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vaginal birth after cesarean

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June 4th, 2009

antonia3001 @ 09:10 pm: ICAN

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April 7th, 2009

antonia3001 @ 08:03 am: 20% off sale at Hypnobabies
I just got an email on the sale which goes from April 8-15. Thought someone here might be interested.

"Please visit our website at http://www.Hypnobabies.com to take advantage of this offer, and you must enter the code: SPRING at checkout, to get our 20% discount on your order."

February 18th, 2009

raven_faerie @ 02:53 pm: so i think i have found a doctor in my area that will allow me to try for a vbac. i'm going to set up a meet and greet with him sometime in the next few weeks.

what kind of questions should i ask? and what should i be looking for in answers?

thanks in advance!

January 14th, 2009

raven_faerie @ 02:27 pm: i just got the guts to call my OB/GYNs office to ask if they will do VBACs. i had been putting it off since i already suspected they would say no.

and they did.

we are currently TTC #2 - should i start to look for a different care provider now? or could the receptionist have just given me a blanket answer (i didn't specify that i currently was a patient) and it might be different since they were the practice that did my original section?

i'm just bummed that my VBAC dreams may be crushed. DH is adamant that if my current provider won't do them that they are a bad idea. but i think i could change his mind with the right information.

i just needed to share with people that would understand. thanks!

Current Mood: disappointeddisappointed

December 22nd, 2008

tikizeekbaby @ 04:49 pm: One VBAC under the belt... now what?
We are unofficially TTCing for our third baby.  My first was a Csection and second was a very prepared for VBAC which went wonky at the last minute.  Basically I spent a lot of time and money hiring a Doula, going to Midwives that were over an hour drive from where I live and did all this additional "preparation"  (much of which cost money) and the day of my delivery, due to major traffic, we didn't make it to my hospital on time and I had a VBAC 1/2 hour after being transported from our car to the nearest hospital BY AMBULANCE.  On top of that, my Doula ended up being in the hospital herself at the time and neither she nor her "substitute" were of particular assistance, I ended up spending an asinine amount of money on someone to talk to about the pregnancy y'know?

So now I'm in a quandry.  I know that a lot of hospitals and doctors are intervention happy, and even though I had a successful VBAC, anything could go wrong.  That said, the idea of spending another almost year in traffic going to a group of midwives and spending money on a Doula are just leaving me cold.  I've been contemplating using a doctor that my Doula had first referred to as being Doula friendly, though I'm not sure he'd agree to using a birthing stool when I know the midwives would - though she'd said he'd delivered a baby from a woman in hands and knees position.  I had a third degree tear because I was on my back, I'm pretty sure I wouldn't have torn if I'd been in a more "large baby friendly" position.

I just don't know what I want to do.  There's a part of me that would like to have that nice midwife birth experience, but at the same time, I was having to leave my house at 5:45am to make an 8am appointment last time and at the time I only had one baby... and she is like two peas in a pod with her dad... my second one isn't.

If you've had more than one VBAC, once you'd "done it" did you find it easier to have the next one?

November 21st, 2008

antonia3001 @ 09:42 pm: VBAC legal help in Pacific NW
I thought I'd re-post this from the ICAN website in case anyone could use it.

I'm a lawyer with the Northwest Women's Law Center in Seattle. I'm investigating possible legal responses to bans on vaginal birth after cesarean at hospitals in the northwest states - Alaska, Idaho, Montana,
Washington and Oregon. If you are currently pregnant and want to have a VBAC, but are facing a hospital policy that would require you to have a c-section regardless of whether you want it and whether it is medically necessary, and are willing to consider working with a lawyer on this, we'd like to talk with you. Please email us at vbacbanhelp@ican-online.org Our services will be provided free of charge.

Barbara Stratton
Northwest Women's Law Center in Seattle
vbacbanhelp@ican-online.org

http://www.nwwlc.org/

Mailing Address:

Northwest Women's Law Center
907 Pine Street, Suite 500
Seattle, WA 98101

Phone:
Legal Information & Referral ( 206 ) 621-7691

* Toll Free ( 866 ) 259-7720
* TTY ( 206 ) 521-4317

Administration ( 206 ) 682-9552

Fax:
( 206 ) 682-9556

November 12th, 2008

antonia3001 @ 02:22 pm: Epidural use in VBAC
My first post raised some questions about the safety of epidural in VBAC, specifically with respect to epidural masking the signs of a uterine rupture. After some further research I've found a couple interesting studies on the matter. Both conclude that epidural is not contraindicated in VBAC and may be used.

The first is an meta-analysis of studies on uterine rupture on emedicine.com and includes a great deal on information on uterine rupture and VBACs, not simply epidural information: "Uterine Rupture in Pregnancy"

The second is the "ACOG Practice Bulletin, July 2004"

According to table 2 in the eMedicine article the following are signs of uterine rupture in order of highest to lowest incidence:

1. Prolonged deceleration in fetal heart rate or bradycardia – 80%
2. Abnormal pattern in fetal heart rate – 54%
3. Uterine tachysystole* or hyperstimulation – 40%
4. Vaginal bleeding – 37%
5. Shock – 33%
6. Abnormal labor or failure to progress – 29%
7. Abdominal pain – 26%
8. Loss of intrauterine pressure or cessation of contractions – 4%

If a uterine rupture were to occur, signs of the rupture are more likely to be one of items 1-6 than abdominal pain.

Edit: Clearly I think some readers missed this part of my previous post "Now I was not planning on an epidural, I'm planning to avoid it, but having it available should the pain become unmanageable is a very reassuring thing." (I'm not going to explain or debate my birth plans further)

Please note: In this post and my prior post I am of only speaking of the absence of increased risk of uterine rupture from an epidural in VBAC patients. I'm not referring to understood increased risks of c/s associated with epidural nor the substantially increased risk of uterine rupture with induction/augmentation drugs in VBAC women. I am responding to the hospital's policy of refusing epidurals based on the flawed assumption, not based on evidence, that an epidural would mask the signs of a Uterine Rupture.

Just as it is wrong for hospitals and physicians to try to force women to undergo unnecessary c/s, and to withhold support for laboring and birthing normally, it is equally wrong to arbitrarily withhold (i.e. in the face of good evidence to the contrary) a useful and effective (for pain) pain treatment from women who might need it. And there absolutely are individuals for whom the benefits of epidural outweigh the risks.

I would think that women concerned about choice in childbirth would also be concerned about this other removal of choice for birthing women.


November 10th, 2008

antonia3001 @ 02:02 pm: New Member Intro
Hi, I just joined and thought I should post a brief introduction.

Two years ago I gave birth to my first baby, a boy, who I call Babywookie on the internet, by c-section after several hours of pushing resulting in a diagnosis of "failure to progress." We later learned that he was OP and that was the likely cause of the "FOP." I am pregnant again and due in February and I'm planning on a VBAC.

The hospitals in my area do not "allow" VBACs but by signing a "refusal of c-section" waiver I'm going to be able to deliver at my local hospital. The nearest hospitals that routinely provide VBAC deliveries are all more than an hour away from home and I'm not comfortable about traveling an hour+ to a hospital in the middle of February in New England.

I'm doing what I can to prepare myself for a successful normal birth. I'm focusing more on my health and fitness, I've hired a doula, and I'm doing lots of research.

Today I had a setback in my VBAC quest. Today my OB told me that the hospital's anesthesiologists refuse to give epidurals to laboring VBAC patients. Now I was not planning on an epidural, I'm planning to avoid it, but having it available should the pain become unmanageable is a very reassuring thing. And this revelation leaves me feeling like my human rights are being violated.

The Thinking Woman's Guide to a Better Birth says "In the past, doctors refused epidurals for VBAC labors on the grounds that the epidural might mask pain from the scar giving way, but pain isn't a reliable symptom, and experts agree that epidurals should not be withheld in VBAC labors."

So that's me.

November 9th, 2008

raek622 @ 12:39 pm: Getting Nervous/Doubting Myself...
I was 37 weeks pg yesterday.  My DD was a c-section birth due to fetal distress.  At my 35 week appt I was measuring 39 weeks, which was a big deal for me because all along I've measured right on with where I should be.  So when I went to my appt on Thursday there was an ultrasound done to determine size.  I know they aren't always accurate with weights and can be off by as much as a pound in either direction.  The tech said he was weighing 7 lbs 6 ozs right now, so could actually be 6 lbs 6 ozs or 8 lbs 6 ozs.  Either way, I'm fine.  I can handle the fact that I might have a 10 lb baby if I go full-term.  Not a big deal.  What is scaring the bejeezus out of me is that the tech said at 36w5d his head was measuring 38w6d.  I'm a petite person - not even 5' tall.  If his head really is that big how on earth will I be able to push him out without causing massive damage to myself?  I am so scared of tearing really badly and I'm starting to wonder if I can do this.

I don't know if this is the right place to talk about this, but I figure those of you that have BTDT can give me some words of wisdom maybe...tell me that it's possible for someone that is tiny like me to birth a baby with a giant head and not sustain a ton of damage.  I so badly want a natural birth with no pain meds, but now I'm starting to fear the delivery and if I'm not confident in myself I know I won't be able to do it...so how do I get that confidence back that I had before my ultrasound on Thursday?

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