So... at 16w pregnant and having found an ob would has agreed to deliver me, I am still wondering if this is the right choice for me. So I have the name and number of a local mid-wife who would most likely deliver me if I called her. I really want a totally natural birth experience. I also want a care provider who will have full trust and faith in my abilities. But I also have slight fear of rupture. One of the ladies in our ICAN group did rupture. Her and baby are ok. So... what to do. I am so torn. What would you do.
Just as a side note for those who don't know I am a VBA3C scenario.
Well, from what my MW said, if someone is giving you good care and paying attention they will likely notice the potential for a rupture WAY before it happens.
One thing that made my mind up about it was a presentation I watched that showed that the average time to get staff in place and someone from their hospital room and into a prepped operating room to begin surgery is about 30 minutes. If you are within a 30 minute radius of the hospital, you have the same chances of getting there and started within the same amount of time according to the presentation; assuming that you or your MW call when you are on your way so that they can begin setting things up.
How far are you from a hospital?
If it is a nagging feeling for you to HB, I definitely think you should look into it further. Check the MW out and discuss your fears with her and see how you feel afterwards. A big number of ruptures occur when other interventions are in place. The chance is really so small. And what a lot of people don't know is that even if you are a first-time mom, there is still a chance of rupture.
GL with your decision!
Ariel & John: Military Family since May 17, 2006
Sylvia: 12/18/08, Justus: 9/17/10, Bunni: 5/11/12, Surprise Baby: Guess Date 11/5/13
Also, an OB may look good at first, but change their stance as the pregnancy progresses. Like, add more and more restrictions each visit. (How long he will "let" you stay pregnant, how long he will "let" you labor, how long you have to stay strapped on the monitor, etc)
Dylan 4/22/04, Devon 6/24/06,Dorothy 9/13/07, Derek 12/19/09, Daniel 12/18/10, Daphne 2/24/12
Mindie and Mark, 5/16/09
Ariel - I have 5 min from a hosptial at the most.
Last edited by Mom2ThreeKiddos; 11-15-2010 at 05:33 PM.
Speaking strictly personally I would not VBA3C at home, but that is just me. You have to do what feels right for you. I'd probably go with the OB and see if I could have the CPM that I liked attend me as a doula, as her advocacy/advice would be important to me.
I really can't know what I would do because I'm not a VBA3C. Only you can decide what is best for you, and I know it is tough because there are so many things to consider...good luck with your decision.
I would love to say, "Of course I'd choose homebirth!" because I wholeheartedly believe that's the best place, short of something happening that makes the hospital safer, which includes not having competent caregivers. But... I have to be honest: three uterine surgeries makes me a bit queasy. I would have to have a lot of faith that my last doctor did a bang-up job in putting everything back together, and I would probably spring for an independent ultrasound (i.e. not one that would report any results to my OB) to examine the integrity of my incision if the information wasn't offered at my regular 20-week anomaly scan. I would have to have enough time between births to feel that I healed as well as I possibly could, and I would have to be very close to a good hospital that has a good decision-to-incision rate. But most of all I would have to feel 110% confident in the ability of my chosen caregiver to (a) recognize a problem quickly and (b) deal with it appropriately.
I wouldn't outright dismiss an OB, but I have reservations about both (a) and (b). Many OBs tend to sit at a desk & watch their clients labor via EFM, so their recognition of a problem is when the EFM doesn't look right. A midwife will there with you, listening to you & baby, feeling your belly, talking with you, watching for changes in how you sound or move or breathe, so the recognition of something wrong is likely to happen sooner. And, for too many OBs, their method of dealing with any anomaly is to operate, which would be appropriate in a rupture but not for everything, and as a VBA3C you risk having an OB jump the gun when something like a position change might be more appropriate to try first. You'll need to trust that your OB won't be the "sit & watch, jump the gun" type. I would ask for VBAC references that you can contact, and I'd also Google him to see if any former clients have posted anything about him, good or bad.
I personally have no problem with an unlicensed midwife in a state that doesn't license them; I prefer to think of them as "pre-licensed" since if/when licensing becomes available, most will do it. The problem with pre-licensed midwives is that it might be difficult to know if she has had problems in the past, but if she has good word-of-mouth & no criminal history then she's probably good. Ask her for lots of references, including some where her client transferred or things didn't go well, not just all the happy homebirthers, because IMHO it says a lot when someone who didn't get her homebirth still has good things to say about her midwife! And I would want assurance that I won't be abandoned, that she will accompany me as a doula if I have to transfer. In my perfect world, I'd do dual care so I have the OB on board in case things go wrong, but I have my homebirth assuming things go well.
David Letterman is retiring. Such great memories of watching him over the past thirty-two years!
He is the only doctor in the entire town that I know of that would even consider letting me vbac, so my choices are very limited. My son just turned 2 years old so it was more than 18months between pregnancies. I wanted a vbac with my last birth, but couldn't find anyone to do it. Went into preterm labor at 36w and they just sectioned me. I was shaking I was so upset.
I called the midwife. I got a voicemail with no info other than the phone number. She hasn't called me back. Now I am wondering if that really is her number or not. It is so underground here. I didn't even know her last name. I might have to email my midwifery group and ask again for referrals.