Q&A with OB-GYN Dr. Laurence Eisenhauer

Dr. Eisenhauer is an Encinitas based OB-GYN who helped create the Scripps Encinitas OB center. He has been practicing for over 30 years and delivered my son, Dylan.  Dr. Eisenhauer came into my life when the midwife in charge of my delivery said that my baby was in distress and that she wanted the doctor on call to take over for a c-section. “Holy $#!* this is really happening to me!” I said.  Then Dr. Eisenhauer calmly explained the scenario of what would happen next. We wanted a healthy baby and we had to make a decision, so we said “Yes” with a sigh of relief knowing that Dylan would soon be in our arms!

The next thing that I remember was the doctor saying, “Wow, now there’s a set of abs!” as he cut into my transverse abdominus muscle that is required for a strong back, ability to push, and a speedy recovery. My husband chimes in”Thats my girl!” and I had a little smile going for a second- even under those circumstances.

Six years later, while reviewing my delivery with Dr. Eisenhauer during this interview, he told me something I had never heard before. He said that cords are all different lengths, which I knew, but also that babies can get wrapped up higher by the placenta, (which is not so good), or lower down, which ultimately creates a better chance for it to unwrap safely during delivery. After all these years I realized it wasn’t my positioning, the midwife couldn’t have fixed the problem, and there was no one to blame, including myself. Well, this news made me understand that it was a natural occurrance and lifted the blame I had placed on myself, my husband, the midwife and replaced it with acceptance and gratitude that in this day and age that these issues can be solved with healthy happy results!  I don’t know the final truth on why Dylan’s heart rate had deceled so low, but I can say that as a woman who had dreams and desires for natural birth, I am so happy that I have come through the healing cycle of fear, blame, disbelief, anger, distraction, and finally come to acceptance and forgiveness for my thoughts and feelings.

Whew! Done! I’ve turned the page and here I am still learning and sharing and hoping that my coming through this experience could possibly help you with your awareness and your experience.

I know that in most practices, the OB you signed up with doesn’t always end up at your birth. These days doctors have a group that rotates. Sometimes the doctor on-call is within your group that you signed up with and sometimes they are not. This can be good and bad but probably more good. The idea that a doctor could be delivering a baby every night during the week and you are somewhere in the middle, when he/she is working on no sleep, doesn’t sound good to me one bit. That said, if you loved your doctor who helped you during your prenatal care and then during your delivery a different doctor shows up to your delivery, that can be a little bit of a surprise! I will be giving you some tips on how to be informed and prepared in the labor room to steer towards the birth that you want.

Now back to Dr. Eisenhauer! His office had a very relaxing and family vibe. I would describe it as a small-practice feel with the Scripps clout to back it up.  I had the pleasure of capturing a brief interview with Dr. Eisenhauer about his practice and thoughts on exercise and Pilates

What is your opinion on exercise during pregnancy?

Exercise is a mind and body experience–both are important. One must avoid low blood sugar by eating before exercise in the first trimester. Heart rates of 145 in unconditioned and 165 in conditioned expectant mothers are pretty well tolerated. One thing to be sure to remember, “Lift with your legs!”  I am not specifically familiar with Pilates,  but so many women use this method of strengthening and conditioning, that it seems to be fine.

Do you prefer natural birth or C-section birth for moms and babies?

Natural! And I do not know any OB/GYN who feels otherwise. C-section is often to benefit the baby at the expense of the mother’s health. This may be a good imbalance from the parents’ point of view. 

What specialties do you have?

OBGYN ultrasound experience of 40-50 scans per week for thirty years. 10-15 years of 3D/4D experience for both OB and GYN patients. Many of my patients elect an annual ultrasound to screen the ovaries and uterus.

What specialties are you most known for?

I am an experienced master of technological needs of patient care with confidence in natural course of labor when interventions are 
unnecessary. I accept the responsibility to be in charge of decisions if the patient gives me that right. I am ultimately the advisor and technician.

Best one sentence description of yourself

I am a mixture of experience in the courses of labor, observer of what I do not know, good communicator of what I do know to be true, confident attendant and problem solver.

Would you recommend people watch the Agility Studio prenatal video?

Of course! But I would suggest that people discuss their next trimester needs as a focus, rather than just needs during labor.

6102 Avenida Encinias, Suite E, Carlsbad, CA 92011