Appointment yesterday :-)

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mommyof1.5's picture
Joined: 08/06/07
Posts: 897
Appointment yesterday :-)

I had my first real appointment yesterday, and since it's my first time being seen with this office, had to have a standard annual exam and a super long appointment, to review everything. It went well, aside from being told that my last hope for a VBAC (actually VBA2C) is not an option. SadBeee I've had a REALLY bad skin itching problem on one arm, which I think was from allergies, and not taking my Zyrtec during the first trimester, along with the bronchitis being an outcome of untreated allergy symptoms. She OK'ed me to start on the Zyrtec again, so that made my day. Also, I think they have entirely new U/S machines in their office, so it was WAY more detailed than I've seen on a level 1 U/S at this stage. Overall, a good appointment. Now, I just have to get past the weakness and sore arm, after the flu shot.
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jolly11sd's picture
Joined: 02/02/05
Posts: 3327

I'm glad you had a somewhat good appointment and got to see your LO.
So they won't even let you try to VBAC? I'd be so upset. Actually I'm a little more foward than that and would have left and found a provider that would support my VBAC (or VBAC2). Can you not look for someone else to support your VBACing or was the issue more help related? I'm so sorry.

mommyof1.5's picture
Joined: 08/06/07
Posts: 897

I am very upset about it too. Essentially, they were saying that their insurance tells them it's just not worth the risk. I made sure to let them know that in neither case of my previous surgeries, was it because of emergency, nor was I given trial of labor. I called all of the places in my surrounding area, to ask about options I might have, and they all laughed at me. This one said they determine on a case-by-case basis. Either way, my previous sections were for kind of bogus. My first, they scared me into it, because they said her head was WAY too big for my pelvis, based on an ultrasound earlier that day. They said the chance of emergency section was at least 80% if I went ahead with labor. With my second section, it was because I had already had 1, and I lived SO FAR in the middle of the desert on an army base, that they didn't even have the facilities to keep me alive in case I needed to be life-flighted. It's just really annoying, because I feel like I'm fully capable and just haven't been given a chance. It makes me angry at the first set of doctors, because I think they were using their desire to go home on a Friday night, to make their decision...

daria's picture
Joined: 07/22/03
Posts: 496

That really sucks that you can't try for a VBA2C. I'd be pretty upset too.

Great ultrasound pic!

PsycheGal's picture
Joined: 12/07/08
Posts: 768

They couldn't keep you alive but they could do a major surgery and put you and baby at a higher risk of actually needing to be kept alive? LOL Well, it's not really funny, but that is the most ridiculous thing I've ever heard.

I'm really sorry that you are not finding appropriate care in your area Sad

I am happy you got a wonderful US pic and thank you so much for sharing it and glad to hear you are having your allergy problems addressed! Have you had any diagnostic testing to see what you're allergic to so you don't have to live on an allergy medicine forever? (We have a lot of allergies in my family, but we have removed the problems through avoidance by determining what is causing the allergies - so this is not something I am unfamiliar with, I know how hard allergies are and I just feel for you!)

Lots of hugs!

youngmom08's picture
Joined: 06/23/11
Posts: 509

Sorry they won't let you have your VBA2C. Are you going to stick with this doctor, or try and find a new one? Thanks for sharing your ultrasound pic, that is a very good quality one too!

Jeffininer's picture
Joined: 11/07/07
Posts: 1796

Love the US pic Smile Sorry your doc (or anyone else it sounds) is supportive of you having a VBAC. I know that is important to me this time around and I would be VERY disappointed it my doc told me no. Hope you can either find someone to help you or you find peace with a decision that isn't your own.

AnnaRO's picture
Joined: 07/06/08
Posts: 7033

I'm glad you had an overall good appointment and that you got to see your little jelly bean! I'm a VBAC hopeful this round and my OB is going to let me try for one. I wish that you could find someone to let you at least try for your VBA2C. There is a woman on my BB for DD that had a VBA2C!

momW's picture
Joined: 09/29/09
Posts: 5634

:lurk:

If you want to fight for a VBA2C, I'd be more than happy to help you. I had a breech VBA2C last October, a year next Saturday as a matter of fact. I fought very hard, not necessarily for the right to do it, but for the right to do it MY way. I'm super involved in ICAN because of all the help I got from them during my pregnancy and I have actually become super involved in the birth environment where I live. I would first suggest finding a local ICAN chapter. You can look HERE for one. Also, go to the ICAN web page and read all you can. Check out #5 on this page.

Here is a great site by a wonderful woman with TONS of information to take with you to fight for what you want. She takes the research and puts it into more understandable terms.

A link to ACOG's own guidelines regarding VBAC's and VBA2C's.

"The current cesarean rate is undeniably high and absolutely concerns us as ob-gyns," said Richard N. Waldman, MD, president of The College. "These VBAC guidelines emphasize the need for thorough counseling of benefits and risks, shared patient-doctor decision making, and the importance of patient autonomy."

and

"The College guidelines now clearly say that women with two previous low-transverse cesarean incisions, women carrying twins, and women with an unknown type of uterine scar are considered appropriate candidates for a TOLAC," said Jeffrey L. Ecker, MD, from Massachusetts General Hospital in Boston and immediate past vice chair of the Committee on Practice Bulletins-Obstetrics who co-wrote the document with William A. Grobman, MD, from Northwestern University in Chicago.

I would suggest printing out the above page from ACOG and brining it to your provider.

YOU are in charge of your body, YOU are in charge of your baby. It is YOUR RIGHT to refuse any treatment.

I have much, much more if you want. You can also PM me if you need to. I've been there, I had a failed VBAC 2 years before my VBA2C. I was bullied, switched OB's at 30 weeks to what I thought was a VBAC friendly provider. I was given completely idiotic reasons for not being allowed to VBAC by one OB and the next one bullied me into an induction I knew was going to put me at risk and lower my chances of success. I've also been there as a support person to women that have fought and fought hard for their rights as patients and mothers. Autonomy is not to be taken lightly!

momW's picture
Joined: 09/29/09
Posts: 5634

I just looked and there are two ICAN chapters in Oregon. Even if they aren't super close to you they can still be helpful. My "local" chapter when I was pg with my last baby was 2 hours away, but it was still very helpful to have them. Most ICAN chapters have active yahoo groups or facebook pages. If you're close to Portland, I know that the chapter leader, Christa Billings, is amazing! I'm sure the chapter leader for the Salem chapter is great too, I just know more about Christa Smile

mommyof1.5's picture
Joined: 08/06/07
Posts: 897

"momW" wrote:

:lurk:

If you want to fight for a VBA2C, I'd be more than happy to help you. I had a breech VBA2C last October, a year next Saturday as a matter of fact. I fought very hard, not necessarily for the right to do it, but for the right to do it MY way. I'm super involved in ICAN because of all the help I got from them during my pregnancy and I have actually become super involved in the birth environment where I live. I would first suggest finding a local ICAN chapter. You can look HERE for one. Also, go to the ICAN web page and read all you can. Check out #5 on this page.

Here is a great site by a wonderful woman with TONS of information to take with you to fight for what you want. She takes the research and puts it into more understandable terms.

A link to ACOG's own guidelines regarding VBAC's and VBA2C's.

and

I would suggest printing out the above page from ACOG and brining it to your provider.

YOU are in charge of your body, YOU are in charge of your baby. It is YOUR RIGHT to refuse any treatment.

I have much, much more if you want. You can also PM me if you need to. I've been there, I had a failed VBAC 2 years before my VBA2C. I was bullied, switched OB's at 30 weeks to what I thought was a VBAC friendly provider. I was given completely idiotic reasons for not being allowed to VBAC by one OB and the next one bullied me into an induction I knew was going to put me at risk and lower my chances of success. I've also been there as a support person to women that have fought and fought hard for their rights as patients and mothers. Autonomy is not to be taken lightly!

I would LOVE to fight for it. My only concerns are whether I wear out physicians that will be covered by my insurance, and I don't want to be fired from a doctor for not following orders. Really, what it boils down to, is they can't MAKE me have a c-section or anything. It amazes me that they are so scared to allow a vba2c, when the risk isn't THAT high. They do their best to scare the crap out of pregnant mothers, and make them feel like it's a bad parenting decision from the beginning. Lame. I just didn't know where to go from here. I figure I have a bit of time, but I also have my full OB/surgical records, and proof that their reasons were not medically founded after all. I am definitely closer to Salem, but I will check them out. Thank you!

momW's picture
Joined: 09/29/09
Posts: 5634

"mommyof1.5" wrote:

I would LOVE to fight for it. My only concerns are whether I wear out physicians that will be covered by my insurance, and I don't want to be fired from a doctor for not following orders. Really, what it boils down to, is they can't MAKE me have a c-section or anything. It amazes me that they are so scared to allow a vba2c, when the risk isn't THAT high. They do their best to scare the crap out of pregnant mothers, and make them feel like it's a bad parenting decision from the beginning. Lame. I just didn't know where to go from here. I figure I have a bit of time, but I also have my full OB/surgical records, and proof that their reasons were not medically founded after all. I am definitely closer to Salem, but I will check them out. Thank you!

We've had moms that are good little patients until the end and if there are no legit reasons for the c/s, they just keep putting off the c/s and rescheduling and such until labor and then just go in fighting. It's really not an optimal situation to be in because really, who wants to try to think while in labor LOL but it has been done in some really tough birthing environments. I would definitely suggest getting in touch with the local ICAN chapter. They have so much information about local providers and options.

If there is absolutely anything I can do for you or information I can get for you, please let me know!!!

AnnaRO's picture
Joined: 07/06/08
Posts: 7033

Amanda, if you want a VBA2C, you should be allowed to at least give it a try! I hate thinking you are being pushed into a path you don't really want. I hope you look into the ICAN info that Christa posted. It should be your decision to make and if you evaluate all the risks and decide you'd rather go with another c/s, then that's your decision. But if you want to try for a VBA2C and you are informed then you should be allowed to try.

Is your list of doctors that go with your insurance that short? I would contact them individually and ask them about their VBAC policies. I hope that you can find a way to get what you want. If you need more info, just PM Christa (momw) because she WILL find the info if she doesn't already have it.

momW's picture
Joined: 09/29/09
Posts: 5634

"AnnaRO" wrote:

Amanda, if you want a VBA2C, you should be allowed to at least give it a try! I hate thinking you are being pushed into a path you don't really want. I hope you look into the ICAN info that Christa posted. It should be your decision to make and if you evaluate all the risks and decide you'd rather go with another c/s, then that's your decision. But if you want to try for a VBA2C and you are informed then you should be allowed to try.

Is your list of doctors that go with your insurance that short? I would contact them individually and ask them about their VBAC policies. I hope that you can find a way to get what you want. If you need more info, just PM Christa (momw) because she WILL find the info if she doesn't already have it.

Yes, I will. I'd do almost anything for a momma that wants to VBAC but can't get a fair shot at it.

As a side note, if you call my OB's office, the desk staff will tell you they don't do VBA2C's, which is obviously incorrect information as my OB was all for it. I have since informed him what was going on after a friend tried getting on there for a VBA2C and they have corrected it, but sometimes it really is just a matter of the right hand not knowing what the left is doing.

ruokeni's picture
Joined: 09/26/10
Posts: 157

Sorry to hear that you're getting no support to have a VBA2C, that's so upsetting. I agree with the others and I'm very happy to see that Christa can help you fight for your rights. Fingers crossed that you find somebody that respects your wishes and helps you achieve a VBA2C.

I hope your allergies don't bother you too much, I suffer from allergies as well so I can relate.