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  1. #11
    Mega Poster krazykat's Avatar
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    Thanks ladies! I am not planning to go unassisted, but I AM planning to have DH and our doula help me to stay at home as long as possible. My first c/s was for an infection called chorioamnionitis (my membranes were still intact too). It is pretty rare and not likely to happen again. My 2nd c/s... if I want to be really honest, I think if I had the support of the people around me that I could have birthed him vaginally. I had labored for 48 hours and I was nearly complete with an anterior lip, and I was utterly exhausted. I gave up. He did have a couple of late decels, but I know this can be normal, and my cervix had started to swell. I think if I had changed positions, or if my providers had attempted to manipulate his head (he was posterior and his head asynclitic), that I could have done it, but that is what it is.

    I know there is a risk of rupture, and I know that it is an extremely low risk (especially when labor starts and progresses on its own). I know there are risks of other much more common complications that are higher than the risk of rupture. And I am aware of the warning signs.

    I'm just not sure if I would call an ambulance or go in afterwards or what. Thanks for all the great thoughts though!!
    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



  2. #12
    Posting Addict Spacers's Avatar
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    Quote Originally Posted by kris_w View Post
    As far as it being a VBAC, the main concern is rupture, so if the delivery is done, there isn't reason to be further concerned. Even if you deliver in hospital, there isn't any special VBAC postpartum care.
    I'm going to respectfully disagree, sort of. There is an increased risk for retained placenta in VBAC moms. But I'll agree that once the *entire* delivery including the placenta, not just the baby, is done, then postpartum care should be the same. Although my HMO's hospital offers an ultrasound to all VBAC moms to check for dihescence but that's probably because they are a research hospital & always participating in a study of some sort.
    Last edited by Spacers; 01-31-2012 at 06:02 PM.
    70% of the U.S. population now lives in a state where same-sex marriage is legal. At 36 and counting!

  3. #13
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    I agree. I consider the placenta to be part of the whole birth process. You aren't in the clear until the placenta is passed and you know the uterus is firm and flow within reason (fourth stage).

    We don't do any u/s post-partum on VBAC mom's. Research is good though - Hopefully it shows the risk of dehiscence is minimal and decreases some of the outdates practices that seem to be so common.

  4. #14
    Posting Addict MeesterMama's Avatar
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    I have had 2 VBA2C's, one was a planned homebirth transfered for being tired. Everything was fine just had a really long labor and the last one a planned homebirth unassisted. I loved my homebirth and am planning another one next month. (Baby #5) It was planned though so we did a lot of research and planned on it being home so we had supplies and everything. It can never hurt to know what to do in case of an accidental homebirth but if you were honestly not planning on a homebirth at all and dont know what to do or have not read up on anything I would probably transfer. VBAC's are not as high a risk as some people make them out to be. Yes there is risk but a VBAC mom (after one cesarean) has no difference 0.4% rupture rate, from a first time mom and VBA2C's are only a little bit higher at about a 1.2% rupture rate. (Amniocentesis has a higher risk rate and people do that without thinking twice.) People can rupture even with never having a cesarean before. That being said if you are a VBAC mom there are things that WILL increase your rupture rate such as induction, breaking waters, epidural, black and blue cohosh etc. As a VBAC mom I do not have interventions and things have gone fine and statistically things will go better without interventions.
    Since you are planning on going to the hospital its very good to wait till you are in good labor before you go in. If you feel comfortable with it I would wait as long as possible before going in. Do you have a doula? They are a lot of help with support for VBAC's and with knowing when to go in and for support of labor.

    Good Luck! You can do it!
    ~Katie~
    Elijah ~ 8/27/04
    Evan ~ 06/14/06
    Emelia ~ 11/13/08
    Elliana ~ 9/10/10

  5. #15
    Mega Poster krazykat's Avatar
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    Quote Originally Posted by MeesterMama View Post
    I have had 2 VBA2C's, one was a planned homebirth transfered for being tired. Everything was fine just had a really long labor and the last one a planned homebirth unassisted. I loved my homebirth and am planning another one next month. (Baby #5) It was planned though so we did a lot of research and planned on it being home so we had supplies and everything. It can never hurt to know what to do in case of an accidental homebirth but if you were honestly not planning on a homebirth at all and dont know what to do or have not read up on anything I would probably transfer. VBAC's are not as high a risk as some people make them out to be. Yes there is risk but a VBAC mom (after one cesarean) has no difference 0.4% rupture rate, from a first time mom and VBA2C's are only a little bit higher at about a 1.2% rupture rate. (Amniocentesis has a higher risk rate and people do that without thinking twice.) People can rupture even with never having a cesarean before. That being said if you are a VBAC mom there are things that WILL increase your rupture rate such as induction, breaking waters, epidural, black and blue cohosh etc. As a VBAC mom I do not have interventions and things have gone fine and statistically things will go better without interventions.
    Since you are planning on going to the hospital its very good to wait till you are in good labor before you go in. If you feel comfortable with it I would wait as long as possible before going in. Do you have a doula? They are a lot of help with support for VBAC's and with knowing when to go in and for support of labor.

    Good Luck! You can do it!
    Katie, thank you for your input. I'd love to read your birth stories if you would like to share After my first c/s I became a doula and on a quest for education. With my 2nd I planned a home birth with a midwife that ended in a transfer for another c/s. I gathered every piece of research I could get my hands on during that pregnancy and we did Bradley classes, including a section on emergency childbirth, so I definitely feel like we are covered there. I had a doula last time and will have a different doula this time. I definitely plan to stay away from any sort of intervention that is unnecessary (epidural, induction - even by "natural" methods, etc), and I feel confident in my ability to do so and will have people this time who believe in me.
    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



  6. #16
    Posting Addict jolly11sd's Avatar
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    If I knew that there was no way to make it to the hospital at that point then I would totally stay at home to have baby. If I thought there was a slight chance of making it then I'd try but be prepared to give birth in the car (just knowing we have a long drive ahead). I'd probably go get checked out after to make sure all the placenta was out and that there were no bleeding or tearing issues. I'd only call an ambulance if there was a true emergency (ie. baby not breathing or issues with my health). I'm more on the side of not worrying that it is a VBAC birth instead of a 3rd vag. birth. Personally I'd feel as safe or safer at home than I would in the hospital anyway if there wasn't any high risk issue beforhand.

    We will be staying at home for as long as possible as well this time and will likely have at least an hour drive to our birth place (once I figure that out). We have a lot of stuff left over from our last home birth in the event that baby came at home. DH is thinking of keeping a big tarp and extra towls in our new van JIC.
    ~Joy~ DS1-8/5/05, DS2-10/18/10 (VBAC#1), DS3- 4/11/12 (VBAC#2!)


  7. #17
    Posting Addict Illiana's Avatar
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    I think all pregnant women should have a basic knowledge of what to do if that happens. So many people aren't prepared in the slightest and my general thought is better safe than sorry. Just having a few basic supplies and a little bit of knowledge can mean a totally different outcome imo. Even if you do end up calling an ambulance (assuming you are completely alone). I agree that rupture is a nonissue for a VBA2C. There is very little (if any) change in numbers from a normal to vbac to vba2c birth. I'd really go with how you feel.


    As far as CPS goes, when we were reported they told us that there are no laws regarding UC. If things looked/felt fine I'd rest up and go into the doc the next morning. (we had to go to the hospital since we were dealing with cps). Just make sure that your pedi is equipped to do the newborn screenings (any that you choose) and check in with your MW/OB as well within a few days. As for the hospital, when i went i told them I wasn't staying overnight so they ran TONS of tests which drove me nuts because other than him being breech there was very little difference between his birth and any other normal birth. DD's birth was longer even. Anyway, I let them run the tests if it kept us out of the hospital overnight. Also we had EVERY student nurse/doc in the place come see us because it's apparently unheard of here to have a UC. There are some great books out there on emergency childbirth, what to look for etc.

    Have you gone into labor on your own or was it some form of induction? I can't remember.
    Jade, momma to Ariana 5/23/06 and Trystan 9/28/10
    http://www.teambeachbody.com/member/sn/illianaraska

  8. #18
    Posting Addict TiggersMommy's Avatar
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    Jade, I hope you don't mind but I use Trystan's birth story to inspire people all the time. When I say I know someone who had a home birth, unassisted, and had an 11 lb baby .... BREECH, all I get is WOW. You're like a rock star amongst my mommy friends and you don't even know it!
    Erin
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  9. #19
    Posting Addict Starryblue702's Avatar
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    I would probably go to the hospital, especially since it would have been a first vaginal delivery... if for no other reason than to make sure there were no tears down there, and to check on your uterus. Better to be safe than sorry!
    Krystal & Donovan - 12/2/06
    Reagan - 10/2/02
    Maximus - 3/10/05
    Liberty - 12/11/08
    Trystan- 11/22/11
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  10. #20
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    I had an unplanned unassisted with my second, it was also my second vaginal. Things went so fast I didn't think to call anyone, my husband included. Once he did get home he called an ambulance and I was sure I had tore so I went in for stitches. I live in Montana and there was no grief from anyone, CPS, state, etc, for what happened. I did need to do some extra paperwork to get a birth certificate and prove I wasn't lying about having had the baby.

    Looking back I wouldn't have called the ambulance because we were both doing fine, I still would have gone in to be checked and stitched. I did stay 1 night in the hospital because I had lost more blood than is normal with a vaginal, otherwise I would have pushed to go home that day.

    Cindy

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