What are my chances?
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  1. #1
    Posting Addict OneLuckyScoop's Avatar
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    Default What are my chances?

    Of giving birth naturally (VBAC)?

    With my first pregnancy -- I had a c section unexpectedly at 37 weeks 4 days. My daughter was breech + low amniotic fluids. My OBGYN at the time stated that she risked a major cord accident and being delivered stillborn.

    Since then I have changed OBGYNS. My new OBGYN (unfortunately) delivers at a defacto ban hospital. He seems to support my wishes for a vbac but says I will be unable to do it at the hospital he delivers at.

    They still have NO idea why I had low amniotic fluids (even though it was middle of summer in Florida?) or why she was breech. They also think that her being born and weighing 5lbs 4oz was of "low birth weight". New doctor thinks that all of those issues combined may indicate an unknown issue that never had time to FULLY present itself. So now I am also seeing a high-risk doctor.

    SO FAR -- the baby looks great. Growing on target. Nothing out of the ordinary.

    ISSUES I've had so far:
    - subchorionic bleeding early in pregnancy (don't know if there is any correlation with placenta abruptions/issues in delivery?) As far as I know the SCH lasted around 10 days before it dissolved itself.
    - Uterine Fibroid (any correlation for complications?) It has also since disappeared.
    - Uterine Prolapse -- honestly not sure if I still have this. My doctor didnt seem concerned and hasn't mentioned anything in months. Said it was possible it would correct itself as baby grew.

    Does anyone know if any of those issues would ruin my chances at a VBAC? Would I be completely out of line to deny c-section and go to a different hospital when I went into labor if all looked good w hen it was time for baby to come?

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    Posting Addict cactuswren's Avatar
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    I am not a doctor and hate to second guess with such limited info, but that sounds to me like your first c/s might have been unnecessary, and I really don't know why they'd be worrying you about the second based only on that! 37w4d is not at all too late for the baby to still turn from breech, and "low amniotic fluid" is often just ordinary dehydration--did they have you go drink a bunch and relax and then retest??

    Unless there's more to the story, I'm not seeing any reason here that you couldn't try for and expect to have a normal VBAC...
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    Posting Addict faeriecurls's Avatar
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    I'm with Leigh, but again, I don't know all the info.

    Are there any VBAC friendly doctors/midwives in your area that deliver at a different hospital? I think you would be better off switching providers now and planning/preparing for a VBAC with a doctor or MW that will support you and help you achieve that, rather than just going to a different hospital when you go into labor. That's just my opinion though, I'm sure one of the more experienced mommas will have a lot to add!
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    kvo
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    Quote Originally Posted by faeriecurls View Post
    I'm with Leigh, but again, I don't know all the info.

    Are there any VBAC friendly doctors/midwives in your area that deliver at a different hospital? I think you would be better off switching providers now and planning/preparing for a VBAC with a doctor or MW that will support you and help you achieve that, rather than just going to a different hospital when you go into labor. That's just my opinion though, I'm sure one of the more experienced mommas will have a lot to add!
    I agree with this. It sounds like your doctor would understand completely and may possibly even be willing to refer you to someone he knows. Way better to do that then to just show up someplace. You never know who you will get.
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    Quote Originally Posted by cactuswren View Post
    I am not a doctor and hate to second guess with such limited info, but that sounds to me like your first c/s might have been unnecessary, and I really don't know why they'd be worrying you about the second based only on that! 37w4d is not at all too late for the baby to still turn from breech, and "low amniotic fluid" is often just ordinary dehydration--did they have you go drink a bunch and relax and then retest??

    Unless there's more to the story, I'm not seeing any reason here that you couldn't try for and expect to have a normal VBAC...
    I have a friend who is a natural birth advocate and nurse -- and she said it was one of the few good excuses. Because the mix of low fluids AND being breeched. .they didn't worry about her turning in TIME.. they just worried about her turning in GENERAL because of the low amniotic fluid. Because of the lack of fluid and t urning, she could have had the cord wrapped around her much more easier.

    What I WISH they would have done was have me drink ,drink ,drink -- and then re scan me a few hours later. It's not as if they took her out that SECOND. I had the sonogram at 8am that morning, but they did not deliver her until 10:28 that EVENING. It seems that would have been PLENTY of time to retest my fluids..

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    Posting Addict OneLuckyScoop's Avatar
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    Quote Originally Posted by faeriecurls View Post
    I'm with Leigh, but again, I don't know all the info.

    Are there any VBAC friendly doctors/midwives in your area that deliver at a different hospital? I think you would be better off switching providers now and planning/preparing for a VBAC with a doctor or MW that will support you and help you achieve that, rather than just going to a different hospital when you go into labor. That's just my opinion though, I'm sure one of the more experienced mommas will have a lot to add!
    I've thought about it.. but other than the fact that my OBGYN doesn't deliver at a VBAC friendly hospital -- he has been really accommodating and friendly. He'll sit down with me and discuss all my concerns without my feeling rushed. It's hard to find doctors like that. My last OBGYN -- I didn't change because of the c-section (because he DOES deliver at a VBAC "friendly" hospital) but because I felt like just another dollar sign rather than a mother with a child. For example, he didn't even want to DISCUSS vbac wheN I went to see him at 6 weeks because it was "too early" and "anything could happen". but he would be willing to discuss it with me after my 1st trimester. Basically he treated me like my child was not a child until I passed the first tri! I HATED that!

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    Posting Addict OneLuckyScoop's Avatar
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    Quote Originally Posted by kvo View Post
    I agree with this. It sounds like your doctor would understand completely and may possibly even be willing to refer you to someone he knows. Way better to do that then to just show up someplace. You never know who you will get.
    He hasn't actually even discussed c-section with me (YET!) He did mention it at my first appointment mainly because he delivers only at a hospital where it is banned. But I have done research in hospitals and am wanting to deliver at a hospital which is actually closer. It has a restructured L&D unit and is very baby friendly. I've heard a lot of great stories of women getting their VBAC wishes there as the doctors who deliver t here are known to be very VBAC friendly.

    The only issue with switching to one of these VBAC friendly doctors is that -- if I should have Doctor A (for example) and he knows ahead of time I want to do a vbac, they charge a VBAC fee so he'll DEFINITELY be there for the delivery. I think it's like 5,000! I also do not think it is covered by insurance.

    As for midwife -- in Florida it is illegal for a former csection patient to have their first VBAC in a birth center. If I should have a VBAC now, then next child I will be able to go to a birth center.. but for now, a birth center (unfortunately) is out of the question. I also do not feel comfortable with a home birth (although I think the idea is beautiful) I think I am way too worrisome to do that -- and I know it's not something my husband would agree to. I would be more open to it if my husband was 100% supportive of the idea.. but he never would be.

    I also do not think Midwives can assist births in the hospitals in FL but I am looking into that.

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    Posting Addict momW's Avatar
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    Low amniotic fluid can be a major ordeal, but I can't believe they didn't give you a chance to get it back up. Amniotic fluid is constantly being replenished if all is working well.

    I had a c/s 11 years ago and 19 months ago I tried to VBAC. The hospital was VBAC friendly and I thought my dr was too, but he pulled a bunch of crap right at the end and induced me even though I wasn't dialated or effaced at all. I ended up with another c/s. I'm angry at the way I was bullied into an induction, but I learned from it. I am now pg with #3 and am planning a homebirth this fall.

    What I have found to help me with my decision is to do tons of research. I know that homebirthing is safer in general. I also know the risks for a repeat c-section and the risks for a VBAC (for me it's a VBA2C) and I choose the risks for the VBAC. The only way I get to make that choice for myself is to homebirth.

    If you don't have any pregnancy complications that haven't been resolved then I don't see why you wouldn't have the same chance as anyone else. The research is a little scattered as far as the %'s of women that attempt and complete a VBAC. It depends a lot on how VBAC friendly the provider and hospital actually are, but most statistics are around 70% of trial of labors end with vaginal deliveries. Those are very good odds!

    It's also helped me to scour the internet reading successful VBAC stories or in my case HBAC stories. I have quite the library here at home of birth books and I try to get DH to read them all as well, but if there's a chapter that I think he should read to get the point across I mark it and he reads it in the bathroom. I think the thought of a homebirth scared the crap out of him at first, but after sharing my research with him he's now on board with it.

    I have lots of information here so if you have anything specific let me know. I will point you in the right direction to find the answers!

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    Did they do a pathology report on your placenta or did it show sign of failure to see if it was the cause of the low AF? I had low AF with my first due to placental failure (along with IUGR from it), with my second we didn't have any problems at all.

    Cindy

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    Mega Poster krazykat's Avatar
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    Quote Originally Posted by OneLuckyScoop View Post
    He hasn't actually even discussed c-section with me (YET!) He did mention it at my first appointment mainly because he delivers only at a hospital where it is banned. But I have done research in hospitals and am wanting to deliver at a hospital which is actually closer. It has a restructured L&D unit and is very baby friendly. I've heard a lot of great stories of women getting their VBAC wishes there as the doctors who deliver t here are known to be very VBAC friendly.

    The only issue with switching to one of these VBAC friendly doctors is that -- if I should have Doctor A (for example) and he knows ahead of time I want to do a vbac, they charge a VBAC fee so he'll DEFINITELY be there for the delivery. I think it's like 5,000! I also do not think it is covered by insurance.

    As for midwife -- in Florida it is illegal for a former csection patient to have their first VBAC in a birth center. If I should have a VBAC now, then next child I will be able to go to a birth center.. but for now, a birth center (unfortunately) is out of the question. I also do not feel comfortable with a home birth (although I think the idea is beautiful) I think I am way too worrisome to do that -- and I know it's not something my husband would agree to. I would be more open to it if my husband was 100% supportive of the idea.. but he never would be.

    I also do not think Midwives can assist births in the hospitals in FL but I am looking into that.
    You know, read up on it some more, get DH to watch some HBAC videos with you and stuff like that. I was in your shoes just a few weeks back. We were having trouble finding a hospital/OB/MW, and I mentioned HBAC sortof off-hand in a joking manner. At first DH was against it. But we have been taking Bradley classes (which I STRONGLY recommend). They are really great about getting DH involved and putting it into numbers and visual things that he can relate to and understand. Now that we have learned more and more, he is actually totally on board. If I could find a hospital where I knew they would respect my choices and facilitate the environment that I desire, I would have NO PROBLEMS birthing in a hospital. But the odds are slim to none that it will happen like that... even in a VBAC-"friendly" hospital. It all depends who is on staff, and I don't like not knowing. But if I absolutely HAD to birth in a hospital, then my plan would be to wait until the last minute before going (that is of course if there are no indicators of high-risk to me or baby beforehand). You know, if you walk in the door ready to push, then I could hardly see them refusing your VBAC. I just hope you have a really great support group.

    Why is DH so against HBAC?
    Last edited by krazykat; 03-31-2010 at 02:27 PM.
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