
You're having a baby! Welcome to the incredibly overwhelming time when you're faced with making the best, most informed choices. Those decisions start the minute we find out we're pregnant. We have doulas, midwives, birth educators, and doctors to share their knowledge, but we should do our own investigating in books, online, and through friends so it feels right and works best for us.
With this baby-having, I think every woman should have a birth plan. And then a plan in case that birth plan needs to change. Because it probably will and that's okay. What's not okay is having unnecessary procedures affecting us and our babies without us knowing why, and if any potential consequences could come from those procedures. I stumbled across a Consumer Reports article on what to reject when you're expecting. A must-read. Let's review.
Before we delve into these 10 procedures that no doubt will cause many to get upset and say, "But I needed that!" please know that if you did need any of the things on this list, that's precisely the point. Many of us do really need certain things to be done (I had three of these), but far too many don't. This also isn't about beating yourself up if you did any of these things in the past and wish you didn't. This list is here to inform, not enrage.
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What we should also note that it's in Consumer Reports because a hospital is still a business. You wouldn't go into a dentist, open your mouth, and say do whatever you want. You wouldn't go into a restaurant, give them your credit card, and say just feed me especially if you have any food allergies. You have choices. You're paying for it. You should make the best decisions for you. And when you're pregnant, this means the best choice for baby, too. Here is the list of often unnecessary procedures.
- C-section when you are low-risk and it's a first birth. It's major surgery. There are risks.
- An automatic second c-section. More hospitals are welcoming the right candidate to try vaginal birth after c-section (VBAC); 75 percent of the women who do attempt are successful. Repeat c-section do present their own dangers. Tori Spelling had complications and was hospitalized due to hers.
- Elective early delivery. Thirty-nine weeks is full-term. Late-term preemies (born at 37 or 38 weeks) often have issues because there is still more growing baby has to do in the womb even in just a week or two.
- Inducing labor without medical reason. It's risky. If it's not time, it's not time. It can make labor longer and increase risk of c-section.
- Ultrasounds after 24 weeks. There is a spike in c-sections for those who got ultrasounds late in pregnancy, but the experts say oftentimes there is really no need and the info gained is often incorrect.
- Continuous electronic fetal monitoring. This is recommended if you're on labor-enhancing drugs, had an epidural, or attempting a VBAC, but otherwise the monitors are restricting and unnecessary.
- Early epidurals. Getting them too early can make labor longer and not let you know when you have to push. Wait until the end if you are getting an epi.
- Routinely rupturing the amniotic membranes. There's an increased risk of cesarean here as well, and has proven to not be needed.
- Routine episiotomy. Sometimes needed, but most times not. Plus, more healing.
- Sending your newborn to the nursery. For a special need, of course, but studies show mamas get just as much rest when baby is bed-in.
What do you think of these unnecessary procedures? Have any others to add?
Image via MammaLoves/Flickr


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Comments 77
I enjoyed 3,5,7,10. I had a stressful first pregnancy. In fact it is a good thing I got the epi early because with each contraction I was seizing up, not dilating. After the epi, I opened in less than an hour from 5-10. With the second pregnancy when I had the twins we went early at 37 weeks, we were supose to go at 39, oh well, they were big though, 7lbs2ozs and 6lbs10ozs. We choose the 39wk schedule to get them in before the new year(taxes) and so that our first and the twins would be extactly 21 months apart. A little selfish I know but look how big they were at only 37 weeks.
Well I had an epidural as soon as I got to the hospital(Water had already broken) I wasn't even feeling any pain at all. I was just scared to feel the pain. My labor only lasted 5 hours and I got him out with 2 pushes.
The worst for me was the episiotomy. I was not asked if I wanted it, and who knows how much I would have torn without it (my baby was 10 pounds, 13 oz, my first one)...but the healing was horrendous. It was a real nightmare. The stitches broke and it was left to "heal on its own". It was infected and not healing and I had to go in every week for silver nitrate treatments. It took about 4 months to heal and 8 months for me to resume sexual activity.
You know what cracks me up about these things - Any medical procedure can be unneccessary. Removing your tonsils can be unnecessary. An organ transplant can be unnecessary. Heck, someone could come up to me right now and offer to amputate my leg and that would be unnecessary.
There's nothing wrong with a patient asking a doctor is a procedure is necessary - but to sit around and judge whether someone's c-section or whatever was "necessary" is just stupid.
I needed my c-section even though it was a first birth, I had high blood pressure and I stopped dialating from a muscle relaxer they gave me to prevent seizures during labor, my son was born at 36 weeks and has no problems what so ever and he didnt even go to the NICU. Before they induced me they watched my blood pressure very closely before it got dangerously high and induced me, I had an early epidural and I missed the really bad contractions which was nice (didnt stop the back contractions though) some of these procedures may be unnecessary for some women but its their choice to make, why does it bother you, go make your own choices
I had many of these procedures, but at no time did I feel "bullied" into them. Because my family tends to have large (and I mean LARGE) babies, we were okay with ultrasounds to measure how big our babies were getting. Good thing, too, because with my second (my son) I was almost induced because he was encroaching on 10 pounds, and I am NOT a very large person. :) As it was, he came, on his own, 10 days early, at 9 lbs. 2 oz. I had an episiotomy with my daughter, and my midwife was reluctant to do it a second time, but I wished she had, because I ended up tearing next to my scar, instead of along the scar, where we both assumed I would. That took much longer to heal. But I never felt bullied at all. I knew exactly what I was getting each time, and I wouldn't change a thing for either labor/deliveries. (Except the tearing part. ;) )
yes with my first they preformed and episotomy against muy explicit objection. With my second they kept me hooked to monitors even though i told them i was not going to have any drugs, they also made we stay hooked to an iv and in bed aftet 8 cm. I was having terrible stomach cramps still after i had gicven birth wich did not occur with my first the next morning i final metioned it when someone asked how i was and come to find out they had put me on platocin! I was super pissed they didnt say a thing to me they were just runing it thru my iv like it was all good...i pulled it also they told me after hasseling me about meds that i had to choice but the take a shot iof something wich i never got a name for they said it was to control the contractions cause they were too strong and lasting too long without enough progression....if i am ever blessed with another child i will have him/her at home wether its 'legal' or not! there was no reason for what they did to me both times i arrived 8cm dialted with my dd and pushed 2 times to deliver her after only being in l&d for 15mins there were no complications and there were none with y ds either my labor was much more intense and he was about 2lbs heavier but there was no excuse for what they did