Mothering › Forums › Pregnancy and Birth › Birth and Beyond › VBAC › My Trial Of Labor For VBA3C
New Posts  All Forums:Forum Nav:

My Trial Of Labor For VBA3C

post #1 of 19
Thread Starter 
My Name is LaShonda from kalamazoo,mi. I'm posting this to let the world hear my story: I have 4 kids my first was vaginal 5lbs60z, my second pregnacy I went to the hospital dialated at 4 recieved epidural and it stopped my labor my doctor vanished and another doctor came in saying " I'm filling in for your doctor, I think your baby is too big you should have a csection" Without my consent I was given a csection 7lbs2oz. I was told after sugery that I couldn't have any more kids vaginally or I would die. So my third pregnancy I had a repeat 7lbs13oz as with my fourth I was going for a Vbac and I had did a little research. Baby was doing great I had a new doctor and at 39 weeks I was called by my doctors office asking that I come in the day before my schelduled appointment saying my doctor had had a family emergency. I knew that this would pose a problem since she was the only physican in the office who was fighting for my vbac. I was scared to go to this appointment. I agreed to come in when I got there they did regular test urine and blood pressure. Doc said I'm measuring bigger than what I supposed to so he ordered ultra sound baby measured at 7'8 so when returning back to there office they said I was spilling protein in my urine and my blood pressure was very high. They believed I was preclamptic. So I was told If i was to have a vaginal birth I would have a seizure and stroke and could die so my husband and I said lets just do a repeat. So I asked what are my chances for having a VBAC now I was told that it couldn't be done and I would rupture indefinately. It was a catch 22 during the surgery about of 1/4 of the way through I felt them cutting and burning me. I start screamimg I thought I was in a movie. My doctor asked whats wrong. I screamed "I can feel that, It hurts" Doc said to anesthesiologist why is she feeling this? He replied "I dont know" Doc Said " Make her not feel this now" He gave me so much meds that I fell asleep and my my time with baby in recovery. I was so irratated by the meds I started severe itching and breaking out in hives. No cotton sheets I had paper sheets still didnt work no gown on and everything. Everything made me itch. I whelped my skin to it was bleeding on top of it i was on mag 8lbs2oz.



Now I'm in my 5th pregnancy and Im in a different city new doctor. It was okay for a vbac until I turned 36weeks. At 36 weeks ( october 26th) I had an ultra sound on tuesday a nurse called me saying my baby legs and head were to big said the doctor wanted to speak to me and the had schelduled 3 appointment with out my knowledge. I said well my husband has class at sum of those times we need to pick another time. Lady goes on about me having a csection. I said no Ill be in to talk to doc on Thursday(October 29th). When I get there he saying my baby is too small for his age, he's measuring 5lbs7oz. I said " There is no way my baby is that small I was just here at 32 weeks and I was told my baby was4lbs7oz give or take a lb" Doc said " Baby is not growing we need to to do a Csection to get him out all of his stats are fine he healthy just not growing anymore" I said " Give me another ultrasound and prove me wrong" Did another one 10 minutes later and baby measured at 6lbs7oz give or take 17oz. So when he came back into room he said " Im not incline to do a Csection right away baby overall was bigger but stomach was still measuring 35 weeks. He said "If u havent given birth by next wednesday then we need to talk csection. Rupture rates for a vbac after 2 cections were 2-3% but there is not enough data out there for vba3c but its 30% higher I would assume" I said" We wil talk thats it" The next morning appointment scheduler for csection was calling to set up the csection. I said I never agreed to set up anything and I hung up. They set up the Csection against my wishes. Ive done 5 nst and 4 biophysical profiles all show a healthy baby.



Today I was met by the office manager and midwive trying to get me to sign Informed Consent: Bitrh After Cesarean Section telling me the hospital wont treat me unless I sign this. It doesnt have the hospital signature stamp or nothing on it. In the General Information Section it says tissue or my organ taken from my body will be kept for research, the doctor may need to peform more or different procedure than I agreed to. The risk are very crazy for sugery it says: Small areas of the lungs may collapse. Clots may for in the legs with pain and swelling(clot may go to lungs causing death). A Strain on the Heart or a Stroke. Bleeding. Reaction to Anesthetic. Those are just for Surgery. Then it sayrisk for planned cesarean birth are as follows: Uterus will tear before planned cesarean birth is 2 in 1000. More scars developing on the uterus. Scarring inside the abdomen. Injury to to your bowel or bladder( This would require surgery to correct). Risk of problems with the placenta in later pregnancies. Death. Obesity is linked to an increased risk of infection(It can also leat to heart and lung complicatins and clot formation. These are the risk that they want me to agree to and sign.



It is there recommendation that Ive had more than 1 cesection it is recommended that I have a repeat.



What Do I do? Im being railroaded into doing things. I am standing my ground. No C Section. Today Im 40weeks wats taking so long for labor to start? Am I just Crazy? If I havent dropped yet does that mean Ill need another one?
post #2 of 19

.


Edited by GoestoShow - 1/3/11 at 12:03pm
post #3 of 19
Umm..wow. That is a lot to process and I'm not sure what else to say!

Those are the risks for ANY Csection. 30%higher than what? The 2ish they were saying for VBA2C? That is still barely anything, but trying to make it sound like the number is 30% which is a lot more scary.
post #4 of 19
Thread Starter 
Quote:
Originally Posted by GoestoShow View Post
Whoa.

It sounds like there is a lot going on.

The Birth After Cesarean form sounds like it's seeking consent for tissue sampling for a research study, which has nothing to do with your birth experience except that it seems to be related to having a c-section. I would ask for clarification on this and I WOULD NOT SIGN IT until you do not have any questions. And if it is the consent form for the c-section, do not sign it, and if you do sign it but do not want any of your tissues kept, note that clearly, initial your note, make a bunch of photocopies, send the photocopies to the appropriate hospital administrators, the L&D nurses, and patient relations.

And 40 weeks is just barely a due date. Remember that anywhere between 38 - 42 weeks is normal, and 7% of babies go beyond 42 weeks. It's thought that percentage might be higher if inductions and c-sections at 42 weeks weren't as common. You're two weeks away from being overdue! Your baby could come today, next week, or in a few more weeks. Take your time, relax, enjoy being pregnant. Your baby knows best about when to make his or her debut!
Would it make sense that in order for me to deliver at the hospital I have to sign this? Why wait until now to give it to me. Is it truly from the hospital as it doesnt have there official stamp as like all ther there other consent forms. The doctors office gave this to me today. Not the hospital. Im so confused.
post #5 of 19
Thread Starter 
Quote:
Originally Posted by onelilguysmommy View Post
Umm..wow. That is a lot to process and I'm not sure what else to say!

Those are the risks for ANY Csection. 30%higher than what? The 2ish they were saying for VBA2C? That is still barely anything, but trying to make it sound like the number is 30% which is a lot more scary.
One Mid wive at the office told me 50% rupture rate and her doc said 2-3% rupture rate for 2 csections the whole office is giving me different rates. One doctor told me I was just going to Die. I asked them today havent my baby proved you wrong every time u gave one of those test.So why are you rushing him it might not be time yet.
post #6 of 19

.


Edited by GoestoShow - 1/3/11 at 12:04pm
post #7 of 19
Quote:
Originally Posted by LaShonda101 View Post
Today I was met by the office manager and midwive trying to get me to sign Informed Consent: Bitrh After Cesarean Section telling me the hospital wont treat me unless I sign this. It doesnt have the hospital signature stamp or nothing on it. In the General Information Section it says tissue or my organ taken from my body will be kept for research, the doctor may need to peform more or different procedure than I agreed to. The risk are very crazy for sugery it says: Small areas of the lungs may collapse. Clots may for in the legs with pain and swelling(clot may go to lungs causing death). A Strain on the Heart or a Stroke. Bleeding. Reaction to Anesthetic. Those are just for Surgery. Then it sayrisk for planned cesarean birth are as follows: Uterus will tear before planned cesarean birth is 2 in 1000. More scars developing on the uterus. Scarring inside the abdomen. Injury to to your bowel or bladder( This would require surgery to correct). Risk of problems with the placenta in later pregnancies. Death. Obesity is linked to an increased risk of infection(It can also leat to heart and lung complicatins and clot formation. These are the risk that they want me to agree to and sign.

What they did is absolutely 100% illegal and you need to call them out on it. The ONLY person that can consent you for medical procedure is the person who is actually going to do the procedure, except in the case of an emergency. They also cannot consent you after they have given you drugs either (they give you anti-anxiety drugs before surgery to keep you relaxed but that also means you no longer competent enough to give consent). So if you have a planned c-section, the Ob needs to come in and consent you for the c-section and the anesthesiologist should come in and consent you for the anesthesia. This gives you the chance to ask questions. You can also withdraw your consent at anytime.

Furthermore, there is a federal law call EMTALA (emergency treatment and labor act or something like that) which requires a hospital to treat you if you arrive in active labor. They cannot send you away.

The ACOG recommends that women who have already had a vaginal birth be considered for a VBAC after 2 c-sections. The 2006 study by Landon in Obstetrics and Gynecology showed that the risk of UR in a VBAC attempt after more than 1 c-section was not significantly higher than in a VBAC attempt after just 1 c-section.

Honestly, it sounds like this office is trying to get away with a lot of crap assuming that you don't know any better.
post #8 of 19
I'm not sure what the story is with that consent form, but I would not sign it! Remember, you do not have to consent to ANYTHING.

40 weeks is *average* for when people go into labor. That means 50% of women will have their baby before 40 weeks and 50% will have their baby after. It's normal to go past 40 weeks!

I think you may have misinterpreted the rupture rates discussion that your doctor said. He means that the rate for VBA3C is 30% higher than the risk of VBA2C. So since the risk of VBA2C is about 1%, this would mean that the risk after 3 c/s is probably around 1.3%, which is 30% larger than 1%. Not 30% risk total! The newest research that I've seen shows that the risks of having a third c-section are similar to the risks of having a VBA2C.

My advice: ignore the consent form - you don't have to sign it. Wait until you go into labor, and head to the hospital once labor is well established. You have had NSTs and you know your baby is healthy. If you get to 41 weeks, they'll suggest you have another NST, which isn't a bad idea. But as long as there is not a medical need to get the baby out soon, there's no reason you can't just sit tight.

Worst case scenario you could always pick a VBAC-friendly hospital (not the one your doctor practices in) and just show up in the ER in labor and not mention you've had previous c-sections. The EMTLA laws will protect you there, though that might be a fight.
post #9 of 19
Quote:
Originally Posted by kltroy View Post

I think you may have misinterpreted the rupture rates discussion that your doctor said. He means that the rate for VBA3C is 30% higher than the risk of VBA2C. So since the risk of VBA2C is about 1%, this would mean that the risk after 3 c/s is probably around 1.3%, which is 30% larger than 1%. Not 30% risk total! The newest research that I've seen shows that the risks of having a third c-section are similar to the risks of having a VBA2C.
.
I'm pretty sure that was the point. Saying "It is 30% more of a chance for you to die!" sounds much worse than "Your risk is 1-2% last time. This time it goes up to 1.3-2.2%" or something. Obviously they are trying to push her into what they want. Scare tactics are huge in manipulating people into what you want.
post #10 of 19
Well, I sure hope you went into labor spontaneously and had a wonderful birth. I know that in Michigan lately, the "bait and switch" is VERY common. They tell you 'yes, yes, we do VBAC" and then wait till you're at or near term and tell you that your baby is too big, too small, or that *gasp* all of a sudden the hospital policy has changed, they have NO control over it, and they cannot offer you VBAC any longer. As an apprentice, last year alone I saw a BUNCH of women transfer to homebirth care at the end of pregnancy because, darn it, they WANTED (and got by the way) their VBACs, and end of pregnancy bait and switch was NOT going to keep them from getting it! I may be able to help you find a homebirth midwife at this point, depending on whether you're still in MI, if you are still pregnant and don't want to mess around with OBs any more. PM me if that's the case.
post #11 of 19
Ugh...so much to say but I've got to make dinner so this is a drive by.

BS about not treating you. Like pp said, as per EMTALA...a hospital MUST treat you. And no...they cannot do a c/s w/o your consent.

Yeah...their stats are waaaay off! A VBA2C runs about a .7 to 1% risk of rupture. Not sure of a VBA3C but it's not going to go up THAT much. I ran about a 2% risk and felt perfectly fine w/ it (and my uterus held up wonderfully).

Hang in there Mama and stand your ground! And DON'T sign anything. They lied to you about the paper which raises HUGE red flags.
post #12 of 19
Thread Starter 

Still Looking

Quote:
Originally Posted by courtenay_e View Post
Well, I sure hope you went into labor spontaneously and had a wonderful birth. I know that in Michigan lately, the "bait and switch" is VERY common. They tell you 'yes, yes, we do VBAC" and then wait till you're at or near term and tell you that your baby is too big, too small, or that *gasp* all of a sudden the hospital policy has changed, they have NO control over it, and they cannot offer you VBAC any longer. As an apprentice, last year alone I saw a BUNCH of women transfer to homebirth care at the end of pregnancy because, darn it, they WANTED (and got by the way) their VBACs, and end of pregnancy bait and switch was NOT going to keep them from getting it! I may be able to help you find a homebirth midwife at this point, depending on whether you're still in MI, if you are still pregnant and don't want to mess around with OBs any more. PM me if that's the case.
Thanks Im still pregnant and Im still looking for a midwifes.
post #13 of 19
Thread Starter 
Im currently 6 days ova and Im waiting it out! Ive been feeling a let down in my boobs is that weird but nothing coming out.........Waiting for it to see my baby and hold him. Thanks for all the support and facts
post #14 of 19
Rather than refusing to sign, I always sign those things, cross out a bunch of stuff, and write all over the form - that way, the hospital has their "proof" that it was "informed consent" and I didn't agree to anything that I didn't want to.

So, for example, if they list faulty statistics cross them out and put a statement: This statistics are NOT evidence based, I have attached literature to show true risks and safety of VBAC" then initial, and do so on down the form.

At my local hospital for example, the consent form has clauses like "I consent to any medications administered" I crossed that out and put "any medications must receive approval from me at the time they are being offered/suggested"

Here are some articles I suggest printing out and stapling to the consent form:

Here is the suggested literature to include:

http://medicalcenter.osu.edu/patient...press/?ID=2835

http://www.greenjournal.org/cgi/cont...tract/108/1/21

Make a copy for your records of course.
post #15 of 19
Wow. This sounds like quite the ordeal. I see that the date is now Nov 22 and the last post was on the 16th. I am guessing your baby is here! It sounds like you are a strong and determined woman. I hope you got your VBAC!
post #16 of 19
Wow, what a crappy hospital. If you haven't had the baby yet, I would honestly show up to a different hospital & take your chances with an oncall doc. For my VBAC attempt my doctors office gave me a form that read the risks for a VBAC that they wanted signed, just showing they warned me. I never signed it & no one ever brought it up again, not even while in labor for my VBAC attempt.
post #17 of 19
I was wondering if there were any updates?
post #18 of 19
I'm also anxious to hear an update! Thinking of you, LaShonda!
post #19 of 19
Hoping your holding your sweet baby, however you delivered...
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: VBAC
Mothering › Forums › Pregnancy and Birth › Birth and Beyond › VBAC › My Trial Of Labor For VBA3C