starting to freak out a little

iVillage Member
Registered: 02-26-2008
starting to freak out a little
13
Sat, 01-30-2010 - 1:16pm

So, I'm in the first trimester of my 3rd pregnancy. I've had 2 previous c-sections. The first due to the fact I had breech twins & pre e at 35 weeks..so no time for them to flip. My 2nd was scheduled to be a vbac, but the hospital changed policy in January 2008 (when I was 6 1/2 months along), and rather than changing doctors/hospitals, I just wussed out and went for the c-section. My son was in the NICU for 7 days as a result of this (fluid in lungs..on ventilator).

We've moved and are no longer close to a teaching hospital which will still allow vbacs. I was feeling "okay" with the 3rd c-section (since I want my tubes tied), but the more I think about it, the less okay I am. I tend to have big babies (my twins were each 5 1/2 lbs at 35 weeks, my son was 8lbs 12 oz at 38 weeks). I'm seeing a new doctor, one who believes in waiting until the last possible second before doing the c-section (won't schedule them before 39 weeks..is willing to wait even longer if I want) which is making me feel better, but I'm still wondering if I should vbac. I'm big boned, come from a huge family in which not one member has had a c-section except for me, so according to the midwife I saw 2 years ago, that's a good indication I'd probably be successful. (did I mention they all go natural childbirth too?) Of course, no one has had a baby bigger than 8lb 6oz either...and that was baby 3....

I'm not comfortable with home birth just because I'm fairly sure this baby will be big (probably at least 9 lbs), and I want to be in a hospital just in case. Has anyone vbac'd after no vaginal deliveries and 2 c-sections? Should I just give it up, and go on with the surgery? (Did I mention, I'm allergic to pain killers?) Any advice on how to proceed?


Sarah
Wife to Kevin
Step-mom to Justin (11)
Mom to twins Grace and Isabelle (3)and Boyd (21months)
Photobucket

Pages

iVillage Member
Registered: 07-21-1998
Sat, 01-30-2010 - 2:23pm

Not me, but a high percentage of people who post are attempting a VBA2C, some without previous vaginal birth experience. I wonder if you can get your doctor to agree not to c-section until you've done several hours of labor (That could get you through the whole thing, in a hospital, and at least you'd have your best shot at not having preemie issues)

I do believe that family history is a good hint. My first was at 34 weeks, for pre-e (why is a long and debatable story). My second baby was born vaginally, on exactly the same time table as my mother's second. Same length of labor, same time of day, actually the same weight as her 3rd baby (me), but I was a bit older than she was at the time my sister was born. With the kind of family history you have, I would judge a vaginal birth to be your best odds a the healthiest outcome.

And, of course, you know that a lot of people don't need pain medicine after an unmedicated vaginal birth. That feels a LOT better than c-section recovery (she says from experience)




Edited 1/30/2010 2:24 pm ET by ca_dreamer
Cthulu Crochet

iVillage Member
Registered: 02-26-2008
Sat, 01-30-2010 - 7:23pm

Ya that's my hope...I can tell you post c-section without medication is really painful...I would HAVE to think that vaginal would be easier, even if tearing/episiotomy were to happen...I have a really high tolerance for pain (obviously) have had 2 c-sections, one miscarriage at 12 weeks (took 4 days to finish) and one d&c all without meds (except for the anesthesia)

The nearest hospital that allows vbacs is at least an hour 15 minutes away which is too far for my hmo to cover. There's a chance my husband will be able to transfer closer...so I guess if he's successful, I'll pursue VBAC, if not, guess I'm sol...just wondering if anyone's done it after 2...thanks...


Sarah
Wife to Kevin
Step-mom to Justin (11)
Mom to twins Grace and Isabelle (3)and Boyd (21months)
Photobucket
iVillage Member
Registered: 07-21-1998
Sat, 01-30-2010 - 9:46pm

You ended up saying a couple things that confuse me. "Without meds except for the anesthesia?" What other meds are there?

And "an hour and 15 minutes is too far"? Is that a modern thing? I thought most people outside a major metropolitan area lived at least that far from the nearest hospital. And most labors are several hours long, in any case.

Cthulu Crochet



Cthulu Crochet

iVillage Member
Registered: 02-26-2008
Sat, 01-30-2010 - 9:58pm

Okay, I am allergic to the anesthesia..so benadryl is run through my IV. My reaction isn't as severe to a spinal or general because it never enters my blood stream. I just break out in a rash...nothing compared to what has happened to me prior. Typically after major abdominal surgery such as c-sections, the hospital will give you pills such as vicodin or darvisett. Also, the first day post op, they usually slip you pain killers into your IV...which we discovered the hard way after my first c-section...I had a violent allergic reaction, and we couldn't figure out why. Also, when you undergo a miscarriage at 12 weeks, most women (at least the women I know) end up in the er because of the pain. At the least, their doctors again prescribe some form of pain pill. This is gross and sad, but I passed a complete amniotic sac, the size of softball. It really hurt and took 4 days of "contractions" to come out.

For my HMO to cover me, I have to see a doctor within a 30 mile radius of where I live. There are 3 hospital/birthing centers within that radius. So there is NO way of convincing them to allow me to go to a different hospital.


Sarah
Wife to Kevin
Step-mom to Justin (11)
Mom to twins Grace and Isabelle (3)and Boyd (21months)
Photobucket
iVillage Member
Registered: 02-26-2008
Sat, 01-30-2010 - 10:12pm
and when I say I'm allergic to painkillers, that includes ibuprofen, aleve (naproxen) and especially tylenol...

Sarah
Wife to Kevin
Step-mom to Justin (11)
Mom to twins Grace and Isabelle (3)and Boyd (21months)
Photobucket
iVillage Member
Registered: 07-21-1998
Sat, 01-30-2010 - 10:25pm

That's rough for sure. Sometimes people have argued their insurance companies into covering something that's not standard, though. If your doctor agrees that you would have a better time with a VBAC due to your problem with pain meds, he might give you enough justification to make your HMO let you travel farther.

Other people have had homebirths or midwives covered, by arguing with an insurance company that has non-coverage clearly stated in their policies, based on facts. This would be the same sort of thing.

Cthulu Crochet



Cthulu Crochet

iVillage Member
Registered: 04-18-2009
Sun, 01-31-2010 - 11:28am

Hi Sarah,


Welcome to the board and congratulations on your pregnancy!!


I'm sorry that your hmo won't let you go more than 30 minutes away from home.

Rose 


iVillage Member
Registered: 02-26-2008
Sun, 01-31-2010 - 2:16pm

I'm a big fan of Bradley as well, I took the class while pregnant with twins (in the vague hope they'd flip over...they went from transverse to breech :(

My biggest prayer is that my husband can transfer back to our home town where there is a beautiful hospital (in our range)that supplies its own doulas for free, has all the staff etc for vbac, oh and totally covered by insurance. I still kick myself because I could have delivered my son there, but what is done is done...


Sarah
Wife to Kevin
Step-mom to Justin (11)
Mom to twins Grace and Isabelle (3)and Boyd (21months)
Photobucket
iVillage Member
Registered: 04-18-2009
Sun, 01-31-2010 - 4:00pm

Hi Sarah,


I hope your dh can transfer back to your home area.

Rose 


iVillage Member
Registered: 02-26-2008
Mon, 02-01-2010 - 7:20pm

I called a midwife today to discuss home birthing options, and she said, "if you don't want to go that route, there's a practice of doctors that will vbac you...you'd just have to deliver at the other hospital." I said, "there's another hospital?" I have been on the internet doing research, asking around, etc, and it never popped up! But yes, there is a hospital I didn't know about in our area that allows vbac attempts! Yahoo. So, I see the new ob in March, and I am so excited. I just have to get approved to attempt (they look at why you were unsuccessful last time), but I don't think it's going to be a problem since I've never attempted labor ever.

So, I just have to track down my medical records, and I'm all set...that and making it another 30 weeks or so :)


Sarah
Wife to Kevin
Step-mom to Justin (11)
Mom to twins Grace and Isabelle (3)and Boyd (21months)
Photobucket

Pages