A Maple Ridge mother has filed a human rights complaint against a hospital and doctor whom she said BԪַfat-shamedBԪַ her during her pregnancy.
When Sara Lindberg discovered she was expecting a child in 2019, she was excited and wanted to find a hospital with family-centered birthing policies.
However, the first-time mom said she faced adversity throughout her pregnancy because of her size.
Lindberg found out she was pregnant in August of 2019, and was told early on that she would need a C-section due to her weight.
The Maple Ridge resident, who moved from Port Moody when she was two months pregnant, started looking for a hospital with family-centered policies around C-sections BԪַ what is called the Golden Hour, where the baby is given to the mother immediately after birth, instead of being taken away.
This was very important to Lindberg because, she said, it helps with bonding and breast feeding.
She knew BC WomenBԪַs Hospital had that policy, but when she asked if they would take her, she was told that they couldnBԪַt because she was not considered high risk for problems when giving birth, even after she was diagnosed with gestational diabetes. BC WomenBԪַs, she was told, only takes patients who live in the Vancouver Coastal Health region and special cases from other regional health authorities if those women are considered high risk.
So, Lindberg looked at Abbotsford Hospital, but she was nervous because they did not have the family-centered policies she was looking for.
Then her doulas recommended Ridge Meadows Hospital because the hospital had a good reputation of keeping the baby with the mother after birth, and is a family-centered facility.
Lindberg transferred to midwives in Maple Ridge and was told she would have to consult with an obstetrician. Because of her gestational diabetes diagnosis, she would have to have a BԪַshared-care delivery,BԪַ meaning that the obstetrician would be overseeing the midwives, who would be delivering the baby.
Lindberg made an appointment with Dr. Rick Mentz. She thought it was going to be a consultation on how shared-care would work and what the doctorBԪַs role would be.
Instead, Lindberg explained, the doctor immediately told her she was there because she is obese.
BԪַWhich ended in him calculating my BMI in front of me and my husband. And telling me that I would not be able to deliver at Ridge Meadows,BԪַ elaborated Lindberg. BMI or Body Mass Index, is a measure of body fat based on the height and weight of a person.
BԪַI obviously got very upset and I said, well, where, where am I going to deliver,BԪַ she continued.
Especially since BC WomenBԪַs had already said no to her.
BԪַThey didnBԪַt consider gestational diabetes, my BMI or my weight, high risk,BԪַ she said of BC WomenBԪַs Hospital.
BԪַIt was a very bad meeting,BԪַ she remembered.
BԪַI left the meeting with Dr. Mentz with a handout of why I was basically bad for being pregnant while fat,BԪַ she said, noting that she was told about the risk of having a stillborn, postpartum depression, and the risk of sudden infant death syndrome or SIDS.
Lindberg noted she has had fat-shaming comments over the years from doctors since she has lived in a larger body since she was a teenager. But she was generally healthy and did not require access to the medical system like she did when she was pregnant.
BԪַSo, while frustrating (and sometimes ignorant/assuming), comments didnBԪַt impact me the same way or limit access to care,BԪַ said Lindberg.
Fraser Health will not comment on this specific case because it is currently in front of the BC Human Rights Tribunal.
However, Fraser Health replied to The BԪַ explaining that all expecting individuals preparing to give birth have individualized care plans in place that are tailored to their unique needs. At times, these plans can change at a momentBԪַs notice to protect the well-being of an individual and their unborn baby.
BԪַFraser Health works to provide all patients in our region, including maternity patients, with access to the best and safest care at all times using our extensive network of hospitals and health services. As our hospitals vary in the services and level of care they provide to our patients, it is part of our regular operations to routinely transfer patients to other sites within Fraser Health if they require a different level of care during their stay,BԪַ read the statement, adding that the health authority follows the Society of Obstetricians and Gynaecologists of Canada Guidelines and the BC College of Nurses and Midwives standards to ensure safe and healthy medical care before, during and after birth.
Lindberg ended up going to Royal Columbian Hospital, where she was already attending a gestational diabetes clinic, where she had to find a whole new care team at 31 weeks pregnant.
Her daughter Ellee was born in May 2020, three hours after Lindberg arrived at the hospital BԪַ during a quick and routine birth. She was born healthy. Lindberg didnBԪַt need a C-section.
BԪַThat was really kind of affirming my body is not different from every other womanBԪַs,BԪַ said Lindberg.
Lindberg noted how upset she was about the way she was treated for a very long time after ElleeBԪַs birth.
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She eventually reached out to Fraser Health Authority to see why they have a BMI limit at Ridge Meadows Hospital.
BԪַBecause nobody explained to me, nobody said we canBԪַt accommodate you because we donBԪַt have equipment. No one said anything, they just said your BMI is too high, you canBԪַt deliver here,BԪַ noted Lindberg.
Her back-and-forth with Fraser Health went nowhere, she said. She did receive a letter from Dr. Mentz that, she said, cited studies comparing her situation to a woman who is pregnant and using illicit drugs.
However, Lindberg said, the studies were from the United States and didnBԪַt take into account sociological factors.
So, in January, 2021, Lindberg reached out to the BC Human Rights Tribunal and filed a complaint. She wants Fraser Health to change its BMI policy and have doctors discuss health issues on a case-by-case basis with pregnant patients.
Her complaint went to mediation May 18 of this year, but no police changes were made.
Now the case is to advance to a hearing, the date of which has not been set yet. Lindberg has been told that the hearing wonBԪַt take place for about another year or more.
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Lindberg is hoping either the tribunal will conclude that policy changes are needed or that Fraser Health will look at the evidence that Lindberg has produced to support her case, and make changes so she wonBԪַt have to go through the tribunal hearing process.
She said Fraser Health has claimed that the policy is in place at Ridge Meadows Hospital for the safety of the mother because it is a smaller hospital.
But Lindberg questions their claim because she lost her care providers, she lost her midwives because they did not have privileges at Royal Columbian or other hospitals. She transferred to a new obstetrician at 35 week pregnant.
LindbergBԪַs water broke in the car on the way to the hospital, about a 40 minute drive, the day she gave birth BԪַ increasing the risk of giving birth in the car.
There was also an ongoing pandemic, limiting transportation choices for the couple.
BԪַIt created barriers for care to me. It caused potentially more risk. I didnBԪַt have an in-person appointment for four more weeks after that consult (with Dr. Mentz),BԪַ explained Lindberg.
BԪַIt was really heartbreaking to sort of be told, youBԪַre too different, you canBԪַt access care, and then have to figure out where to get care from while you are emotional and pregnant,BԪַ she said.
BԪַ The BԪַ has reached out to Dr. Rick Mentz but an outgoing phone message said he will be out of office until Wednesday, Aug. 17.
Have a story tip? Email: cflanagan@mapleridgenews.com
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