Tag Archives: obstetric care

 Sarah Silverberg is an R1 in OBGYN at UBC and an intern at St. Paul's Hospital.



Please let me take your history.

I know the triage nurse and the emergency physician already asked you many of these same questions. But humor me -- let me ask them too. After all, I was asked to see you by the emergency doctor who saw you. They knew I would ask you these questions, and felt it was necessary. They referred you to me, and like it or not, you’re now under my care.

I am the resident that was asked to see you. You ask me if you could see the real doctor. Unfortunately, I am the real doctor. At least, I am a doctor; one of the country’s medical institutions has granted me an MD. And while I know what you mean – that you don’t want to see the resident, and that you want to skip ahead directly to the attending – at this moment I can’t make that happen. My attending sent me down to see you because I’m the one on consult service. My staff is in the operating room, or managing the ward, or reviewing the three other consults we’ve been asked to see this evening with other residents and students. You’d be waiting a while longer if I didn’t see you.

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is Assistant Professor in the Department of Social Justice Education at the University of Toronto


I used to think of home birth as something vaguely counter-cultural. That’s not me. When I was pregnant with my first child, I thought that giving birth in a hospital under the care of midwives would strike the perfect balance between medical security and holistic support.

Like most women who are accustomed to a certain measure of autonomy, I had a birth plan. I wanted to labour at home as long as possible and go to the hospital once active labour was underway. I wanted to move around freely during labour. I wanted my midwife to deliver my baby. I wanted an epidural to be available, but hoped to use natural pain reduction methods instead.

The birth did not go as planned ...continue reading