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Opinions, please, Hospital's "reason" for a No-VBAC POlICY - Page 3

post #41 of 58
Quote:
Originally Posted by 2boys3girls View Post
I need to find that confidence! Please tell me if this is stupid and irrational..... what if I *DO* end up going into labor on my own, go to the hosp when I'm really-really progressed, and then refuse the CS.....? Me? Spontaneous labor? I guess stranger things have happened. Thoughts? I def. need to ask my doc how she'd handle that "hypothetical situation".....
Well just tell yourself that somewhere in your genetics is the gene for spontaneous labor. Because, well, I went into spontaneous labor, and you and I share a lot of the same genes. (Thats right, we are sisters.) And our mother never had 4 babies, no inductions.
post #42 of 58
Thread Starter 
Quote:
Originally Posted by OceansEve View Post
If that's the only people you want to hear from you will probably end up with another medicalized birth (with the exception of some MWs). But if that's what you want then thats fine. I think majority of what you will find here are people who have been through VBACs successful or not and all the information they gathered in their experiences.

And you are correct the fact that you don't think you are capable of going into labor on your own is a huge statement to the lack of faith in your body and what birth is.
OceansEve: No, I'm NOT saying "that's the only people I want to hear from"..... NOT IN THE LEAST.... basically what I was trying to say is, "you all sound so knowledgeable, sounds like you've spent years studying this....." I love REAL information gained from REAL LIFE EXPERIENCE so a huge thank you to those who have shared their wealth of information with me.

I readily admit that I do seem to have a "lack of faith in my body", at least in my body's attempt to "naturally" begin labor. It just hasn't happened that way for me. I'm not proud of that fact. Yes, I know I haven't "always" allowed myself to go significantly passed my due date. My second got up to 9.13 lbs and I'd personally rather my baby not get that big in utero.

All in all, I put my faith in God. The desire of my heart is to go into labor naturally, wait it out at home, then drive to the hospital & have a VBAC. If the hospital isn't okay with a VBAC, I just might have to say that I'm not okay with surgery. I've been doing lots of reading on the ICAN website & I'm gathering info to present to the hospital, when the time comes. Also, I plan on being armed with info to bring up with my doc later this month, and I'll confirm her position.
post #43 of 58
Don't let them scare you with big baby. I have a friend that hombirthed a 10+ lber w/o tearing If only my insurance covered her MW

Just keep researching and talking to people outside those who profit from western medicine. It took me a while to get to the frame of mind I'm at now. I remember my "can I have a vbac" post right after I found out we were preg w/ DD2. It takes a while to come around but the more you have under your hat the better you will feel about it.
post #44 of 58
Quote:
Originally Posted by 2boys3girls View Post
basically what I was trying to say is, "you all sound so knowledgeable, sounds like you've spent years studying this....." I love REAL information gained from REAL LIFE EXPERIENCE so a huge thank you to those who have shared their wealth of information with me. .
That is one of the great things about the internet - tons and tons of resources available, not only articles but access to the abstracts of thousands of studies, and communities of people who are learning the same things to bounce your knowledge/questions off of.

if you know your stuff it becomes much easier to advocate for yourself and take responsibility for your decisions
post #45 of 58
My good friend in my birth circle just had a VBAC at home Thursday. 10lbs 8oz. Her first was CS due to double footling breech. My CS baby was 7lbs 5oz and my vbac at home was 9lbs 4oz. Don't let size be your fear. Your body knows what it's doing. And my vbac was at 41+6 incidentally. My CS was after an induction at 41+2.
post #46 of 58
This is no longer up, but I found the page I was looking for for you on the wayback machine. Not sure how many of the links work. Let me know if they don't & I'll see if there's any other way to get them. It's all about 10 month mama's, which it sounds like you might be.

http://web.archive.org/web/200608130...onth_mama.html
post #47 of 58
Thread Starter 
hello, thanks for the above post, I did check out the ten month mama website. VEry interesting!!!! Okay, please forgive me for sounding like i don't know a THING, WHEN does the placenta actually stop working?!!! I don't want to sound insensitive toward anyone who has had a stillborn baby, but I would personally be afraid that I would end up birthing a dead baby, if I remained pregnant til 46 weeks. I do need to do some more reading & researching. My prayer has already been said for a truly natural VBAC..... I just need to believe!!! And I will!
post #48 of 58
Quote:
Originally Posted by 2boys3girls View Post
hello, thanks for the above post, I did check out the ten month mama website. VEry interesting!!!! Okay, please forgive me for sounding like i don't know a THING, WHEN does the placenta actually stop working?!!! I don't want to sound insensitive toward anyone who has had a stillborn baby, but I would personally be afraid that I would end up birthing a dead baby, if I remained pregnant til 46 weeks. I do need to do some more reading & researching. My prayer has already been said for a truly natural VBAC..... I just need to believe!!! And I will!
I don't think there is a magical number of when the placenta no longer works. Every woman gestates her babies at different lengths.
post #49 of 58
Quote:
Originally Posted by BoringTales View Post
Worst advice ever, ever, ever.
Hm. Guess I should have had my second VBAC in the hospital then. OP, my HBAC baby was over 10 lbs and she was late -- 43 weeks! From your descriptions, your body did not fail to work. However, it does sound like your care providers failed to wait. There is nothing in your history that say a VBAC is high risk for you. Your previous vaginal births should make you a more appealing VBAC patient. In my experience, if the hospital won't do VBACs, then neither will the OBs. You might be able to convince your doc that if they will wait, you will refuse the surgery so they don't get in trouble. That's pretty rare, though.

I would recommend seeking a VBAC friendly OB and hospital. Better yet, seriously consider homebirth.
post #50 of 58
Quote:
WHEN does the placenta actually stop working?!!!
It's different for every woman & every pregnancy. Lots of women have perfectly healthy placentas well into 46 weeks. Many years ago, I heard a story of a woman who was pregnant well past 50 weeks. She was in a concentration camp in Germany & kept her baby safe the only way she knew how. The baby was perfectly healthy when it was born.

Remember that for most of history, the closest 'due date' a woman had was "in the spring". Who knows how many babies were safely born at much longer gestations than we now consider normal.

If you're really worried about the placenta, you could agree to having non-stress tests (NST) (don't let them talk you into a stress test, those are just inductions in disguise) &/or biophysical profiles (BPP) every week or few days after 42 weeks. The only problem with that idea is that they may very well come up with "problems" to try to scare you into an immediate induction/cesarean. It's hard to resist when you don't have the research to back you up.

I really, really reccommend that you get your hands on 'The Thinking Woman's Guide to a Better Birth' If you can't afford it, you can probably borrow it from your local library. It's not nearly as long as it looks & is a *wonderful* resource to actual research.
post #51 of 58
Thread Starter 
Hi, I heard *again* from the clinic with the docs that do VBACs at the hospital in Duluth. The 3 docs that are currently accepting new patients have been in practice for 6, 6, & 8 years respectively. According to the woman who called me, they do about 6-8 VBACs per year. She also told me they don't "track the info any further than that". Does that sound funny to anyone but me? I was also wondering how many *approximately* plans for a VBAC have they actually followed through with. The woman on the phone told me "if they think you're a good candidate for a VBAC they will do everything possible to help me have one."

I guess i'm just going to talk to my doc later this month. I know she is totally in support of VBACs, I just need to find out her feelings on ME having a VBAC in THAT hospital, with a no-vbac policy. and of course, I do not think I'd tell her, "*When* I go into Labor on my own, i'm coming here and refusing the cs." Although I actually don't think she'd have a problem with it. I'll find out......
post #52 of 58
OP, just to let you know, there is a section here for "birth professionals" where you can post questions that the doulas, midwives and nurses can answer for you. (I suppose there could be an OB posting but I've never seen one here LOL!)

On the question of placenta functioning, this is an excellent source of evidence based research:
http://www.childbirthconnection.org/...e.asp?ck=10575

You have to register but I can tell you are thirsty for facts so I promise you'll be glad you did.

The section on post-dates basically says, according to a review of all the research, that there is a slight increase in stillbirths AFTER 42 weeks (not before) which may be a sign the placenta deteriorates, or something else, I don't know. So this report suggests that induction AFTER 42 weeks may be of benefit. But it also affirms that there is NO evidence that it saves lives or helps anything to do an induction at 40 or 41 weeks just for "post-dates" with no signs of anything wrong.
post #53 of 58
You want the real reason? Don't gripe about the docs and the hospitals, look at the lawyers and their clients! After a few multi-million dollar jury rewards for predictable complications like ruptured uteruses and dead babies, the hospitals have decided to get very careful.

http://www.medical-malpractice-attor...caesarean.html

http://www.nnepqin.org/ViewPage?id=3

http://www.storknet.com/cubbies/vbac/excf32.htm

http://accidentlinks.com/Medical-Malpractice/VBAC.html

http://cerebralpalsy.texasinjuryatto...rom_a_vbac.htm
post #54 of 58
Quote:
Originally Posted by Lazy Gardens View Post
You want the real reason? Don't gripe about the docs and the hospitals, look at the lawyers and their clients!
I think it's much more about the client part. Some attorney's may seem greedy but they probably wouldn't have frivoulous cases if the overall attitude of America weren't "Deflect the responsibility to someone else" and "Sue somebody".
post #55 of 58
Quote:
Originally Posted by ShwarmaQueen View Post
I think it's much more about the client part. Some attorney's may seem greedy but they probably wouldn't have frivoulous cases if the overall attitude of America weren't "Deflect the responsibility to someone else" and "Sue somebody".
: america is ridiculous about law suits...some bozo spills a drink and then slips in it and breaks their leg the sue the store, the floor maker, the drink maker, and anyone else they can think of.
post #56 of 58
Quote:
Originally Posted by Lazy Gardens View Post
You want the real reason? Don't gripe about the docs and the hospitals, look at the lawyers and their clients! After a few multi-million dollar jury rewards for predictable complications like ruptured uteruses and dead babies, the hospitals have decided to get very careful.
But lets be honest here, CYA has become more important than the hippocratic oath. Majority of them are only interested on the cheapest CYA method which is simply denial of service rather than getting the proper insurance.
post #57 of 58
Thread Starter 
Hi,

I met with my OB on monday 12/29. As I've said, I know she is a true believer in VBACs. I was straight with her. I told her that I'm believing that I will begin labor on my own this time & that I will be continuing my OB care with her & will have my baby at this hospital. I am planning to wait it out at home as long as possible before coming to the hospital. And I told her that i know that i cannot be forced into surgery. She said, of course there could be no CS w/o my consent. She also added that in that event there would be lots of "unhappy people" at the hospital. I asked her, "what about you? would you be unhappy?" she said, & I quote, "no, I would not be unhappy. however, I cannot advise you to refuse a cs. and I must advise you that this hospital has a no vbac policy and you need to plan on an elective cs if you come here." I told her I understand. She's a very cool doc, in my opinion, and she knows that i'd never do anything to risk my health or my child's. So, I am not going to talk to her anymore about a VBAC at this hospital. I am going to ask her what the hospital's policy is about women going past the DD who 'supposedly' need repeat CS. I just want a healthy baby, no matter how I deliver. Thanks, everyone. Any more advice, keep it coming please!
post #58 of 58
Have you considered a home birth? I know it's not for everyone - just throwing that out there since you've had no pain meds and such.
I would find a HB midwife or a new hospital in which to deliver. It sounds like the hospital you've delivered at in the past is are more concerned with themselves than your well being. It sounds like you would be fine health wise, and opening you up again is not the best thing for your body!!
YOU need to make this decision. Do not give in to their insistance for a repeat c/s if that is not what you want!!
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