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Old 05-15-2006, 12:34 PM   #11
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Re: csection vs. vbac for #2 anyone else??

Read up on VBACs. It sounds like your doctor is trying to use scare tactics on you. Don't let him! Due to the reason I had a cs with DS I had less than a 10% chance of a successful VBAC. However, once I started having hard contractions with DD, she was born two hours later! Recovery was much easier too!!

Like a PP said, having a baby is risky no matter how you deliver. Think about it though, having surgery is far riskier than having a vaginal birth. Give a VBAC a shot, you will never know if you can/could do it if you don't try. The risk of uterine rupture with a VBAC is very very low, actually if I remember right it's not even a full 1% higher than if you've never had a cs. Do some research and don't let your doctor scare you into something you may regret.

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Old 05-16-2006, 12:30 AM   #12
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Re: csection vs. vbac for #2 anyone else??

What a great thread.......




I spoke with my pediatrician about doctors around here that would support my decision for a VBAC and he said that without a doubt NON of them would support my decision. I take him seriously because I trust most of his advice AND because he is there for so many births in our area and has worked with all of the OB/GYNs in the area for both C/S and vaginal births depending on the situations.
He did recommend a few OBs that he thought I would "mesh" with (He realizes that I like to speak my mind/am informed of my rights/don't just "trust doctor")............. but he said that due to DDs size (9 lb 9 oz) and the fact that they had to make a larger incision, he doesn't think I'd be acandidate in this area for a VBAC.
The only 2 docs that do VBACs at all in this area (seriously!) schedule WAY too many mamas and are scheduled to deliver over 120 babies a MONTH each within a 1 hour radius of here, so the chances of them actually being aroudn for my birth are low - plus my pedi said that my personality would clash with either of those doctors.

What do I do?
I am uncomfortable going back with my midwives I had with my first labor bc of the fact that they pretty much ignored my suspicioun of posterior positioning and back labor....... and they did things or had me do things that were contraindicated in that situation. UGH and the only other midwife in the area won't "see me" unless I do a homebirth (no!) AND I have to wait to get PG until dd is 2 years old.

What do I do mamas!?
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Old 05-16-2006, 12:31 AM   #13
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Re: csection vs. vbac for #2 anyone else??

oh and I'm not pg yet, but we're not avoiding
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Old 05-20-2006, 05:46 PM   #14
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Re: csection vs. vbac for #2 anyone else??

I've had 2 c-sections and want a VBAC so bad for this baby. I had a friend send my this link http://www.ican-online.org/ check it out, they have lost of good VBAC info.
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Old 05-20-2006, 06:18 PM   #15
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Re: csection vs. vbac for #2 anyone else??

I need to go back & read what everyone replied cause I'm interested in this too, though I'm pretty sure now where I stand after doing some reading on this topic.

From what I've read, the most successful vbac candidates are women who have had at least one successful vaginal birth before their c-section & who had the c-section b/c of a positional problem (transverse/breach).

Women who had c-sections for their first baby because of position are also possibly very good candidates but not as successful as women who have previously delivered vaginally.

One thing to remember is the reason you are asked to sign that form is that the risks can be catastrophic, meaning possible death or very serious injuries to the mother or baby. To me that puts the statistics into perspective, when they talk about risks & percent success rate, you need to be very clear on what the risk is and where in particular YOU fit within those risks.

One site I came across had a little history of vbac & apparently in the 90s, insurance co's decided everyone should be vbac'ed & would not pay for repeat c-sections unless specifically medically necessary for that particular pregnancy. Many women & mds were not given a choice in the matter, everyone went to vbac. Turned out not everyone is a good candidate, there were many women & babies who were severely harmed by this approach. Following that was a back-lash against vbac, no md or hospital wanted to do one. In part due to insurance & for mds, it also had to do with loss & harm to their patients as well.

From what I read, they have gone back & done some statistical analysis on the data from that period. Some of the data shows there are specific criteria that make you a good candidate or not.
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Old 05-26-2006, 09:04 PM   #16
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Re: csection vs. vbac for #2 anyone else??

I had the almost the same experience with my OB. She said I must schedule a c-section since I had one with ds#2 due to fetal distress (ds#1 was a vaginal birth). She said I can't go past my due date which is 07/15/06 or I will need a repeat c-section. I can not be induced which i understand. She has not done many VBAc's so she is really negative. At every appointment I went to with her I would mention the VBAC and she would right away say I am most likely going to have a repeat c-section. That's why at 29 weeks I decided to look into a midwife that was more positive about me trying for a VBAC.
Me and dh met with the midwife for a tour of the hospital. The tour was 1 hour long. The hospital was not very modern, but have a great VBAC rate and they are very supportive of it. After the tour me and dh spoke to the midwife for another hour. I feel so comfortable with her. I feel I can be open about my birthing plan and ask her any questions I may have. With my OB I would hesitate to ask her any questions regarding a VBAC because she is always negative. The midwife was so very supportive. She reassured me I can have a VBAC. I am so happy to have found this midwife. I explained to her my issues with my OB which is causing me stress. She said you don't need the stress from your OB. She is right. I felt stress free with the midwife. Joking dh said Dawn you talked a lot and I said well I felt very comfortable that I can be open with any fears and questions I have with the midwife.
My first appointment with her was May 2nd
It was the longest prenatal appointment I have ever had. At my OB I would be in and out in about 15 minutes. With the midwife my appointment was 1 hour long. It turned out really well. She felt to see if the baby was head down and to my suprise he is. We were able to hear his heart beat and she checked to see if she heard any sounds near my scar which could possible indicate my placenta was close it, but I am so happy it wasn't it was at the top of my uterus. She also suggest for me to drink Pregnancy Tea that is made with Raspberry Leaf. She also gave me a large jug to fill daily to make sure I am dinking enough water.. She is also having a VBAC class in June which am going to attend. I am so happy everything is going well and me and dh feel so comfy with the midwife. Sorry to ramble. I will post some links that may help you.
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Old 05-26-2006, 09:05 PM   #17
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Re: csection vs. vbac for #2 anyone else??

Informational links on vbac/c-section & childbirth

Finding a Doula or Midwife:

http://www.birthpartners.com/
www.ACNM.org - Nurse Midwives
www.cfmidwifery.org - Citizens For Midwifery
http://www.childbirthprofessional.com/ - CAPPA
http://www.birthingfromwithin.com/
http://ca.geocities.com/volunteerdoulas/ - International Volunteer Doulas
www.DONA.org - Doulas of North America
www.doulaworld.com
http://www.birthlove.com/anti-vbac.html - VBAC Hostile and Friendly Hospitals & Midwives
http://www.socalbirth.org/resource/question.htm - Questions to Ask Possible Birth Attendant

Websites on the Safety of VBAC:

http://www.ahcpr.gov/clinic/epcsums/vbacsum.htm
http://www.childbirth.org/section/resVBAC.html
http://www.storknet.com/cubbies/vbac/4studies.htm - Summary of the 4 largest VBAC/Cesarean Studies
http://www.vbac.com/uterine.html - Info on uterine rupture

Finding Your Own Studies:

www.pubmed.com
www.medscape.com

After the Cesarean:

http://www.lalecheleague.org/FAQ/cesarean.html - (LLL) Bfing after c/s
http://www.ican-online.org/community/chapters.php - ICAN chapters around the USA (they have an email support group too!)

General Info. About Cesareans & VBACs (also pg & childbirth):

www.VBAC.com
http://www.gentlebirth.org/archives/icanvbac.html - Midwives Archives (ICAN/VBAC/CSEC)
www.ican-online.org - Int'l Cesarean Awareness Network
www.midwiferytoday.com
www.birthlove.com/free/safe.html - Birthlove - VBAC is Safe!
www.victoriousbirth.com
www.gentlebirth.org - midwife archives
www.mothering.com - excellent info re: pregnancy, childbirth, parenting, very natural (including great articles on VBACs-- also an excellent magazine subcription)
www.compleatmother.com
www.blueribbonbaby.org - nutrition
http://christian.birthingnaturally.net/ - Christian childbirth
http://www.medicallegalart.com/displ...hp?&A=delivery - animation of a normal delivery
http://www.maternitywise.org/pdfs/cesareanbooklet.pdf - What Every Pregnant Woman Needs to Know about Cesarean Section, valuable information! (free printout by Maternity Center Association)
Rebuttal to Rationales for Denial of VBAC by Henci Goer (her website http://www.hencigoer.com/)
Vaginal birth after cesarean: The facts (by Henci Goer)
VBAC safety: A closer look at the 2002 JAMA study (by Henci Goer)
Cesarean Myths Exploded
Cesareans do not prevent urinary incontinence
Suture Debate
VBAC Backlash


Planning Your VBAC:

http://www.motherstuff.com/html/midwife-cesarean.html - cesarean info in the interest of prevention
http://members.aol.com/MthrluvOK/labortim.html - Pain in Labor Doesnt Have to be Intolerable
http://www.midwifeinfo.com/topic-epidurals.php - Risks of Epidurals
www.unhinderedliving.com/childbirth.html - Online Childbirth Class
http://www.vbac.com/benefits/whyconsider.html - Why Consider A VBAC?
www.childbirth.org/section/VBAC.html - VBAC checklist
http://www.ican-online.org/resources...-checklist.pdf - another checklist from ICAN
http://www.ican-online.org/resources...rs/wp_uncs.pdf - Things You Can Do to Avoid an Unnecessary Cesarean
http://www.ican-online.org/resources.../wp_pharma.pdf - VBAC and Induction: Help or Hindrance?
VBAC and Induction or Acceleration of Labour
http://www.gentlebirth.org/archives/herpes.html - Herpes and birth
http://www.naturalchildbirth.org/mam...icle&artid=264 - Perineal Tear Prevention
http://gentlebirth.org/archives/perinealProtection.html - Avoiding Tears
http://midwifeinfo.com/topic-episiotomy.php - Get through Childbirth In One Piece!
http://www.ican-online.org/resources...wp_pushing.pdf - Pushing positions
http://www.homebirth.org.uk/ofp.htm - Optimal Fetal Positioning
www.spinningbabies.com - Correcting your babies position

Random Articles:

http://www.mothering.com/11-0-0/html/11-2-0/risk.shtml - Obstetrical Interventions and Maternal Mortality
http://www.maternitywise.org/listeningtomothers/ - Listening to Mothers Survey
http://www.aimsusa.org/CareInNormalBirth.htm - Care In Normal Birth
http://www.radmid.demon.co.uk/csgood.htm - Planning A Good Cesarean
http://birthrites.edsite.com.au - Birthrites: Healing after a c/s - a positive c/s
http://www.tabs.org.nz/ - trauma and birth stress
http://www.aafp.org/afp/990501ap/2487.html - Interpretation of the Electronic Fetal Heart Rate During Labor
http://www.ican-online.org/resources...lectivecs2.pdf - Elective Cesarean is Riskier than VBAC for Moms and Babies
http://www.ican-online.org/resources...sfactsheet.pdf - Cesarean Fact Sheet
http://www.maternitywise.org/pdfs/gecpc3ch38.pdf - the ineffective and invasive procedure of manual uterine exploration after vbac
Mother's Tea (Red Raspberry Leaf Tea Information)
The Gaskin Maneuver - The All-Fours Maneuver for reducing shoulder dystocia during labor

**Our VBAC Library (put together by our Julie, still in progress, but contains info added by our group members, ie: Word doc.)

Recommended Books to Read:

*Ina May's Guide to Childbirth by Ina May Gaskin

*The VBAC Companion by Diane Korte

*Having a Baby Naturally by Peggy O'Mara

*The Thinking Woman's Guide to a Better Birth by Henci Goer

*Birthing from Within by Pam England

*Open Season by Nancy Cohen

*Silent Knife by Nancy Cohen

*The Birth Book by Sears

*Supernatural Childbirth by Jackie Mize

*The Joy of Natural Childbirth (and the Christian Family) by Helen Wessel

*More books mentioned in ICAN's reading list - http://www.ican-online.org/resources/readinglist.htm.
*Another place to go to is Cascade, online bookstore and birth supplies @ www.1cascade.com.
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Old 05-27-2006, 02:39 AM   #18
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Re: csection vs. vbac for #2 anyone else??

Wow Dawn, thanks for all those links!! Got more reading to do now!
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Old 05-27-2006, 11:28 AM   #19
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Re: csection vs. vbac for #2 anyone else??

Wow so much great info to check out!! I'm pregnant with my second due 12-7-06. I'm going for a vbac. Thankfully my ob is very supportive even said 'we highly encourage vbacs since in the majority of cases they are better for momma and baby!!' Now, I need to check with all the other obs in the practice to make sure I don't get shafted later but I definitely think they'll be supportive. I'll have to ask their policy of going over due date. Thanks for bringing that up!
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Old 05-27-2006, 11:59 AM   #20
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Re: csection vs. vbac for #2 anyone else??

Woohoo thanks for all the links!

Oh btw, I am indeed pg and we will be trying for an HBAC with our midwives SO excited!!
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