OB, “So you were overweight before you got pregnant, and you lost weight over the course of the pregnancy?”
Patient, “Yes, I was in a car accident last year and put on a lot of weight afterwards, and between morning sickness and eating healthier being pregnant, I’ve lost about 43 pounds.”
OB, with a nasty look, “Any other time I’d be fine with the weight loss, but I can’t sign off on an out of hospital birth for you. Even if you hadn’t lost all the weight during the pregnancy, you were too fat before you got pregnant for me to believe you belong anywhere but a hospital.”
Exactly the same thing had happened when she went off birth control and got pregnant with her oldest.
The mother had had four perfectly healthy vaginal deliveries, the last two having been a home birth and a birthing center birth. She wanted to go back to the birth center “just in case something happened or changed suddenly”, and because it was five minutes from her house.
The nearest decent hospital would have been an hour away.