Ep 79: Plus Size Does Not Equal High Risk

Is weight alone a pregnancy risk factor requiring intervention?     Brylee is a mom to 3 precious babes, and she’s experienced both negative and positive birthing experiences.  Today we’ll jump into the reasons behind both.   Show Notes Brylee had been told for many years that pregnancy would be very difficult, as she was diagnosed with PCOS as a teenager.  She and her husband became pregnant as soon as she stopped taking birth control. Her OB was so convinced that she wouldn’t be able to become pregnant, that she said she’d give her 6 months to try for a baby before exploring other options. Little did her OB know, she was already pregnant at that appointment!   Brylee had terrible implantation cramps with her first daughter.  They were so bad that she was scared it was a miscarriage (the day after her positive pregnancy test).    Her interest in birth began early, as her mother had Brylee’s brother in a birth center unmedicated.   After watching The Business of Being Born, Brylee let her OB know that she wanted a natural birth.  The OB always dodged the questions and said “we’ll see”.   Brylee woke up with (what she now knows was typical bloody show) and called the on-call doctor.  The doctor acted as if the bleeding was an emergency, and had her come in.  The OB did everything she could to pin pre-eclampsia on Brylee, which she feels was because Brylee is a plus-size mother.   She had one high blood pressure reading, which she feels confident was related to the stress of the situation… she had had zero high readings throughout the pregnancy.  Brylee refused induction, finally was released the next morning, and went home for the weekend.    On the following Monday, Brylee saw the same OB again, and had another high reading.  She told her mom, “I am TERRIFIED of that woman.”  She felt it was a case of White Coat Syndrome, just as her dad has.   The OB sent her straight to the hospital to be induced:   Cytotec 4 times   Ina May’s Guide to Childbirth gives an informative review of why Cytotec can be dangerous   They then started Pitocin.  After laboring for a long time, Brylee received an epidural.     After 30 minutes of pushing, Brylee had her baby.   There was absolutely no continuity of care for Brylee: Her Doctor was on vacation, another OB sent her in for the induction, another started the induction, and another delivered her baby.   With her second birth, Brylee knew she wanted to have a different experience.  Her friend had a birth with them that was wonderful, so Brylee was excited to use the practice of 8.     Brylee had one high blood pressure reading, and so her midwives sent her Maternal Fetal Medicine.  They put her on medication, and the medication constantly made her pass out, as it was bottoming out. At her 3rd midwife’s appointment, the midwives used a blood pressure cuff for a plus-size woman, and low and behold… she had a normal reading.   Because of Maternal Fetal Medicine’s diagnosis (Chronic Hypertension— which she knew was not the case), the recommendation was for Brylee to be induced at 38weeks.   She failed the first Gestational Diabetes test, so she was required to take it again, which she passed.   One doctor at MFM told her that if she’d been in any other state, her blood pressure would not be an issue.  For whatever, in the south, particularly in Tennessee, this doctor said that other doctors hold very strongly to very specific numbers.   Brylee convinced her doctors to let her wait to be induced until 39 weeks.  After a long day of waiting for a room, and laboring, Brylee’s doctor told her they needed to break her bag of waters.  The baby was high, and they did not tell Brylee the risks associated with this.   Fortunately, the baby was fine, and once she began pushing, the baby was out in two pushes.   Unfortunately… soon after she gave birth, a nurse came into her room and switched her blood pressure cuff from the larger size to the standard size.  Brylee’s blood pressure numbers then