Yikes...fingers very crossed for you! Do the midwives ever deliver at the hospital? I assume you would have mentioned that if it was a possibility, but I know it makes me feel a LOT better about going to the hospital as a possibility knowing my MW will still be there backing me up if it comes to that....worst case, could you at least look into a doula? Maybe one with experience at that hospital? A strong advocate can go a long way...
Fingers crossed that you get the go-ahead. Did they do that surgery vaginally through your cervix? If so, then it absolutely should NOT impede a home birth, and if they says it does, then appeal & make them justify it medically because they can't. If they did it through the uterus with a horizontal incision, and if you've had a full year to heal, then you should be able to move ahead with home birth because it's no different than if you had a c-section; if you haven't had that much time to heal then there's a risk of premature labor but you should be able to plan on home birth in case that doesn't happen. If they made a vertical scar on your uterus, with this little time healing before pregnancy, sadly I have to tell you that it will probably impact your chances for a vaginal birth because the risk of rupture increases pretty dramatically both with a vertical uterine scar and with such little healing time. If you know the specifics of your surgery, then you should be able to know if this is a fight you might win.
As for organizing for home birth, my midwives gave me a list of things to prepare: paper bag of clean towels, baby blankets, & other things, each bag stapled shut & labeled & sitting out somewhere when I went into labor. I planned a homebirth so had the tub ready, but also prepped a small bed in our front room with a plastic sheet, good sheets, plastic sheet, old sheets, so that the top layer could be removed after birth. After my water broke & I was pacing the hall, they put down Chux pads because we couldn't find where my DH had put away the Depends. We also were to have two full bottles of peroxide so they could clean up any blood stains.
The same midwife clinic we are with will still do the hospital birth with us so I'm not worried there. Only 25% of births with midwifes in my province are home birth, the rest are hospital births. At least I don't need to change doctors so far!!
Originally Posted by cactuswren
I had a LAP surgery for fertility investigations. I had four small incisions in my belly but I don't know the exact details of everything they did or how they did it. I had a cyst removed on my left ovary and a partial uterine septum removed from the uterus. I believe they did that vaginally but I don't know 100%. I also had some mild endo burned off. I don't think they did any incisions in my uterus though as we were told to TTC two months after the surgery. All my notes from the fertility doc were set to the midwife, so I presume she will forward those to the OB. But the septum was fairly big/large and I think that's what they are concerned about. Even if there were no uterine incisions, it was a fairly rough surgery to the inside of the uterus.
Originally Posted by Spacers