VBAC Hopeful, anything else to consider?
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|Sat, 11-27-2010 - 11:59pm|
Hi all. I notice some familiar faces here, which is good. My name is Holly and I'm nearly 21 weeks along with my second child. My daughter was born via c-section due to a prolapsed cord. I went into labor on my own but when I arrived with high bp and some other factors they diagnosed me with pre-e and gave me magnesium sulfate. That stopped my labor of course, so they decided to induce me (it was my due date) with cytotec (I know, yikes!). Things were going well until my water broke and she came crashing down. I doubt I could really have changed circumstances since it turned out the cord was wrapped around her several times. I should note that I'm not entirely sure I really did have pre-e, based on what I've learned about its diagnosis since then. And my bp was completely normal until 38 weeks last time, and is completely normal now.
I would like to have a VBAC this time, so I took some time to research and see what I wanted to do. I live in another state from where I had my daughter (SoCal to Utah), so I researched the best hospital for me to have a VBAC. Then I researched the best MW practice for me to have a VBAC. The hospital's VBAC rate is 30% and my MW, who is the director of the MW practice, told me that pretty much every patient in the practice who seeks a VBAC (and who doesn't have conditions that preclude have a TOLAC) gets one. She looked at my medical records from my first birth and said that everything looks good for me to have a VBAC on that front. I had my ultrasound earlier this week and while the nurse said there was a slight possibility I might have placenta accreta (given the location of my placenta) but thinks it's only slight and said an u/s at 28-30 weeks will probably rule that out. Of course that would be a different situation entirely, if it turns out to be true. I was pleased that the nurse doing my u/s stressed that the risk of placenta accreta was a good reason to seek a VBAC if I can.
So, generally supportive hospital, specifically supportive MW practice. I have a good friend who recently had a baby using this practice at this hospital. She was not seeking a VBAC (having never had a c/s) but she had an induced labor at the hospital after having two homebirths. I asked her a lot of questions about the helpfulness of the nurses, the midwives, and the hospital's amenities. She said that the hospital and the midwives were wonderfully supportive of her and were trying to help her get the birth she wanted, although she had to be induced due to high bp. They are friendly to doulas, and I have a few names I'm going to contact to have consultatations so I can decide on someone.
I know that avoiding induction is the best thing I can do, and I think that's a reasonable expectation for me, at least in theory. I went into labor on my own last time, after going into false labor three or four times in the weeks prior. I would like to seek as few medical interventions as possible, and I have sought out the professionals and facilities that are most likely to give me that. But I am also realistic, and will consider induction/medication/even another c-section should it become necessary. But I feel that my odds of having a VBAC success are good. I wonder if there's anything else I should be thinking of.