Just like the medical student I quoted in yesterdays’ post, I too had an encounter early in my career with a natural childbirth advocate who refused to acknowledge that her baby was experiencing severe distress.
It happened within the first weeks of my obstetrics residency and involved a woman who had been attempting a VBA2C. The mother had received her obstetric care at a large HMO and had been cleared to attempt the VBA2C at the hospital. However, in an effort to give herself the “best chance” to have the longed for vaginal delivery, the mother hired a lay midwife and labored at home until she thought she was close to delivery.
She was only 6 cm and the baby was experiencing deep, prolonged episodes of bradycardia with heart rates down to the 50’s (the normal fetal heart rate is 120-160). The patient refused oxygen, she refused an IV and she refused to reposition herself to see if the baby might recover.
It was about 2 AM and I was alone with a nurse who was equally inexperienced. The patient’s doctor was in the OR along with the senior resident. We begged the mother in every way we knew how, but the mother was adamant. I distinctly remember her announcing that she would no longer speak to us and that henceforth everything must be negotiated with her lay midwife who kept counseling the patient that we were lying in an effort to ruin her “birth experience.”
The young nurse began to cry and that frightened the husband. He started to cry, too and begged his wife to put on the oxygen. Shortly thereafter, her membranes ruptured and thick, pea soup meconium oozed out.
I had called into the OR to alert her doctor to the situation and he finally appeared. He strode into the room, tore the paper strip from the monitor and waved it at the patient and her husband. “You don’t have to have a medical degree,” he shouted, “to know that a baby’s heart rate shouldn’t go down to 50 and stay there. Your baby is dying and if you don’t consent to a C-section right this minute, your baby will die.”
The husband became frantic and the wife acquiesced. The baby was born within 10 minutes with initial Apgars of 1 and 1 due to a massive, nearly complete abruption. The father was appalled and just like the story in yesterday’s post insisted that this was OUR fault and that they were going to sue.
They never sued, but I learned a great deal from the episode. I made sure that nothing like that ever happened again and it wasn’t really that hard. I simply played my version of the dead baby card. In the rare instances in which patients were so indoctrinated by the NCB and homebirth literature that they would not believe a detailed explanation of the danger of severe fetal distress, I didn’t argue. Arguing was what they expected and what they were prepared to defend against.
I drew up a hand written informed consent addendum:
Dr. Tuteur has explained to me that she believes my baby is in imminent danger of dying and needs to be delivered by C-section immediately. I understand that my baby might die without an immediate C-section, but I refuse and I take full responsibility for my baby’s death.
No one ever signed. When faced with taking responsibility for the death of her baby, every woman consented to the C-section.
I didn’t use that option very often, because frankly there are very few women who are so indoctrinated with NCB and homebirth misinformation that they cannot be reached. But for those who were, this seemed to cut right through the nonsense. When forced to acknowledge in writing that her baby might die, no woman could bring herself to do it.
Trackbacks/Pingbacks
russian alphabet pronunciation
[…]please check out the web sites we stick to, like this a single, as it represents our picks in the web[…]
virtual card buy with cryptocurrency
[…]check below, are some absolutely unrelated internet sites to ours, however, they’re most trustworthy sources that we use[…]
happyruck.com
[…]Here is an excellent Blog You may Come across Exciting that we Encourage You[…]
https://happyruck.com
[…]Wonderful story, reckoned we could combine several unrelated information, nevertheless really worth taking a search, whoa did one understand about Mid East has got additional problerms also […]
Gorilla Trekking in Bwindi Impenetrable national park
[…]although internet websites we backlink to below are considerably not connected to ours, we feel they may be in fact worth a go by, so have a look[…]
CableFreeTV Tech News
[…]please stop by the sites we follow, such as this 1, as it represents our picks in the web[…]
ipollo b2 for sale
[…]Here is a superb Weblog You might Come across Fascinating that we Encourage You[…]
Mining Rigs
[…]check below, are some totally unrelated web-sites to ours, nevertheless, they’re most trustworthy sources that we use[…]
buy youtube subscribers
[…]here are some hyperlinks to web pages that we link to for the reason that we feel they’re worth visiting[…]
Buy Alza Concerta Online
…
best testosterone booster
…
mango juul pod for sale
…
order counterfeit money
[…]check beneath, are some entirely unrelated internet sites to ours, even so, they may be most trustworthy sources that we use[…]
happyLuke
[…]Wonderful story, reckoned we could combine several unrelated data, nevertheless genuinely really worth taking a look, whoa did one particular learn about Mid East has got extra problerms too […]
MUT
[…]here are some links to web pages that we link to due to the fact we believe they may be worth visiting[…]
thc vape carts for sale
[…]check below, are some entirely unrelated websites to ours, on the other hand, they may be most trustworthy sources that we use[…]
pharmacy Canada
…
dank vape carts for sale
…
srpc93
[…]very few web-sites that happen to be in depth beneath, from our point of view are undoubtedly nicely worth checking out[…]
Apetamin Syrup 200ml Online
[…]very few internet sites that take place to become detailed beneath, from our point of view are undoubtedly well really worth checking out[…]
masturbator sleeve
[…]we came across a cool web site that you simply could possibly appreciate. Take a look should you want[…]
masturbators
…
bacimi sikin benim
[…]The details talked about inside the article are some of the best readily available […]
sig sauer handguns
[…]that could be the end of this report. Right here you will locate some internet sites that we believe you will value, just click the links over[…]
rawgarden.farm
[…]please visit the web sites we comply with, which includes this one particular, because it represents our picks from the web[…]
beretta shortguns
[…]although internet sites we backlink to beneath are considerably not connected to ours, we feel they’re actually worth a go by, so possess a look[…]
Kenya safari holidays
…
savage grow plus real reviews
…
samantha lewes
[…]we came across a cool site that you might love. Take a appear for those who want[…]
bitcoin
[…]one of our guests recently advised the following website[…]
vertigo
[…]we came across a cool web-site that you simply may love. Take a appear when you want[…]
Sompting Abbotts School
[…]Every after in a although we decide on blogs that we study. Listed beneath would be the most recent sites that we pick out […]
Sig Sauer Firearms
[…]Here are some of the web-sites we suggest for our visitors[…]
RissMiner
[…]one of our visitors not too long ago encouraged the following website[…]
buy adhd online uk
[…]although internet sites we backlink to below are considerably not connected to ours, we really feel they may be really worth a go by means of, so possess a look[…]
stock market community
[…]we came across a cool website that you simply may well delight in. Take a appear for those who want[…]
Winchester 1873
…
G19X COMPACT | 9X19MM
…
bench press sets for sale
…
cyberpowerpc infinity x109 gaming pc
[…]please check out the internet sites we follow, like this a single, because it represents our picks in the web[…]
4 Days Murchison Falls Wildlife Safari
[…]Here is a great Blog You may Locate Exciting that we Encourage You[…]
ethereum mining machine for sale in australia
[…]The information mentioned within the write-up are some of the most beneficial readily available […]
buy weed online New Jersey
[…]although internet websites we backlink to beneath are considerably not related to ours, we feel they’re in fact really worth a go as a result of, so have a look[…]
helix gaming chair
[…]Here is a superb Blog You may Obtain Fascinating that we Encourage You[…]
m&p subcompact
…
cockatoo for sale
…
beretta 92 elite ltt for sale
[…]here are some hyperlinks to sites that we link to for the reason that we believe they’re worth visiting[…]
brazilian rainbow boa for sale
[…]The details talked about within the post are a few of the most beneficial readily available […]
kush carts
[…]the time to study or pay a visit to the content material or websites we have linked to below the[…]
buy weed online usa
[…]please pay a visit to the websites we comply with, such as this one particular, as it represents our picks from the web[…]
background check service
[…]although internet websites we backlink to beneath are considerably not associated to ours, we feel they may be truly worth a go through, so possess a look[…]
magic mushrooms
[…]although internet websites we backlink to beneath are considerably not connected to ours, we really feel they’re really worth a go by means of, so have a look[…]
magic mushrooms
[…]we came across a cool website which you might appreciate. Take a search when you want[…]
stiiizy battery near me Archives
[…]check below, are some totally unrelated web-sites to ours, however, they are most trustworthy sources that we use[…]
mossberg patriot 308 for sale
…
zip 22 for sale
…
sig p320x carry
[…]Sites of interest we’ve a link to[…]
mossberg 590 18.5 barrel
[…]here are some hyperlinks to web-sites that we link to mainly because we believe they’re really worth visiting[…]
TRIPLE HEX CARTS
[…]very handful of sites that happen to become in depth below, from our point of view are undoubtedly well really worth checking out[…]
myloweslife
[…]one of our visitors just lately recommended the following website[…]
web sajtovi
Development of websites, mobile applications, portals and online stores
aromatherapy for sleep
[…]here are some hyperlinks to sites that we link to mainly because we think they are really worth visiting[…]
Serengeti African safari
[…]Sites of interest we have a link to[…]
ارقام بنات
[…]Sites of interest we have a link to[…]
shipping containers for sale
…
FARMING EQUIPMENT FOR SALE NEAR ME
[…]Sites of interest we have a link to[…]
african adventure safaris uganda
…
Macbook akku auswechseln bubikon
…
GOLF CARTS FOR SALE
…
Best Deals On Sig Sauer
[…]Every when inside a whilst we decide on blogs that we study. Listed below would be the latest internet sites that we choose […]
Computer Repair Bristol
[…]Wonderful story, reckoned we could combine a handful of unrelated information, nevertheless definitely really worth taking a search, whoa did one master about Mid East has got far more problerms too […]
Referencement web
[…]here are some links to internet sites that we link to simply because we consider they may be really worth visiting[…]
baby sugar gliders for sale
[…]Sites of interest we have a link to[…]
mp3juice
[…]Wonderful story, reckoned we could combine several unrelated data, nonetheless truly really worth taking a look, whoa did one master about Mid East has got more problerms too […]
app download for windows 7
[…]that would be the end of this post. Right here you will locate some web sites that we feel you will appreciate, just click the links over[…]
apps download for windows 8
[…]usually posts some incredibly interesting stuff like this. If you are new to this site[…]
pc app
[…]here are some links to websites that we link to mainly because we consider they may be worth visiting[…]
free download for pc windows
[…]check beneath, are some entirely unrelated internet sites to ours, however, they’re most trustworthy sources that we use[…]
app download for pc
[…]Here is a great Weblog You may Obtain Interesting that we Encourage You[…]
pc apps for windows 7
[…]please pay a visit to the web sites we follow, including this 1, because it represents our picks through the web[…]
اظهار اسم المتصل
[…]although web sites we backlink to beneath are considerably not associated to ours, we feel they may be basically worth a go by, so have a look[…]
sex toys for guys
[…]Here are a number of the internet sites we advocate for our visitors[…]
clit sucking vibrator
[…]Sites of interest we’ve a link to[…]
WHERE TO BUY MESCALINE
[…]Here are several of the internet sites we advise for our visitors[…]
African gray for sale
[…]the time to study or go to the material or web-sites we have linked to beneath the[…]
… [Trackback]
[…] Read More here to that Topic: skepticalob.com/2012/02/dr-amys-dead-baby-card.html […]
Thc oil cartridge
[…]Every as soon as in a even though we choose blogs that we study. Listed below are the newest sites that we choose […]
rexona
[…]Here are several of the web sites we suggest for our visitors[…]
amulet hand
[…]Sites of interest we’ve a link to[…]
피망머니상
[…]very handful of web-sites that come about to be detailed below, from our point of view are undoubtedly very well worth checking out[…]
안전사이트
[…]here are some links to web sites that we link to for the reason that we feel they’re really worth visiting[…]
jai hind high school
[…]although sites we backlink to beneath are considerably not connected to ours, we really feel they are in fact really worth a go by way of, so have a look[…]
best in ottawa
…
best male strokers
…
w88club
[…]check beneath, are some entirely unrelated web-sites to ours, however, they are most trustworthy sources that we use[…]
rechargeable bullet vibrator
[…]just beneath, are several entirely not connected internet sites to ours, however, they’re certainly worth going over[…]
penis ring
[…]we came across a cool web site which you may well take pleasure in. Take a appear in the event you want[…]
facts and myths about sex
[…]please stop by the sites we stick to, like this one, as it represents our picks through the web[…]
male strokers
…
Here
[…]the time to study or check out the content material or web-sites we’ve linked to below the[…]
ctrl coin crypto exchange
[…]Sites of interest we have a link to[…]
melhores smartphones
[…]Sites of interest we have a link to[…]
film streaming
[…]very couple of internet websites that happen to be in depth beneath, from our point of view are undoubtedly properly worth checking out[…]
1expressauto
[…]just beneath, are a lot of absolutely not related internet sites to ours, on the other hand, they are surely worth going over[…]
streamcomplet
[…]just beneath, are various absolutely not associated web-sites to ours, nonetheless, they are certainly worth going over[…]
99defi network – decentralized p2p
[…]Here is a great Blog You may Discover Fascinating that we Encourage You[…]
goztepe escort
[…]very handful of websites that happen to become detailed below, from our point of view are undoubtedly nicely worth checking out[…]
سکس امریکایی
[…]please visit the sites we follow, including this one, as it represents our picks through the web[…]
suction cup dildo
…
adam and eve dildo
[…]The information mentioned inside the post are a few of the most effective accessible […]
best male sex toys
[…]check beneath, are some entirely unrelated websites to ours, nevertheless, they’re most trustworthy sources that we use[…]
best p spot massagers
[…]The facts talked about within the post are a number of the very best out there […]
ruay lotto
[…]the time to study or stop by the subject material or web sites we have linked to below the[…]
lottovip สมัครสมาชิก
[…]Sites of interest we have a link to[…]
ground leases
[…]although web-sites we backlink to below are considerably not related to ours, we really feel they’re truly worth a go by means of, so possess a look[…]
lottovip
[…]here are some hyperlinks to web pages that we link to because we believe they are worth visiting[…]
Realistic Maturbator
[…]Here is a great Blog You may Come across Exciting that we Encourage You[…]
adam and eve vibrators
…
easy pulse portable oxygen concentrator
[…]check below, are some absolutely unrelated sites to ours, having said that, they’re most trustworthy sources that we use[…]
battery operated vibrators
[…]one of our visitors not long ago proposed the following website[…]
thrusting p spot massager
…
rechargeable panty vibrator
[…]the time to read or go to the content material or web-sites we have linked to beneath the[…]
fun88
…
Takeout
[…]one of our guests lately recommended the following website[…]
prostate massager
[…]please pay a visit to the websites we follow, like this one particular, as it represents our picks through the web[…]
mersin escort
…
male prostate massager
[…]always a large fan of linking to bloggers that I appreciate but really don’t get a whole lot of link like from[…]
sex education
[…]Wonderful story, reckoned we could combine several unrelated information, nonetheless definitely worth taking a appear, whoa did one find out about Mid East has got a lot more problerms at the same time […]
Magic Mushroom Edibles
[…]please visit the web sites we comply with, like this one, because it represents our picks through the web[…]
vibrating rechargeable kegel balls
[…]below you will locate the link to some web-sites that we feel you should visit[…]
bakirkoy escort
…
International Hospital Management
[…]Here are a number of the web sites we suggest for our visitors[…]
buy sex toys
[…]we came across a cool site that you just could possibly take pleasure in. Take a search should you want[…]
wand massagers
[…]just beneath, are numerous completely not connected internet sites to ours, however, they may be certainly really worth going over[…]
happyluke
[…]Here are several of the web pages we advocate for our visitors[…]
happyluke
[…]here are some links to websites that we link to due to the fact we believe they may be really worth visiting[…]
trending News
[…]Wonderful story, reckoned we could combine several unrelated information, nevertheless really worth taking a appear, whoa did one particular understand about Mid East has got more problerms as well […]
canada pharmacy
…
arnavutkoy escort
[…]just beneath, are quite a few completely not associated internet sites to ours, even so, they may be certainly really worth going over[…]
erotic story
[…]The data talked about within the report are some of the top out there […]
penis enlargement
[…]just beneath, are several totally not connected websites to ours, on the other hand, they’re certainly worth going over[…]
butterfly vibrator review
[…]one of our visitors not too long ago suggested the following website[…]
penis enlarger
[…]check beneath, are some totally unrelated internet websites to ours, even so, they are most trustworthy sources that we use[…]
realistic pocket pussy
[…]the time to study or pay a visit to the material or websites we have linked to below the[…]
SYMPTOMS OF BOWEL CANCER
[…]below you will discover the link to some web pages that we believe you ought to visit[…]
their information
[…]below you will obtain the link to some internet sites that we think you should visit[…]
computer rapperswil
[…]Every as soon as inside a whilst we opt for blogs that we read. Listed below are the newest web sites that we pick […]
Bolivian Cocaine For Sale
[…]the time to study or visit the material or internet sites we have linked to below the[…]
teachings of Christ
[…]The information and facts talked about within the article are some of the ideal offered […]
canada pharmacy canada pharmacy
[…]Sites of interest we have a link to[…]
Buy Ruger Online
[…]just beneath, are numerous entirely not associated sites to ours, having said that, they are surely really worth going over[…]
real glo carts
[…]The details talked about inside the article are a few of the top readily available […]
buy marijuana online in usa
[…]Wonderful story, reckoned we could combine a few unrelated data, nevertheless actually really worth taking a search, whoa did one particular master about Mid East has got extra problerms also […]
buy weed in Sydney
[…]please check out the websites we comply with, which includes this 1, as it represents our picks from the web[…]
معرفة هوية المتصل
[…]just beneath, are many entirely not related internet sites to ours, even so, they are surely really worth going over[…]
canada pharmacy canada pharmacy
[…]very handful of web-sites that take place to be comprehensive beneath, from our point of view are undoubtedly effectively worth checking out[…]
Buy firearms online discreet
[…]Every when in a when we choose blogs that we study. Listed below would be the most recent websites that we decide on […]
juul pods cucumber
[…]The information and facts talked about within the write-up are several of the most beneficial obtainable […]
HBCUC
…
Canadian service
[…]please take a look at the web sites we follow, which includes this one particular, because it represents our picks from the web[…]
download mp3
[…]we came across a cool internet site that you just could delight in. Take a look for those who want[…]
best sex toys for men
…
how to lose belly fat
[…]one of our visitors a short while ago proposed the following website[…]
alligator meat for sale
[…]one of our visitors recently suggested the following website[…]
Olympic Weight Set
[…]one of our visitors a short while ago proposed the following website[…]
Rainbow Boa
[…]always a huge fan of linking to bloggers that I really like but really don’t get quite a bit of link really like from[…]
Vape Carts For Sale
https://theclearconcerntrate.com/ The Clear classic oil is mixed with CBD isolate and our preparatory flavorings for the best taste and consistency on the market today.
sig romeo5 for sale
[…]always a huge fan of linking to bloggers that I adore but do not get lots of link adore from[…]
Canada Pharmacy
[…]Here are a few of the websites we advocate for our visitors[…]
Roofing Services
…
gecelik escort
[…]although internet sites we backlink to beneath are considerably not associated to ours, we feel they’re in fact really worth a go through, so have a look[…]
istanbul escort
[…]just beneath, are a lot of entirely not related sites to ours, nonetheless, they may be certainly worth going over[…]
MILF Porn
[…]here are some links to internet sites that we link to for the reason that we assume they may be worth visiting[…]
MURANG’A UNIVERSITY OF TECHNOLOGY
[…]although web-sites we backlink to below are considerably not connected to ours, we feel they are truly really worth a go as a result of, so have a look[…]
Restaurant Parksville
…
Glock Guns for sale
[…]Here is an excellent Weblog You might Find Interesting that we Encourage You[…]
Obligasi
[…]here are some hyperlinks to sites that we link to due to the fact we assume they’re worth visiting[…]
professional movers
[…]the time to study or go to the subject material or web pages we have linked to below the[…]
Ruger Revolvers
[…]that is the finish of this article. Here you will find some web sites that we believe you will enjoy, just click the links over[…]
live resin carts for sale australia
…
tiktok followers
…
b+ mushrooms
[…]always a big fan of linking to bloggers that I love but do not get a lot of link like from[…]
buy weed online
[…]Here is a great Blog You may Come across Fascinating that we Encourage You[…]
buy weed
[…]here are some links to sites that we link to because we consider they’re worth visiting[…]
dispensary near me
[…]the time to study or pay a visit to the content or web-sites we’ve linked to beneath the[…]
buy weed
[…]just beneath, are a lot of completely not connected internet sites to ours, however, they may be certainly really worth going over[…]
buy weed online
[…]the time to study or pay a visit to the content or web pages we have linked to beneath the[…]
BANANA RUNTZ CART
[…]Every as soon as in a while we choose blogs that we read. Listed below would be the most recent web sites that we opt for […]
best classic vibrators
[…]the time to study or visit the content material or sites we have linked to below the[…]
pocket vibrator
[…]the time to study or go to the content or web sites we have linked to beneath the[…]
pocket pal
[…]Sites of interest we have a link to[…]
buy weed
[…]here are some links to sites that we link to for the reason that we believe they’re really worth visiting[…]
cbd gummies for sale
[…]Every the moment in a while we pick blogs that we study. Listed beneath would be the most current web-sites that we pick […]
where can I buy delta 8
[…]very handful of websites that take place to become detailed beneath, from our point of view are undoubtedly effectively really worth checking out[…]
Edibles
[…]we came across a cool web page that you simply could appreciate. Take a search when you want[…]
Health Trade License Delhi
[…]we came across a cool website that you simply may well enjoy. Take a look in case you want[…]
most realistic dildo
[…]check below, are some absolutely unrelated internet websites to ours, on the other hand, they may be most trustworthy sources that we use[…]
Google
Here are a few of the web-sites we advocate for our visitors.
best delta 8 thc gummies
[…]just beneath, are numerous absolutely not associated websites to ours, nevertheless, they may be certainly worth going over[…]
buy Instagram likes
[…]Sites of interest we’ve a link to[…]
best kratom
[…]Sites of interest we have a link to[…]
kratom capsules
[…]please take a look at the web-sites we comply with, such as this one, as it represents our picks through the web[…]
Google
Although sites we backlink to below are considerably not associated to ours, we feel they may be in fact really worth a go by means of, so have a look.
air jordan 11
ralph lauren pololouis vuitton pursestory burch salelouis vuitton outlet onlineugg boots on salelouboutin shoeslouis vuitton outlet storesjordan 6air jordan 14coach outlet storescoach factory outletchristian louboutin shoesmichael kors outletjordan 11l…
nike outlet store
gucci shoes for mencheap nike air maxferragamo outletlouis vuitton bagslouis vuitton handbagshermes beltchristian louboutin outletair jordan 13jordan 6coach factory outletgucci outletgucci shoesjordan 11gucci shoesoakley sunglasseshermes beltjordan sho…
Title…
[…]Here is a good Weblog You might Obtain Intriguing that we Encourage You[…]…