Make your voice heard during pregnancy: How to talk to your doctor? (Maternal Self-Advocacy)

The joy you feel when you find out that a little guest is coming into your life is indescribable, right? But it's also normal to feel a little scared and anxious at the same time. Some mothers, in particular, may experience increased health risks during pregnancy. At times like these, it's essential to tell your doctor exactly what you're thinking and feeling, and to get the care you need. So today, let's talk about how to speak up for yourself and find space for your voice throughout your pregnancy.

Why is it so important to talk about this?

Although pregnancy is a natural process, not everyone's body is the same. Some people may be at higher risk due to pre-existing conditions like high blood pressure and diabetes. Others may experience complications due to conditions like uterine fibroids.

Consider, for example, the medical staff of world-famous tennis player Serena Williams did not initially listen to her when she had a health problem after giving birth. She had a history of blood clots, but when she mentioned it, they ignored it. This shows us that no matter how famous and knowledgeable you are, sometimes your healthcare team may not really listen to what you have to say.

How do I talk directly to the doctor?

Don't be afraid to talk to your doctor about your fears and concerns. It's your right. Doctors always talk about the various concerns and fears of pregnant mothers. So your question is not strange.

You can start the story like this:

"Doctor, I'm a little worried about the risks during pregnancy. Can you explain to me what steps you take to reduce the health risks for someone like me?"

A simple question like this can open the door to a great conversation. It will also help build good communication between you and your doctor.

What should you think about first when planning for a baby?

It's best to think about this as soon as possible, before you even try to get pregnant. Or, see a doctor as soon as you find out you're pregnant.

There are several advantages to planning early:

• You have time to choose the right doctor for you: It is very important to choose a doctor who listens to you and answers your questions patiently. If you do not feel comfortable talking to that doctor, you have plenty of time to see another doctor.
• You can identify risks early: You can talk to your doctor about your family health history and any illnesses you have, and get the necessary tests done early.

What do I do if I feel like I'm not being listened to?

This is something that many people experience. Whether you're in the hospital or at the clinic, there are a few things you can do if you experience this.

1. Ask directly: "I need to clarify this a little more. Is there anyone else I can talk to about this?" Maybe the senior doctor or specialist on the ward can refer you.

2. Ask for a Second Opinion: You have every right to say, "I'd like to hear from another specialist about this." You can ask to be referred to a `` maternal-fetal medicine specialist'', especially if your pregnancy is high-risk.

Should we be aware of preeclampsia?

Preeclampsia is a dangerous condition caused by high blood pressure during pregnancy. It is very important to be aware of this.

• Check your blood pressure at home: If possible, get a blood pressure measuring device (BP cuff) at home.
• Be aware of the risk factors:
• Blood pressure higher than 140/90.
• Sudden swelling around the eyes, hands, and feet.
• Persistent severe headache.
• Vision changes (blurry vision).
• There is a risk even after delivery: This condition can occur even after the baby is born. So be aware of these symptoms for a few weeks after the baby is born.

Can I have a normal vaginal birth after a C-section? (VBAC)

Many mothers wonder if they can deliver their next child vaginally, if their previous child was delivered by cesarean section. This method is called VBAC (Vaginal Birth After Cesarean) .

There are several benefits to a VBAC. Faster recovery, less bleeding, and a lower risk of infection are just a few of them.

Sometimes, you may hear that a certain hospital has a higher C-section rate. Don't be alarmed by that. It's common for hospitals that accept more high-risk pregnancies to have higher C-section rates.

Does all this feel heavy on your heart?

It's normal to have a lot of thoughts and forget things during pregnancy ('pregnancy brain'). There are a few things you can do to manage this.

• Write down questions: Write down the questions you want to ask the doctor in a notebook. That way, you won't forget anything.
• Take someone with you for support: Whenever possible, take someone you trust, like your husband, mother, or sister, with you to the doctor's appointment. It can be a great help to remind you of things you might forget and to give you strength.
• Ask for help, accept help: Don't say "no" when others offer to help. You'll need a lot of rest, especially in the first few weeks after having a baby.
• Consider your mental health: If you're feeling stressed, anxious, or depressed, don't ignore it. Be sure to talk to your doctor about it. They can refer you to a mental health specialist if necessary.

Pregnancy health, maternal health, Preeclampsia, C-section, VBAC, childbirth, doctor visit