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Issues with doctor refusing to remove cerlage/ planning homebirth

post #1 of 6
Thread Starter 
Ok I will do my best to summerize the situation.

First a quick breakdown...I am currently pregnant with my fourth child. I have uterine didelphus, which means I have two complete uteruses.This causes me to have an incompetant cervix in which a cerclage is needed at some point in the pregnancy. I carried 2 girls in my right uterus, vaginal deliveries, and my son in my left, emergency c-section.

So this is my fourth pregnancy, a boy who is in my right uterus ( the non c-sectioned side) I am planning a homebirth in Iowa with a midwife and a doula soon. I am 32 weeks along.
No since its illigel in Nebraska to have a homebirth this is not something I could discuss with the high-risk perinatologist I was assigned too after my OB decided she could no longer follow me. he is not homebirth supportive, nor Vbac supportive as I found out the other day.
I went in for my weekly trans-vaginal to measure cervical leangth, which is steadily holding at a 3! I then asked the doctor when they were planning on taking out my cerclage...he said oh, well not until you go into labor!!! I said what? I have had all previous cerclages removed by 37 weeks, and delivered within a week or so after. I told him no, I wanted it out at 37 which is pretty standard everywhere else. He wasnt very willing to talk to me about it. He also stated I would need an epidural to have it removed, I have NEVER had an epi with other cerclage removals. I told him no that was not neccesary I wanted to stay away from any other drugs like that. He stated well it will just be easier for you to come in in labor get an epidural to get teh cerclage out and proceed with a c-section! I was in shock, I said Im not planning a c-section, I am planning a vbac, even though I am not a true vbac because my csection was in my left uterus.
Ive been going back and forth since with the RN manager about the situation and they are refusing to take out my cerclage at 37 weeks...

I am extremely upset as I feel I am not requesting something unreasonable. I have also looked into switching doctors but noone will take me. I am looking for direction, advice etc on this issue. I refuse to just let a doctor tell me what can and cannot be removed from my body! I feel this is a reasonable time for it to be removed and in fact have read there are risks involved with going into labor with a cerclage still in...

I know this was long but hopefully you are able to gather my frustration...

HELP!
post #2 of 6
Wow... that is so cool about your uterus! I don't know if you think it is cool - don't mean to offend.

Anyway, can you not go back to the doc you saw for the girls, the one who removed the cerclage at 37 weeks?
post #3 of 6
is there any way you can find a new doctor?! this one sounds completely un reasonable.. i dont think there is really anything you can say to this guy!
post #4 of 6
I know this is typically out of scope for a midwife, but it is essentially just a stitch, can your midwife remove it for you? I think it's worth asking. This guy sounds like a real jerk and how frustrating that you can't find someone else to take you on! Could you make an appt with your previous doc for 37 weeks simply for removal, not for continuing your care? I know that being in NE and having a hb makes this all more complicated. NE birthing laws are so messed up! Good luck! Oh, I also think your uteri are amazing, I've never heard of 2 completely seperate uterus-es before. How lucky also to carry in the non c/s side so you don't have to officially be VBAC status, htough I'm sure that's hard for many to comprehend as it seems to be for this peri-doc.
post #5 of 6
Isn't he essentially setting you up for damage to your cervix by waiting until you go into labor to remove it? What if you start dilating before it comes out? I know a cerclage is supposed to help keep things closed, but I know it doesn't always work and you certainly wouldn't want it to work in labor. What a UAV...

Good luck.
post #6 of 6
Thread Starter 
Hey everyone I appreciate the replies, I originally posted at the link provided...refer over there fr all my replies and many other comments!
I tried to delete this one but couldnt figure it out!
http://www.mothering.com/discussions....php?t=1248396
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