The ACOG Disconnect: Confessions of an OB/GYN Physician

In May of this year, I attended the Annual Clinical Meeting for ACOG. While there was a wealth of information and innovation shared at the meeting, the conference was missing critical content: collaborative care.

Not one lecture on best practices in collaborative care.

We are facing a physician shortage of great proportions in this country over the next decade and collaborative care is the most patient-centric approach to addressing this crisis. Why aren’t we sharing best practices to overcome that hurdle?

Continue reading The ACOG Disconnect: Confessions of an OB/GYN Physician

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

“But, I want YOU to deliver my baby ….”

2939246041_43018ab09d_n“I want you to be there when I have my baby…”

The words sting every time I hear them. The guilt flows like a broken dam and pulls at my heartstrings, making me feel so heavy inside…

But, I can’t make that promise. I can’t make that commitment.

Why? I probably shouldn’t explain to my patient the real reason. Continue reading “But, I want YOU to deliver my baby ….”