Did I receive substandard care from my OB?
January 31, 2010 8:29 PM Subscribe
Did I receive substandard care from my OB? Contains discussion of childbirth and related anatomy.
posted by ellenaim to health & fitness (14 answers total) 2 users marked this as a favorite
A question for people familiar with OB care or with specific knowledge of (fourth degree) perineal tears...
A year and a half ago, while giving birth, I sustained a 4th degree perineal tear, and although I blamed my OB for having made me push before I thought it was time, I didn't really think much about it once I had recovered from the birth and the tear had healed up.
That is, until last month, when my friend also had a 4th degree perineal tear during childbirth, and the care she received for it was substantially more involved than mine.
Other than my friend, I don't know anybody else who has been through this, so I don't have anyone else with whom to compare notes. But since I'm planning on having more kids, I'm trying to figure out if I'm over-reacting or if I should find a new OB practice [there are more than 10 doctors in the practice, so I don't always see the same doctor and there's no guarantee which one would be in call on any given day].
- Second children for both of us
- My friend did not have an epidural; I did
- We both had episiotomies
- We both had very quick pushing stages (< 15 minutes)
- My friend's doctor immediately told her what happened and explained what a fourth degree tear was; I overheard my doctor tell another OB that he had "a four", and he did not volunteer anything about it until I asked what "a four" was.
- We were both told to use stool softeners for a few days
- My friend was counseled by a dietitian about her short term diet, and the hospital's food service was aware of the suggested diet; Nothing like that for me
- My friend was visited by a home nurse a day or two after returning home (to check how her tear was healing); Nope, nothing like that for me
- My friend had follow up appointments with her OB at 2 and 4 weeks post-partum to check how her tear was healing; I just had the standard 6-week post-partum checkup
- We are both in the US (in NJ)
So, did I receive standard care and she received extraordinary care? Or did she receive standard care and I received substandard care?
[Next time, I'm definitely not letting myself get pressured into pushing before I'm ready. I'm a hard core serious pushing machine. I still blame the combination of pushing too early and too hard for the tear (not to mention, the episiotomy)]