According to the Resident, there was a multip “stuck” at zero station for a few hours, and pushing wasn’t getting her anywhere, so I would have to “figure it out”. With a history of a baby over eight pounds, the Resident emphasized her concerns for macroscomia or shoulder dystocia.
Epidural infusing, I discussed with the mother about sitting up very tall and waiting until she felt the pressure change to call me in to check on her progress. She agreed, comfortable in a new position and a break from directed pushing. With that, I left her to relax, stress of an imposed time lifted, baby’s heartbeat at a excitingly happy rhythm.
Not much later, I was called back into the room with the baby moving down quickly. The same Resident followed me in to watch, loudly and sarcastically saying she was curious how a “midwife would handle this one.”
A few pushes later, the baby slipped into my arms and then into the mom’s, with the Resident saying, “Seems about how I would have done it.”
The mother looked directly at me and, over her newborn son’s head, asked for a tubal ligation.