For each of her three previous childbirths, Annmarie had gone to the hospital too early and had to have a Caesarean section because of failure to progress. This time, Annmarie wanted a natural childbirth. Some doctors told her it shouldn't be done. Vaginal births after two C-sections are considered risky because they can cause uterine rupture.
Did anyone else get the impression that the doulas were doing slightly 'more' than typical doula duties?? Maybe I'm misreading but the way it was written at least seemed to suggest that they had some role in the woman's clinical care??
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I don't think it's a typo. She had 3 previous CXs. Vbac after one is sometimes done, but after 2 is generally considered too dangerous , I think that is what they are asaying.
Did anyone else get the impression that the doulas were doing slightly 'more' than typical doula duties?? Maybe I'm misreading but the way it was written at least seemed to suggest that they had some role in the woman's clinical care??
" She was due Aug. 4. Two doulas - Wendy Kogler and LaNette McQuitty - worked with her during pregnancy, and a physician and a midwife worked with her at Aurora Sinai Medical Center, where she planned to give birth."
I think they were probably just referring to the typical prenatal visits labor doulas normaly do. She probably got her prenatal care from the hospital based Dr and midwife.
Though I wonder who all was actually in on the whole VBAC plan......
Which leads to the question... Would you have supported this mom in her attempt to VBAC without medical consent?
I mean in therory I would, but realistically it scares the heck out of me. What would our liability be if she ruptures and hemmorages and we had supported her and known the risks? We have to have some culpability... We can't rely on the old
WE DO NOTHING MEDICAL.. if we are aiding a mom that we KNOW is trying a vbac after 3 Cxs we WOULD have some legal responsibility in the death of the baby at least. NO insurance is going to get you out of that.
This is a real issue for us as many hospitals are not doing ANY VBACs. Can we safely , knowingly, support a mom in an attempt to VBAC without her Dr's support? I wouldn't take the leagal risk. I think then we ARE doing something medical.
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Last edited by amylou; 08-25-2009 at 07:14 AM.
Reason: to add more...
On the doula note, yeah, while I was reading I felt that either the doulas were doing more than traditional doula stuff (sounded more like motrice duties to me...) or that they had been represented wrongly. How else would they have known that she was complete unless they checked or she was pushy before leaving home in the first place???
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On the doula note, yeah, while I was reading I felt that either the doulas were doing more than traditional doula stuff (sounded more like motrice duties to me...) or that they had been represented wrongly. How else would they have known that she was complete unless they checked or she was pushy before leaving home in the first place???
Yes, that's exactly what I was thinking. Also this:
"She and Matthew called the doulas. They came over and monitored Annmarie's progress. ...Around 7 a.m., she was fully dilated."
Even though that stuff could have been determined without clinical shenanigans, I think it could be misrepresentative of a doulas role to the uninitiated...hmmm.... like PP said, maybe they were more in the 'montrice' role??? Who knows!
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And I didn't see my typo until I read your post! OOPS! (Montrice, not motrice )
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Originally Posted by amylou
"
Which leads to the question... Would you have supported this mom in her attempt to VBAC without medical consent?
I mean in therory I would, but realistically it scares the heck out of me. What would our liability be if she ruptures and hemmorages and we had supported her and known the risks? We have to have some culpability... We can't rely on the old
WE DO NOTHING MEDICAL.. if we are aiding a mom that we KNOW is trying a vbac after 3 Cxs we WOULD have some legal responsibility in the death of the baby at least. NO insurance is going to get you out of that.
This is a real issue for us as many hospitals are not doing ANY VBACs. Can we safely , knowingly, support a mom in an attempt to VBAC without her Dr's support? I wouldn't take the leagal risk. I think then we ARE doing something medical.
Absolutly I would support a mom without medical consent, that is our job. We are not doing anything medical by giving her CORRECT information and "letting" her make her own decisions. You will learn that hospitals are driven by money, not evidenced based information. As you grow in your doula knowledge, you will probably feel more comfortable in these types of situations. The more studies and research you assimilate, the more you will realized the whole money vs. best practices.
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My mom had a total of 5 kids starting at 18 years old. The first three were sections the last two were home VBACS. She was told by her doctor that she was unable to give birth vaginally and that to attempt it would kill both her and her baby. She proved him wrong ... twice.
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I am a STUDENT MIDWIFE seeking my degree in Midwifery through The National College of Midwifery.
I am betting this was who was monitoring her...
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Quote:
OOPS! (Montrice, not motrice 
)
