A question about VBAC (lurker)

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les27's picture
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A question about VBAC (lurker)

My sister posted this on facebook, and thought i would see what you guys know about it...I don't know anything really about VBAC's soooo....

"I have been doing lots of research on VBAC's and Doula's the last couple of days. I am thinking I might try this delivery unmedicated since that seems to be the best chance of not repeating a c-section. Have any of you out there used a doula for a natural birth and would it be worth the investment?"

this is my sister's 5th child, her 3rd was an emergency C-section, and from what I remember I think her 4th she was going to try a VBAC but at the time she had just moved from Indiana to Utah in her 8th month of pregnancy, and her new doctor wouldn't let her do a VBAC, so she had to do a c-sec....she's due in April.....her doctor/hospital now is pro VBAC

oh and this is her second post after someone said to go for the drugs....

"I agree with drugs being good but in the case of a VBAC my research shows that every intervention (ie, IV, pain medication, pitocin, etc) increases your chance of a repeat c-section. I REALLY don't want another c-section. That is why I want to try this approach."

bumblybees's picture
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First Tell your Sister Congratulations on her newest bundle of joy.

I used a doula and it helped soooo much. she helped with positions and encouragement and support in general. I labored at home as long as i could. i was doing that "can't do this anymore" thing and the doula and DH figured i was in transition and it would be a good time to move along to the hospital.
The doula i would so recommend.

As far as drugs, you can't use anything to get the process started like cervadil or that sort. you can't use pitocin at any time during the process either.
So your best bet is to stay home where you're comfortable for as long as you can.
I did end up with a shot of something to take the edge off of it, i was having awfule back labor, which allowed me to relax some and voila my water broke. and i was in severe pain again. so at about 7-8cm i caved and got a really low dose epidural so i had legs and all but it took away the back pain. so i relaxed and the doula helped me flip from side to side and voila i got to push.

my birth story is posted above if you're interested.

She should so go for it. At least she can always say she tried. and she has done it before with her first 2 so they'res nothing that says her body can't do it.

when she gets to 36 weeks tell her to use evening primrose oil caplets at night and insert 1 into her VJ for the week and then after 37/38 weeks she can use 2. use a light pad at night though cause it can get a bit messy

les27's picture
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thank you for the response, I am so forwarding this to her Smile

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"bumblybees" wrote:

As far as drugs, you can't use anything to get the process started like cervadil or that sort. you can't use pitocin at any time during the process either.

I think when she was talking about "drugs," she meant an epidural or narcotic pain relief. And while Cytotec and Cervadil are both contra-indicated in VBAC, Pitocin isn't automatically. The judicious use of Pitocin to induce a post-date pregnancy or jump-start a stalled labor is far better than moving straight to a repeat c-section. It's been proven safe in VBAC -- when used at lower levels and with less-frequent increases than it is normally used.

I highly recommend a doula for any first-time mom, or anyone attempting natural birth for the first time. They can be invaluable in helping you find better positions or techniques, reminding you of what's important when you're not thinking clearly, and weighing your options when presented with medical information. I know many, many women IRL & online who credit their doula with preventing a(nother) c-section.

Your sister might also want to look into hypnosis. I highly recommend Hypnobabies. It has an awesome fear-release script that she can use to clear her mind of residual fears, and a script specifically for VBAC. I really loved not being in pain, literally not thinking about labor as being pain. I was in labor for 3 days, and I was never "in pain" until they started Pitocin & my epidural didn't work, I was just too tired to use the Hypnobabies techniques. My midwife was with me, but I think perhaps a doula might have been able to help me by either reading the Hypnobabies scripts, or putting headphones on me, or just reminding me about the cues. I don't think it would have made a difference all in all, wouldn't have prevented my second c-section, but it could have made that last 8 hours a bit more bearable!

les27's picture
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thanks for the responses....my sister was very thankful for the information! Smile

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I 2nd the use of something like hypnobabies for a natural VBAC birth. I think so many of the calming techniques really helped me with my VBAC. Though I didn't have a doula for my VBAC, my homebirth midwives were totally vital in my birth both at home and when I transferred to the hospital. That kept reminding me I could do it, gave me ideas for how to more, and helped support me in the hospital when doctors and nurses were really trying to push me to just get it over with again and have a c-section. So yes, using a doula or some sort of labor support person I think would be a really good idea.

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I would suggest using a doula if your sister would feel more comfortable. Being able to have a nonmedicated VBAC (or any non medicated labor) is about staying in control of yourself and (for me) visualizing. If your sister feels she would be better prepared with a doula than go for it.
I didn't have a doula and had my non medicated VBAC too though. But my husband knew better than to allow me to get the epidural!