A Day that Will Live in Infamy

This post starts 48 hours ago, when I received a call from my OB. According to her, she was just sitting at her desk (working on her surgery schedule for the week) and happened (bullshit) to notice that my due date passed the day prior (omg the baby does not have a calendar in there).

So she is sent me for a growth ultrasound today, which she demanded that I go to before my weekly appointment with her. I knew that this request was a bad sign since we ruled out fetal macrosomia three weeks ago and I had only gained three pounds since then. She did not ask for the other normal test of a past due date baby a BPP. Just wanted to know how big the baby was. In fact, the sonogapher and the doctor at the lab expressed to me that they were very perplexed that she did not want this other information. The doctor at the lab kept saying, "we ruled out macrosomia already, what is she looking for? your baby is fine."

They estimated that the baby was 8lbs 15oz and I was so relieved. I believed that if the baby weighed less than 9lbs there was no way that she would try to force a RCS. After all I am 5'8" not exactly tiny. Having a larger than average baby should be expected. I was wrong.

I got to the appointment and she did a cervical check on me. I told her that I had been having contractions, painful ones, since the prior night and she asked me if they were strong enough to call her. I said "no" but that they were "regular enough" that my husband did not go into work. She told me that I was fingertip dilated and then I asked if we could do anything to held speed up labor, such as strip my membranes. She said to get dressed and meet her in her office. So I guessed no stripping the membranes.

I sat down and she told me that the baby was "huge" and that the AFI revealed that my fluid was on the high end of nomal, which in her estimation was "way too much fluid." She admitted that the size of the baby had no impact on uterine rupture. But, she then said that she looked on medline "last night" and learned that I would double my uterine rupture risk by trying to VBAC after my due date. (In other words I could not have a trial of labor simply because I passed my due date, information that she should have shared when I specifically asked this question at 11 weeks and she specifically said that her cutoff was 42 weeks) She told me that I was already on her surgery schedule for tomorrow and that even if I went into labor right now she would not deliver me vaginally. I told her that I wasn't consenting to a c-section simply because I passed my due date without some other factor such as a truly large baby, I would have consented if the baby were closer to ten or the baby was in any kind of distress. (The sonographer did a BPP anyway and said the baby was perfect). She said that she was not going to deliver me vaginally, and I responded that it looked like I needed a new OB then. So she copied my records and sent me on my way.

So at 40 weeks and 4 days pregnant I do not have an OB. If I go into labor tonight I just have to walk into an ER. There is no way I would go to the hospital where she practices. I feel like someone hit me in the face.