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I've only been to the midwife once so far at Alpharetta Women's Specialists, I am almost 14 weeks along. My last appointment was early in September, and at the appointment my midwife referred me to another specialist (Atlanta Maternal/fetal health) to have my first ultrasound and a few tests done.
On Sept. 11 I went to this specialist. I was a little disgruntled by the doctor, as he refused to acknowledge that I was seeing the MIDWIFE at the practice and not the doctor. To this day they still say I'm seeing Dr. Scineaux, when I've told them several times I'm seeing the midwife Janet Fedullo. During the ultrasound they found a cyst on my right ovary, which makes sense. I was having quite a bit of pain in my right side. It measured only 5x3cm, but the doctor at this practice decided I needed to come back in 4 weeks to check the size of it. I agreed, because it is very painful and other women in my family have had issues with ovarian cysts. Then this doctor decided to tell me that "having a c-section would make things much more convenient for me" with the cyst. Trying to keep calm, I kindly told him that I was planning on a natural water birth and that my midwife supports my decision. He literally rolled his eyes and didn't comment further on the issue.
My next appointment is october 9, to check the size of the cyst via ultrasound. Obviously I want to know if the cyst is growing, but at the same time I feel uncomfortable with this OB considering he is not geared toward NCB. I almost feel like I'm getting cheated and I'm not getting an honestly natural experience. I'm really at a loss and would love to hear any helpful suggestions you ladies might have.
I wouldn't go back to that doctor. Rolling his eyes back at you saying you're having a natural birth is unprofessional and down right rude. As long as the cyst isn't causing any issues, which it normally shouldn't, I'd keep tracking down the path you're going. I don't think having a cyst is any reason for having a csection.
Kim and Janet are awesome. The OBs who back them up are not. This is one of the main reasons why I do not refer my clients to them very often any more. The OBs there do not support the midwifery model of care and do not practice evidence-based medicine. I would talk to your midwife about it to see what they say but be sure to ask more specific questions.
People with cysts have normal vaginal births all the time. There's no reason it should affect your labor unless it is smack dab on top of your cervix.
If you haven't already, I'd suggest you go to an Intown meet n greet to meet the OB who backs up those midwives. It might be a drive, but it's worth it. I know people who have driven 12 hours to have babies with them.
I would agree with the others, that it's worth finding a different OB to monitor your cyst. A cyst can be very serious, especially since you have a family history, but cysts are also very common and midwives help deliver babies of women with cysts all the time. I think you'll get a much better answer from a doctor who is both knowledgeable about how to address your medical needs and supportive of your NCB goals.
As for insisting on talking to your "doctor," I'm getting used to that. I had an ER situation in August where the medical staff there were insistent on knowing who my doctor was, even though I said I was seeing the midwives in the practice and did not have an OB. They were great about everything else, but it's like I was speaking a foreign language as they continued to talk about who my doctor was and how they could contact my doctor, even when I gave them the midwives' information. I've since started seeing a MFM specialist who is in touch with my midwives' practice, but they keep sending the information "to my OB," who is a person I've never met. My midwives still have access to the information (there are midwives and OBs in the practice), but they insist that this person is my OB, even though I don't know who she is.
What I mean by sharing this is that... you're not alone in having to clarify that you're a patient of midwives. I've accepted that it's kind of like how people are always asking about your primary care physician. I have a PCP, but I haven't seen her in six, maybe seven years, because I prefer to see her PA or NP, and I still feel great about my care. But nobody cares about the PA's name, just the physician in charge of signing off on the records.
Even if you can't find an OB who recognizes the midwives as your primaries, I hope you can at least find one who is respectful and supportive of your NCB objectives.
I just wanted to chime in that at 13weeks I had an ultrasound showing a cyst on my right ovary, but was never told about it. It wasn't until I was referred to an OB (the previous tests were from my GP) that I found out I had a cyst.
I went on to have my daughter vaginally. No problem at all.
I highly suggest you seek an alternative physician.