February 2013 Moms

Your doctor does what again?

I just wanted to say that upon my appointment this afternoon and talking with my midwife, I have realized that these boards are quite unhelpful.

How one persons runs their practice is entirely different and is not the same with each ob/doctor/midwife. The information they give you is entirely different from the information I am given. From the next person to the next person.

Now, my midwives work under a very well known hospital in the big city I live in and how they practice in their office that they share with OBs, doesn't differ. I am one who firmly believes in evidence based medicine and so do my midwives && hospital.

It kinda worries me AND her when I told her and my other midwives how some OBs are taking care of some of you ladies. 

A lot of OBs go by what's been called "routine" for years. Whereas the midwives && hospital OBs strive to do continuous research for things that work best for pregnant women and for the health of their unborn children.

 Before even taking my midwives advice, I did in fact do some research when it comes to Dilation/Effacing, Cervical Checking, Protein Checks, Growth Ultrasounds, Holistic Inductions, and Full Term.

I found that my midwives && hospital that I plan to birth at, are in fact right with the information they have given me, as I said; they do continuous studies.

I have seen many posts of those fivethings and wanted to let other woman know there is another opinion:

*Dilation/Effacing- Dilation and effacing is NOT an imminent sign of labor coming. Especially BEFORE blood, water breaking, contractions appear. Dropping/head engagement are a sign labor is near.

*Cervical checking- On a regular basis that the cervix is checked actually does MORE harm than good. Not only does it introduce bacteria (even with with gloves on) it can trigger labor, which is not good if you're being checked at 36 weeks. Not only that, Obs that use a speculum; do the most damage to the cervix and can result in hemorraging. Checking one's cervix unless they are contracting/water breaks/bleeding is absolutely unnecessary.

*Protein checks- If you pee in a cup each time you visit your physician, then know that those strips aren't 100% accurate as blood tests. They stopped doing those back in the 80s, when they realized checking urine like that; didn't work.

*Growth ultrasounds- Very few ultrasound techs are skilled in the area of "growth". Of course, there are the regular techs that do just hand out photos. Growth ultrasounds are in fact accurate, only IF they are done by a person skilled in that area. Not ALL are. Just because they run the machine, doesn't mean they are highly skilled. So yes, growth ultrasounds can be accurate and not accurate.(BTW- just because one's baby is measuring larger, doesn't mean you still can't have a natural birth. Unless there is a specific problem with your pelvis. I know plenty of women that have given birth to 10 lbs babies and were tiny without having any problems.) I would ask for a second opinion if you are on the fence about this or are being given an induction for a "large baby."

*Holistic Inductions- A natural form of inducing labor. Many women have asked if using red raspberry leaf tea, castrol oil and taking primerose oil is safe. It's not 100% safe and I would be leery to use something that hasn't had much research conducted on it. The only safe thing that has been studied is sex, unless your water has broke.

 *Full Term- 37 weeks is not technically "full term". It's called "term". Very few percentage of babies actually are considered "full term" by then. Many babies born before 39 weeks have breathing/sucking/immune problems. Now, this isn't the case with all babies. So, it worries me when OBs are so quick to plan an induction date on a healthy baby and mother BEFORE 39 weeks. Of course, I do find many women on her scheduling C-sections for unnecessary reasons. Remember, the longer he/she stays in there; the better chance they have.(pre-e, pp, col, and other dangerous conditions are considered necessary)

I guess it's just hard to get/give advice when we all have conflicting views and are getting so much different information, I am just unsure of how it helps?

Just putting it out there.

BabyFruit Ticker
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Re: Your doctor does what again?

  • Umm, ok. Not sure what responses you were wanting out of your post. My doctor- the one who went to medical school to learn her trade- does many of those things. I trust her. I assume most people trust their medical professional, as well. Good for you for being with someone you trust, but please don't judge what others are doing.
  • I appreciate your opinion and insight. My doc follows along the lines of what you mentioned. 

    Everyone has a different experience... But I appreciate any post that poses alternate ways of thinking that challenge me! 

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  • Thanks for informing us on what most of us already know. If this board is so unhelpful stay off of it :-) 
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  • image ckalm5:
    Thanks for informing us on what most of us already know. If this board is so unhelpful stay off of it :-) 

    Agreed :) P.s. with my first I went into labour naturally although he hadn't dropped at all yet, my second dropped and was engaged at 34 weeks, I was induced naturally at 41w 5d. It has nothing to do with research it has to do with each persons body and baby being different. Thus the reason the "norm" is constantly changing.

    BabyFruit Ticker
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  • I think your heart was in the right place and appreciate that, but I believe that many of us on this board already know all of this and these answers are often posted when anyone has a question about any of these issues.  It's because of this board that I did my research on cervical checks and will deny them if they are offered.
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  • The above information goes along with everything my OB and his assistant have told me and practice in their office. As annoying as peeing in a cup every week is one I prefer it over being stuck with a needle every appt. and two they check more than protein and had they not done a urine test last appointment I would not have known I was dehydrated. It seems to me your implying that you feel your midwives and hospitals are the only "right" ones? Which is wrong. To say that these boards are unhelpful because everyone has "conflicting" information is wrong. Ever heard "In the multitude of counsel there is safety"? (It's a scripture) But not any ONE person knows everything and these boards are very helpful in sharing and exchanging information we keep each other informed and assured of various options and procedures available during pregnancy. And considering we've all made it this far in our pregnancy relatively healthy and informed I'd say were doing all right.  Just saying if our OB's were so wrong I don't think we would all still be here.
  • image adamsabigail14:
    The above information goes along with everything my OB and his assistant have told me and practice in their office. As annoying as peeing in a cup every week is one I prefer it over being stuck with a needle every appt. and two they check more than protein and had they not done a urine test last appointment I would not have known I was dehydrated. It seems to me your implying that you feel your midwives and hospitals are the only "right" ones? Which is wrong. To say that these boards are unhelpful because everyone has "conflicting" information is wrong. Ever heard "In the multitude of counsel there is safety"? (It's a scripture) But not any ONE person knows everything and these boards are very helpful in sharing and exchanging information we keep each other informed and assured of various options and procedures available during pregnancy. And considering we've all made it this far in our pregnancy relatively healthy and informed I'd say were doing all right.  Just saying if our OB's were so wrong I don't think we would all still be here.

    Well worded! 

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  • This is seriously the nicest board on the bump and this still had no chance of going over well....

     

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  • image mrsdugger:

    This is seriously the nicest board on the bump and this still had no chance of going over well....

    Yes

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  • "This is seriously the nicest board on the bump and this still had no chance of going over well...."

     

    100 percent

  • I feel like you need to reassess priorities if you are coming on here for your medical advice, but with that said.....not really sure what your purpose is to your post, besides to scare pregnant women into thinking they are getting mediocre care from their OBs, which I'm sure they are not. I hate when people use the Internet to get on their high horse to make others feel beneath them and make judgements. Good luck with your pregnancy....personally I'm a scientist and just to let you know researchers/scientists make incorrect conclusions alllllll the time : I have looked at my dr.s personal record and bedside manner to determine if I am happy! : hope all do the same.....
  • image mrsdugger:
    This is seriously the nicest board on the bump and this still had no chance of going over well....
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    Ummmm, Yupp!

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  • image Heartstrings13:
    I think your heart was in the right place and appreciate that, but I believe that many of us on this board already know all of this and these answers are often posted when anyone has a question about any of these issues."..." 

    Yes to all this

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  • Well gee, thanks for posting this info that none of us or our doctors knew. [eyeroll]
    By the way, my baby's head is very low and I've been carrying low this whole pregnancy, yet I obviously am not in labor. So that doesn't necessarily mean anything either, just like dilation and effacement.
    PCOS with long, irregular cycles
    First round of Clomid in May 2012= BFP #1, DD born January 2013 
    BFP #2 in January 2014, DS born September 2014

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  • Interesting...so where did you and your midwife go for you MDs?
  • Interesting...so where did you and your midwife go for your MDs?
  • None of the info you stated is mind blowing, I think many of us either know this personally, or have learned through our doctors, or heard through various posts on TB.  You definitely won't gain any fans by implying that this community as a whole is uneducated about our pregnant bodies, and that our doctors are misinformed and incorrect.  Yes, indeed, every doctor is different...doesn't mean they're awful doctors and have steered us wrong during our whole pregnancies.

    Surprise!  BFP 12/1/13...EDD 7/29/14
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  • Of course providers practice differently. That is the point of looking around and finding what fits your needs the best. Not everyone want the midwifery model, not every one want the OB model. It sounds like you got a good fit for you.

    ETA: Not every doc uses a speculum to do cervix checks, I have yet to anyone use that and I am pregnant with my fourth.

    Mom to 4 cute kids, 10 y/o girl, 8, 6, and 1.5 y/o boys
    October Sig fav fall TV show- the Mindy Project
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  • Thanks for preaching to us. It's nice to know that someone with 26 posts has a good grasp on what this community thinks and how we approach our pregnancies and treatments. We are so, so lucky to have you inform us of all the things we already know.

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  • Well GGGOOOLLLLYYY thanks for educating all of us that don't live in the 'big city' and apparently have idiots for doctors/midwives. Good Lord.
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  • image ByeByeBooze:
    Thanks for preaching to us. It's nice to know that someone with 26 posts has a good grasp on what this community thinks and how we approach our pregnancies and treatments. We are so, so lucky to have you inform us of all the things we already know.

    ALLLLL of this!

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    Me: 38, DH: 36, MC 9/07 at 12 weeks DS: 7/25/08 TTC#2 since 11/11 BFP 5/28/12!! DD 1/31/13





  • This has got to be MUD. I'm wondering how insightful her other 26 posts are.

     

     

     

  • Welcome to parenthood -- there is not ONE way to do things that is the be all end all best or the only way to successfully do something. But everyone has to believe that the way they do things is the best, otherwise they would be doing them in another way.

    Personally, I think this is one of the reasons why human beings have been so successful, because we adapt very well to different things and are very flexible. 

    There are many different ways to do all of these things. And the way our children will have children will have its differences from the way we do things.

    Where I am giving birth, it is considered one of the best countries in the world to give birth and be a mother -- many spots above the US - and they do a lot of things differently here. - And while most of the things you listed here they do, they do not do all of them. And yet, they seem to be doing something right. 

    I am glad you trust your doctors. Allow other people to trust theirs.  

    LO born Feb 2010 & Feb 2013
    MMC at 12 weeks March 2012


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  • When you told your providers how we are being cared for by our doctors, what exactly did you say?  We're all having unnecessary c-sections or inductions before 39 weeks based solely on convenience?  I haven't seen one post that made me question anyone's healthcare decisions.  Maybe I missed something?
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  • Just for the record, ladies, I think you are all extremely helpful and knowledgeable about your pregnancies and experiences.  Seriously, I would be lost without you and without this board!! 
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  • image Eventmerlin:
    I feel like you need to reassess priorities if you are coming on here for your medical advice, but with that said.....not really sure what your purpose is to your post, besides to scare pregnant women into thinking they are getting mediocre care from their OBs, which I'm sure they are not. I hate when people use the Internet to get on their high horse to make others feel beneath them and make judgements. Good luck with your pregnancy....personally I'm a scientist and just to let you know researchers/scientists make incorrect conclusions alllllll the time : I have looked at my dr.s personal record and bedside manner to determine if I am happy! : hope all do the same.....

     

    Yes

    Daisypath - (2EEx)

    Lilypie - (CszI)

     

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  • image ByeByeBooze:
    Thanks for preaching to us. It's nice to know that someone with 26 posts has a good grasp on what this community thinks and how we approach our pregnancies and treatments. We are so, so lucky to have you inform us of all the things we already know.

     

    Seriously.
    If this community is so uneducated then don't come to it. We seek the counsel of other women and other opinions for our own knowledge and well being. No one source of anything is fool proof, not even yours.  

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  • I agree with what everyone has said. Additionally, I think most of what OP said we all already know. Glad OP trusts her midwife. Also glad I trust my OB. I don't think anyone here claimed too be medical experts, we just offer support and advice based on experience. I have really enjoyed this board!
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  • My only response is that all of us have chosen the doctors/midwives whatever we have chose for our own reasons. There is no need to sit here and say that one doctors practice is wrong vs. another.  Go with your gut and what you believe and don't worry about anyone other than yourself!

    That being said...Good luck to everyone and their impending deliveries...I know Im ready and this little girl can't come soon enough!

    Happy Weekend Everyone!

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  • Um, I'm having a homebirth and my MWs are very different than most OBs and MWs on these boards.  I'm also having my fourth baby.  I still think these boards are helpful.  We're here for support, not to override our care providers' advice with what other people's care providers are doing.


        
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