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Monday
Jun072010

Monday Open Thread

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Today’s open thread is hosted by an eighteenth century man midwife.

 

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Reader Comments (35)

I got nothin'. I went to bed at 1 and got up at 4:30 and my house is silent but I have to do some stupid transcription before I go to bed.

That postcard is a little hot.

June 7, 2010 | Unregistered Commenterfoxy.kate

At what point is it right to tell your doctor you are going elsewhere for care? It seems that everyone's line in the sand is different...I'm just wondering what has pushed folks over that line to seek care elsewhere.

And as a follow-up to that one, what do you do when you are stuck with your OB for the remainder of your pregnancy, but you have discovered you have a substantial difference of opinion about how your labor should be handled?

June 7, 2010 | Unregistered CommenterStBridgit

Why a lot of womens that went thru a c-section under general anesthesia believe that they can't breastfeed? I went to my WIC appointment last week, and today to the pediatrician appointment today, and in both places they were saying how amazed they were at the fact that I am EBF my 6 week old, and he is doing great... they said the same in both places... that for some reason BF after a c-section with general is pretty unnusual... It is really??? I mean, it was hard to get him to latch, but with patience, it took us a whole night of skin to skin, and lots of love, and at 6:40 am on april 27th 2010, my hungry baby latched on and never let go... I want to know other womans experience with this... I am seriously thinking about doing some research on this...

June 7, 2010 | Unregistered CommenterCarolina Quackenbush

StBridgit, how are you stuck? Most insurers let you change docs at any time, and docs themselves can't stop you. Are you afraid you wouldn't get someone else to take you?

And if you don't want to deal with your doctor, just call the office, tell them you have decided to go elsewhere, and then ask how to get your records transferred. Most docs are busy enough that they will not take the time to give you grief about it. And if they do...well, you don't owe them an explanation.

I guess if I was truly stuck in terms of no one else being able to take me, I'd blow off my OB and go find a midwife even if I had to go to another state. Or, worst-case, labor at home as long as possible and then go in pushing and use the doc on call, with a good support team to back me up.

June 7, 2010 | Unregistered Commenteremjaybee

Foxy Kate~ tell them immediately or just don't go back. I was 4 mos. pregnant when my OB said I'd have to have a cesarean, & I did not find a home birth midwife til I was 7 months, I just ate well & exercised every day & I had a 4 1/2 hour labor & delivered a 6.5 # princess! If you feel stuck in other situations in your life what do you do? I'm sure there is a solution. Women; birth is a JOY don't be afraid! Listen to the words that come out of your care givers mouth! If the words do not align with you, IT WON'T work out. Look at your self, are you the picture of health or are you sickly & weak? If you are led on a certain path & sway from it, you usually have a set back in other areas of your life. Same applies with birth!

June 7, 2010 | Unregistered CommenterLinda Honey

Sorry I meant STBridgit

June 7, 2010 | Unregistered CommenterLinda Honey

I have been thinking a lot about OBs and how they interact with women who have anxiety and other psychological conditions. I have witnessed a mother with severe anxiety related to sexual assault/abuse denied her meds and mistreated by her CPs. Another doula I know heard a similar thing about a mom with agoraphobia and other anxieties at the same hospital.

No specific thoughts except that what I witnessed was abuse and it scares the living poo out of me.

Have their been any studies done regarding the treatment of women with mental illness and the OB model of care?

June 7, 2010 | Unregistered CommenterVanessa Manz

For emjaybee's advice to StBridgit, I'd of course add to get a doula - add all the allies you can if you know you're headed into hostile territory!

Carolina: it is not that breastfeeding after c-section is unusual, but there is certainly some evidence that c-sections interfere with time to first breastfeeding and day that mature milk comes in - although recent reading and research I've been doing has cast some doubt on my received wisdom that "c-section = lower breastfeeding rates". I suspect, though, that a lot of providers/breastfeeding promoters share that received wisdom and so are impressed by your experience. Certainly the general anesthesia is especially notable given that we know some anesthesia goes to the baby and that a lot of those babies need extra TLC to get going - like your night of skin-to-skin! (I'd like to do more research on this myself - maybe I'll make a blog post out of it.) I should add that the WIC population in general has lower breastfeeding rates and so you are even more of an outlier for the people you are meeting. I think it's wonderful that you are demonstrating to those people that c-section under general does NOT mean you can't have a great breastfeeding relationship. I hope you're telling them about the skin-to-skin and loving care so that they can help encourage other moms to do the same, and not give up!

June 7, 2010 | Unregistered CommenterRebecca

My friend had her c/s Sunday and baby has too much fluid in the lungs and they are not letting them room in yet. I know the fluid thing is common w/ c/s babies but why can't they room in? I know she was anxious about breastfeeding getting off to a good start. Ugh.

Also, anyone in NY, please please call your state reps and help get the Midwife Modernization Act passed! Here is the link and email I just got from my awesome midwife:

Hi Everyone,


Thank you all for everything that you are doing! We need more help. The MMA is coming to a vote tomorrow morning in the Assembly Higher Ed Committee but we have learned today that the position of the bill is tenuous. We need to FLOOD the Higher Ed committee so they hear the support for the bill. ACOG (American Congress of Obstetricians and Gynecologists) has been mobilized as well to ask their legislators not to pass our bill. We need to make more noise than they do. We need to busy the phone lines with calls from us. Please contact EVERYONE on the Higher Ed committee, regardless of whether you are in their district, asking them to report it out of committee tomorrow.


If you have a fax and can fax to all of the members please do. Please, even if you can't call everyone, make just ONE call tomorrow morning.


THIS IS CRITICAL!!


http://freeourmidwives.org/take-action/contacting-your-legislators/


Thanks,

June 7, 2010 | Unregistered CommenterAnother Rachel

Oh it's not me currently--I was in that situation with my last pregnancy, and I have since changed providers. However many pregnant women find that their "supportive" provider is not so supportive at about 37 weeks, and then it's a real scramble to try to find someone else--and many women can't find someone to take them as patients at that late gestation. And then there are many military moms who are stuck with whoever they get.

I'm just wondering what specific strategies women have used to cope with that type of situation--what has worked, what hasn't. For example, doulas are a great idea, but they aren't always allowed under all birthing scenarios. I'd just like to see specific language that will enable a woman laboring under those difficult circumstances to hold the lines that are important to her, without her labor room being a war zone and without her risking being declared mentally incompetent by the medical pros and totally ignored.

June 7, 2010 | Unregistered CommenterStBridgit
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