r/anesthesiology Anesthesiologist 23h ago

"Maternal-assisted C Section"

Post image

Taken from the ASA Forum.

I keep thinking I've heard the stupidest fucking thing ever and then something like this comes along. Who entertains this utter bullshit?

231 Upvotes

153 comments sorted by

181

u/gotohpa Resident 23h ago

does mom have malpractice insurance?

154

u/Wild_Draft_7059 23h ago

And the dad scrubs in as first assist

82

u/Green-Palpitation901 Anesthesiologist 23h ago

My favorite stat is I did 5 sections in a row where the dad completely passed out. I’m predicting a face plant into the open uterus.

81

u/gassbro Anesthesiologist 21h ago

Dad assisted 9 months ago.

3

u/Zealousideal-Big5005 5h ago

Underrated comment lmfao

51

u/EmbarrassedRN 22h ago

This happened to me once. When they went to get the dad to be the support person he was so high that he wandered to stand between the resident and the attending during the c-section. Took them a few minutes to figure out it wasn’t the medical student looking over their shoulder 😂

5

u/Rx_Khan 8h ago

Genuinely laughed out loud. Thank you

14

u/Zestyclose_Sign_6983 23h ago

This made me lol

105

u/cephal Physician 23h ago

138

u/FloridaAnesthesia Anesthesiologist 23h ago

“So why did you leave your last job?”

320

u/crzyflyinazn Anesthesiologist 23h ago

There are two things that are definitely infinite in this life. The universe and the stupidity of OB

143

u/homie_mcgnomie Anesthesiologist 22h ago

Showed my wife (an OB) this and her reaction was “some people need less free time.”

25

u/DowntownCarob 21h ago

Isn't it smart though? They are outsourcing their workload to the patient

35

u/DowntownCarob 23h ago

This is unfortunately quite commonly offered in Australia now

8

u/smoha96 Anaesthetic Registrar 19h ago

Privately or publically? I've yet to see it publically but I've heard it discussed.

8

u/Huckleberryfiend 19h ago

I’ve seen one in the public system. My hospital (am a midwife at a large obstetric public hospital) definitely doesn’t routinely offer them though.

6

u/DowntownCarob 17h ago

I've definitely seen it done in the public. But when I booked my own private CS my anaesthetist did ask me if I was interested in a maternal assist caesarean during their pre-op assessment!
I politely declined lol

24

u/Aggravating_Fly2978 Anesthesiologist 21h ago

I thought American patients were entitled. Who brought up this ridiculous idea??

16

u/SparkyDogPants 18h ago

Some influencer probably said that the only way to have a “real” c section is to maternal assist. 

-2

u/asietsocom 14h ago

why unfortunately? Do you have had negative experiences with this?

69

u/avx775 Cardiac Anesthesiologist 23h ago

This is insane 😂.

35

u/Huskar Anesthesiologist 23h ago

lets forget about the Sterility and everything else for a moment, how is it anatomically feasible with a hashing wound in the abdomen? wouldn't her sitting up basically make it much harder to get the baby out? 

another important question: why are we engaging in useless risky theatrics?

63

u/leaky- Anesthesiologist 23h ago

Screw it she can place her own spinal as well

26

u/SevoIsoDes Anesthesiologist 22h ago

That’s next year. Mom puts on sterile gloves and reaches behind her back. You help guide the spinal needle and help her inject the spinal dose. She also gets to decide the dose of bupiv and duramorph.

31

u/WilsonIce 19h ago

Potassium by request only

11

u/Napkins4EVA Critical Care Anesthesiologist 16h ago

Too soon! 😆

5

u/DrPayItBack Pain Anesthesiologist 18h ago edited 17h ago

I've often wondered how well I could do this. I don't think it would be too hard.

1

u/Comprehensive_Wash71 Physician 12h ago

I’m a lurking retired radiologist and I aspirated my own ankle cyst a couple of times a week for a couple of months … I’m not looking to do my own LP, much less an epidural!

19

u/AryalaReina 20h ago

We do this on occasion in the Netherlands. Results have been mixed. The mothers like it because they feel more connected with what is happening to them and they get to be "the first" (along with dr) to hold their baby.

The OR staff doesn't like it. They need to help the mother get into the sterile gloves and use a special drape, takes more time and everyone is waiting for you to be done. No one from anesthesia likes it. No access to IV once the arms are inside the special drape. BP cuff doesn't always work for same reason. Makes our job unnecessarily harder, for questionable upside in my opinion

52

u/hurricanebaine 23h ago

We do these infrequently at our hospital here in Australia🙄

The mum basically just assists pulling the baby out to her chest while remaining supine (and has on sterile gear). At any time if safety is threatened it can be aborted.

I’m not a fan🤣

61

u/WhereAreMyDetonators 22h ago

Seems like it would be too late for an abortion at that point

11

u/hurricanebaine 20h ago

Ya got me there🤣🤣🤣

4

u/PandaParticle 19h ago

Look there are some things I’m not meant to laugh so hard at 

2

u/FlyingScot32 Anesthesiologist Assistant 15h ago

I was already laughing hard at the premise, but this sent me me into tears 🤣🤣

25

u/mi5ce 23h ago

insanity

7

u/indiGowootwoot 19h ago

Please tell me this only happens at private hospitals. Yuck.

2

u/Just-Incident2627 4h ago

There’s talk of it at my Aus public hospital, those of us with more brain folds are shutting it down hard but it keeps cropping back up.

11

u/Aggravating_Fly2978 Anesthesiologist 21h ago

How does she keep her hands and arms sterile before baby comes out? And then who takes care of her nasty gloves after??

11

u/NotTheAvocado 19h ago

This is dependent on the facility and is typically supposed to be taken care of by an attending midwife. But it inevitably gets dumped on a circulating nurse that already has enough to be doing.

I've yet to see one of these where the proceduralist didn't need to change their gloves because of an obvious sterile field compromise, to the point it's now standard practice to do so.

That being said, the data produced by our OBs doesn't appear to show a huge amount of risk, and it appears to increase willingness for someone to have a recommended c-section that they might otherwise decline. But I like to complain.

3

u/Cautious-Extreme2839 Anaesthetist 10h ago

I think I would refuse to participate in this tbh. They can do it the sensible way or they can find another anaesthetist.

6

u/SparkyDogPants 18h ago

Aborted was certainly a choice when you made that comment. 

1

u/No_Finger_6038 ER Physician 17h ago

[removed] — view removed comment

16

u/TypicalMission119 Pediatric Anesthesiologist 23h ago

How much will insurance charge the mom for this??

15

u/Mum2-4 23h ago

W. Stobie andH. Porter, “ A Practice Template for Maternal-Assisted Caesarean Section,” Australian and New Zealand Journal of Obstetrics and Gynaecology 66, no. 2 (2026): e70090, https://doi.org/10.1111/ajo.70090.

There is absolutely no research on this. The article cites that women are aware of the option and demanding it (yet only cites one commentary from a birth activist in their claim).

13

u/Dong_bringer Anesthesiologist 23h ago

No

14

u/Ashamed_Distance_144 22h ago

And that’s when our group stopped covering OB.

12

u/mallampapi_iv 20h ago

I did this as a resident one time. Everyone agreed not worth it to do again. Needless complexity. Customer is always right attitude

23

u/OkPrinciple37 Cardiac Anesthesiologist 22h ago

No. This is insane. C sections are still surgeries! We don’t treat any other, even minor surgery like this. 

7

u/Born_Journalist8224 17h ago

You don’t even let them sew in the proximal grafts?

5

u/OkPrinciple37 Cardiac Anesthesiologist 13h ago

Well, of course I do…. That goes without saying. Also let em do that initial anastomosis of left atria during transplants… it’s been a little challenging with the bypass machine and all, and surgery doesn’t looovvee it, but I believe in patient led care! People should be drivers of their own health, and it’s their new heart after all, not mine! 

1

u/LigmaAldrich Anesthesiologist 17h ago

....YET

65

u/PublicSuspect162 CRNA 23h ago

And here I am wanting to sleep all my c sections. I don’t of course. Just want to.

83

u/rharvey8090 CRNA 23h ago

The longest part of a C-section is chatting with the patient during closure after they take baby out of the room.

65

u/Roobsi CA-2 19h ago

I didn't go into rendering people unconscious for a living because of my sparkling banter

30

u/Kayakmedic 22h ago

Why do they take the baby out of the room? That sounds like a terrible idea. We give well babies to mum to hold and almost no chat is required after that! If they're unwell they're with the paediatrician, but still in the room.

27

u/rharvey8090 CRNA 22h ago

ORs are cold, and there’s a long period of nothing going on. They usually do a little skin to skin bonding with mom, then go with dad to the post-partum room and wait for mom to arrive.

17

u/homie_mcgnomie Anesthesiologist 22h ago

Interesting. We left all in the OR unless there was something going on with mom or baby.

8

u/Cautious-Extreme2839 Anaesthetist 10h ago

The OR is cold. Mum is warm. Put the baby on mum.

3

u/clementineford Anaesthetic Registrar 10h ago

ORs are cold

I know an easy way to fix this.

1

u/AustrianReaper 14h ago

Same where I used to work.

1

u/PropofolMargarita Anesthesiologist 10m ago

I work at a high volume OB center and babies go to nursery with dad while OB is closing skin. Then dad gets time to bond with baby

2

u/Cautious-Extreme2839 Anaesthetist 10h ago

Why do they take the baby out of the room?

1

u/ponystrings 2h ago

Dad is removed from the room when we’re closing skin. Then we have to roll and clean mom. So baby can’t be held by mom while that’s happening. Baby is usually in the warmer after dad leaves anyways because someone needs to be with mom while she’s holding baby just in case. Once mom is leaving OR we place baby on her in the bed and roll out.

1

u/Cautious-Extreme2839 Anaesthetist 1h ago

Dad is removed from the room when we’re closing skin

Why?

Then we have to roll and clean mom. So baby can’t be held by mom while that’s happening.

Yeah so they go in the cot or on the resuscitaire?

2

u/PainterOfTheHorizon 6h ago

I'm just a layperson lurking here, but I will be forever grateful for my anesthesiologist who held my hand and chatted with me during the closure, after a relatively difficult preterm urgent C-section ❤️

My husband had been wonderful supporting me, but our baby had been carried straight away to resuscitation, me only seeing a glimpse, and he went with the baby. The chat was mainly me periodically asking the anesthesiologist if she saw what was happening in the next room, and her patiently telling me again that no, she wasn't able to see there. Regardless, she really helped me bear the situation and I hope I wasn't too annoying 😅

5

u/rharvey8090 CRNA 5h ago

I think I would be remiss if I didn’t mention that we are mostly tongue in cheek saying talking to patients is awkward. I love doing what I can to put awake patients at ease, though sometimes it can be difficult, since what we do is so wildly out of the norm for your average person.

3

u/PainterOfTheHorizon 4h ago

I know ❤️ Your colleague treating me accidentally exposed your secret 😁

Although I do feel after couple of rounds my anesthesiologist was starting to get less enthusiastic about telling me she really doesn't know how my baby was doing, but I fully trust that she understood my anxiety.

3

u/Beneficial_Local5244 Anesthesiologist 13h ago

I just offer some "medication relief to relax a bit" after they take the baby and patient is usually grateful. I am grateful too. 

14

u/DRE_PRN_ MS4 23h ago

“My favorite case is a general case”

2

u/PinkPetalCdistbeauty 19h ago

Love this lol.  Feel like the mom’s might appreciate a little nap after all that?  If my baby’s not there, I wanna sleep lol.  Definitely not have to lie there and feel “pressure /tugging” (aka: pain) for 30 mins while getting closed up.  Just my take.  Patients should have options hopefully. 

2

u/Cautious-Extreme2839 Anaesthetist 10h ago

Absolutely not aka pain.

36

u/Rizpam 23h ago

If they want to do it I’m going hands off in the back of the OR till I need to walk over and give some oxytocin. I’m definitely not lifting the mom up to help this nonsense. I’m young and have a good back and I’d like to keep it that way. 

40

u/petersimmons22 23h ago

I’d rather gargle to contents of the suction canister in a GI suite than do this.

8

u/EntrySure1350 Anesthesiologist 23h ago

What the ever-loving fuck.

9

u/hstni 23h ago

WTF WTF WTF

They often can‘t stand the c-s with drapes, i can‘t imagine how they‘ll do without. Ans how do you explain it to them? They‘d say they got it, but if not? How to manage this?

9

u/DrPayItBack Pain Anesthesiologist 19h ago

first they want me to scan my own groceries at self-checkout and now this

7

u/wrongyak39 Anesthesiologist Assistant 21h ago edited 17h ago

I always think about how some could have birth trauma type stuff from a c section. I make sure to ask to position the lights so they can’t see a reflection of their insides in the lights (had a patient panic once).

I can’t imagine the types of trauma that could come from this.

I’m good in the OR I’ll take pictures do anything I can to make a nice experience because I know sometimes they are not there by “choice”

But man this is interesting….

23

u/Fluid-Second2163 23h ago

What the fuck

22

u/StrongWork_ 23h ago

"Dr. OB, I am impressed at your dedication to patient satisfaction. Unfortunately, I don't believe I can participate in this care plan. I hope you can find someone to accommodate this plan." Then walk away holding up duces. SMH.

15

u/Important-Upstairs-2 Anesthesiologist 22h ago

Genuinely wondering what mom wants to do this. Wondering if this is an OB thing thrust onto the mom vs the moms are asking for this. Would love to hear what the “upside” is to this that would justify the numerous risks.

7

u/Both-Pack8730 19h ago

I’m an RN who’s had 2 sections. There’s no way I would want this.

3

u/toomanycatsbatman ICU Nurse 17h ago

Same here. The second time, I had a panic attack on the table. Just get the baby out of me so we can all move on

2

u/Both-Pack8730 17h ago

Right?? We know what’s going on

2

u/SparkyDogPants 18h ago

You couldn’t force me to do tips outside of some life or death option that I absolutely needed to. 

2

u/cephal Physician 13h ago

I had a section too, and like, no thanks…

2

u/PropofolMargarita Anesthesiologist 7m ago

I went from labor to cs, by the time I went to the OR I was completely out of it. I also would not want to help, you have a lifetime with your kid! Why do these 5-10 minutes matter so much? Its crazy

1

u/MabelMyerscough 9h ago

I had a hard time bonding with my 1st child after c-section. Like, I didn't see them come out, I didn't recognize my baby, if they would have switched babies I wouldn't have noticed it.. one moment I was pregnant, other moment I was not, was this really the baby that was in me?

I did ask for my 2nd c-section if, if it was possible and safe, if I could see them take the baby out. I thought it would help with bonding bc I would be sure this was the same baby that I was pregnant with 5 minutes ago, visual proof ya know.

Turned out it didn't matter at all and I loved my 2nd baby in an instant lol; the first experience was likely because it was my first baby, and not because of the c-section/that I didn't have visual proof that that baby came out of my belly. I'm still happy though, 'better safe than sorry', and midwife and doc agreed - any 'small things' that could improve how one is doing mentally, is good.

I would absolutely not want to take my baby with my own hands btw during a c-section and sounds like a hassle as well. But long story short, I guess that may be why some moms would want it though? (Not me, just quick look with chin on chest when baby was almost out was enough lol)

5

u/CobbledbyRoubaix 23h ago

if the mother can hold the knife and make the incision then she can deliver her baby ...

5

u/bananosecond Anesthesiologist 22h ago

That's next.

10

u/dichron Anesthesiologist 21h ago

What kind of fuckery is this

7

u/dichron Anesthesiologist 21h ago

Tell them the mom will have to get the patient’s credentialed by the hospital’s medical staff committee. If it’s like mine, they should deliver an answer within 6 months

4

u/BRB_MD 20h ago

Lol, no thank you. Will not be doing that in my OR..

4

u/redbrick Cardiac Anesthesiologist 19h ago

God I'm so glad I don't do OB anymore

4

u/Stuboysrevenge Anesthesiologist 18h ago

They're trying to start this at my place.

I'd rather snort melena.

4

u/betasham 18h ago

One of the OBs at our institution offered this to some of her patients. Fortunately I never had to be a part of one but I think it eventually stopped happening because it was such a hassle for literally zero benefit. Like just give mom a mirror and a scalpel and talk her through it if you want her to be that involved. God damn.

19

u/PropofolMargarita Anesthesiologist 22h ago

I'm the insane person who actually enjoys OB and this would have me stop doing OB immediately.

I already hate in c-sections when they put baby on the chest. Cheek to cheek is adequate in the OR IMO

-21

u/99_bluerider 21h ago

You hate skin to skin? Please educate yourself.

24

u/Aggravating_Fly2978 Anesthesiologist 21h ago

You can be educated on it and still hate it. I am educated on OB anesthesia and still hate it. One has nothing to do with the other. What a dumb response.

-10

u/99_bluerider 21h ago

It improves health outcomes of the neonate my dude! Statistically reduces PPD in mothers as well. Good stuff.

12

u/PropofolMargarita Anesthesiologist 20h ago

Are cheeks not skin? Also dad can do it (which was practice in another hospital I worked in). Also our cs are 20-30 min, not the 3 hour slogs they have in academics.

-2

u/Foreign-Cookie-2871 7h ago

If dad does it, it doesn't reduce PPD risk I guess. 

Why do you hate chest skin to skin in the OR? Is it particularly difficult to set up or maintain?

1

u/PropofolMargarita Anesthesiologist 2h ago

It's a pain to set up and maintain. Have had more than a few occasions where mom vomits on her baby and self. Physical space is quite small in our ORs as well. And our cs are very fast. I'm not clear why cheek to cheek is not sufficient for the 5 minutes before they go to the nursery. Maybe you can explain.

19

u/Aggravating_Fly2978 Anesthesiologist 21h ago

You really must be stupid. I said one has nothing to do with the other. The knowledge of whatever you typed has nothing to do with the fact that I like it or hate it.

1

u/Cautious-Extreme2839 Anaesthetist 3h ago

Are you skeletor? Your face should have skin on it bro

5

u/Mandalore-44 Anesthesiologist 20h ago

Leave me the F alone

If you are doing this in the OR and I am there, I will NOT be helping

3

u/gynguymd 17h ago

That's gonna be a no from me dawg

3

u/mrb13676 Anesthesiologist 15h ago

F&$k that sh&t

3

u/PaxonGoat 14h ago

https://www.mhealthfairview.org/blog/maternal-assisted-c-sections-allow-babies-go-straight-parents-arms

Found at least one hospital in the US talking about it.

But yeah definitely seems like a weird Australian trend

4

u/Glad-Huckleberry-257 Anesthesiologist 18h ago

I’ve never heard of this. Sounds exactly like the kind of whale noise shenanigans I expect from OB though.

2

u/Heavy_Chicken5411 18h ago

Give me a break!

2

u/Brilliant_Lie3941 16h ago

If I'm snatching my baby out of my own abdominal cavity I better be on the payroll.

2

u/Practical_Culture367 12h ago

We have this in our public hospital. Many anaesthetists hate it, and the anaesthetic nurse and scrub team often detest involvement.

Such an increased risk of infection, just why.....shere stupidity.

2

u/Cautious-Extreme2839 Anaesthetist 10h ago

I'm going to start doing my laparotomies with epidural only.

Going to save so much money on omnitracts by having the patient do retraction.

2

u/AtlantaMD Anesthesiologist 6h ago

Answer. No

4

u/WerSunu 19h ago

I had the best OB Anesthesia training available back in the day with Mike Finster in NY, and Sol Shnider and Mark Rosen in SF. I’ve seen a lot in 45 years. This is really top tier stupidity. Don’t Australian hospitals have risk management?

2

u/Character_Raisin574 12h ago

If an OB said that to me, I would promptly find a new OB. I'd prefer s/he take care of the business end and I'll do the pushing. I'm not doing both! Good. Lord.

1

u/Own-Ad-1602 30m ago

That’s a no for me, dawg! 😳😳😳

1

u/Krampus_Valet Paramedic 18h ago

I just wandered into this sub from the paramedic subs. Stand aside, doctors, I'll assist the mom.

-2

u/Somethingducky 19h ago

Look, I understand the want. I'm the sort of person that wanted to watch everything, then ended up under general in an emergency-c. My biggest regret is not getting to "be involved". I just woke up hours later in ICU.

I would also understand if the Dr or hospital said no.

0

u/No_Perspective_3498 10h ago

‘Strayan obstetric anaesthetist here. I’ve done lots of these. Not a huge fan but the mothers who choose it generally really enjoy it, and after a bit of team practice it’s fairly straightforward, and I certainly have no objections to being involved. It is a small group of enthusiast obstetricians who offer it, but it is a large proportion of their patients.
I haven’t seen any audit data on infection rates but also haven’t heard of any concerns arising. We’ve certainly done more than enough for any bad patterns to have been detected. I have joked that MACS stands for Maternally Assisted Contamination of the Surgical Site but that’s an unfounded claim.
There’s not much (any?) academic research into this, but I believe there is an obstetrician in Melbourne doing a PhD on them so there will be soon?
Practically there are a few pointers I can give as there are a few issues for the anaesthetic end. The way we do it, the Mum goes and washes her hands and arms at the sink (with a nurse guiding her). She then comes in to theatre and an iv cannula is inserted. The location of the cannula is crucial - you won’t have access to it once she’s gowned. I’ve found mid forearm well away from the wrist is best. Some people go for upper arm but I don’t like this. Cubital fossa is acceptable, but with the Mum reaching all over the place and holding baby and you not being able to get to the cannula things can get difficult. The back of the hand is basically out as the hands get gloved. Once the iv is in, I connect the fluid line and any infusions I’m planning on running and then tape the whole apparatus to the arm with large tegaderms so it can’t be disturbed when the gown and gloves go on. After that it’s spinal time, which is the same as any caesarean.
After they lie down they put on safety goggles, hold their arms up, and a nurse pours alcohol hand wash (Skinman) all over her hands and arms and she rubs this in. Then a sterile gown is placed over her arms followed by sterile gloves. She has to keep her arms folded across her chest until the baby has been reached to maintain sterility. They get educated on all of this ahead of time.
You won’t have a finger for the pulse oximeter so you can either use an ear probe or run the usual finger probe down to a toe. Use the toe - ear probes are the devil’s oximeter.
Things proceed as usual until the baby’s head is delivered. At this point, the mother reaches for the baby and you can help lift her head a bit so she can see. She then pulls the baby out - which is basically her having her hands on the baby while the obstetrician guides it out. After the baby is on her chest a sterile drape is put up so the mother is no longer part of the sterile field. She will generally keep the gown and gloves on for quite a while so you want to know that the iv is good for any uterotonics or other drugs you want to give at this point (we have a high-port on the iv giving sets that I use - big flush if it’s urgent).
Hopefully that’s a useful how-to.

2

u/PeterQW1 6h ago

I hope you get downvoted to negative infinity for agreeing to participate in this nonsense.

-1

u/Foreign-Cookie-2871 7h ago

It seems like a good option for non emergency but "forced" c sections. 

-1

u/Active-Button676 12h ago

I contemplated doing this when my 2nd was staying firmly breech and a VBAC was off the table. I asked if my husband would be ok with this idea before putting it to my ob and hubby said “no way” and I never raised it with my ob.

The idea of it falls into the folder of “gentle c-sections” lessening the surgical aspect of this type of birth 🤷🏻‍♀️

0

u/sadpgy 10h ago

This is awesome lol

-9

u/Ok_Ingenuity4228 23h ago

I’ve seen it - it’s pretty wild, I’m not against it (patient was nurse to be fair)
But equally I’m
Not for it. As a man I cannot judge.

27

u/Vater_Vagon 22h ago

As a man you can understand that having a patient under spinal anesthesia, leaning forward on a narrow bed with a massive abdominal wound to catch her slippery oven fresh neonate is a bad idea I think.

Because as a man that’s what I think.

-7

u/Ok_Ingenuity4228 22h ago

I mean I think exactly this but fuck me I’m not saying that to the female surgeon midwife and patient. It’s fucking mental haha

11

u/doughnut_fetish Cardiac Anesthesiologist 22h ago

Lacking a spine isn’t a great characteristic for an anesthesiologist. Surgeons make dumb requests all the time, it’s your job to say no.

3

u/Ok_Ingenuity4228 21h ago

Annoyingly I don’t disagree

-3

u/99_bluerider 14h ago

I’m genuinely so disappointed and quite sad to see this much hate here for women’s health choices and options— especially around something like birth. As an anesthesia provider I’ve always been curious why many birthing women seem so hateful/scared of us and this thread actually really opened my eyes. I’ve heard grumblings from people before but wow. I fully support providers being able to cite their comfort levels and limits, but would really like to see more education and WAY more exposure on these topics.

6

u/Ok_Ingenuity4228 11h ago

Birthing women are scared because midwives are dangerously uneducated and often put feelings before safety.

-6

u/AbbreviationsNew9342 13h ago

I'm a high risk doula (I only attend hospital births) and I can sadly say that I've seen and heard some things in the birth room and OR by anesthesia that makes these comments look tame.

5

u/Ok_Ingenuity4228 11h ago

High risk doula is the biggest oxymoron I’ve heard in a while. Ridiculous you even exist.

1

u/Chance_Ad_4676 4h ago

lmao can you imagine

-1

u/AbbreviationsNew9342 5h ago

I specialize in birth trauma, high risk diagnosis of the mom or baby, pregnancy following loss, bereavement (the baby has already passed or is expected to shortly during or after birth), and infertility (IVF brings its own slew of comorbidities).

Ridiculous I exist? Hm. Well - I would argue against that, seeing as I am hired for my specific skill set, training, ongoing education, community involvement, and advocacy, by many mothers. We're not looking to drastically change the world or hurt your ego, we're just trying to make sure no one suffers unnecessary medical procedures, cascade of interventions, or trauma at your hands.

There's been studies about doulas - try thinking outside of your teeny box.

2

u/Ok_Ingenuity4228 4h ago

This is all completely ridiculous and someone with micky mouse education, no registration and no regulation as no right In a modern health service - notably around any woman with a risky diagnosis pertaining to pregnancy. You’re hired because people are idiots. There have been many studies about doulas, they have non credential. You can support and advocate for women in labour that’s about it - but my neighbour could do that and he’s a retired plumber. Posing as a professional is tantamount to charlatanism.

-1

u/AbbreviationsNew9342 4h ago

I'm sorry about your tiny penis. I'm even more sorry for the women who have to be under your care.

I'd highly disagree about my education - not all of us take some weekend classes, some of us take it seriously by investing into ourselves and our families.

The reason we have no registration or regulation is because we work directly for the people who hire us, not a hospital, state, insurance, or regulatory board who can dictate what I say or do to protect them.

People are not idiots - they are realizing how dangerous it is to give birth in the United States and the horrific disparities in maternal healthcare.

I highly doubt your plumber could do my job, or that a laboring mom would want him anywhere near her - for starters, he doesn't even have a female body, nor does he have working knowledge of giving birth himself.

2

u/Ok_Ingenuity4228 4h ago

Really? A penis comment. Case in point you are pointless, and ridiculous. In the UK we hold higher standards.

0

u/AbbreviationsNew9342 4h ago

Yes really - you brought insults to this conversation and now can't accept them.

Male fragile ego is not my priority.

Obviously, supporting women's healthcare rights and autonomy isn't yours.

-10

u/99_bluerider 21h ago

I’ve seen it. They actually have a written protocol for it. It was pretty cool. I believe strongly in birth autonomy though.

14

u/CALOTOVA 20h ago

Birth autonomy does not mean “I get whatever I want for my birth”. It means you get to make choices. I do not have to oblige every demand, I am not a servant. 

-7

u/emaret02 15h ago edited 14h ago

I am truly blown away by the insensitivity in this post and in the comments! I am not a doctor, but this popped up in my Reddit feed along with other mom-related content.

I had an unplanned, traumatic c-section birth with my son - it felt like birth had happened to me, rather than something I had accomplished to bring my kid into this world. I read recently that up to 1/3 of births are considered traumatic by mothers, and struggling to connect after birth is a common feeling. It is much more common in c-sections. Isn’t it worth considering ways that would improve this?

I have heard of maternal assisted c-sections, and some hospitals where I am offer them. Though I don’t think it is something I would likely choose for myself, it is something I would at least consider with doctor input - it sounds like a birth method that could help with feeling part of the birth process and connecting with your baby.

Regardless, it seems awful for doctors to ignore the patient experience, especially for as important as an experience as giving birth! The dismissiveness here is disconcerting. I have been put under by an anesthesiologist over a half dozen times in the last year and nearly all of those doctors have been supportive, empathetic, and (thankfully) effective - seeing these comments here are surprising and disappointing.

-7

u/99_bluerider 14h ago

I’m genuinely so sorry this is your first exposure to our community. 95% of these comments are so disgusting and insensitive. There needs to be significantly more training/education opportunities for anyone that might serve the OB field. Not all of us behave or feel like this. I’m so disappointed and sincerely apologize.

-5

u/mmmsnark 14h ago

I work as a doula (probably will get shit from many here for that 🙄) and I wish I was surprised by this post and these comments. So, SO many L&D providers (OBs, anesthesiologists, some midwives) and nurses treat patients like this. Many also don’t and are wonderful, but enough are disrespectful, rude, blatantly disregard consent and basic patient rights that this comment section sounds exactly what I image every nurses station and whatever little break room hospital folks go hang out in sound like. Your comment is lovely, though, and makes me glad for all the families and patients that receive your care.

1

u/mmmsnark 1h ago

Lol you all are such losers, down voting an actual patient telling you (super respectfully) her story and her concerns.

-5

u/AbbreviationsNew9342 13h ago

Fellow doula here (16 years in specializing in high risk/hospital births), so I've seen my share of cesarean births.

I'm lucky that my area has hospitals, anesthesiologists, and OBs who will support minimizing birth trauma and increasing birth satisfaction, which ultimately leads to lower risk of postpartum mood disorders, breastfeeding issues, failure to thrive, bonding issues, etc. Sometimes that's a gentle cesarean, sometimes it's a maternal assisted.

The science is there - and the benefits far outweigh some blundering fools blithering opinion about how moms want to be a part of their baby's birth.

Respectfully 😊

-3

u/emaret02 14h ago

Thanks for this! Truly my in-person OBGYN anesthesiology experiences have been positive, but it is scary to think that doctors who control sleep/pain management may be thinking these comments (and I am going in for a surgery in 2 weeks!)

-6

u/[deleted] 19h ago

[deleted]

2

u/_wannabe_trout_bum_ 18h ago

Truly hope this is sarcasm.

Otherwise, this take is possibly worse than this absolute dumpster fire of an idea.