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Thursday, June 16, 2011

OB/GYN's... best interests of patients or wallets?

So I had my appointment with an OB/GYN this week, and it was... well, to say the least, interesting.
Ever since getting pregnant with Brant, I had always wanted a natural, normal vaginal delivery. The ones you see in movies and tv shows... maybe without all the hitting and screaming at the husband/father part. My hopes dimmed as I was being told Brant was going to be big and how I needed to be induced at 9 days over. Against my better judgement (aka the Spirit telling me to NOT being induced) I was induced and it was a delivery out of anyone's worst nightmare and it ended in an emergency section. And to top it off it was performed by my least favorite OB/GYN by FAR!! After that experience I vowed I would attempt a VBAC (Vaginal Birth After Cesaerean) with my next child.
When I got pregnant with this baby, I contacted the local midwives right away. And while I won't go into detail about that big mess, needless to say I ended up needing to find a doctor/doctors who were willing and supportive of my hopes for a VBAC.
All of the doctors at the clinic I go to have been very supportive and encouraging about a VBAC, but told me I would need to see an OB/GYN to be cleared for a 'trial VBAC', basically meaning "we've checked over the patients history and body and find no reason to let her 'try'". I say 'try' because that's how they make you feel. Sure, go ahead and try but chances are you'll need a repeat section. (Well... I'm here to prove you wrong buddy!)
At the OB/GYN's office I was appalled to find that the previous OB (the one who performed my section, and who I wouldn't trust as far as I could throw him) had basically gotten all the facts of my L&D wrong in his surgical report. Which give the current OB/GYN the wrong impression of how my first labour went and he judges my chance on that. But of course, who is he going to believe... The woman who was there the entire time or the dweeb who came in a ripped out my kid??
Needless to say, I was given a 65% chance of a successful VBAC, and while that's still a decent chance, he never gave me a chance to explain the situation we had with Brant and any explanation I gave he 'poo poo'd right off the bat. "It's very unlikely his neck got deflected" (Unlikely, but still could happen right?) Thanks to the previous OB, he failed to mention how baby was positioned when he took him out so we may never know why he failed to descend, although I'm 90% sure his neck WAS deflected!
Anyway, the OB didn't seem too encouraging on the VBAC front and mentioned having a repeat section more than enough! It's just hard to stay positive when they really DON'T have the patient and baby's best interest in mind. Sections are a great tool when absolutely needed, but women have been having babies for centuries and our bodies are made for it! And these two OB's are a great example of why the section rate has soared over the last few years. Sections are easier to plan, schedule in, you know how long (typically) it should take to have a baby and because mom needs more drugs, anaesthetic and hospital time, the doctor and hospital are GUARANTEED MORE money! Not that I don't mind supporting my doctor, but sections are NOT always the best choice and it's NOT natural!
Maybe it's a flaw in the education of our doctors, being taught medicine is best, but you think because they put so much energy and years into their education you are getting someone who knows what's best, when really what's best is to (for the most part!!!) let nature takes it's course.
While I'm extremely happy with most of the doctors at my clinic and feel confident that with their help (Not the help of a 'scalpel happy' OB) I will have the best shot at a successful VBAC, I wish that those who put in the extra time, money and years to 'specialize' in their field would be more educated in what's BEST for the patient and not their wallets.



*NOTE: this isn't really a rant, and I'm not aiming this at all doctors. It's just the discovering of an area I had put so much trust in (doctors and the medical profession) has a second agenda and how they don't always have the BEST interest of the patient in mind.

Monday, June 13, 2011

A Little Update...

It's been a while.
I'm sorry I don't have any pictures this time, we've lost the power cord to our camera and until we find it, there won't be any pictures! Boo... we better find it soon cause we would like some pictures of this new baby!!

This last month has been pretty boring pregnancy wise. LA#2 has just been growing and sitting extremely low. Which is new for me! Brant LIVED in my rib cage! This child likes my pelvis.
I keep commenting on how my belly looks so much different this time. I didn't know why, but then it clicked. This boy read the "Emergency escape" pamphlet! He's head down (very down) and butt out! Brant had his bum under my ribs! (posterior) So with this kid in the proper position I'm getting more excited about delivery. Basically because my hopes for a natural vaginal delivery are going up!!

I'm still measuring large, and my hands and feet are starting to swell. Again, never experienced that with Brant. I'm also looking into natural and homeopathic remedies to help with labor and I've started a few this week! (I'm 36 weeks) Hoping they do what they claim to do!!

We went camping this past month!! We went May 28 to June 3. It was a lot of fun! My friend Courtney has a trailer and so our two families packed up and went to Bow Valley Provincial Park. The husbands stayed on the weekends but it was just just girls (and kiddos) during the week. The kids had a blast! Brant LOVES camping, and mom fell in love with the idea of trailers!! ;)

I also signed myself up for a serging class. A friend of mine was given a serger and my mom gave me hers but neither of us had any idea on how to use them. So we took the class together! It was a lot of fun, although we felt like the young 'troublemakers' as everyone else in that class was basically a grandma! I've already made a couple pillowcases for Brant, and it took less time to serge them than to cut them out!! It was sooooo easy!

Tomorrow I have my appointment with the OB/GYN. Yay for another 'lovely' internal exam! They are just going to be checking me over to make sure I can provide enough room for baby to make his grand exit and answer any VBAC questions I have. Speaking of which I should probably go and write some down so I don't forget! (Mental note for later....)

I'm getting really anxious about impending labor, but becoming more confident each day. That or just sick of being huge and VERY uncomfortable!!

Happy Summer Everyone!