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I’m a gynecologist and surgeon now, but did obstetrics for 14 years. A friend and patient was 5 months pregnant and at high risk for premature delivery after a previous bout with cervical cancer. Sure enough, at one of her frequent OB visits, she had signs of incompetent cervix and when I checked, she was 7cm dilated and amniotic sac membranes bulging. The baby was too early to survive if born, so I decided to attempt a “Hail Mary” cerclage and stitch the cervix closed with a completely novel method. Miraculously, it closed her cervix and held up for 8 more weeks, and the baby was born early but healthy and now grown.Another unorthodox case was a cervical pregnancy, where the early pregnancy is misplaced and growing in the cervix rather than the uterus. It never works out and eventually miscarries and causes hemorrhagic bleeding requiring hysterectomy. Well, this patient was young and had never had a child and I wanted to save her from hysterectomy, so I fashioned a balloon-like surgical device used for GI bleeding into a pressure “plug” to stop cervical pregnancy bleeding. I offered the treatment option to the patient’s attending physician during the surgery to try and avoid hysterectomy. After many pints of blood transfusion and all other attempts to tie off bleeders and save the uterus, he finally agreed to let me insert the special balloon. I blew it up, and the bleeding slowed and then stopped. The next day we removed the balloon and still no bleeding. The patient went home a few days later, and 3 years later I read a medical report about her being the first case of a successful pregnancy after a previous advanced cervical pregnancy. That was in the 1980s and now the technique has become standard.

I thought of a specific patient when I read this question.A year or two ago I was on call, when one of our patients arrived to the hospital having some cramping. The nurse checked her, and she was 5 or 6 centimeters dilated and contracting regularly.She was in good spirits, and she had very expertly applied eye-shadow, and looked like a patient who would be sought out for pregnancy related advertisements.It’s uncommon for patients to be so relaxed and comfortable appearing with such advanced dilation, but it does happen occasionally. Every month or two a patient will present to the hospital reporting mild cramping or mild back pain and turn out to be six or seven centimeters dilated.Her water broke when she was 8 centimeters.Okay, now it’s going to get real. This is what the nurses and I thought.Except it didn’t.She continued lounging and laughing with her husband.“She doesn’t even have angry eyebrows!” exclaimed her nurse.Even the most stoic patients often get ‘angry eyebrows’ as they move through transition and prepare to push.Soon she was completely dilated and was feeling a mild urge to push.She put away the iPad where she’d been looking at Facebook.Over the course of two contractions she pushed her baby out. She held her breath while pushing but otherwise didn’t so much as grimace. Not a single bead of sweat graced her forehead. Her makeup remained perfectly applied.I told her that I wished we’d filmed her birth, but she might be providing an example impossible for us mortals to replicate.

This happened in January 2016. My husband and I were trying for a baby. I was on pills. So, we thought of consulting a OB/ GYN to prepare my body for pregnancy.We went to her clinic. I explained to her the reason for the appointment. She asked my medical history and then popped the question, “Are you married?”, even though I had introduced my husband to her right at the beginning.Then, she started explaining the different assistive technologies available for pregnancy. She also went on to suggest that I should go for laparoscopic examination due to past ovarian cyst issues.The problem with this diagnosis was that such measures are probably the fourth or fifth options in diagnostic procedures if a couple is unable to conceive, and here we had not even tried naturally!!! She gave us five minutes to decide on the procedure - we obviously declined.Thankfully, I conceived the very next month. I ended up going to the same doctor for consultation - bad decision.She wrote in my report with red marker “bottles of blood would be required during delivery”. How would she know that 9 months earlier??To top it off, as we were leaving her room, she said, “Glad you conceived. You saved your 1 lakh rupees.” I just looked at her in disbelief. Turned around and replied that I am glad too, and banged the door. We walked out and never went to her again.