Induced or CSection because of OB availability

michellechacon · March 2011

Would anyone consider being induced or having a Csection to ensure that your OB will be there when you deliver. Found out today my OB is not always on call for his patients, there is a 60% chance I'll be delivered by one of his partners...

My thought is that I spend 9 months getting to know my OB and trusting him and then he isn't there when I deliver... !!! I need him to be the one at the end of the day. I just dont know if I should hold out and hope that he is oncall the night I head to the hospital, or if I should think about scheduling my labor with an induction. I wouldn't consider a Csec unless necessary for safety.

What are your thoughts?

Karma01 · March 2011

I have to meet all the partners in the practice (4) and have not seen my regular OB since December. There is one doctor left I need to meet and have an appt with. I like the doctors and I am confident in all of them.

bdutton0005 · March 2011

We were told this by our Dr also. We asked the chances of one of the other Dr.s delievering our LO and it was only like a 15-20% chance that it wouldn't be our Dr. We also found out that if it were that big of a deal that they can set it up so that we at least meet the partners 1-2 before that happens is we are worried about it. So yo might ask your practice about seeing the partners at least 1 time if it would make you more comfortable.

ChefSarah22 · March 2011

Most docs won't induce unless medically necessary. I think you are just going to have to suck it up and deal.

HappyAardvark · March 2011

I was given the same option and barring medical necessity, I think it's kind of crazy to schedule your baby's birthday because of your doctor's work schedule that week. Your *baby* should decide when he or she is ready to be born.

I know peoples experiences vary, but several of my gf's are hospital nurses, and have all told me that for most normal births, the the doctor comes in at the very end for the last few minutes of pushing to basically catch the baby. It's the nurses that are there for the duration of your labor and they are all strangers to you until you check in - so go figure.

Amanda&EricB · March 2011

There are 4 doctors in my ob practice and I will be meeting each of them several times. Is there any way you can do that? I would not got induced just to make sure I have that doctor.

wnk1029 · March 2011

HappyAardvark:
for most normal births, the the doctor comes in at the very end for the last few minutes of pushing to basically catch the baby. It's the nurses that are there for the duration of your labor and they are all strangers to you until you check in - so go figure.

This is what I have heard from many people as well. If you're interested in one-on-one support, you might consider hiring a doula, who can be with you to support you the whole time, regardless of what nurses or doctor is there.

COMomma81 · March 2011

Absolutely not. As someone who was induced, for medical reasons, which resulted in a c-section...I cannot fathom a non-medical reason for wanting to do either. For a matter of convenience, it's not worth it, nor is it what's best for you or baby. I've seen several live births and seriously, the OB typically gets there the last 20 minutes of pushing to deliver the baby (if all is going well)...the nurses are the ones you're in the care of the entire time.

Ms.Hodge · March 2011

You should just meet the other partners. It will make your life a lot easier and you will not to induce.

Kml9876 · March 2011

After taking a birthing class and hearing all the things that can go wrong with being induced and the recovery for a c-section I would do anything to avoid having either of those.

I go to a group practice. I saw my nurse until about 30 weeks pregnant at which point she told me to see the doctors in the group practice .Well needless to say that I didn't meet all of them. The doctor that delivered my son I had never met before and honestly it didn't even matter in the moment. Besides it is the nurses at the hospital who you have never met before that will pretty much be doing all of it with you anyways.

njmommaterp · March 2011

The Dr that delivered my DD and I had never met until I was admitted to the hospital.

Honestly, it is all about the nurses and you don't have the chance to meet them before you deliver. My Dr really didn't do much on delivery day!

I would never consider a medical procedure because of someones work schedule!!

ohashlet · March 2011

I would not induce or have a c-section for any reason other than a medical emergency.

SailorGray · March 2011

No...seriously, the nurses do all of the work. The doc comes in at the end to finish the job and sew you up, if needed. At that point (end of labor), I really could not have cared less who was there to deliver the baby. It would be absolutely ridiculous to schedule surgery for this reason.

julygal · March 2011

I had a scheduled induction with DS. Once I hit my due date with no baby, I was put on the books in case I didn't go into labor. I didn't go into labor and was over due, so I went in for the scheduled induction. My dr saw me in the morning when I checked in, then his partner saw me at lunch because my OB got caught up in emergency surgery, then my dr a few hours later swooped in for pushing. So even with a scheduled induction, I saw the other drs from the practice.

jntaylor11 · March 2011

Nooo thank you... I mean I get that you're comfortable but theres only a few ppl I'm willing to go through the pain of being induced or a c/s for and those are my children... So unless it's really medical necessary I wouldn't do it...

eminbmore · March 2011

I absolutely would not be induced or have a c/s based on the doctor's availability. No way, no how. You see the doctor for a combined total of like 30 minutes during labor and birth, I feel like the actual doctor on the day of really doesn't matter. IMO, it's much more important to have an awesome nurse.

CakeBatter · March 2011

Yeah, I tried to do this because my OB was leaving for vacation. Imagine how pissed I was when she popped in at 5pm (when I was still in labor and 3 hours from delivery) to say "Well, I'm off now. Good luck.". I was high risk, and she kinda talked me into getting induced so that she could be there, especially since she knew I was terrified of needing a CS and wanted someone I was familiar with. I could have waited until my due date with no complications. I have a new OB now. If there's no medical reason, I wouldn't induce, especially since there's such a low chance of your OB being the one to deliver anyway.

PinkGrapefuit · March 2011

Eh my OB isn't guaranteed either, but with my last baby she came even though she wasn't on call. Our OB office is literally attached to the hospital though so it's easy for her to go back and forth. Lord knows I've missed enough normal appointments with her and had to see a LNP because she had to go to the hospital.

I don't think it's a big deal to not have YOUR OB. My OB came to my room to break my water about 7a, I didn't see her again until his head was basically coming out. I pushed for over two hours with the L&D nurse and my OB only showed up for the last few minutes of pushing. She didn't sit there with me the entire day.

Annabelle81 · March 2011

Seriously, my Dr. was there for maybe 10% of the time of my labor and delivery. Its all about the nurses. I cannot understand why anyone would induce or schedule a c-section for convenience.

cynth1 · March 2011

I had to meet with all five of the women doctors at my practice. I loved each and every one of them. They are all fantastic. I did this for the same reason you mentioned you never know who would be on call the day I were to go into labor. Of course my baby ended up being breech and I had to schedule a C-section so it did not really matter because I knew exactly who would do the section.

ashg8r · March 2011

If you really want someone that's going to be there with you the whole time, think about using a MW. I used a MW practice at our hospital, with 4 midwives who I rotated seeing at each appt. The one who was on call was in our room for most of the time I was at the hospital (labored for several hours at home, then another 3 at hospital.) It was so nice having her there the whole time, after our experience with her I recommend MW's for anyone that is low risk!

jessicaclare · March 2011

No, I would not, and frankly, I think the idea is ridiculous. The doctor is generally for such a short time, why does it matter? The nurses do all the work. I realize that there is a lot of anxiety about the unknown, especially for a first time mom, but the risks involved with an induction/elective C-section aren't worth it just so you recognize the person catching your baby.

Ebeth_in_ATL · March 2011

jessicaclare:
No, I would not, and frankly, I think the idea is ridiculous. The doctor is generally for such a short time, why does it matter? The nurses do all the work. I realize that there is a lot of anxiety about the unknown, especially for a first time mom, but the risks involved with an induction/elective C-section aren't worth it just so you recognize the person catching your baby.

Ditto.

HappyKlamb10 · March 2011

jessicaclare:
No, I would not, and frankly, I think the idea is ridiculous. The doctor is generally for such a short time, why does it matter? The nurses do all the work. I realize that there is a lot of anxiety about the unknown, especially for a first time mom, but the risks involved with an induction/elective C-section aren't worth it just so you recognize the person catching your baby.

Ditto this. And this is the reason I spent time with every doctor in the practice already, because I knew going into it that my doc might not be there the day of. I'd suggest you do the same!

mabma80 · March 2011

Hell no. The baby is ready when the baby is ready. My other two pregnancies my doctor was not there for the delivery. My older son came three days after his due date. My youngest son was born on his due date. I got to the hospital and said I request a female doctor, and they called the one that was there. I was fine with it. That was in MN.

I live in WI now, and the clinic I go to works differently. Near the end of the pregnancy, they introduce you to all of the doctors that work in the clinic. I think there are 5 doctors that own that practice. They do this so you are familiar with each of them, incase your regular doctor is not able to make the delivery. I think it's a wonderful idea!

But I would never rush the baby if it's not ready to come out.

itsmevkb · March 2011

I got the on-call doctor with my first birth and honestly, it's like you barely even notice who is there. The doc breezes in about a minute before you have the baby.

I did have an induction scheduled for my second child and it was for a day when my ob was on call but low and behold, my daughter decided to come early and very quickly so a resident at the hospital ended up delivering her.

Honestly, even if you were to schedule an induction your labor could last well over a day and so what if your doctor isn't on the call that next day?

fraglette · March 2011

HappyAardvark:

I know peoples experiences vary, but several of my gf's are hospital nurses, and have all told me that for most normal births, the the doctor comes in at the very end for the last few minutes of pushing to basically catch the baby. It's the nurses that are there for the duration of your labor and they are all strangers to you until you check in - so go figure.

I've heard the same thing.

eanelson8310 · March 2011

I have been induced for all of my children and number four is due in Aug and will probably will be with this one. Our first was because we lived over 45 mins away from the hospital I was delievering at less chance of delievering on the side of the road. My second was due to work , my husband was in EMS and worked out of town and county at most times and we lived 30 mins from this hospital. The third My dr work in two hospitals and I had to deliever an a certian one because of my insurance, Well he wasnt there all the time and I have bleeding issues after deleivery. He wanted to be the one to delieve since he knew I was worried and scared and I was having issues with my blood pressure. I asked to be induced with all three. We live in the middle of nowhere so all baby hospitals are 30-45 mins away.

TheLastCall · March 2011

Please do not induce or have a CS for this reason. Your baby needs to be in there for the time that it is in there for a reason. Don't mess with nature over who is there to catch the baby at delivery. If you genuinely need a CS or an induction, then that's what you need, but IMHO you are putting yourself and your baby at risk for a minor detail.

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