The Roasted Birth Plan

I can’t claim to have authored this most hysterical satire on birth plans, but I will say that the person who did write it is one of the most compassionate and capable physicians I know – in addition to being extremely midwife, doula, hypno-birth and birth plan friendly. She just recently had a baby and wanted to poke a little fun at the whole process and arrived on the labor unit with this birth plan in hand. The nurses had to do a double-take before they realized it was all in good fun.

Dr. Roast’s Birth Plan

Pain Control: We are opposed to torture. However, we believe that labor is not truly painful, and therefore plan on using a butterfly and fairy based hypnosis performed by my husband during times that are more “intense”.

Continue reading The Roasted Birth Plan

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Midwife Mecca: Reflections of a Physician Leader

“I don’t know what to DO with you, so I’m just going to treat you like a resident,” I hear the OB doc say to our newly minted midwife.

My toes curl and I am searching the white walls of the hospital for a rock to crawl under. The midwife is trying to hold onto her best poker face and fight back the tears from coming out. She knows that shedding a tear would admit defeat. I suddenly feel a bit sad for the fact that we had placed her in a facility that was devoid of midwifery for the past 15 years.

“I can do it,” she said proudly during her interview. “I know it will take time and we will have to move slow, but I am up to the challenge.”

Continue reading Midwife Mecca: Reflections of a Physician Leader

VBAC Rehab: Confessions of an OB/GYN Physician

I am an OB/GYN physician and…

I am a former VBAC denier. VBAC stands for Vaginal Birth After Cesarean. It’s something we are supposed to offer and push our patients to consider. I want to do the right thing. But, I’m conflicted, confused and wary. Let me explain.

VBAC was all the rage in the 80’s and 90’s, until a slew of research articles, committee opinions and studies demonstrated the risks. The brakes were applied and the birth centers offering VBAC decreased. The cesarean section rate soared and more studies revealed the accumulated risks of performing multiple cesarean sections on patients. Recently, the pendulum has swung back to the VBAC corner. Continue reading VBAC Rehab: Confessions of an OB/GYN Physician