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A Good Ob Provider

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A labor and delivery RN I work with once told me that a good OB provider will never agree to perform a Cesarean without a medical indication for it, even if it is the patient’s choice. The statement reflects strong opinions about practices associated with child birth and postpartum care that are held by many OB and NICU nurses and midwives. Not everyone believes an elective C-section is an unreasonable choice but the attitude toward the patients who make the choice can be somewhat negative. To me, it is about math: to put it briefly, a major abdominal surgery poses a higher risk, especially with multiple pregnancies, than a vaginal birth. The reason I decided to explore this particular subject is an experience a friend of mine went through – I will call her Lynn - when she had her first and only child by an elective C-section at the age of 40. The surgery was scheduled for one week before the due date and went well, but baby Emma had to stay in progressive care nursery due to transient respiratory issues. Mom and baby got discharged three days later. Neonates delivered by C-section are more likely to have the respiratory issues Emma had, which was repeated several times to Lynn by the newborn’s nurse. My friend felt blamed by her and was quite upset. She felt guilty and flustered, but never expressed it to the nurse, because she was taking good care of baby Emma. The nurse maybe felt better informed than Lynn and felt that Lynn’s choice was just wrong. What the nurse
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