I haven't heard back yet on who her insurance carrier is, but she said that since she went early with her son (37 weeks), and that the c/s wouldn't be 'scheduled' until around 39 weeks she's hoping that she goes early again and then she can wait it out at home until it's too late for a c/s.
In the interest of full disclosure: She was diagnosed with 'small uterus' (apparently super tiny) after her son was born and he has Down's. I don't know if her uterus size has anything to do with the D.S., but I know she had some sort of surgery back in March to correct something with either her cervix or uterus, and she was told it was unlikely she'd have more children. She was devastated thinking she'd only have one child, but now she's pg (12 weeks). My point with all this is, that she may not be considered low risk, depending on what her medical record actually indicate. Anyway, I sent her a long email telling her that she needs to call them again and again until she talks to someone important enough to help her. I understand if there are circumstances in the end that don't allow her to have a VBAC, but every woman who wants one should at least be allowed to try.
Her uterus size has nothing to do with Downs. Its a chromosomal abnormality.
Even with her history, it should be up to the OB not the insurance company to tell her what her options are. With her history, it might be unlikely that a birth center will take her. :(
My thoughts were that she might be risked out of HB and birth centers. :( However, if I were her I'd fight the no VBAC if it was a battle I believed strongly in (I do, but she may not). Now more than ever she needs a doctor to talk with and get straight answers from. Sadly, those aren't always very easy to find.
Unless it was a very minor procedure, she's probably going to be told that she's risked out of VBAC; anything invasive, from surgery in March to pregnancy in July is simply not enough healing time by VBAC standards. If it were me, and if I made it to term, I'd still insist on a trial of labor, because I believe babies should choose their own birthdays and that labor is good for a baby, but I wouldn't stay home during labor. I would labor very close to the hospital, if not in the hospital (you can walk the hallways without being admitted, hang out in the chapel, etc.) and pay close attention to my body & baby, and not second-guess any kind of warning sign. Wishing her all the best!
Originally Posted by AnnaRO