Obstetric Intelligence: An Unfiltered View from the Front Lines of Maternal Care
Notes on US healthcare, pregnancy, and maternal health
Obstetric Intelligence: An Unfiltered View from the Front Lines of Maternal Care
Welcome. I’m starting this Substack because the gap between what doctors know and what patients hear has grown too wide—and it’s not just frustrating. It’s dangerous.
As an obstetrician, I’ve been privileged to care for thousands of pregnant people over four decades. I’ve also witnessed how misinformation, medical silence, and policy shifts affect real lives—especially in birth, where decisions must often be made quickly, with incomplete data, and sometimes under enormous emotional pressure.
Too often, I see patients overwhelmed by conflicting messages: influencers, doulas, doctors, outdated textbooks, and trending hashtags. And too often, clinicians are told to keep quiet—by risk managers, by hospitals, or even by peer pressure. So here’s what this space is for:
➤ Real talk about pregnancy, birth, and women’s health—from an insider
You’ll hear what I think patients deserve to know. Not filtered by a hospital’s legal department or a news cycle. And not dumbed down either.
➤ Evidence over ideology
I respect personal choice. But I also believe choice must be informed by facts—not folklore. I’ll break down what we actually know, what we don’t, and where the gray zones are.
➤ Stories from the front lines
No names. No sensationalism. Just hard-earned lessons from decades in the delivery room, the ethics board, and the courtroom.
Coming next:
Why the U.S. maternal health crisis is not just a statistic—And what can make it go away quickly