Sibley OB recommendations who don’t push AMA 39 week induction

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Bloom are absolutely not your people on this. They are the definition of folks who schedule inductions for convenience.

This is absurd. I went to Bloom, chose a 39 week induction and the doctors have no say over when it is scheduled (Sibley makes that decision), Sibley rescheduled mine twice due to a nurse or bed shortage, and you have no idea how long an induction will take before you are ready for the doctor to come in and deliver. Bloom has a doctor on rotation all the time at Sibley. Why do people think doctors have a conspiracy against their health?

Not a conspiracy. Perverse incentives.

An OBs incentive for potential predictability, additional revenue, ease of scheduling and protection from liability is at times in conflict with a patients incentive for potential better recovery and early neonatal period for their infant.

This doesn’t mean they’re conspiring it just means a well informed patient needs to be aware of all the levers acting on an OB and advocate for herself and her own best outcome.

It’s naive to think every OB prioritizes the optimal recovery over predictability.

Don't forget the incentive that if the baby is harmed they will get in big trouble, but if the mother is harmed nothing at all happens to them. Your recovery, your survival, are not at the top of their priority list.

Baby's outcome is honestly the only thing that drives the standard of care for childbirth. Not science or data - which shows that many of these standard treatments are harmful to birthing moms having low-risk pregnancies (75+% of them) despite being in regular use throughout the country. But, they tend to save babies from any harm..although statistically we stopped saving more babies years ago; the mortality levels have plateaued, while maternal mortality and morbidity rates in this country have risen astronomically. They are double, triple the rates of all other wealthy countries. +++ that for black and other minority moms.

If you read up on this you will find there are parts of the healthcare system trying to fix this - it's a mix of being intentional about identifying risk and then treating the level of risk appropriately, and centering care on the mom. Sadly without getting all women access to the best prenatal care and well woman care (many pregnancies are high risk due to conditions that were unmanaged long before the first pregnancy), we may not see big gains, but at least it's a move in the right direction.

[Anonymous]

Anonymous wrote:

Anonymous wrote:It's so fascinating to me that pregnancy and child birth are pretty much the only medical situations people so eagerly discount medical experts under the view of "my body, my choice."

No one tries to tell a heart surgeon when to do a procedure.

That’s because pregnancy and childbirth is a natural condition, not an illness. And yes, many times medical interventions are needed, and we are lucky that they are available, but they are not always necessary.

Sure, if all deliveries could be guaranteed uncomplicated I’d agree with you. But it can very quickly involve actual illness. Hemorrhage is an illness. 4th degree tears are an illness. Baby aspirating meconium and getting sepsis is an illness. And on and on. Unfortunately no one can truly guarantee you won’t encounter an actual medical crisis that needs a doctor during delivery, so rational people go to the hospital just in case.

[Anonymous]

Anonymous wrote:

Anonymous wrote:It's so fascinating to me that pregnancy and child birth are pretty much the only medical situations people so eagerly discount medical experts under the view of "my body, my choice."

No one tries to tell a heart surgeon when to do a procedure.

That’s because pregnancy and childbirth is a natural condition, not an illness. And yes, many times medical interventions are needed, and we are lucky that they are available, but they are not always necessary.

Pregnancy/childbirth was really risky before modern medicine. And still is sadly in places without modern healthcare. 1/20 maternal mortality for childbirth in the Middle Ages. And still is currently in places like chad or Sierra Leone. Be careful not to romanticize Nature. Our species sacrificed a lot of women to evolve these giant brains!

[Anonymous]

Anonymous wrote:

Anonymous wrote:I DO NOT put my blind trust in anyone. I do my own research.

I did deliver in a hospital, but did not arrive til I was nearly 9cm and delivered within the hour. No drugs, absolutely. Plan on doing the same with my 2nd, due in November.

Do you do as much research as someone who is a licensed OB?

A few weeks on Google vs. med school and residency?

lol PP is a moron ... "I do my own research" is the tell tale sign they are clueless.

[Anonymous]

OP, I delivered my second with Reiter Hill with an OB who left to found Bloom so I would recommend them. Reiter Hill is such a massive practice that despite intentionally scheduling my visits with a different OB in hopes of meeting all of them I still ended up delivering with an OB I had never met before....but this OB was Dr. Loveland, now at Bloom, who I adored and has been my gynecologist ever since.

Other thoughts based more on all the other posts in this thread...there's so much thrown at expectant new moms about controlling your birth process which honestly is about 90% out of your control other than which OB or midwife practice you choose. I honestly wish I had taken all my energy focused on the birth itself instead on care and support of the baby and myself after the baby arrived. I wish I had been in a support group like PACE from Day 1 and a better understanding of newborn care. I also wish I knew more about postpartum depression and how extremely common it is and I wish I knew to get care right away. My birth process matters zero in hindsight. My experience as a new mother with my second child was completely different (in a wonderful way) from my first mainly because I knew what it would be like, that I was at risk for postpartum depression, and set myself up with the right supports. Ask any experienced mom what they wish they had focused on for their baby's arrival...pretty much every mom experiences loss of control over the birth process, but how your life goes during the early newborn weeks IS something you can prepare for. This isn't something you can "control" because the tiny new human you're in charge of is calling most of the shots, but you can make your experience a much more positive one by planning out a supportive environment and getting training in newborn care. Your OB honestly makes a big difference in your follow up care with respect to PPD - this is another area where Dr. Loveland was great and very supportive.