Assisted Reporduction is not for Whimps

Today, I’m pleased to host Bette Lamb who discusses her research into infertility clinics. I was certainly surprised by what she found. Are you?

Welcome, Bette!

“You and I know that without babies we are nothing.
A hiss of surprise escaped Petra’s lips. “Dr. Vesey–“
“Oh, I say what’s expected to my patients. But you’re not my patient anymore, are you? We’re just two barren women facing a meaningless future.”
This interchange comes from our new novel, Sisters in Silence, where a fertility counselor takes on a ”noble mission” to save her barren sisters from suffering —  by killing them.
That’s probably not what actually happens when you go to a fertility clinic for Assisted Reproductive Technology (ART). I mean you don’t end up dead, but you do end up with a murdered bank account and a pummeled ego hovering around zero.
Consider this: For women over thirty-five who want a baby, the news is not good. That’s no matter what they do — with technology or without it. To me, that alone was a surprising piece of information. BTW, every time I blink, the age that determines whether your eggs are too old keeps getting younger. The last figure I heard, off the record, was 27 years old.
When I started researching our medical thriller (the novel is co-written with J. J. Lamb), the media buzz was all about women pursuing their careers and waiting to have babies later – sometimes well into their fifties. And women buy it – I mean, against all reason, they believe it.
 I’ve talked to intelligent, savvy women in their mid-forties who say, “I’m just beginning to think about having a baby.” And many might as well keep right on thinking about it. Because no matter how young you look or how much you’re into Pilates, or how many vitamins you take, or whether the forties are the new thirties, you’re in for a surprise when you take that first trip to a fertility specialist who you’ll probably have to end up seeing. You’ll be floored.
When I started delving into this specialty for our book, the statistics for success knocked me over. My day job, for most of my career, was as an RN in Ob/Gyn. I thought I knew exactly the kind of information I would find. After all, these clinics are everywhere. They have to deliver the goods to keep the doors open. Right?  Wrong.
Most women seeking professional help DO NOT SUCCEED. That means they do not walk away with a baby that they carry to term and deliver. In fact, the odds of success are pretty grim: From about 4% for women older than 42, to a high of 37% for women under 35. (After a woman reaches her mid thirties, success rates start to tank dramatically.).
Put yourself in the skin of a 42-year-old woman who has a successful career, a stable relationship, and some money put away. Watch her after starting down the ART runway. In the first steps, she looks like a million – she’s confident, she knows she’ll be in that winning percentage of women coming home with a baby.
And I’ll bet she doesn’t even want to hear about surrogacy (using some other people’s eggs) or adoption. Babies are not that available and who wants some older kid? After several cycles of hormones that make her feel like she’s losing her mind, a love life that is based on her cyclic ticking clock, a significant other who’s now having ED because of the scheduled sexual demands that have nothing to do with lust, life becomes hell in a toaster.
This is the world of our fictional fertility counselor. A world of disappointments, lost love, and unfulfilled expectations day after day. That might drive you off your rocker, too.
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Bette Golden Lamb is unmistakably from the Bronx – probably why she likes to write thrillers. When she isn’t writing crime novels, you can find her in her studio playing with clay.  Her artistic creations appear in juried regional, national, and international exhibitions. She sells through galleries, associations, and stores. She’s also an RN, which explains, Bone Dry, a medical thriller, and Heir Today, an adventure/thriller which also has a medical aspect to it. And just released at Amazon .com, Sister in Silence, a medical thriller about barren women — available as an ebook or trade paperback. Both books were co-authored with husband J.J. Lamb. You can learn more about Bette here:

Perinatal Providers: Scopes of Practice

Heidi Creston returns today for her monthly blog post. Today, she covers a very important topic: scope of practice for different obstetrical providers. Scope of practice dictates what a medical provider can and cannot do so it is important to know a particular providers limitations. For instance, as a registered nurse, I cannot diagnose illness though most nurses are very good at this very thing and we may indicate to a family what we think is going on. However, only a physician, nurse practitioner, or physician’s assistant can diagnose.

Now, I’ll turn it over to Heidi.

It is especially challenging for the perinatal patient to understand the scopes of practice that different providers offer. As authors, we must remember that our audiences are impressionable, and may believe your fictional story as the Gospel truth. If your character is a perinatal provider it is imperative, that you keep them working within the means that their occupation allows.

The providers:  Obstetrician-Gynecologist, Perinatologist, Family practitioner, Certified Nurse Midwives, and Doula’s.

Obstetrician-Gynecologist (OB/GYN) is a medical doctor who provides both clinical and surgical care for their patients. The OBGYN serves not only the perinatal patient but all women’s medical issues from puberty to post hysterectomy.

Perinatologist is an obstetrician who specializes in the care management of high-risk pregnancies. Patients assigned to a perinatologist are referred out by their OBGYN or family practitioner due to the extensive or specialized care that is required maternally and or for the fetus. Patients with cardiac issues, diabetes, Eclampsia or HELLP, and multiple gestations are prime examples of patients referred to perinatologists. Fetuses with severe abnormalities such as gastrocentisis or Tetralogy of Fallot are also referred.

Family practitioner is a medical doctor who specializes in the health care of all family members. They are prepared to provide normal OB/GYN care, but usually refer pregnancies and other women’s health issues to an OB/GYN. All family practitioners are trained to perform Cesarean births in an emergency and also to assist other specialists in doing the procedure.

Certified Nurse Midwives are registered nurses who have earned their master’s degree in nursing, with a strong emphasis on clinical training in midwifery. Midwives work with obstetricians who are always available to assist if complications occur during pregnancy, labor, or delivery. CMW’S can assist with cesarean sections but can not perform them independently.

Doulas are not licensed or certified personnel. Doulas are support liaisons hired by the patient, to assist them through the pregnancy, and offer support during the labor process. There currently are no mandatory qualifications, regulations or requirements necessary in order for someone to become a doula.

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Adelheideh Creston lives in New York. She is former military and married military as well. Her grandmother was a WAVE and inspired her to become a nurse. Heidi spent some time as a certified nursing assistant, then an LPN, working in geriatrics, med surge, psych, telemetry and orthopedics. She’s been an RN several years with a specialty in labor and delivery and neonatology. Her experience has primarily been with military medicine, but she has also worked in the civilian sector.

Heidi is an avid reader. She loves Christian fiction mysteries and suspense. Though, don’t recommend the gory graphic stuff to her… please. She enjoys writing her own stories and is yet unpublished.