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We moved hospitals for the birth of our twins to find one that was willing to tie her tubes when they took the twins out. She ended up having to have a hysterectomy for other reasons later but them being willing to tie her tubes during the c-section was a big part of our decision on doctors to see.
My mom had a hell of a time getting her tubes tied after my brother was born. She had to argue with the doctor for a while to eventually get it done. Gave her the old "What if you change your mind later?" line in like 5 different variations. The one that really angered me though when she told me the story was "What if something happens to one of your children?" Like you were just replacing a busted TV or something.
That's so awful. What a bizarre attitude. It's like something out of the Middle Ages- you can always have another, unless you die in childbirth.
It is not an unreasonable question, I was asked the same when I got my vasectomy. The implication was "you are young enough to have another should the worst happen", not that kids are replaceable parts.
That doesn't really matter though. Doctors aren't supposed to judge like that. You have to deal with that because you're, emphasis on you, are making the decision right now to forfeit that ability in the future.
Cool. That implication doesn't matter if you're in an abusive relationship where your husband expects you to keep pumping out children.