Posts tagged Fibroid Awareness
121 |Aligning Care - Dr. Petagaye English

Dr. Petagaye English graciously joined us to share her experiences with pregnancy and birth. Her pregnancy would challenge her health and wellness and desire to be a "model patient." Because Petagaye is a physician, her provider did not follow AGOC recommendations which would have helped release her from being her own caregiver. There is a difference between being your own advocate and being charged with monitoring your own vitals and determining when you need additional care. Petagaye deserved to have a provider who took medical history into account every step of the way. She changed providers but still found herself back under that physician's care in postpartum. A birthing person deserves care that allows them to take off the hats they wear every time they enter a space to be cared for. Her provider honed in on issues that didn't match Petagaye's concerns and missed vital information that ultimately led her to change providers at 32 weeks gestation. Her new provider was focused and attentive to her medical care and monitored her closely. She was eventually scheduled for an induction.

The labor process proved stressful as her pregnancy had been shrouded with medical issues beyond her control, leaving her feeling robbed of some of the joys of pregnancy. Leading up to her delivery, she experienced anemia, hypertension concerns, and intrauterine growth restriction. She would deliver her baby after 40 hours of labor. But because her baby was smaller than average, she stayed in the hospital longer for bilirubin treatment and blood sugar monitoring. Unfortunately, she would return to the hospital for postpartum preeclampsia under the doctor's care she had fired at 32 weeks.

Dr. English credits her pregnancy challenges with shifting her practice in the care of her patients. She never wants anyone to feel the way she did during her pregnancy. She spent so much energy trying to be a "model patient" that her care from other medical professionals was neglectful and dismissive. Her advice is not to be afraid to seek care from somewhere else if the care you are receiving does not match your research and preferences.

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55 | Vaginal Birth After Laparoscopic Myomectomy - Mabel Bashorun

July is Fibroid Awareness Month - studies show that Black women suffer from fibroids 2-3 times more than white women and tend to experience fibroids at a younger age and often more severely. With those numbers, Black women are also 2 to 3 times more likely to undergo surgery to manage their fibroids. With such a common occurrence, few women are open about their experience, know about treatment options, or what options they have after having a myomectomy.

At 26 years old, Mabel found out that she had fibroids, which she would never have expected. Researching and working with her care provider, shebdecided the best option for her would be to get her fibroids removed through surgery. Knowing that she and her husband would want to expand their family, she decided to move forward with laparoscopic myomectomy. A minimally invasive procedure to remove fibroids, but also provides a better chance for having vaginal births.

Whether it be abdominal or laparoscopic, most myomectomy candidates are not offered a trial of labor. When she found out she was pregnant, Mabel was aware of the odds, but standing firm in her wants and needs, she went through a dozen no's before meeting a doctor who was willing to step out of his comfort zone and support her. This episode covers a myriad of topics; diastasis recti, pelvic floor health, fibroids, blood transfusions, hemorrhaging, drawing boundaries with family, but most importantly, advocating for ourselves as Mabel puts it "having the nerve" to stand up and demand what we want.

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