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Expectant and Postpartum Moms
Reply to "Ladies who had elective c-sections, how did you find an OB who agreed to it? "
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[quote=Anonymous]OP I am a PP and I’m sorry the crazy vaginal birth people found this thread and pounced. It’s amazing how many women will proudly claim to be pro choice and then yet be profoundly anti choice when it comes to giving birth and breastfeeding. It’s your body and your choice and frankly whatever reasons you have are immaterial because it’s your body and your baby. In terms of finding an OB, I would try to find a small OB group or solo provider who supports your choice. Or if you have to do the big practice route, only see one provider to the extent you can do you don’t have to defend your choice every visit to a different doctor. I think you will have an easier time finding a supportive group or provider if you avoid teaching hospitals and practices that train med students and go for private practices that see older moms. That said, I think you will find most OBs will be supportive if you can clearly articulate why you want a “maternal request C section.” I believe ACOG advises OBs to counsel you against this but ultimately to honor your choice. That said, I would make sure you can clearly articulate why you want this. It’s none of my business if you were raped, or sexually abused, or if your mom had a severe prolapse from her birth and you want to avoid that, or if you just are concerned about doing the most you can to preserve your continence or sexual function, or something else entirely. That said, I think you will find that if you can speak the language of doctors (ie “I have given my birth a lot of thought and I want a maternal request C-section. I understand the risks and benefits and here’s why...if I deliver here will you/this practice support my choice?”) it will be easier. There is a great book called Choosing Cesarean that lays out many arguments for scheduled c-sections and why women deserve the choice - might be worth familiarizing yourself with the research a bit in it. And a final word is that as other PPs have said, there are certainly risks to any delivery and it’s certainly not a guarantee that you won’t experience some type of postpartum issue or require pelvic floor physical therapy (though I hope that’s not the case). I wish you the best in finding a supportive doctor. Frankly as someone contemplating pelvic floor reconstructive surgery options and the considerable costs and risks (and high surgical fail rates) from damage caused from my vaginal birth, I wish I had your foresight before my first pregnancy instead of believing that a vaginal birth was best for my baby and me, because it was not. [/quote]
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