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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Saw one of the obs in Bethesda.  She knows the name of my children and treats me like I am a real human.  She delivered by first baby with forceps after the midwife had me push for 5 hours.  I followed up with her and never looked back.  During COVID-19, I have emailed her and she let me know what days she is in the office.  So continuity has not been an issue. [/quote]

It pisses me off to read how often the GW midwives let women push for hours and hours on end. I’m a former patient of theirs who wrecked my pelvic floor under their care because they had me push for hours with no discussion of the potential consequences. I guess apparently anal and urinary incontinence, fistula, severe tears, and prolapse don’t matter to them as much as avoiding a dreaded C section. As a potential patient you should be aware that they will let you push for many more hours than any responsible provider would ever allow.  
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Except I pushed for 6.5 hours with my second and have zero problems. No pelvic floor damage, I didn't even require a single stitch for tearing. Sometimes babies are malpositioned but that doesn't mean you can't deliver vaginally without consequences. I understand you want to blame someone, but perpetuating fear based maternal care isn't the way to go. [/quote]

Prolonged pushing is associated with a number of complications. You were the exception, not the norm.
That’s making delivery decisions based on facts, not fear.[/quote]

Not really a fact. There's a slightly greater chance of pelvic floor damage, that's the only additional risk with a drug-free, intervention-free delivery. 
Look it up on NCIB. Compared to a litany of additional risk factors with every drug and intervention pushed upon birthing women. That's why our maternal care here sucks, people like you..

And what is considered "prolonged", anyway? Longer than you expected? So much fear on this thread. [/quote]

ACOG has definitions for prolonged labor for primips and multigravids. They aren’t my definitions. And no, there are plenty of risks of prolonged labor. Injuries to the mother as well as the baby. But keep believing your NCB nonsense that somehow just avoiding interventions when labor goes poorly somehow will stilll ensure a good outcome. The rest of us will gladly take advance of the luxury of 21st century’s modern medicine and be grateful for “interventions” that now allow us and our children to survive when history would have resigned us to a different

“As a result, prolonged labor or prolonged pushing is sometimes encouraged in order to avoid a cesarean section. However, while safe for the baby, it appears that these concepts may not be in the best long-term interest of the mother. We know now that prolonged and difficult labors may lead to permanent nerve damage and weakening of the pelvic muscles and the supporting structures to the uterus, bladder and rectum. This can eventually lead to dropping of the pelvic organs (known as pelvic organ prolapse) or https://www.uclahealth.org/womens-pelvic-health/childbirth-

“Observational research has shown that for mothers, longer pushing times are related to higher rates of postpartum hemorrhage, infection, and 3rd and 4th degree tears. Severe tears are more common with longer pushing phases even after adjusting for instrumental birth and episiotomy. Unfortunately, no study has measured what impact “hands-on” intervention to speed up the birth (the care provider using their hands to facilitate a prolonged second stage through perineal massage, etc.) might have on tears.

Most people with prolonged pushing times will end up with a vaginal birth. However, longer pushing times are still associated with a higher chance of Cesarean and vacuum or forceps assisted birth.

For babies, longer pushing times have been associated with higher rates of low Apgar scores, NICU admissions, birth trauma and other newborn health problems. In one study, researchers found the overall combined rate of newborn complications is around 2.5% for first-time mothers who push 3 or more hours.”

https://evidencebasedbirth.com/prolonged-second-stage-of-labor/

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