15 February 2008

Ixnay on the Intervention-ay

Do you have ANY idea whatsoever how difficult it is to find an OB who is not determined from the get-go to deliver twins via c-section and have mom on bedrest at 20 weeks? Well, consider too that I live in the middle of nowhere and there are no legal midwives within a 200 mile radius....

I mean, at least give me a CHANCE to be healthy and have no complications (especially considering the fact that I have delivered two strappingly healthy post-term children and am well informed about nutrition and caring for myself properly during pregnancy)!

So, how hard, exactly, is it to find the one OB who won't hold me under his thumb of pessimism for the next 20-something weeks? Pretty hard, it turns out, but NOT impossible! After roughly six weeks of searching and researching, and two hour long interviews with the candidates from separate practices who I'd narrowed it down to, I struck gold - I hope.

The first doc seemed pretty decent, but would not budge on viewing me as high risk from the start with no reason other than the fact that I have two fetuses in me. Forget the fact that they are di-amniotic/di-chorionic (the least risky of twin types)... She also wouldn't budge on certain caveats of the actual delivery including when she would and wouldn't allow a trial of labor instead of proceeding directly to the O.R.

But the second doc, who has 40 years of experience, smiled and said exactly what I wanted to hear - that he is prepared, but not paranoid. He is capable of and willing to intervene when necessary, but realizes that it's only necessary in a small handful of situations. He won't speculate as to the chances of those situations, as that would be silly, but won't treat me as though they are likely to happen unless he actually sees cause for that stance. He also will allow a breech delivery to progress as long as the babies are doing well - something other docs shy away from, even if they concede it's better, simply because they don't have enough experience at it. I have to agree, I don't want a doc who's never attended a breech birth, or who is unskilled at how to handle it properly, in charge. And so I am just so glad I finally found the doc who isn't cramping my style.

Note of interest - which also illustrates how long this guy has been delivering babies - he delivered Derek's older brother, who would have been 37 this year.

I hope that I have other things to talk about over the next several months. I can't imagine how boring it must be to read about my dietary preferences and agony over finding a doc, but this is what is going on in our family right now! :)

Oh, Blake got his new teeth yesterday! And Nadia's 4th birthday party is tomorrow (although her actual birthday is not until the 21st). I will post pics of both.

4 comments:

Anonymous said...

You have not considered the most obvious problem; it's not lack of dr's that will attempt...it's the number of attornies specializing in malpractice insurance and can see a 6 month Caribean vacation from a mile away...should the teeniest complication occur. Had you offered to sign a legal waver, you may have not had to search so long and hard.
God bless you and the little ones.

jmk said...

Not boring to me!! I LOVE hearing the details! ;) So glad you found a doctor who will work with you. Mine was the same way, and I was so thankful for that.

Anonymous said...

LOL - I'm riveted by your OB search, but you already know that. I'm SO happy that it worked out. Now I'm just going to pray for a loooong gestation and two vertex presentations (even though a breech would be kind of cool...)

winter.wonderland said...

Considering the fact that there are less than 10 obstetricians within a 200 mile radius, I am happy to have found someone I am happy with at all. I would agree with the fear of legal action, if I was asking someone to do something that is dangerous, but I'm not. I have never hoped that someone would allow a birth where the baby is in distress to progress without intervention. I was looking for (and found) and OB who would do what any doctor would have done thirty years ago, but won't now because it's become passe.