Category Archives: Medical

Week 39: Midwifery vs. OB models of care

I am shocked at the differences between midwifery and OB care. The 39 week appointment is always a time of trepidation for me as a doula and for my clients. It’s the appointment where providers order ultrasounds to check for … Continue reading

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Week 28: The scary zone

Note: I started this blog with a few-week lag to my actual pregnancy, but that lag has turned into 10 weeks – thus the closely spaced weeks here. I’m trying to catch up… Week 28 of pregnancy is a very … Continue reading

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Week 25: Hospital birth plan

So as the OB recommended, I’ve come up with this hospital birth plan. It’s simple and explains what I most care about. Most consent and refusal of hospital procedures takes place verbally anyway, so I do believe that long written … Continue reading

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Week 24: Having rights should not be a marker of privilege

Still trying to sort out my visit with the OB. I think it’s important to separate all the feelings I have after this meeting. I feel elated at having been told that someone is actually going to go out of … Continue reading

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Week 23: Meeting with hospital OB

This OB is amazing. He said the specific words “patient rights trump protocol” and he really, really meant it. I walked into my meeting with him fully expecting to get some bland reassurances, maybe some talk about how every doctor … Continue reading

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Week 15: OB Interview questions

In a few weeks I will be meeting with an obstetrician at the nearest hospital to me. It’s a city hospital with a NICU and is known for being highly interventionist, and one person who has experience at the hospital … Continue reading

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Week 8: Interviewing the system

The Receptionist Receptionist: Hello, this is [Big City University] Med OB/GYN department, how may I help you? Me: Hi, I’m pregnant and I’d like to schedule a consult appointment with Dr. [Good Reputation]. When can he see me, and how … Continue reading

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Questions for my future midwife or OB

I asked all the right questions the first time around. I interviewed several home birth midwives and asked questions like, What is your hospital transfer plan? What position(s) can I give birth in? How long past my due date will … Continue reading

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It takes more than data

Medical care providers in the past have faced the challenge of trying to provide adequate care based on inadequate data. Now that they have billions of bytes of data, the challenge is more complex and not necessarily any easier. Each year hundreds of … Continue reading

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