Sunday, September 9, 2012

Bedside Manner

I saw an interesting article on MSN today - it was titled 4 Signs You Should Fire your Doctors.  You can find the article here.  It was quite appropriate based on our doctors appointment last week.

For those of you who don't remember, my midwife that I had seen throughout my pregnancy changed practices to a hospital based midwifery clinic.  I was going to follow her over there until she found out that the new OBs that she was working with didn't want her taking any high risk patients.  Since I'm on meds for the gestational diabetes, I am considered higher risk.  So I had to switch docs at 37 weeks pregnant. 

So, last Monday was our first visit with the new doctor.  I basically went with the physician who had an opening since I didn't know much about the others.  That ended up being "Dr. J."  This doc refers patients to my clinic a lot but I didn't know much else about her.

So, we go to our visit and it went something like this.  Dr. J is Asian and has an asian accent.

Her: Hi, I'm Dr. J.  I think we've met before.

Me: No, I don't think -

Her:  (cutting me off) So you have big baby!  The American College of Obstetrics and Gynecology recommends that we offer you c-section at 39 weeks.

Me:  silence because I am stunned.

Her:  blah blah blah - lots of talk of shoulder dystocia, something about 5-30% risk, and a lot of hard to understand things because she talked so fast with her accent.

I don't remember all that she said because the minute I heard the word c-section my mind went to panic mode and then went into "don't cry in front of the doctor mode".  I tried to clarify what the statistics she was talking about but never got a clear answer.  She checked to see if I was dialated, talked about nipple stimulation, recommended we do our own research about the c-section and left.  The minute she walked out the door I burst into tears and we stayed in there for a good 5-10 minutes so I could compose myself.  Then I cried after we left and a lot during the day.

As I've mentioned before, I'm not opposed to a c-section if it is medically necessary but I certainly don't think that just because my guy is going to be between 9 and 10 pounds that it deems it medically necessary.  I know several people who are smaller than me who pushed out 9+ pound babies. 

More importantly, I feel like this doctor who has never met me before just walked in and made this statement.  She made no effort to even see how I was feeling that day.  After consulting many others (including nurses at my non stress test, my mother in law, and my own research) I made the decision to a) switch doctors and b) quit freaking out about shoulder dystocia (where the baby gets stuck because the shoulders are too wide.

I called later that afternoon and switched my appointment for this upcoming week to Dr. W.  I've heard nothing but good things about this doctor both from my patients and my sister in law who saw her a few times during her pregnancy.  I am very anxious to have a conversation with her to see her recommendations.  I figure if they are anxious to get him out because he is big then maybe I can look at inducing at 39 weeks to try and do a natural birth vs a csection.

I certainly don't want to put my baby at risk simply because I have a desire to have a natural birth but I honestly don't think an automatic c-section simply based on size is truly necessary.

39 weeks will be this coming Friday (the 14th)....

On a different note, I got 2 other artwork projects done for the nursery this week.  Both were ideas I saw on Pinterest and adapted for myself.

 
The original inspiration for this was cutting out leaves and making a flower type thing.  I decided this was too girly so I did my own adaptation with the circles.  I bought a cool circle cutter at Ben Franklin.  The paper is the same paper that I used to make the letters of baby's name that will be hanging on a different wall.

 
I think this idea is pretty cool for our own story - the states we come from and the state where we met and are starting our family.  I love Montana and Andrew loves Virginia so our hometowns are a large part of who we are.  I may change this and put maroon and orange paper behind instead of the clear glass but I haven't fully decided yet.  This way its very versatile and I could put it somewhere else in the house.
 
 
So, I will give you all an update on Tuesday after our next appointment.  I'm praying that things go much smoother than they did last week....

2 comments:

  1. I'm so sorry Sarah! Rude Drs are terrible! We had one with a.... Let's say less than awesome bedside manner with our first... The silver lining was I barely saw her and the most important people in the room were James and the awesome nurses.... And as someone who had a giant second baby and a baby with a giant head for a first baby I'm here to tell you it's possible to do! Dont be at all discouraged if the baby has a different birth plan than you.... All the anxiety ... At least for me... Melts away when you hear that first big cry.

    Ps. They estimated our second baby would be between 7 and 8 lbs.... He ended up being 9 lbs 5 oz....so they may be slightly off

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