Thanks for the advice, Rebecca.
The epidural is still in question. I do not want it. I don't want any pain medication - the only reason I question it is because I'm afraid of having to be put to sleep again. As a first time mother I was really uneducated about the decisions I could make and I refused to listen to anyone on here who told me about the big baby thing - I learned from that. While he was big, he wasn't huge, but his head was huge - so there's still some question to it. He was trying so hard to get down - he had a ring around his head for several days.
I have all the faith in the world that I can do this on my own with no medications - that's more out of fear. I hated being on my back when I had it with Ayden and I swear it made things worse, not better, and it made me sick too.
I don't want continuous monitoring because I want to be on a birth ball or able to get in the shower if needed. They allow that at the hospital, so I'm going to do my best with that. I've already refused an IV in the event of a labor on my own - but will probably get the little lock in my hand just in case they need to hook it up in an emergency.
All of these things made labor with Ayden worse - the epi and having to be on my back, the constant monitoring, the IV - all of it. It was terrible.
Working on the doula.
Thanks so much for the support. The actual story is much more horrific from the standpoint of when I first wrote it but it disappeared off the October 07 page. I remember a lot more details then.
Thanks for the help Im so trying and hoping for this.
You're actually far better off not getting the epidural. As you know, the coverage can be spotty, and if they don't take the time to make sure of complete coverage before starting your surgery, then you're out of luck. OTOH, it only takes about 3 minutes to place a spinal, which is totally do-able in all but the most dire emergency c-section. They couldn't do a spinal for you last time because you already had an epidural in place.
I was also put to sleep for my first birth when baby's heartrate dropped to zero, again, when I was on the OR table being prepped. Missing another baby's birth is my number one biggest fear this time, but IMHO the risks of the "slippery slope" with an epidural far outweigh any benefit of being assured of being awake in an emergency. I just have faith that things will go differently, or at least differently enough that we'll have that 3-minute window in case of an emergency.
70% of the U.S. population now lives in a state where same-sex marriage is legal. At 36 and counting!
Stacey - I actually did NOT know that about a spinal.
My doctor told me that in the event of a uterine rupture, I would be put to sleep. I know how slim of a chance that is but you know, it's always in the back of your head.
I have so much faith I can do this without an epidural. It was almost pointless last time and it's like what's the point of sticking a needle in my spine if it's not going to work and it will probably just hinder things anyway?
I have been mentally preparing myself for no epidural - I like you have faith that things will go better this time even if I end up with another c-section.
I hope and pray every single day that I won't need it though and I have faith in my body that it will let this happen the good ol' fashioned way.
The other day when I was at my regular appointment the nurse (she was new) asked how I was doing, etc, I said I was hoping to go before my scheduled c-section because I wanted a VBAC. She goes "WHY?!" and then goes "I had a c-section with my first and then a vaginal with my second - I chose another c-section with my 3rd, I far preferred it".
Give me a break. Seriously. I looked at her and literally said 'you're a nutcase'
I don't know. She shocked me when she said that.
I was just reading a birth story from someone who had a VBAC on this site - and that person was told that their chances of VBAC were 30% - it can't be that low, right? My research has said 70-80%, and it is circumstantial - but 30%? That's kind of a scary number to me.
I have all faith I can do it - I don't care how much pain I'm in, how many contractions I'm having, how tired I am - I'm lasting through that scheduled c-section, if not longer - trust me, if they tell me I'm like 4 CM and 100% or more, even a little less, I'm not likely to go in and get cut open - I really should have been given at least a week over but it appears that I chose a not so friendly practice, which stinks....but...after doing further research I saw that an epidural is not VBAC friendly - so...I am keeping that in the back of my head too. The last thing I want to do is hinder my chances of doing it - especially if it's as low as 30% - YIKES!
It's possible that certain doctors have a 30% vbac rate (or lower). These would be the ones that agree to "let" a mom "try" and then get them into the OR the first chance they get.
Literature reviews and more recent studies on vbac show that around 75% of women who planned labour after a cesarean gave birth vaginally. So the odds are totally with you, especially with your planning and commitment.
DD - Nov/06, DS - Sept/08, DS - Mar/11
At this particular practice, the c-section rate in general is 50%. That's a real ominous number. The sad part is that all of the doctors are female (it's an "all female" practice).
A few weeks ago I ended up in L and D because of consistent contractions and some leaking fluid - AT MY PARENT'S HOUSE - 3 hours away. I went to a hospital I KNEW was VBAC friendly because I know someone who VBAC'd there all naturally. When I got there, I explained that if I happened to be in labor, I'd want a VBAC - they sent in this very young, handsome, awesome doctor since of course, my doctor was nowhere around - he was fabulous. He said "if you want a VBAC, I totally support that - if you were my wife, I wouldn't want you to have a c-section either, and it's also more risky for you in the end to have a repeat c-section if you are planning on having more children" - he then continued with his faith in VBACs, and let me know that if I was his patient I'd be allowed 41 weeks (pending no major problems) - and also, after 3 CM, Pitocin and water breakage (not allowed at my practice here, the most I can have is a strip). Now I'm actually pretty opposed to Pitocin during a VBAC - but he did explain to me the risk with it, and that apparently it depends on the training the doctor has had recently as to whether or not they are willing to use it - he said his training has taught him that Pitocin in VBAC's can be used.
It's really sad. I left that hospital going - oh my gosh - the odds are technically against me here. I made an effort after I spoke with this doctor to research the docs in the area, and I found one an hour away that would have taken me at that point and was EXTREMELY VBAC friendly (recommended highly by the midwives in the area, people I've actually met in parking lots, etc) - ultimately I made the appointment but then cancelled it because unfortunately the logistics of it were not working - and it sucked.
Part of me feels like I'm not trying hard enough by sticking with a doctor who is so unfriendly ... but I will tell you that the one doc I see (there are 3 in the practice, I've seen all 3 there) - on a regular basis - totally understands what I want. She's the only one of the 3 that does and she makes me feel a lot better. I have a huge paranoia that the other doctors would check my cervix and lie about how far along I was to push me into a c-section - this doc has been honest - letting me know I've actually made great progress and she has faith I could do this naturally, and that's good.
If they tried pushing me into the OR for some foreign reason that was not legit (now that I'm more educated, I know better) - I'd get up and leave and drive the hour away to the other hospital...I'm not kidding. I don't want that...so that leads me to believe that I do have the faith I need, and I am planning appropriately, even though I'm not with my dream doctor ... like the one I saw a few weeks ago - who was amazing, and ironically afterwards I found out, is also a doctor in the practice where I was a patient just as a GYN while I lived with my parents, before I was married.
Breaks my heart...
Honestly-- given your reservations about your current care-- I would just plan on driving the hour to the "other hospital". 50% c section rate is alarming IMO.
I would just plan on waiting to go into labor and then going to the other hospital. I bet your chances are higher of having a successful VBAC.
GL-- I'm rooting for you!
The doc you saw when you were at your parents' sounds wonderful. I'm glad you are informed and willing to walk out of a hospital if you feel like you're not getting the kind of care you think is best.
It's good that you have one dr. in your practice who you feel is supportive, but I would worry about a 50% c/s rate even as a non-VBAC. Just going straight to the other hospital when you're in labor is a possibility.
Whatever you decide to do, I'm rooting for you, too!
wow your hospital sounds totally scary to me. On the one hand I understand staying put, but on the other, I agree with Audra and would seriously think of jus making a b-line to the other hospital. If my place weren't so VBAC friendly I think I would have made more of an effort to get to a birthing center (though that would mean less coverage for myself).
Tiff + Bobby 8/22/04