Plan for a VBAC...thinking about a home birth...

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MommyHopeful3's picture
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Plan for a VBAC...thinking about a home birth...

Am I off my rocker to consider a homebirth for a VBAC? I have always had the thought in the back of my mind. And since I found out I was pregnant, I keep dreaming that I have a home birth. My husband doesn't really seem to say yes or no to it. I am just not sure that we have the money for it. I really don't think our insurance will cover any of it and we just can't swing it on our own. If we have a hospital birth, it will only be $300.

I found a wonderful doula...and I responded back what is most likely too late. She is most likely going to be full for September. She is waiting for her second client to respond and send back their contract. Is it really bad of me to hope that the other person doesn't go with her? I am going to take a childbirth class of hers anyway.

I just feel that I need a constant there to support me through the whole thing. I really want to go natural this time and not need to be induced b/c I am past my due date. I was just over 41 weeks when they induced me with Kenneth. I think that is the real reason for the section. Sigh...

Any and all information that you have I would love. And I am in Charlottesville, VA if that makes a difference.

momW's picture
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Hey Monique, I am hoping to plan a HBA2C this fall so obviously I would be the last to call you crazy. I think staying out of the hospital is about the best way to get a VBAC. I had a failed VBAC in the hospital with my DS a year and a half ago and the thought of going back into the hospital terrifies me. They set me up for failure and I don't feel like I can trust OB's as my OB was supposedly VBAC friendly.

I actually have a meeting tomorrow with a m/w to see if she will be able to do my HBA2C. I've had to go underground as IL is not a m/w friendly state so I won't have a pleasant time of it if I have to have a hospital transfer for any reason.

I would suggest reading as much as you can. So far I have read "Pushed" by Jennifer Block. It has one bad ending to a homebirth, but it was quite a different situation (the mother was a heavy smoker and wouldn't follow the m/w's suggestions to eat and drink after the birth instead of just smoke). I am reading "Ina May's Guide to Childbirth" right now and it has really cemented the thought that I am safe at home. I also really liked Henci Goer's "The Thinking Woman's Guide to a Better Birth". I have heard that "Silent Knife" is a great book, but I can't seem to find it anywhere.

Also, if you aren't already, become a member of ICAN! There is a girl on there right now that is having a HBAC and is in labor. Those girls are full of information about VBACs and HBACs!

I believe we have some HBAC threads here on BN board too. There is another girl here that is thinking about doing a HBAC too.

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I think I have all of those books except for Pushed. I am not sure if I have that. I do have the Silent Knife if you want it after me. I can try to read it in the next month or two and send it on. I love Ina May! Wonderful book. I read it while I was pregnant with Kenneth. I have the Thinking Woman and that was on my list to read next!

The OBGYN office I go to has around 10 docs. So I never know who I am going to get. There is one doctor that I think would do wonders for me in the hospital...but who knows if I will have him. What really made me think about it was my OB visit last week. It was with the doc that was in there right after my section. As soon as I saw him my heart started to race. If he ends up being one of them when I go into labor...I will be a reck. I don't want that. I think as little intervention as possible is what will do me some good.

I think DH and I are going to have a lot to talk about this week. The MW team I want to go with is $3000. And it is all due by 36 weeks. I don't know if I can come up with that kind of money in 20 weeks. Maybe if I sell off a lot of stuff we have around the house that we don't need. Hmmm... And I know there is more than what I pay them. Their are supplies and such that I am sure I will need to pay for. I really need to look into this more. Why couldn't I have thought about it sooner!

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I am planning an HBAC in September and will be around the Morgantown, WV area. There are some EXCELLENT midwives out that way. I know in our situation we aren't so worried about the money b/c it seems like they are very willing to work with you on payments. I totally agree with everything you said was your reasoning for an HBAC. Those are all things that I have thought about too. And it's great that DH hasn't committed one way or the other... at least he is open to the idea. That is where I started with my DH and now he is 100% on board.

I definitely think that being at home will solidify the comfort factor, as well as prevent you from getting unnecessary intervention.

I think you can do it, and I am on your side!!

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"MommyHopeful3" wrote:

The OBGYN office I go to has around 10 docs. So I never know who I am going to get. There is one doctor that I think would do wonders for me in the hospital...but who knows if I will have him. What really made me think about it was my OB visit last week. It was with the doc that was in there right after my section. As soon as I saw him my heart started to race. If he ends up being one of them when I go into labor...I will be a reck. I don't want that. I think as little intervention as possible is what will do me some good.

I think DH and I are going to have a lot to talk about this week. The MW team I want to go with is $3000. And it is all due by 36 weeks. I don't know if I can come up with that kind of money in 20 weeks. Maybe if I sell off a lot of stuff we have around the house that we don't need. Hmmm... And I know there is more than what I pay them. Their are supplies and such that I am sure I will need to pay for. I really need to look into this more. Why couldn't I have thought about it sooner!

If you read The Thinking Woman's Guide you can probably skip Pushed, they are very similar.

I am reading Ina May's Guide to Childbirth right now and the bolded statement above caught my attention. She talks in the book about labors stalling out and women being sectioned for failure to progress and it sounds like if that particular OB walked into your labor room that is potentially what could happen!

I understand the money thing, but I think I would second mortgage my house if it meant I was able to avoid another c-section. I mean that very literally too. (we might have to take out a home equity loan to pay a m/w or sell some things like you said). But in the end, that is what I'd be willing to do to avoid having my baby cut from me and trying to care for a toddler and a newborn with a hole in my abdomen. And I just don't feel like I can walk into a hospital with my anxiety and come out with a happy VBAC story. That's just me though, I'm pretty bitter about my experience with my VBAC "friendly" OB attempt. (I also understand that I may have to eat those words and deliver in a hospital so I'm trying very hard to curb some of my bitterness Lol

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I'm planning a HBAC and am due next month. My last birth was a hospital VBAC. Whatever way you go, know that you can do it!

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I don't know much about VBACs and HBACs, but I do know it is NEVER too late to change doctors/switched to a midwife. Oh, how I wish I had done that at 30 weeks along last time when I realized that my OB was not going to be the support I needed! You have PLENTY of time to think about options and make a switch you can be happy with:)

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EEK!!! I just got an e-mail from the doula I really wanted. We have talked a bit by e-mail. So I hope I like her just as much in person. She is also a MW in training!!!! EEEK!!! So excited.

I am still going to look into a homebirth. I am feeling a little better about a hospital birth. Their is another OB that I am going to look into. He is also listed in the MW directory. Since he is a doctor though, insurance should cover him. I am just not sure if they will consider him out of network or something. So I will have to see what insurance he takes. But he is highly recomended and is always on call. I just have to hope HE isn't full for September. So I need to make that call. And see what hospitals he has privlages at.

I am feeling very optimistic about this all right now!

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ooooo... KUP on the OB! Yeah for the doula calling!!!

I think whatever route you choose you just need to be really comfortable with. I had a very different situation with my last birth that led to my bitterness about it, but I do know that some people really do feel comfortable in hospitals. If you get an OB that you are comfortable with, I've heard of great results. Same goes with a m/w and homebirth too though, you have to be comfortable with her and the idea of birthing at home.

My situation arose because I stayed with an OB that I disliked until I was 30 weeks. When I finally grew a pair and decided to switch I was left with only 1 option. I thought he was going to be very VBAC friendly, but he pulled some crap in the end and forced me into an induction at 39 weeks. It was my own fault though, I should've left my 1st OB as soon as I doubted him instead of sticking it out and maybe I wouldn't have been in a place of desperation. But I really really think that comfort with your OB and hospital makes such a huge difference.

I can't wait to see how this all unfolds for you!! KUP!!!

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Except in states that don't have licensed midwives, if you have a PPO insurance, they have to cover your midwife as an out-of-network provider. They might say they won't, but if they pay for licensed birth attendants, they have to pay for licensed birth attendants, period. You'll have to pay the midwife's fee in full & submit it for reimbursement. It's still money out of your pocket (maybe ask a parent for a loan, or take out a personal loan with your bank) but you'll get 60-70% of it back after the birth. Ask the midwife, chances are she's dealt with your insurance before.

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"Spacers" wrote:

Except in states that don't have licensed midwives, if you have a PPO insurance, they have to cover your midwife as an out-of-network provider. They might say they won't, but if they pay for licensed birth attendants, they have to pay for licensed birth attendants, period. You'll have to pay the midwife's fee in full & submit it for reimbursement. It's still money out of your pocket (maybe ask a parent for a loan, or take out a personal loan with your bank) but you'll get 60-70% of it back after the birth. Ask the midwife, chances are she's dealt with your insurance before.

If I were to get 60-70% back that wouldn't be bad. I just need to make sure that my husband and I both are on board. I need him to support this for it to work for me. If he isn't, I may as well be in a hospital with the amount of anxiety that he will cause b/c he will freak out over the lack of intervention and high tech equipment that really isn't needed.

I am on cloud 9 right now. My doula has been helping me find information and telling me about the 2 hospitals here. So if I don't go with a home birth, I am going to find a doc that we deliver at the other hospital. I have been told wonderful things about it. I really don't know why I didn't go there.

The section rate at the hospital I delivered at is 38%. The one I want to switch to is 28%. And I know the VBAC rate is much higher too. I can't remember the numbers though!

I am feeling really positive again and this is what I need! I need to keep this energy going!

Thank you all and keep talking Smile

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I had my DH read "Pushed" (but "The Birthing Woman's Guide...." would also be good) and it really helped him put in perspective the amount of unnecessary interventions and why I was so adamant to avoid it this time around. We both learned a lot from it, but I think for me it was more intuition. I always knew you probably shouldn't go messing with mother nature, but for him it was a very eye opening read.

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My DH and I are attending Bradley Method classes. THIS in itself has completely changed his views on the medical system especially having to do with pregnancy/childbirth. I know he is not the "sit down and read a childbirth book" type of person... he hardly reads anything lol. But the classes encourage participation and when he sees his peers jumping in, he seems more comfortable jumping in too. And his change has been ALL his, not me pushing him. The information is all very factual and our instructor provides many resources that are up to date. She also includes "visual" props and material in each class which I think helps to put everything in perspective. For instance, she passed around an actual vacuum extraction device, and the little hook they use for the amniotomy. But she is only trying to provide us with information and help us to understand the interventions, rather than change our minds about them, kwim? I have learned SO MUCH... and the class is very focused on your partner and getting them involved. I was afraid DH would be all awkward and out of place, but she broke them all right in during the first class lol. I strongly recommend Bradley if for no other reason than to involve DHs more in the pregnancy/childbirth process. Mine has actually really enjoyed the classes. It might be something worth looking into for you two.

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Yeah I also would recommend the Bradley classes. They are really good for getting your partner really involved and on board. DH has always trusted my judgment on these things, but hearing all the information really helped him become the hb/ natural birth advocate he is now. Also we both got a lot out of BOBB.

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I will be meeting with my new OBGYN on the 20th. So this means that I will be at the other hospital. I talked for a while with the nurse and she made it sound like I shouldn't have any issues. She did say that he is going to want to watch me a little closer than most since I have had a section. But that he would support the natural birth I want.

I still want to meet with the MW. My husband isn't really for a homebirth now that we had a more serious talk about it all. He wants to support me though. He just wants everyone healthy.

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KUP!!!

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Don't have anything to add, except for more supportive vibes for a successful VBAC! You are a strong woman, I know you can do it!

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"MommyHopeful3" wrote:

I will be meeting with my new OBGYN on the 20th. So this means that I will be at the other hospital. I talked for a while with the nurse and she made it sound like I shouldn't have any issues. She did say that he is going to want to watch me a little closer than most since I have had a section. But that he would support the natural birth I want.

I still want to meet with the MW. My husband isn't really for a homebirth now that we had a more serious talk about it all. He wants to support me though. He just wants everyone healthy.

You have to do what is right for you and your family, and I am glad the OB is supportive. I like that you are keeping your options open though and still meeting with the MW. You guys just keep educating yourselves and talking about everything, and I am confident you will make the best decisions for your family. And I KNOW you can VBAC Dirol