Lets have a DISCUSSION!

iVillage Member
Registered: 07-21-1998
Lets have a DISCUSSION!
6
Fri, 01-08-2010 - 9:50am

I never did like people telling me "This is a SUPPORT board" whenever I presented unappreciated facts. (Note that a recent post was not facts, so much as chastisement and berating)

But we may be overdue for a serious talk about "How far is too far?" to go for a VBAC. I'm not talking distance, but obsticles and counterindications. I don't like the reasoning of "I'll just schedule late, and try to VBAC if I go into labor" (i.e. irrelevant coin toss) but I'll have to admit that if I was carrying in breach position or multiples, I'd probably go with the c-section with minimal regrets. I know such babies can often be delivered vaginally, but if I can't find a doctor who routinely does that, I would question whether (S)HE could do it.

Lots of people are also inclined to have a c-section when the birth has to be moved up, rather than an induction, and I'll admit to a lot of validation in that.

Does anyone (especially someone for whom it's not hypothetical right now) want/need to hash this out in general or specific terms?

Cthulu Crochet



Cthulu Crochet

iVillage Member
Registered: 03-12-2004
Fri, 01-08-2010 - 1:08pm

I think it's a great idea. It's important that as a support board, we foster and make obvious, that we seek to create an environment of support for a range of choices and validate, that people have different comfort levels with different types of risk within the VBAC universe.

I have often wondered if people who come here are left with the impression, rightly or wrongly, that they will not be as supported if they don't go to the ends of the earth to find a VBAC friendly provider, and barring that, have a home birth, accept higher levels of risk, don't refuse interventions, etc.

One of the great benefits of this board is that many of the members have good information to share about choices available to us that we may not have known about through our relationship with our provider. And where to get more good information.

I think the risk of discussing "how far is too far", is that by and large, that is a very personal question. We have to respect that others may make choices we wouldn't make, we each bring our own background, experience, and information to the decisions. At some point someone may be telling someone else, directly, or indirectly, that in her opinion, the other is going or went too far. How will that be communicated in a way that makes people keep wanting to talk about it?

As long as we can talk about it in a respectful manner, it can be a productive discussion, and I hope it happens!

Elaine




Edited 1/8/2010 1:12 pm ET by laineypc
iVillage Member
Registered: 07-13-2009
Fri, 01-08-2010 - 2:58pm

Hi All!
I would love to join in the discussion. I am trying for a VBA3C and have a very supportive Dr. and duela. I am absolutely NOT against having a c-section should it be necessary. I think the question that is begging to be answered is, what does necessary mean. As the pp said that may be different for everyone based on situation.

Personally, I didn't have to go to the ends of the earth to find my Dr., I asked around and found him, funny enough, in the same practice as my original Dr. I am blessed with him as he is a Dr. who does VBAC's after multiple sections very routinely and does all his own deliveries. He is open to discussion and gives his information readily.

I have never minded hearing about what can go wrong, what to look for and what type of risk I am facing but as you mentioned the post that was hostile, no one needs that. I have had enough on my plate looking at VALID statistics, risks, opinions and experiences. BTW, risk of rupture goes up a very small amount (something like from 1.5% to 1.8%) between VBAC after one or after two sections but almost not at all between 2, 3 and 4 sections. The record for having a VBAC is after 7 sections and my Dr. has done it after 5. I have two in-person friends who have VBA2C. Which is what gave me the idea to ask in the first place, I didn't even know I could have asked with my 3rd and she was scheduled with no labor at all.

I would never endanger the life of my child and if I or my Dr. had any serious doubt as to whether or not this is a safe option I would sign that paper and be delivered c-section again in a heartbeat.

The main thing I think is having knowledge about your bodies process, why previous c-section(s) have been preformed and what the risk v. benefits truly are for you.

Personally, if the baby is engaged properly, I go into labor on my own and progress without an epidural and/or pit and there are no signs of rupture or heart issues with baby, I will hopefully deliver naturally. I intend to stay home for as long as I feel is safe with my duela and DH, just because I would like to have time to labor in the tub and be free of nurses wanting to hook me up to everything in the world, restricting my movement and ability to labor effectively. When I go in, as long as there is no sign of complication I will request intermittent monitoring, if they push for it- I will agree to a hep lock but no drip (as the extra fluids can cause swelling in the baby, making it harder to birth) and I few more small things, like minimal internals and being allowed to walk, use my ball and labor.

When we are there, THE most important thing to me is that I know what they are doing, why they are doing it, what the risks/ benefits are and what, if any, are the alternatives.

Obviously, if the baby is breech, in distress or I have signs of rupture or other problem with me, then I will have a c-section and not think twice.

Sorry this is so long but much of this as been floating in my head since that last post and I really did want to get it out. I have also just about finished my birth plan, which includes a requests in case of c-section section. I am hopeful but a realist- Wish me luck and if you pray, please send one my way, Thanks for reading!

Hugs and Angel Kisses,
Theresa


Hugs and Angel Kisses, Theresa Lilypie First Birthday tickers
iVillage Member
Registered: 07-10-2009
Fri, 01-08-2010 - 3:27pm

I have to say that I, for one, appreciate the information and support that I have received from you ladies here on this board. I went through what felt like the fight of my life to avoid a csection (I posted my birth story in birth announcements if you want to read it!) and I came here to get help/advice. I walked away feeling empowered and confident that I wasn't asking for too much for wanting a VBA2C. In the end, it ended up not being a fight after all but you'll have to read my story to find out what happened!

As for how far is too far, I think that for the biggest part is a highly personal decision, unless lives are at risk (either baby or mom). There is a time and place for csections and not every woman desires to avoid a repeat csection. For me personally, if I were pregnant with multiples, a breech baby that wouldn't/couldn't be turned safely, or like my 5th baby who had a life-altering situation where the cord was wrapped around his neck 3 times where he couldn't drop and other interventions could have injured or killed him. I don't care to be cut open (I cringe at the thought) but when there is true medical indication for it then I don't object. I do think that if you are going to ask for advice or opinions from someone else then you have to be willing and open to hear information/opinions that may not be what you want to hear. If you aren't willing to listen, then don't ask!!!

Thanks again for the support, advice, and information!

Tessa


Mom to 6 kids and 3 angels!


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Tessa


Mom to 6 kids and 3 angels!



iVillage Member
Registered: 07-21-1998
Fri, 01-08-2010 - 4:49pm
That's great that you've got such a positive doctor. I didn't know all that about VBAnCs myself. I agree that the most important thing in a doctor is that they tell you what's going on, rather than take charge of the body you have to live with for all the rest of your life.
Cthulu Crochet



Cthulu Crochet

iVillage Member
Registered: 07-21-1998
Fri, 01-08-2010 - 4:52pm
"... unless lives are at risk" is rather a bit of wiggle room, really. Lives are always at risk, but the questions to nail down as "How much risk is there, really?", "How much does my choice change the amount of risk?" and "How much warning would you get to fall back and try something else?"
Cthulu Crochet



Cthulu Crochet

iVillage Member
Registered: 07-10-2009
Fri, 01-08-2010 - 5:37pm
Hmmm... good question. I guess part of that has to be answered by how much you trust who is providing your medical care.... I don't think personally I could draw that line until or unless I was in the situation.

Tessa


Mom to 6 kids and 3 angels!


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Why?
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SnapdragonSnapdragon Mommies


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Tessa


Mom to 6 kids and 3 angels!