24 week appt (xp)

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renee24's picture
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24 week appt (xp)

it went better than I'd hoped, though I do think some lying went on, lol. (ok lying may be too strong a word)
Now to explain:

My hopsital has a policy of no VBA2C, which I would be. Today, instead of seeing the NP, I apparently saw the hospital midwife (which I didn't even know we had). When she asked of my plans I told her and she was fine with that. Thinking it was weird I was like, it'll be a VBAC.
NP: "oh, was your second a c-sec and your first a vaginal?"
M: "No, they were both c-sec"
NP: looking confused, "So your second was your first VBAC? You've had one before?"
Starting to think she was a bit slow, esp after she just informed me that she carefully read my file for my history
M: "No, DS was failure to discend. He was a bit crooked. DD had a poly-cycstic kidney which distended her stomach which made the docs uncomfortable enough to not want me to VBAC"
i explained a bit more about how labor did not go well with DS, nor did the healing, but that DD's healing was fine.
NP: "Well, you'll find that we are very pro VBAC here. Now I don't know the stats about VBA2C . . . "
M: "I do" *foot in mouth* "I've done a lot of research on it" *thanks to the NCB board*
NP: "ok then, educate me"
Thinking this was a trap I lost all the knowledge in my head, but once I got rolling she looked impressed by the research and thought that i'd put into the subject.

She then examined me and commented on how well my incision looked, like it was hardly there.

Anyway, I'm not sure if she's just not aware of their policies, if she's really new, or if she is just a bit in her own world (IYKWIM). My hospital is not known to be VBAC friendly. In fact, I saw a post over at another board site where someone was asking about our hospital and how to avoid a c-sec. She'd talked to 20 women, 19 of whom had ended up with a c-sec! VBAC friendly, I don't think so.

Either way, I don't see the real battle starting till I hit 36w, or 32, as she wants me to come in for a consultation about my VBA2C choice. That should be fun. I plan on going in armed.

Any way I just wanted to update. I know I don't get to post over here as much as I want at the moment, but we're going through some transitions right now. Hopefully some things will calm down in a few weeks and I can post more.

heatherliz2002's picture
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Good luck with everything! I hope the hospital is able to work with you so you can get your VBAC!

HockeyTownMom's picture
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I do not understand the concept of "failure to descend". What went on? I'm being serious and am very curious of how your labor was progressing and why the dr's felt that way.

On to the VBAC - YOU CAN DO IT! Wink If worse comes to worse, walk in pushing.

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Here's a bit more to help you prepare for the discussion. I say kudos to that hospital midwife, can you stick with her? Blum 3

Vaginal Birth a Safe Option After Multiple C-Sections
http://medicalcenter.osu.edu/viewer/Pages/index.aspx?newsid=2835
The Society of Obstetricians and Gynaecologists of
Canada's VBAC guidelines state that a trial of labor is likely to be successful but carries a slightly higher risk of rupture
http://www.sogc.org/guidelines/public/155E-CPG-February2005.pdf
American College of Gynecologist Issue Less Restrictive VBAC Guidelines
http://www.acog.org/from_home/publications/press_releases/nr07-21-10-1.cfm

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Do you mind if I ask where you are in TX?

Chimmy's picture
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"HockeyTownMom" wrote:

I do not understand the concept of "failure to descend". What went on? I'm being serious and am very curious of how your labor was progressing and why the dr's felt that way.

On to the VBAC - YOU CAN DO IT! Wink If worse comes to worse, walk in pushing.

I'm curious as well Smile With your first baby it can take a good long while for him or her to come down, I just attended a labor with a mama birthing her first baby & I think if she had had an OB she would of had a section.

I think it's great that your being so proactive with this Smile

renee24's picture
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he was a little crocked and just wouldn't budge. I'm sure if they'd let me change positions he would have come out fine, but since I'd had an epi (that had worn off at that point) they wouldn't let me. When he was born he had a whopper of a bump on the side of his head.
I'm sure I can do it this time as well. I'll admit to being a bit unsure with DD, but not this time. I know I can do it and i'm determined dang it!

As for keeping the mid-wife, I'd love to. I'll ask for her when I go in but I get what they give me usually. I loved it when she said "well you can decline any procedure they suggest" Biggrin That was what my plan was all along but it was nice to hear it said by someone practicing in the hospital.

Thanks for the info Stacey. I have the ACOG but not the other 2. I'll be sure to print those ones off.

Actually our entire hospital is in the process of moving accross town so insead of being 15 mins from it we'll be about 45! I don't mind if it means getting there closer to pushing time in all honesty, though I'd prefer it not happen in the car either, lol.

Mom2ThreeKiddos's picture
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Do you have a local chapter of ICAN? If so I say join it asap!

renee24's picture
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Christy, not that I remember seeing.

Consuella, I forgot, I'm in san antonio.

You'd think there'd be one in such a big city.

melloyellochelle's picture
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Hey Tiff! I just decided I should come over here this time... I wanted to with Grace but never had time. Anyway, I'm glad to see some familar 'faces.' Smile

I know you can do a VBA2C!! I love all the info you're getting. You're being so proactive about it. And keeping in mind that you can decline any procedure is huge! I'm excited to watch you go through this great process. Smile