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vaginal birth after cesarean

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June 24th, 2013

ak_mommy81 @ 11:22 pm: Information searching
I found out last week that I am expecting again so back to the VBAC information line I go. I was wondering what are some of the better sites, maybe even books to read to fully educate myself. My daughter was born via c-section and it wasn't a pleasant experience at all and I want to avoid that again at all costs. I have a VBAC friendly Dr, though she has an if-y midwife on her team when I talked to her about  2yrs ago when I saw her for my first prenatal appt before it ending in miscarriage. I don't know if she just wanted to go off of what my on-call Dr that delivered my daughter was saying in his notes or what, but he robed me of the labor and delivery that I wanted and still to this day believe I could've had if I had had my Dr, or even another there instead of him. I don't want to switch Dr's by any means if she doesn't have a VBAC friendly team to back her and myself in case one of them is who is there at the time I go into labor but if I MUST, then I will because I'm dead set on having the birth experience that I want.

Any and all information is welcome.

June 20th, 2013

claripossum @ 12:20 am: Oh hey, I forgot this community existed! And I forgot I was a member, LoL. XD

Well I guess I just came to add my VBAC success story, four and a half months ago I had an induced hospital VBAC and gave birth to a second baby girl. :) I named her Katherine so I could call her Katie, because I like the name Katie but I don't like using nicknames as given names, heh. I like the name Katherine, too, so it worked out. ;)

My birth story is already in my personal LJ so I won't bore you guys with too many details here, but in a nutshell my water broke at 36+1 and I had to be induced because I was not dilated at all. But all went well, and she was born about 37 hours after I first felt that trickle, at 36+3 in the wee hours of the morning. She was healthy, 6 and a half pounds, apgars 8 and 9, no NICU or anything needed. :D

We had trouble with jaundice in the first couple weeks and she had a teaspoon or two of formula while in the hospital, but that was mostly drops on my breast--none of it in a bottle--to help wake her up to eat since my milk hadn't quite come in yet and colostrum just wasn't interesting enough for her, LoL. BUT since then she's EBF and a chunker! Bathroom scale puts her at more than 15 pounds already!

So anyway, I just wanted to check in and say I DID IT and hopefully I can be of some encouragement to anyone who is still watching this and awaiting their VBAC. I am thrilled that my story can be added to the "success" column. :D

July 6th, 2012

vivrelavie @ 04:40 pm: Birth Center vs Hospital VBAC?
Hi everyone. I'm new.. I'm around 7 weeks pregnant and hoping for a VBAC. My first birth was traumatic. It was a battle from the moment I checked in to the hospital due to the size of my child, my nausea (due to eating in a panic since I was afraid the hospital wouldn't have gluten free food, silly Know), and my back labor. I ended up getting an epidural out of panic since my doula wasn't there yet which is a decision I greatly regret. Due to the size of my son and the epidural, I stalled out at 5cm and developed an epidural fever so eventually, I was told it was time for a c-section. I was tested for GD, but was cleared. Despite that, I had an 11 pound 2 ounce son. :D He's still a big boy now (very tall and musclely) at almost 3 years old!

ANYWAYS... I'm debating right now over a birth center or hospital birth. I must admit, the first OB I saw so far has me freaked out a bit about the risks, which only scared me more when I went to the AWESOME birth center near my house. I was about ready to sign on the dotted line, but when I saw those emergency risks again... I thought, maybe I would be better at a VBAC friendly hospital? The birth center is AWESOME. The women are wonderful and while they were a little hesitant due to my son's size, they are totally on board with me trying for a VBAC, especially since I eat a modified paleo diet now (so no more carby treats for me!) The only thing that freaks me out is that if there is an emergency...it's not like they can immediately move me to the OR. The hospitals are near by and they are equipped for an emergency (like a level 1 hospital), but still. I don't know. Despite my major distrust of doctors, they have engrained a fear of not having them into me.

I'd love to hear your thoughts. All I know is that I do NOT want another c-section. I want to give my body a chance to do what it was meant to do.

Current Mood: confusedconfused

July 9th, 2011

tikizeekbaby @ 10:40 am: Recommendations?
Hi Ladies,

There's a possibility we may be relocating to the Dallas, TX area in the next couple months, and I'd be late into my 3rd pregnancy. I'm looking for recommendations for VBAC friendly hospitals, midwives and/or OB/Gyns (Pediatricians too, if you've got 'em) just so that I have some ideas where to go if we do end up moving.

I'm a VBAC/Natural Birth/Extended Breastfeeder in case you're wondering whether your doctors would be in line with my sensibilities. :D

Thank you in advance! :)

will be crossposted.

July 22nd, 2010

tikizeekbaby @ 07:42 am: New Cesarian Guidleines

For any of you recieving pressure for repeat C-section:
http://www.usatoday.com/news/health/2010-07-22-VBAC22_ST_N.htm?csp=34news


x-posted

December 17th, 2009

tikizeekbaby @ 10:10 am: VBAC article from CNN.com
http://www.cnn.com/2009/HEALTH/12/17/birth.plan.tips/index.html It's about how a couple had to move to get the VBAC they wanted, and succeeded, also offers some tips for those that are birthing in hospitals.

October 13th, 2009

antonia3001 @ 10:46 pm: In case you didn't see this in the ICAN forums....
I have been contacted by someone from the Service Employees International Union Healthcare Campaign.

"For the past few weeks we have undertaken quite a campaign to bring to light the insurance industry’s current practice of discriminating against women – denying women’s claims because of pre-existing conditions such as pregnancy, cesareans, and domestic violence. There has been a lot of interest from the press and more importantly from members of the House, Senate, and even the First Lady.

"Next week Senator Mikulski is holding a hearing entitled: “What Women Want: Equal Benefits for Equal Premiums” We are trying to find women who can speak at the hearing who have been denied coverage because of a pre-existing condition, such as pregnancy or c-section, or those who have coverage but their plans don’t cover maternity care for example."

There is a Senate hearing THIS thursday that they would like someone who has been denied coverage because of a cesarean to testify at. They would also like as many specific examples of this happening as they can collect. Periodically this comes up and it has yet to get much traction. Some of you have already shared your stories with me but I know there are others out there. Please spread this request out and especially if you or someone you know is in the DC area and would be willing to testify, contact me asap. Please email me directly as I will not be able to monitor all the forums, advocacy@ican-online.org

Gretchen Humphries
Advocacy Director, ICAN
~~~~~~~~~~~~~~~~~~~~~

June 19th, 2009

tikizeekbaby @ 10:58 am: New Guidelines regarding Csection not being best option for breech birth
New Guidelines from Canadian Society of Obstetricians and Gynecologists encouraging their doctors to LEARN how to vaginally deliver Breech babies and think of it as an option:
http://www.theglobeandmail.com/life/health/c-section-not-best-option-for-breech-birth/article1186104/

Cross posted

June 13th, 2009

antonia3001 @ 04:45 pm: This isn't right.
If you go to the Source Document There's an awful paragraph that is about physician retaliation and is exactly what they themselves are complaining about: ...Whereas, any complaint to any oversight investigative regulatory body leads to uncompensated expenditure of time, resources, and monies to defend physicians or the “guilty until proven innocent” principal, and...


http://ican-online.org/news/ican-online


AMA Resolution Would Seek to Label “Ungrateful” Patients


Redondo Beach, CA, June 11, 2009 - At the American Medical Association’s (AMA) Annual Meeting next week, delegates will vote on a resolution which proposes to develop CPT (billing) codes to identify and label “non-compliant” patients (1)

The resolution complains:

“The stress of dealing with ungrateful patients is adding to the stress of physicians leading to decreased physician satisfaction.”

“This resolution is alarming in its arrogance and its failure to recognize, or even pay lip service to, patient autonomy,” said Desirre Andrews, the newly elected president of the International Cesarean Awareness Network (ICAN).

If approved, the resolution could hold implications for women receiving maternity care. For pregnant women seeking quality care and good outcomes, “non-compliance” is often their only alternative to accepting sub-standard care. Physicians routinely order interventions like induction, episiotomy, or cesarean section unnecessarily.

Liz Dutzy, a mother from Olathe, Kansas, delivered her first two babies by cesarean and was told by her obstetrician that she needed another surgical delivery. “My doctor told me that I needed to have a cesarean delivery at 39 weeks, or my uterus would rupture and my baby would die.” She sought out another care provider and had a healthy and safe intervention-free {home} birth at 41 weeks and 3 days gestation.

A recent report by Childbirth Connection and The Milbank Memorial Fund, called “Evidence-Based Maternity Care: What It Is and What It Can Achieve ,” (2) shows that the state of maternity care in the U.S. is worrisome, driven largely by a failure of care providers to heed evidence-based care practices. For most women in the U.S., care practices that have been proven to make childbirth easier and safer are underused, and interventions that may increase risks to mothers and babies are routinely overused. The authors of the report point to the “perinatal paradox” of doing more, but accomplishing less.

The resolution proposed by the Michigan delegation of the AMA could threaten patient care and patient autonomy for several reasons:

• Billing codes that would categorize any disagreement and exercise of autonomy on the part of the patient as “non-compliance” “abuse” or “hostility” could create a pathway for insurance companies to deny coverage to patients
• Use of these labels fails to recognize patients as competent partners with physicians in their own care
• Tagging patients as “non-compliant” fails to recognize that there is not a “one size fits all” approach to care, that different opinions among physicians abound, and that patients are entitled to these very same differences of opinion
• Labeling patients as “non-compliant” may, in fact, be punitive, jeopardizing a patient’s ability to seek out other care providers

The resolution also fails to address how it would implicate patients navigating controversial issues in medical care, like vaginal birth after cesarean (VBAC). While a substantive body of medical research demonstrates that VBAC is reasonably safe, if not safer, than repeat cesareans, most physicians and hospitals refuse to support VBAC. (3) The language in the resolution suggests that patients who assert their right to opt for VBAC could be tagged as non-compliant, even though their choice would be consistent with the medical research.

“The reality is that the balance of power in the physician-patient relationship is decidedly tipped towards physicians. The least patients should have is the right to disagree with their doctors and not be labeled a ‘naughty’ patient,” said Andrews.

About Cesareans: When a cesarean is medically necessary, it can be a lifesaving technique for both mother and baby, and worth the risks involved. Potential risks to babies from cesareans include: low birth weight, prematurity, respiratory problems, and lacerations. Potential risks to women include: hemorrhage, infection, hysterectomy, surgical mistakes, re-hospitalization, dangerous placental abnormalities in future pregnancies, unexplained stillbirth in future pregnancies and increased percentage of maternal death.

Mission statement: ICAN is a nonprofit organization whose mission is to improve maternal-child health by preventing unnecessary cesareans through education, providing support for cesarean recovery and promoting vaginal birth after cesarean. ICAN has 110 chapters in North America and Europe, which hold educational and support meetings for people interested in cesarean prevention and recovery.



(1) Resolution 710 “Identifying Abusive, Hostile or Non-Compliant Patients”

(2)
Evidence-Based Maternity Care: What It Is and What It Can Achieve

(3) http://www.ican-online.org/ican-in-the-news/trouble-repeat-cesareans


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