their eyes when I tell them about my "horrible" hospital experience. "Oh you poor thing, had to get an epidural. That must have been AWFUL. (insert sarcasm)" Um, sorry, but not everyone likes the idea of having a needle stuck into their spine!)
And OB's wonder why women choose to have homebirths after what they consider to be "normal" hospital deliveries.
On the other hand, the OB I had w/ my first was WONDERFUL. SHe was very laid back and liked to leave things go their own way. I pushed for 2.5 hours w/ him, and she had me pushing in all kinds of positions to see what worked, some of them a little wacky. LOL! Her c-sec rate was les than 10%. So they're out there, you're not the only one. LOL!