or Connect
Mothering › Mothering Forums › Pregnancy and Birth › Birth and Beyond › VBAC › "Your chances are about 10%"
New Posts  All Forums:Forum Nav:

"Your chances are about 10%" - Page 2

post #21 of 40
I'd suggest going to your local ICAN chapter, if there is one, to get some VBAC-friendly care provider suggestions for your area. 10% *just* because you probably had a posterior baby is stupid. I'd probably ask them if they're really THAT incompetent.

The fact that you fully dilated is HUGE and reduces your risk of uterine rupture right there. Your uterus was thinned out where they cut it, meaning cutting through less layers and therefore less scar tissue.

As to the positioning, you can be active in the 2nd half of your pregnancy by exercising, holding certain positions(try spinning babies), chiropractory and acupuncture to name a few.
post #22 of 40
Thread Starter 
Quote:
Originally Posted by Apricot View Post
I think you'll dialate like a multip - because you've done all that before. So you won't be as tired going into second stage (pushing). You also know how to push, that's a big part of the reason second time moms push (statistically) half the time of first time pushers.
As long as this baby is in a good position, you should be able to push it out without a problem.
I definitely never got the hang of pushing. I've read that Tupler book now, and I hope I have a better idea what I need to do.
Quote:
Originally Posted by bobandjess99 View Post
As to the driving..why do you not take your child with you to the appts? My midwife had a play area set up for kids and going to the appts was a fun little adventure....1 hr really isn't that far away...it just depends on your point of view, i guess....
He's in school most afternoons, so the scheduling is just tricky. And the hour is without traffic, assuming they'd take me as a VBAC. I just really don't see these other MWs as options.

Quote:
Originally Posted by doctorjen View Post
It sounds to me like your baby was posterior - the persistent lip, back pain in labor, and failure to descend all are common with a posterior babe. Being posterior increase the diameter of the head and makes the mechanics of moving through the pelvis different and makes for a much harder birth. A second baby may well be better positioned and not have the same issue.
Yeah, it's very possible. No way to know for sure at this point. The MW who attended me never seemed 100% sure cuz she couldn't get a good feel of the fontanels [prolly cuz he was asynclitic, but I don't think she realized that], but she didn't seem to think he was. *sigh* I dunno.


Quote:
Originally Posted by LynGi View Post
I'd suggest going to your local ICAN chapter, if there is one, to get some VBAC-friendly care provider suggestions for your area. 10% *just* because you probably had a posterior baby is stupid. I'd probably ask them if they're really THAT incompetent.

The fact that you fully dilated is HUGE and reduces your risk of uterine rupture right there. Your uterus was thinned out where they cut it, meaning cutting through less layers and therefore less scar tissue.

As to the positioning, you can be active in the 2nd half of your pregnancy by exercising, holding certain positions(try spinning babies), chiropractory and acupuncture to name a few.
Been to ICAN, I keep getting told to either HB or travel 2+ hours away to another hospital.
Definitely seeing a chiro, doing yoga, and I'm going to check out spinning babies again [their site was down the other day...].


Thanks All! I talked to my monitrice [doula with nursing skills to allow her to do diagnostic screenings to allow me to stay home even longer], and she helped me feel better.
post #23 of 40
Glad to hear you have a monitrice (very cool, I've never heard of one!)

Stay positive, keep up all that you're doing, and as hard as I'm sure it is...ignore your OB/NP's negativity....YOU WILL SUCCEED!
post #24 of 40
Quote:
Originally Posted by Mama Rana View Post

Been to ICAN, I keep getting told to either HB or travel 2+ hours away to another hospital.
Definitely seeing a chiro, doing yoga, and I'm going to check out spinning babies again [their site was down the other day...].


.
Okay..possible red flag.
the women in your local ICAN..when they are recommending for you to HB or travel, are they saying this because you have explained your situation, and they are recommending those courses of action generally, or is it because they have personal, specific information about the hiospital.midwife/OB practice you are currently using.
Because if it is the first option..okay, I think we all know a HB is usually the best way to get a VBAC, so it makes sense they would recommend that as a genericoption...BUT..if it is option 2..I would be VERY concerned. If these women, whose speciality, whose specific knowledge and expertise, KNOW that your particular group, or your particular hospital, is very VBAC -unfriendly, I really think you should listen to them. I know in my area, I can tell you exactly who will VBAC and who won't ( barring catastrophic circumstances of course) simply by where they are going and who they are seeing. honestly. So I would evaluate that info carefully.....usually, the ICAN women tell you where to go because they KNOW where you will get a VBAC.
post #25 of 40
Thread Starter 
Quote:
Originally Posted by bobandjess99 View Post
Okay..possible red flag.
the women in your local ICAN..when they are recommending for you to HB or travel, are they saying this because you have explained your situation, and they are recommending those courses of action generally, or is it because they have personal, specific information about the hiospital.midwife/OB practice you are currently using.
Because if it is the first option..okay, I think we all know a HB is usually the best way to get a VBAC, so it makes sense they would recommend that as a genericoption...BUT..if it is option 2..I would be VERY concerned. If these women, whose speciality, whose specific knowledge and expertise, KNOW that your particular group, or your particular hospital, is very VBAC -unfriendly, I really think you should listen to them. I know in my area, I can tell you exactly who will VBAC and who won't ( barring catastrophic circumstances of course) simply by where they are going and who they are seeing. honestly. So I would evaluate that info carefully.....usually, the ICAN women tell you where to go because they KNOW where you will get a VBAC.
Barbara [my ICAN leader] has the stats on the hospital [which aren't great], but not the specific practice. I have found no one who can tell me about VBAC-ing with this group, positively or negatively. The midwives don't keep separate numbers from teh OBs that they work with [at least that's the line they've fed me], so I have no idea.

I know that it's not a great sign. On the other hand, this is the only MW in that group who has been negative about my chances; everyone else has been supportive. As I said, homebirth is NOT an option, unless I secretly plan to UC [which I don't feel is safe in my case].

I do plan to stay at home as long as possible. I have hired a strong monitrice, and I'm stubborn as a mule. All these things go in my favor, and I'm counting on them. Unless I hear of a VBAC-friendly provider within reasonable driving distance, changing isn't really a viable solution.
post #26 of 40
OK, so I just figured out you are in Baltimore. PM me if you don't want to post this info here.

Where in Baltimore are you?
Which practice are you using?
post #27 of 40
Kathy Slone does VBAC's at Mercy. I'm assuming you are with the MED wife practice at St. Joes. You will NOT get a VBAC with them. Call Kathy today. 410-235-0506.
post #28 of 40
Your chances of succeeding are directly related to your care provider. I know a midwife who has an 80 to 90 % success rate with her vbac clients, so your chances with her would be 80 to 90%. Your chances of succeeding with this care provider probably are 10%.
post #29 of 40
I know you are probably feeling a little beat up by the posters pushing you to change your plans - and so you are feeling defensive - when you were really looking for emotional support and positive thinking - so I am sorry for that.

I agree with ALL of the following fabulous points:

1. Your previous birth is not much of a precedent since there are a lot of things that could have been managed differently:

Quote:
going off this very little information, it sounds like you were instructed to push against a cervix that was not completely dilated. it wouldn't matter how small your baby was/is if your cervix was swelling, because there would be no room to push baby out. that is not CPD. that is mismanagement of the second stage
2. This particular midwife is a UAV for giving you bogus statistics that undermine your confidence

Quote:
What is she basing this 10% on? How do you even come up with an estimate like that? I call shenanigans.
3. Knowing more about how to push this time around will help you a lot.

Quote:
I think you'll dialate like a multip - because you've done all that before. So you won't be as tired going into second stage (pushing). You also know how to push, that's a big part of the reason second time moms push (statistically) half the time of first time pushers.
4. You are well prepared and doing everything it takes to succeed

Quote:
I too call this doctor/NP on pish posh for saying 10%! VBAC power and when you go into labor, remind yourself that this time will be different, and you WILL succeed! Think about the things you are doing this time, chiro, massage, yoga, the preperations, the relaxations...it's all only going to help! PLUS, you said that you were pushing in a position that you now know wasn't ideal....so, see, you are more educated on what is best this time!!!
5. Be confident. We believe in you. (And in your vagina, as a recent thread pointed out!)

Quote:
Stay positive, keep up all that you're doing, and as hard as I'm sure it is...ignore your OB/NP's negativity....YOU WILL SUCCEED!
One final thought. If you feel comfortable with all your other midwives (and I know you have reasons for staying with this group so that's fine) I wonder, can you request that you NOT work with this particular one, even if she happens to be on call? I used a large practice for baby #1 and they were willing to do this for me - basically they agreed that the back-up rather than the on-call would come for me if it came down to it. Its reasonable to state that you prefer not to work with someone who doesn't believe in your chances to VBAC.
post #30 of 40
Great post, meganmarie!
post #31 of 40
NAK...

I think the 10% thing is crap. Mama, u can totally VBAC, but you very well may hasve to fight. No, it's not right, but it is what it is. This experience will ask u to grow in ways you may not want to or think you would need to, but if you (and dh) embrace this journey, it can be amazing.

I'd do whatever it took...and for me that's driving far, having a homebirth, UC, whatever! That may be different for you. You can take ds to appts. with you too. Good luck!
post #32 of 40
Sorry to hijack...but I keep seeing "UC" and for the life of me can't figure that one out! Can someone fill me in on that one?
post #33 of 40
Unattended Childbirth
post #34 of 40
Quote:
Originally Posted by mysticmomma View Post
Unattended Childbirth
Ahhh, I thought it was something like that...but just not sure!

Thank you!
post #35 of 40
Unassisted childbirth.

turtlewomyn, I would be careful with stats---it's possible to massage the figures both ways. A midwife might (not saying the one you know does, but I do know MWs/OBs who do things like this) get good stats by being ruthless with risking out. If you start with a great pool of candidates, your rates are likely to be high. My red flags go up for any stats which are far off average.
post #36 of 40
With dd1, I pushed for five hours, and my next ob flatly told me that my chances were 20%. I switched providers and vbac'ed.
post #37 of 40
Just wanted to offer some support on the pushing. You don't have to push. And even if you want to you don't have to do it till you have the urge. I personally hate pushing so I refuse, even when my body is telling me to lol. If you wait till you HAVE to push you will know how to do it. Your body and instincts take over. I tend to be complete for a long time before I start to push. So just because you hit 10 (even with no lip) doesn't mean its time to push yet. Just let your body do the work its trying to do. (((hugs)))
post #38 of 40
'So just because you hit 10 (even with no lip) doesn't mean its time to push yet. Just let your body do the work its trying to do. (((hugs)))"

No advice about your current situation (other than the go in pushing mantra) , but I so agree with this. After 5 babies I have pretty much thrown the "rule of 10" into the pile of that has been fed to us.

For me, I have to push *before* 10. My last birth I got to 8 and had no problems with birthing her. With my second birth I was at 9 with a lip and swelled because her head was turned funny. (This ended in a non-emergency transport, drugged, vag birth.) My other three births were all a huge struggle to keep from pushing when I felt like I needed to before I reached the magical "10". And ya know, I have been studying natural birth for 10 years and this pregnancy is the first time I read in print that a woman could dilate past 10. It was a big moment for me.

Anyway, just saying that your body isn't defective.
post #39 of 40
Thread Starter 
Quote:
Originally Posted by fruitfulmomma View Post
'So just because you hit 10 (even with no lip) doesn't mean its time to push yet. Just let your body do the work its trying to do. (((hugs)))"

No advice about your current situation (other than the go in pushing mantra) , but I so agree with this. After 5 babies I have pretty much thrown the "rule of 10" into the pile of that has been fed to us.

For me, I have to push *before* 10. My last birth I got to 8 and had no problems with birthing her. With my second birth I was at 9 with a lip and swelled because her head was turned funny. (This ended in a non-emergency transport, drugged, vag birth.) My other three births were all a huge struggle to keep from pushing when I felt like I needed to before I reached the magical "10". And ya know, I have been studying natural birth for 10 years and this pregnancy is the first time I read in print that a woman could dilate past 10. It was a big moment for me.

Anyway, just saying that your body isn't defective.
*nods* Totally agree. But for what it's worth, I was pushy before 10 as well. That's why the MW tried to stretch my lip out of the way. Still wasn't pushing effectively...... *sigh* Better this time, I'm sure.

Thanks all!
post #40 of 40
Quote:
Originally Posted by AlexisT View Post
Unassisted childbirth.

turtlewomyn, I would be careful with stats---it's possible to massage the figures both ways. A midwife might (not saying the one you know does, but I do know MWs/OBs who do things like this) get good stats by being ruthless with risking out. If you start with a great pool of candidates, your rates are likely to be high. My red flags go up for any stats which are far off average.
Yeah, I know I have thought about that. I trust this particular midwife though. I had started prenatal care with her last year during a pregnancy that ended with miscarriage and she had provided a statement showing her particular stats. I know there are particular questions to ask at an interview that sort of tease that out (maybe asking about how many were risked out prior to labor???). I don't remember what they were though. She did tell me that her VBAC's don't really have a higher c-section rate than her non-vbacs.
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: VBAC
Mothering › Mothering Forums › Pregnancy and Birth › Birth and Beyond › VBAC › "Your chances are about 10%"