VBAC after C-Section

Originally posted by MosMom
Midwives aren't anti-meds. Midwives are anti-meds if you are. Midwives are all about YOU and what you want. Of course, you would want to interview different midwives and see how they feel about certain issues, but I think most of them are open to anything that will give you the birth you want. Just talk openly about what you want with the midwife ahead of time so there won't be any surprises. With what you've said in your posts, I think a midwife might be the perfect fit for you.

I agree with MosMom! :)
 
hmm...not sure if there is or what the difference...that is what they told me it was. He had a lot of problems when he was first born (they thought he would have to be transfered to the NICU at the local children's hospital) but after a couple of hours he was fine. But they didn't bring him into see me, they said I had to wait a few more hours.

I did get the rooming in the subsequent days and the nursing took off later. Not too successfully in the beginning but with some help he got the hang of it and was a nursling for almost 10 months!

I hope that if I have to have csec. I wont' have to wait so long to get him/her back!!
tara
 
I've never had a C-Section, but I did have Epidurals with 2 of my 3 babies. That is what is used for most planned C Sections these days.

With both of them, we were nursing within a 1/2 hour after birth -- right after they cleaned him up, weighed him, and did the APGAR.

Scary needle, but wonderful pain relief. :) :) :)
 
I had an epidural with my first umplanned section and a spinal with my second planned section. Unfortunately I don't recall what the difference between the 2 is.
 

Originally posted by MosMom
Midwives aren't anti-meds. Midwives are anti-meds if you are. Midwives are all about YOU and what you want. Of course, you would want to interview different midwives and see how they feel about certain issues, but I think most of them are open to anything that will give you the birth you want. Just talk openly about what you want with the midwife ahead of time so there won't be any surprises. With what you've said in your posts, I think a midwife might be the perfect fit for you.

Do most midwives take local insurances? I have already paid my deductible for the rest of my visits to my practice.

I'm going to do some research on mid wives then, I just have seen way too many TLC / Discovery shows that show mid wives telling people that they don't need drugs. I will do some more research before i make my final decision.

Thanks,
tara
 
I had a midwife up until time for the actual delivery at which point the Dr. came in. My first born was c-section due to fetal distress (turned out cord was around his neck), second was VBAC. I had no complications with either, though I was given full access to info the staff had as to complications related to VBAC.

My insurance covered the midwife (Kaiser) as well as the Dr.

Good luck whichever you decide!

Ashley
 
I had a C-section at 42 weeks, because after labor, it was decided DD was too big for me. Two years later, the doc told me I could have a v-bac, but he recommended inducing me at 38 weeks before the baby got as big as the first. I delivered my DS then in 3 hours! No problems at all!!!
 
My first was a c-section because she was frankling breech. My second was a VBAC even after a long, very difficult delivery. My third was a VBAC after being induced and had no problems delivering her at all. I would do what YOU want to do, and find a doctor that supports you. Good luck with your decision.
 
I just had my second daughter 6/25/03 she was a repeat csection
I had planned to try vbac so please keep this in mind
due to increased risk of uterine rupture they will not induce you
or at least my ob/gyn would not
I was not the most ideal patient I had high blood pressure and gestational diabetes so they wanted to deliver her early because we knew she was a good size baby and I had an amnio to make sure her lungs were ready and they were afraid for my health to deteriorate into toxemia or pre-eclapsia
but they woudl not use the cervical gel on me
I was not going into labor on my own they offered to give me pitocin for 12-16 hours to try to soften my cervix. I had a 23 hr labor with 1st daughter on 15 hrs of pitocin and I don't wish that on my worst enemy. So my options were very limited. and with all the pain the pitocin would bring I had no guarantees that I wouldn't end up with the csection any ways.
I opted for the csection picked my date and time based on doctor's schedule had to go to the hospital 2 hrs prior to surgery.
It was much easier than emergency csection first time.
I would do it again in a heart beat. I did have a longer and harder healing time mostly do to lots of scar tissue that really hurt afterwards.

Good luck whatever you choose
 
First...I have not heard of spinals being done anymore for deliveries...the difference is when you are having a section they raise the level and make you more numb and make the numbness go higher. The epidural catheter is placed the same way.

Second, a VBAC can be successful. I too wonder if the reason they are falling out of favor is because people ARE suing if ANYTHING goes wrong, preventable or not. But more and more doctors are stopping VBACs.

Finally, I would NOT use a midwife for a VBAC...it somply carries too much risk and the mother should have an IV for emergency access, the MD needs to be nearby in case something does go wrong, as then an emergency C/S will need to be done.

Personally, I had vag deliveries for my first 2, both over 9lbs. I ripped from here to Missouri with the first, the second they had to apply fundal pressure (back before they had those suction things they use now) and I got a bruised diaphragm as the nurse was pushing too high. The third was 7.5 lbs and was a scheduled C/S with a hysterectomy...this was by far the easiest delivery.

Whatever you choose in the end...my hopes are for a safe delivery and a healthy baby!!!!
 
Originally posted by DopeyRN
First...I have not heard of spinals being done anymore for deliveries...the difference is when you are having a section they raise the level and make you more numb and make the numbness go higher. The epidural catheter is placed the same way.
They did a spinal because it was an emergency, he and I had lost a great deal of blood (Had been at the hospital for 9 hours before she decided that I needed to have him out...SHE will not come any where near me or my baby this time. I have my paperwork all from the hospital (had it copied just in case anything was terribly wrong with the baby...afterall 9 hours in the hospital soaking towels with blood was a bit on the excessive side..but that's another story.) I have pulled the papers out plenty of times to read them and it says spinal. Not sure what the reason was but they did it. They said that was why I was not allowed to sit up or move for so long.

I have called a couple of midwives to get information from them and after I persue that I will decide if I want to contact them. I love my obgyn and I'd hate to give him up. I am going to talk to him again next week at my 12 week visit and let him know that I feel strongly about at least trying it, but that I'm not opposed to a repeat c if it is necessary.

thanks!!!!
tara
 
Originally posted by DopeyRN
Finally, I would NOT use a midwife for a VBAC...it somply carries too much risk and the mother should have an IV for emergency access, the MD needs to be nearby in case something does go wrong, as then an emergency C/S will need to be done.
I had planned to have a midwife delivery with my first child...she was there with me throughout most of my labor...but then I needed a C-section, and she was there in the delivery room with us. I DID have a midwife delivery with my first VBAC, and everything was fine. I still delivered in the hospital, and the doctors from the group checked on me regularly during labor. With my 2nd VBAC, I switched back to the Drs for various reasons, but I missed having the support of a midwife.

At the time of my VBACs, 11 and 13 years ago, I do know that they wouldn't allow VBAC deliveries in the ABC (alternative birth center) at the hospital, but the midwife felt that that would soon change; I'm not sure if it did.
 
I didn't read all the replies but here's my story.

Had a c-section with #1 due to failure to progress. I got to 6 cm and started to swell and went back to 5 after 14 hours! I did get an epideural at 3 cm, after 5 hours of labor.

Baby #2-did not want a c-section. Dr said a VBAC was the way to go. I waited longer before getting the epideural and #2 was born after 12 hours of labor. (he was a smaller baby than his brother)

Baby #3-again a VBAC. Again I waited on the epideural. She delivered just a couple hours after the epideural was in. A very easy delivery.

I had 3 different drs for each of my babies-They all agreed that in my case VBAC was an option. If you don't agree with your dr, then get a second opinion. I can tell you that I think a VBAC is WAY easier than a c-section.

Good luck
 

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