28/04/2026
The Diary of an OBGYN
As obstetricians, we are used to patients requesting “good dates,” auspicious timings, zodiac alignments, and numerology-driven deliveries.
But today was the first time I encountered the opposite:
a patient who had already accepted the need for surgery, yet chose to wait for an emergency in the name of faith.
A near-term mother with a previous cesarean scar came in with pain. She had conceived just 8 months after her last C-section despite contraceptive advice, making scar integrity an even bigger concern.
She had already decided she wanted a repeat cesarean delivery.But there was one problem-
She did not want to choose a date.
She and her partner firmly believed that scheduling an elective surgery would mean they were “playing God.” They wanted labour to begin naturally first, and only then would they agree to surgery.
I explained the risks repeatedly:
— the danger of scar rupture
— the unpredictability of labour after a recent scar
— the higher risks of emergency surgery compared to a planned one
— the possibility of fetal compromise
But belief often speaks louder than medical reasoning.
She arrived this evening after having pain since yesterday, and reduced fetal movements since today.
The CTG showed fetal tachycardia.
There was no longer a discussion to be had. She needed an emergency cesarean section immediately—cutting into an already packed list of emergencies, with the team mobilising rapidly to prevent disaster.
Thankfully, mother and baby were delivered safely.
Sometimes, being an obstetrician means carrying not just clinical decisions, but the emotional weight of choices made before the patient even reaches the labour ward
It made me reflect on the delicate space we work in every day—
between science and belief,
between autonomy and responsibility,
between respecting choices and preventing harm.
And sometimes, despite all counselling, we are left hoping that physiology will be kinder than probability!
Obstetrics keeps us humble- Always!