This I Know is True in OB

For some reason, I feel so super emotional writing this. I just wish some things were different. I hope and pray that one day we will all practice in a setting where everyone just does the right thing. It’s like I’m living in an alternate universe. Everyone is so afraid of saying something, but yet, no one shuts up. It’s so strange to me that we’re supposed to support any and every decision a woman makes, unless it regards whether or not she continues her pregnancy. I’m not touting my own personal opinions here (because I haven’t given my opinion on that), I’m just saying it’s so odd to me. Women should support other women. We shouldn’t judge the decisions people make, but we also shouldn’t say that all decisions are equal. Because we all know that’s not true.

Vaginal deliveries have less potential complications for women.

  • That doesn’t mean vaginal deliveries are always better for mom or baby, or always possible, it just means there are overall less potential complications.
  • This doesn’t mean you’re less of a woman if you have a cesarean delivery.
  • It means if you had an unnecessary cesarean delivery, and NOT unnecessary in hindsight, but unnecessary because the decision was made with anything other than your best interest in mind, then that is wrong. It’s that simple.

If a woman decides to have an elective repeat cesarean delivery after having a previous cesarean delivery, as long as they were given an option and educated on the potential benefits and risks of both, then that’s a woman’s right because that was her informed choice.

  • This doesn’t mean you’re less of a woman if you chose to have an elective repeat cesarean delivery.
  • But if you weren’t given a birthing choice, then that is wrong.
  • And if you weren’t educated on the benefits and risks of both a VBAC and a repeat cesarean, then that too is wrong.
  • If you don’t know why you weren’t given a choice, then you should be asking more questions.

Breast milk is healthier than formula.

  • That doesn’t mean formula is wrong, it just means it’s not as healthy as breast milk.
  • This doesn’t mean your less of a mom if you chose not to breastfeed, or if you couldn’t breastfeed.
  • If you chose to formula feed because you didn’t get education prior to delivery, then that was wrong.
  • If you chose to formula feed because you weren’t given adequate support, then that is also wrong.
  • If you didn’t try to educate yourself before you delivered, then you should know better. But as healthcare providers, we can forgive that, because we get it. That does not alter our responsibility as healthcare providers to educate you!
  • This also doesn’t mean that women who do choose to breastfeed shouldn’t be high-fived.

Some providers are good, and some are bad.

  • Your friends and family can only provide so much insight.
  • Ask questions, and ask them early. If you don’t like the answers, then find another provider.

Any educated decision is the right decision for you. It’s seriously that simple.

Until my next delivery ❤


10 thoughts on “This I Know is True in OB

  • April 24, 2016 at 5:23 pm
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    Love Love Love a million times Love.

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  • April 25, 2016 at 3:20 am
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    I’m proud of this article. You echo the books! Informed risks and benefits are the standard and not every mommy chooses the same thing. But whatever a woman chooses is hers to do and you guys will support them nonetheless. I’m glad you reminded us that just because it’s a cesarean or they choose formula they’re no less a mom. Some moms just don’t have a choice, work can interfere and breast milk is not conducive to that sometimes. I teach what you live and I’m glad that you live what I teach.

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  • April 25, 2016 at 5:38 pm
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    Our facility uses the terminology TOLAC rather than VBAC since the patient can have a trial of labor after cesarean section, but they may not always end up with the VBAC. I am disappointed to see how many patients schedule repeat cesarean sections. Some of the doctors that practice at the hospital I work at don’t offer their patients the option for a TOLAC, which is really disappointing. I know from personal experience that it can be done, and the recovery is so much easier. Great article. Thanks for posting.

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    • April 25, 2016 at 6:47 pm
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      I may be wrong, but I think that’s outdated terminology. If I remember correctly, ACOG didn’t want women to feel like it was a “trial”, like they’d fail.

      Reply
    • July 8, 2016 at 12:23 am
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      When a woman (as was my case) is told after her first, semi-elected/semi-suggested (due to many factors during first, vaginal birth) c-section that vaginal birth wouldn’t be recommended due to the weakness of her own uterus, and after getting a second opinion, what would you then recommend? Women are told their choice is disappointing but that they are no less of a woman because they did what was right for them and baby. Regardless of your own personal feelings on the matter, your job is to educate the patient. Not to force your opinion and your personal belief onto them. If an elected cc-section is what they’ve chosen, your job is to allow her to do what is right for her and baby. Nothing more. (Ps, this is NOT an attack, but more a separate side of the coin so to speak. Too many women get told how a doctor or health professional feels, on a personal level, when the job of that person is simply to educate).

      Reply
      • March 22, 2017 at 1:44 am
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        I always recommend following the advice of your health care provider. They know your medical background in detail. I never give personal opinions. I can only provide education and facts. People often ask for my opinion. I always tell them that my opinion is not relevant. They need to make the choice that is best for themselves…One they can live with. I can answer any other questions, and provide facts…No opinions.

        Reply
  • July 8, 2016 at 2:16 pm
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    Thank you for this! I am unable to breastfeed because the rxs I took during pregnancy for a movement disorder (which an OBGYN approved for use and the pediatrician present at my daughter’s birth said didn’t harm my baby) stopped my breasts from producing any milk (I did have colostrum for her though). Less than a week after my baby’s birth, after formula feeding and struggling to breastfeed, i finally gave up on breastfeeding. I cried my eyes out that morning, and later I cried to the ob and a nurse that helped deliver my baby, and they saw to it that I didn’t beat myself up over the matter. Since then I have had peace about formula feeding my daughter, but it was good to read your article. Thank you again!

    Reply

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