Ricki's Room: The BoBB Message Board
I love The Business of Being Born’s message board. Here are a few of the recent posts that I’ve enjoyed.
A woman wrote about how a c-section was pushed on her with both of her pregnancies. She refused each time.
I had heard stories about this hospital pushing c-sections before I delivered but I had no idea it was such a struggle to stay surgery free.
Midwife Susi Delaney responded to this concern. Here’s an excerpt:
Having a large baby does not mean you will need cesarean surgery nor that you’ll need to be induced. Your chance of having a cesarean depends more on your caregiver’s management than on the size of your baby or your pelvis. Suspecting a large baby is not a medical reason for inducing labor, nor is it a medical reason to have a cesarean. In fact, studies consistently show that inducing labor for a large baby does not result in better outcomes for mom or baby, and furthermore, mom’s risk of cesarean (and all of its risks) doubles.(2,3,4)
Excerpt from a Labor and Delivery nurse’s post:
If the patient does not deliver in a preset time frame the doctor will walk into the room and announce that a cesarean delivery is necessary because… the baby won’t fit…the baby is positioned the wrong way…etc. Not what he is really thinking…I want to go home..I’m missing dinner…I’m tired…or I’ll get sued. They don’t tell the patient that a cesarean delivery is MAJOR abdominal surgery or there are serious risks such as infection, blood clots, hemorrhage, MORE pain, etc. All they let the patient know is that this is the decision that they have made and that the baby will be delivered now. I have yet to see a doctor ask the patient if this decision is okay with them and if maybe they would like to discuss alternatives. It is a constant battle between what you want to do for your patients and what the doctors want to do. They want to patient strapped to the bed, on the fetal heart monitor, with an epidural and foley catheter.