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OB in a Haystack?

OB/GYN, Doctor, Pregnancy, Midwife

Photo: iStockphoto.com/Cimmerian

I thought, if or when I ever got pregnant again I would be able to continue my care with my three awesome midwives I had used for my last pregnancy. When I called last week to set up an appointment and share the exciting news of my pregnancy, I was stopped dead in my tracks.

The OB/GYN practice that backs up these midwives would simply not allow them to take me on as a patient with two previous cesareans, despite the new research, and  American College (also called Congress)  of Obstetrician and Gynecologist (ACOG) press release revising their recommendations on women, like me with two previous cesareans deliveries.

The College guidelines now clearly say that women with two previous lo

w-transverse cesarean incisions, women carrying twins, and women with an unknown

type of uterine scar are considered appropriate candidates for a TOLAC,” said Jeffrey L. Ecker, MD, from Massachusetts General Hospital in Boston and immediate past vice chair of the Committee on Practice Bulletins-Obstetrics who co-wrote the document with William A. Grobman, MD, from Northwestern University in Chicago.” – Taken from the ACOG Press release July 2010

At first I was in shock. Did these Obstetricians not read the newest research and findings or did they just not care? Then came the tears. What am I going to do? I had been with this practice for going on three years, I had built a certain comfort level, and trust level with them. Something not easy for me after my first delivery experience.   What the hell!

To say I was pissed would be a total under statement at this point. I talked to my midwife at length, who is also an amazing friend of mine, and she gave me a lot of advice, some recommendations, and a couple practices that may be able, or willing to take me on.

That night, before bed, I sat down and send out dozens of e-mails to all of my connections in the local childbirth community. One of those e-mails landed in the inbox of an assistant Chief of Obstetrics at a large teaching hospital in my area. The same hospital which was my first choice to birth at after I knew home birth was not an option due to my husband’s concern about safety considering my previous deliveries.

I was lucky enough to receive a friendly e-mail back from this same Perinatologist that evening offering a ton of great information including a provider recommendation.

You would think I was asking for them to do some kind of hippy birth chant, and dance around the room while I hung from the ceiling giving birth. I simply want a trial of labor!!

I called the recommended office the next morning, and had an amazingly friendly woman take my information, and go out of her way to fit me in for a consult with this specific provider. She also gave me some great advice for this Doctor and practice. I was surprised they were able to get me in with my request, and that right there was the first positive for this office. Although I am still not in as a patient, I am grateful to have the consult, and that is one foot in the door.

I also have called three other practices I am anxiously waiting to hear back from. If they call me back, it will probably be nothing short of a miracle. At this point I feel like some kind of leper begging for help!

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