C-sections

Tips for getting MY doc to do C/S (if I go early)?

I am currently scheduled for a C-section in a couple of weeks. But I?ve been exhibiting signs of early labor and am extremely worried that I might not make it to my scheduled date.

So my dilemma is that I only trust MY doc to do the C-section. This is a practice of 7 docs. I actually greatly dislike 2 of the docs in the practice and dread having either of them touch me.

Does anyone have tips/suggestions for how I can negotiate with my own, preferred doc, to have him come in if I do go into labor early, to do my section? Is this even possible? Right now I?ve repeatedly been told that ?all of the docs are perfectly capable of doing c-sections?. But that doesn?t sit well with me. There?s always variation in skills and abilities and I strongly believe my doctor is the best at what he does.

So what can I do to cut past the ?any doc can do a CS for you? and convince my doc to come in and do my section for me?

Thanks in advance for any advice. I?m pretty stressed about this. Which isn't helping me at this stage of my pregnancy!

Re: Tips for getting MY doc to do C/S (if I go early)?

  • You should speak to your doctor directly.  I felt the same way as you and spoke openly with my Dr. and she pushed back the time she was leaving for her vacation to do my 1st c/s.
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  • Was yours scheduled or did you go into labor? I'm worried about spontaneously going into labor at a time when my doctor will either not be on call or tied up at the office with patients...
  • My practice was the same way, and no, I had no say in who delivered my baby (I had an unscheduled c-section). It was whoever of the 6 doctors was on call that weekend.
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  • :( I'm sorry!  I felt exactly the same way and for my second pregnancy I would have been completely devastated if my doctor didn't do my c-section.  I would definitely talk to your doctor about your concerns and let her/him know how you feel.  Just understand that obstetrics if very results-oriented so if you do have an emergency that puts you or the baby at risk they are not going to sit around and wait for your preference.  But, best of luck that this doesn't happen to you and you get the doctor you want. 
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  • Talk to your doctor and let him/her know your wishes.  But please try to prepare yourself for the possibility of getting someone else if you go early.

    The previous poster's situation in which her doctor pushed back her vacation is extremely rare.  She's lucky and I think her doctor did a nice thing, but I certainly wouldn't expect it.

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  • This is one reason why we switched our OB with our first.  With our first we were in a practice of 4 OBs.  I went to 3 appt's and I saw 3 differant dr's explaining each time over and over again my situation=not a happy hormonal 1st time mom!  I also was told at that practice, that I got whoever was on call and I didn't have a choice.  I only liked 1 of the dr's in that practice and didn't want to chance getting a dr who didn't know our situation and would mess something up.

    So, we swapped our OB and I couldn't be happier.  I've been with our OB for 7 years now and I won't let anyone else deliever our babies.  I've told him from the beg, if he ever retires, he's tieing my tubes before he does b/c I won't let anyone else deliever them.  :)  He's an older dr and is "old school" but he listens, and is very smart! 

    I hope you can change your dr's mind, but like the other ladies said, I hope you also prepare yourself for another dr to preform your c/s.  

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  • imagethehauffamily:

    This is one reason why we switched our OB with our first. 

    I hope you can change your dr's mind, but like the other ladies said, I hope you also prepare yourself for another dr to preform your c/s.  

    This is pretty much your only option (unless you have an OB who is willing to drop everything for you). 

    DS1 - Feb 2008

    DS2 - Oct 2010 (my VBAC baby!)

  • imagetawillers:

    Talk to your doctor and let him/her know your wishes.  But please try to prepare yourself for the possibility of getting someone else if you go early.

    The previous poster's situation in which her doctor pushed back her vacation is extremely rare.  She's lucky and I think her doctor did a nice thing, but I certainly wouldn't expect it.

    I agree.  Certainly you can ask, but don't count on anything.  I had an RCS scheduled with DS but went into labor early.  He was born at a smallish hospital where the OBs on call were the four from my practice and one other in town.  It ended up being the doctor who wasn't from my practice who did the c/s, and I was fine with that, except it was a hassle getting my insurance to fully cover it (they eventually did, but it took months).

    Also, I don't know if you've had a c/s before, but you have a lot more interaction with the nurses and anesthesiologist than you do with the surgeon.  If it's that you don't like these particular doctors' personalities, that's probably not going to be a big issue because you'll probably barely speak to them.  If it's that you don't trust them to perform the surgery, then you need to switch practices.  Maybe that's unrealistic at this point (though not necessarily, I've moved during both my pregnancies and switched in the late second and even third tri), but a group practice is what it is, and it's not worth going to a practice for one doctor you really like if you can't stand the others when the reality is that you have to be ready to deal with all of them.

    DD born 10/10/07 * DS born 11/25/11 * #3 due 3/9/2015
  • As the poster above me stated, you really don't have much interaction with the OB doing the surgery. Because the OB I went to didn't do high risk c-sections we had our visits with her and 2 weeks prior to my rcs date we went to the hospital where the other OB is on-call and had testing, u/s, etc and set up the date with her. Never met her until day of the c, and actually never even really "saw" her. The nurses and such set everything up and then she walked in once I was already on the table, I heard her voice but couldn't see her. Our delivery went great and we actually formed a bond with the nurse who helped me during pre and post op and the anesthesiologist.

    I do understand your concerns though, I felt the same way when we started in a bit OB practice but it ended up ok.  

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  • If you see a physician who is a member of a group practice you must be able to accept that any of the physicians could care for you at some point, especially in something as unpredictable as obstetrics.  These physicians have lives outside of their job also and it is unreasonable to expect your personal physician to be on call for you personally 24 hrs/day 365 days/year.  What if your doctor wanted to take his wife away to celebrate their wedding anniversary or go to his kids basketball tournament out of town or celebrate his Grandma's 90th birthday 3 hours away.  Do you really expect them to drop everything for you just because you don't like the other doctors?  Physicians join group practices because they want to have a life outside of their job, they don't want to be married to it. They want partners to share the after office hours workload.  If they wanted to be a martyr and be "on" all the time because "nobody can take care of their patients like they can"  they would go into solo practice and be on-call 24/7.   

    I suggest switching practices if you are that uncomfortable with the other partners. 

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  • this happened to me. I went into labor and my dr. was off. My labor stopped progressing, even though my blood pressure was going through the roof, so I convinced the on-call dr (one who I also would have hated to have touch me) to let me go home on strict bed rest and then have my c-section the next day when my dr was in. Because the baby was in no danger, they let me do it and it was wonderful. I am so beyond thankful that my dr. was the one who did my surgery. Good luck to you!
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