Tag Archives: Induction

Preventing primary cesarean

Hi! Internship has been keeping me busy. So has getting together my presentation for this year’s VBAC summit. I had an hour and fifteen minutes to talk. I went over, and I still didn’t cover half of what I wanted to say.

The First Cut is the Deepest. (I can’t figure out how to embed the viewer.)

You can find the mp3 to hear me speaking to go along with the presentation. I explain. A lot. I also tell funny stories, horrible jokes, and pass out chocolates. Sorry, the chocolates are not available through the internet.

MP3 of me: https://www.wepay.com/stores/vbac-summit/item/preventing-primary-c-sections-what-you-need-to-kno-717302
MP3s of all of the presentations: https://www.wepay.com/stores/vbac-summit

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Early induction for dying dad

My sister-in-law posted the link on my Facebook page to this sad story about a pregnant woman getting an induction a week and a half early because her husband was dying. I had already seen the story on quite a few of my birthy friends’ Facebook pages, but hadn’t typed out my thoughts about it. She encouraged me to discuss my thoughts, so this is what I said:

Yeah, this story has been spreading around the birth-o-sphere. It’s really heartbreaking.

I think it was very empathetic for the hospital to accommodate them by putting them together. I doubt many hospitals would do that.

Strictly academically speaking, it is not advisable, medically, to induce delivery at 38 weeks. The baby had a higher risk of having lung issues and being admitted to the NICU, which would have been even more stressful in a non ideal situation. 38 weeks is better than earlier, but it still carries a slightly higher risk of certain complications.

Also, an early induction may fail and end in cesarean, which would be harder on the mom. It would have separated them. Considering how many kids she already had and that she was already experiencing some symptoms (although many women feel contractions way before they are ready to deliver) it was more likely that the induction would be successful.

Nonacademically speaking, people are induced early for worse reasons. I think it probably meant a lot to both of them, and will mean a lot to the baby as it gets older enough to understand.

It reminded me of repeatedly sneaking infant Zacho into the ICU to see Dad, which was also not medically advisable, but meant a lot to me. It also means a lot to Zach, who was just telling me last night that he remembers meeting Grandpa, and that he was really funny.

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For some more reading, I wrote about nulliparous (first birth) induction for non medical reasons, and, since the article states that the mom had planned a “natural childbirth”, here is my post about really disliking that term. For clarification, my dad died about a month after Zach, my youngest son, was born. And, yes, he was really funny.

This was blog post number 666. I heard recently that the real number of the beast may be 616. Oh, well.

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So, I’m still here

Again I find myself apologizing for the blog silence. There are a few reasons I have been quiet.

First of all, my ex has been reading my posts and complaining to players in our divorce about what I write on here. So, I am not writing more about our divorce on here.

Secondly, I have been pretty busy. I have been doing the holiday thing with the kids, family and friends. I did get a few days off work. I am actually pretty happy to get back. I am enjoying pulmonology, and may look into doing a 4th year elective with the same attending physician. I am getting pretty good at ABGs.

I am not so good at EKGs. I did a module on EKGs using this ECG Wave-Maven, and I am really confused by a 5:4 AV Wenkebach. I could spot the MI’s, which is a relief, I guess.

So, there is more stuff I wish I had the energy to talk about. Mtv had an episode of “16 and Pregnant” called No Easy Decision in which one of the teen moms gets pregnant again, and decides to terminate the pregnancy. I have not seen it, but I think there are actually three young women who discuss choosing abortion. From what I have heard, it is a well put together show. Exhale has put together a site called 16 and loved that supports her coming forward with her story.

California Watch published a report entitled “As early elective births increase so do health risks for mother, child”. Thanks to Jill at The Unnecesarean for covering this.

CNN had an article on CNN.com called “Mom defies doctor, has baby her way” about a woman who had a home birth VBA3C (vaginal delivery after 3 cesareans). She was alternately painted as reckless and also as having no other option. How is a woman supposed to have a VBAC in a facility “with staff immediately available to provide emergency care” if practitioners who deliver in these facilities refuse to attend VBACs?

Anyway, I’m back, at least for the time being. I hope my son’s guardian doesn’t tell me he got an earful about my blog again. I am not airing all of our dirty laundry on here. Believe it or not, this is reticence.

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