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3rd Trimester
drpayne
member
Top Ten Signs Your Doctor Is Planning To Perform An Unnecessary Cesarean Section
drpayne
member
https://www.friscowomenshealth.com/?option=com_wordpress&Itemid=205&lang=en&p=89
Thought this was an interesting article!
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Re: Top Ten Signs Your Doctor Is Planning To Perform An Unnecessary Cesarean Section
Just copy the link and paste it in the browser. It'll open.
Here's it fixed: https://www.friscowomenshealth.com/?option=com_wordpress&Itemid=205&lang=en&p=89
Great read.
Too bad so many woman, including many reading right now, will end up with a CS for one of the reasons in the article.
Only solution to this right now? Patient education. Read up ladies if you don't want an unneeded C-Section.
Thanks! Why does the bump always do that to links??
Thanks for sharing. I especially liked 4. Performs routine ultrasounds at end of pregnancy to see how big your baby is.
I feel like this is done way too often - it's not even accurate.
That is a good one! I've been getting monthly u/s with this pregnancy due to DD having IUGR (really small) that no one knew about but I was just thinking about next week being my last one. This pregnancy is going much better, this baby is growing well and all the measurements have been right on, so I just don't think they are needed any more. Obviously I will talk to my OB about it, but really I'm going to need a REALLY convincing reason to keep doing them.
This article is all well and good but for me with my delivery of DD, I had talked to my OB at the time about C section the whole pregancy because of family history of shoulder dystosia. But I was adament that I wanted to try to deliver vaginally but if it wasn't working I was fine with C section. I went into labor naturally but would not progress so we started pitocin. My epidural didn't work but I thought I was ok with that bc my contractions were managable anyway. I pushed for 3 hours before DD was delivered. She was sunny side up and stuck at my pelvic bone and had shoulder dystosia. After the 14 hours of labor and 3 hours pushing I was so out of it I didn't think to say "Ok enough---lets do a csection" because I trusted that my doctor knew more and would take care of me. Her HR dropped and I was put on oxygen and we had to monitor her closely. Finally after a 4th degree episiotomy and another doctor in the room she was delivered. She had a broken clavicle and my episiotomy took over 6 weeks to heal and it still is not "normal". My doctor actually had a lawsuit filed against her shortly after DD's birth due to damage she caused with a baby with shoulder dystosia and now she is just a GYN not an OB. My DD was not even considered to be a "big" baby---she was 8 lbs.
This time around with a different doctor we had decided to go ahead and do a c-section due to the fact that bc my 4th degree episiotomy is so jacked I'd be looking at corrective surgery following a vaginal and I don't want to run the risk of something worse happening to LO during the delivery.
I appreciate the reasoning behind this article and agree there are many C-sections performed needlessly---but I feel that it makes it seem like you are an idiot if you have a C-section at all. Of course I realize my story is unique and definately not a common situation but to be honest, I would have preferred having a doctor who encouraged it last time than the one I had as DD and I would have been spared the injury of going through that delivery.
I wish I had seen this before I found my OB. I totally would've driven over there had he had openings!
Great info. I plan on keeping my eyes and ears out for these types of remarks, as well as DH's!
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I think #6 was more in reference to providers who don't even offer ECV as an option. Unfortunately, they do exist
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Yeah, most of those phrases were very eyeroll-worthy. I do worry a bit that someone might read the last one and try to disregard a doctor's advice regarding high BP. If a woman is truly pre-eclamptic and a doctor says it's urgent that they deliver immediately, that's no joke.
Bottom line- if you don't trust your doctor, get a new one.
Oftentimes a doctor will just say a blanket statement and not give specifics. I've had to ask my office several times for specific numbers from tests or things in order to get the answer I need.
I think what this OB was trying to get across was that you should have the specific reasons as to why your doctor is suggesting what they are instead of just going with the first thing they say.
I have to agree. Some ppl say "my friend/sister had an 11 pounder and she delivered him fine." It's not always the baby, but the anatomy of the woman as well. I would definitely rather have a csection than some of the horrifying complications from stubbornly holding out. Interestingly enough the doctor that delivered me, like a month later was sued due to the fact that he tried to deliver a baby that could not fit.The baby died.
At the same time I don't want an unnecessary abdominal/pelvic surgery. But I think sometimes a csection is necessary. People are often up in arms about the csection rate, but has anyone checked out the infant mortality rate in correlation to this? Not saying I have, just something to think about.
This! My sis pushed out a 9 lb baby med-free and she had GD.
DD 12/20/99, DS 12/14/12, M/C 9/2014, M/C 1/2015
Yep, infant mortality in the U.S. has risen right alongside of C/S rates. It's the highest among comparable countries. Same with maternal mortality. There's a tipping point where the amount of C/S does more harm than good and we've already surpassed that unfortunately.
And the problem with something like shoulder dystocia is, yes it's a serious complication that can happen that carries risks to both mother and baby, but it's not really something that can be predicted. At least not most of the time. So when doctors go against ACOG's recommendation and perform a prophylactic C/S in the name of avoiding something like shoulder dystocia in a FTM the majority of those C/S are unnecessary, but still come with the same risks to mother and baby as well as future risks.
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Well said!
The World Health Organization recommends a c/s rate that does not exceed 10-15%. C/S are absolutely a life saving procedure, but are overused in this country. You can't tell me that 33% of US women are incapable of safely delivering their babies vaginally.
There have been estimates suggesting that as many as 3,700 c/s would have to be preformed to prevent a single permanent nerve injury in macrosomic infants.
~~Lurker~~
Great read! Im stealing this and posting in my BM.
My OB told me that the CS rate in the U.S. has a lot to do with the high obesity rate in our country. In Arizona, where DD was born, we lived in an area with a very high obesity rate and our hospital had a 30% c-section rate.
I am one of those girls with very narrow hips. It was tough to get DD out and her heart rate dropped several times.
But I did educate myself and tell my OB I did not want one unless either of us were in trouble. My OB was my biggest advocate. I do think c-sections are very necessary and that they save lives. I do think most girls want to deliver vaginally though, and having a great OB or midwife is crucial.