can i refuse a c-section unless otherwise for the safety of my babie or myself??

Rose - posted on 05/14/2012 ( 14 moms have responded )

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im 26 wks pregnant with b/g twins and since my first visit with my dr he has had no talk about a vaginal delivery! this is my first pregnancy so i dont know if i can refuse to just automatically be set up with a c-section?? i have read numerous posts on vaginal deliveries for twins and understand that if not positioned right or for the safety of them or myself a c-section will be the only way to go but dont i have an option if things continue to go smoothly and they are positioned for delivery?? im just taken back at the fact he isnt even considered what i would like to do!!

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Brianna - posted on 05/14/2012

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u can refuse a csection if its not needed but thats something u should talk over with ur doctor now. because some doctors will not do a vaginal delivery for twins just there choice so u might have to find a doctor willing to do it. usually u have to deliver the babies at a larger hospital that is more prepared to deal with complications if they happen.

Kaitlin - posted on 05/14/2012

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Has your doctor not mentioned it or flat out said no? I would at least initiate a conversation about it. If he continues to refuse without discussion, I would find someone else. Like Dove said, it's more likely that you'll have one, but at the same time, you should at least have a doctor who will discuss all of your options with you, and why they are your options.

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Tina - posted on 05/16/2012

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I still would definately look into another just because he sounds unrelliable even if he did say try for a natural delivery you'll probably end up with a c section necessary or not. You need to know you can trust your doctor to do what is right for you and your babies not what is convenient. Goodluck anyway.

Stacey - posted on 05/15/2012

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I had both my deliveries by c-sec. I did not progress after 6cm is the reason. You have every right to question your doc "why" you would not be a canidate for vaginal delivery. He may just assume you would not want to go through a natural delivery. If he foresees possible complications, then he NEEDS to inform you of those and it is still your sole choice as to how you want to deliver, if those complications are not life threatening to babies and yourself! If all is going well, I dont see any reason to not deliver vaginally, C-sec could be the procedure he commonly does and is just assuming. Definately ask questions next visit! Remember, he may do this for a living, but you are the one feeling the pain :) Congradulations for your precious bundle x 2 and for becoming a new Mommy!

Janelle - posted on 05/15/2012

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Maybe you can ask the new doctor's office to have the paperwork forwarded to them, they should be able to do that.

Mary - posted on 05/15/2012

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Aside from the obvious fact that a prudent mother would want her caregiver to have a thorough and accurate medical history in order to provide the best, most comprehensive care possible?

The other issue here is that new OB, in the absence of those records, would then have no other choice but to redo any bloodwork and testing that had already been performed. You then run the very real probability that your insurance provider will not cover the (unnecessary) duplicate testing, and you will be stuck with that bill. I can guarantee that even the most bare bones of this would be a whole lot more expensive than a $45.00 admin fee to obtain a copy of your prenatal record.

Are there (irresponsible) women out there who get either no prenatal care? Absolutely. However, even those that just show up at the hospital to deliver will still get a fair amount of this blood work immediately upon arrival. Things like blood typing (to determine if there is a need for rhogam), or the presence certain STD's still need to be determined for the health and well-being of baby and mom, and determine what, if any, interventions may be needed, even after delivery.

As well, in a non-emergent situation, such as routine prenatal care, a doctor is under no obligation to take on a patient without all the relevant information at hand. Women have a basic right to care - but they also have a responsibility in that care as well.

Melissa - posted on 05/15/2012

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I would find a physician that fully supports vaginal birth for twins. You could refuse the c-section but at that point you don't have the support of your dr anyway.

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@ Mary N. ~ Just curious. Even without records, she should still be able to go to another doctor right? I mean, does she really HAVE to have her records to see someone new? I only ask because that sounds a little unreasonable to me. We've all heard of women who, for one reason or another, got late pre-natal care or none at all. I don't see why a doctor wouldn't accept a new patient, even if she's at the mid point of her pregnancy. Records or no records.

Tina - posted on 05/15/2012

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There's no reason you can't try for a normal delivery unless medical issues make it dangerous my anethasist wife had twin babies naturally just after I had my daughter it is possible though more risky. If he's not even going to consider it go to another doctor.

Mary - posted on 05/15/2012

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I think you absolutely need to find a new doctor - NOW. It seems very clear from what you have described that your current provider is either uncomfortable or just flat-out unwilling to be a part of a twin vaginal birth. Waiting and discussing this with him at a later date is not going change his mindset. You absolutely have the right to refuse to undergo a scheduled section; however, your provider also has the right to refuse to be a part of any plan of care that he feels is "unsafe" or ill-advised.

Don't go into this with the assumption that you can persuade him to do things "your way". Chances are that you can't, and even if you could....do you really want a doctor who has already expressed his unease with vaginal twins to be the one delivering you this way? I understand that finances are tight, but if you feel strongly about enabling yourself to have a vaginal delivery, you need to be willing to put out the money and effort to make it happen.

Michelle - posted on 05/15/2012

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I know a lady that had twins with her 4th pregnancy and had them naturally. I would definitely discuss it and if he won't then go somewhere else. I don't see that they can charge you for you to get YOUR medical records. That's just not right.

Rose - posted on 05/15/2012

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thanks for the input ladies! I've had such a bad time with this dr especially my first 3 months he didn't know I was having twins! WtHeck I understand he has many patients but plz read ur charts before entering the exam room! I immediately asked for a copy of my records and they said it was going to be $45 plus .50 per sheet that they copy OMG soo not the pocket change I wish it could be with things being tight already! I even tried to just be seen from a now dr but they insist I come in with paperwork in hand. At this point next appointment I will make sure he knows I want to have an open option because his words of we will decide a csection date by the last 6 wks prior to due date is not gonna fly if it doesn't have to!! Meaning if he still won't budge then I'll sacrifice what I have to 2 get the funds for my copies and take my preggo butt somewhere else!!

Firebird - posted on 05/14/2012

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Find a new doctor. I have 2 cousins who delivered their twins naturally with very minor complications. It can be done.

Dove - posted on 05/14/2012

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Find another doctor if yours won't even talk vaginal birth with you. Your chances of needing a c-section are fairly high with twins, but there's no reason in the world that it should be an automatic decision if they are in good position and things are going smoothly.

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