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So much anxiety! (X-post from DDC)

post #1 of 9
Thread Starter 
I either need a few words of encouragement or a slap in the face to wake me up and fight. Today I had another consult with an OB and I really wasn't looking forward to it. My stomach was churning with anxiety over my whole situation. I'm not even sure what I want!

Where I live in Illinois, it's difficult to find an OB supportive of a VBAC, it's impossible to find an OB or midwife supportive of a VBA2C, and the only way to attempt a VBAMC is to know an underground HB midwife. Apparently HB midwives are not legal in IL? It's hard to get a straight answer and no one advertises their services.

It's been such an emotional rollercoaster with each birth. I've gone out of my way financially (spending thousands out-of-pocket), driving long distances, and searching out resources to have attempted homebirths with all three previous pregnancies. I was destroyed when my first HB turned into an induction in the hospital and then a C/S. I had never prepared for that scenario and I'm still not over it emotionally.

With the second birth I got much closer. The doctor and everyone were at the house with contractions 2 min. apart, but high BP and protein in urine sent us to the hospital (2 hours away.) This time I was more prepared and actually think this birth may have been the only really necessary C/S.

Not being able to find a provider for a VBA2C, I went with an underground midwife. All seemed fine and I was the most confident that this birth was going to go well. I didn't go into labor, and at 10 days past EDD, my midwife dropped me and I walked blindly (no provider) into a hospital for a C/S. (Easiest one by the way. It was kind of nice to be rested and freshly showered going in.)

All of this has been extraordinarily draining! It's frustrating to go against the grain all the time AND end up with C/S all the time too! After each C/S I feel a sense of relief, like "Well next time I know I will just schedule a C/S." But then each time I'm pregnant, I read more info and think it's safer to do a VBAC. There is just NO support! Why can't I let myself off the hook? Why MUST I do this to myself? Why can't I be like "everyone else" and just accept it? I've tried my darndest three times! The babies heads never engage (even after 25 hours of labor and pitocin.) Maybe I really do have too narrow of a pelvic opening to birth my 9 1/2 to 10 1/2 pound babies?!

At least I sought out OBs that wouldn't be so invasive even with a scheduled C/S and a mama over 35. I found the only two in IL (as far as I know) who are willing to let me go into labor (up to 42 weeks) before slicing me open. That's much better than scheduling at 39 weeks. Of course it involves driving an hour no matter which one I choose. It's certainly not just "the easy way out." The "easy way" would be choosing an OB at the hospital 6 minutes away from me and just doing what they ask.

Should I let myself off the hook here to be free to accept the C/S? Should I continue to fight my emotional battle and take the chance with another underground midwife--spending at least $4000 more out of pocket?

Thanks for reading and I do invite honest feedback. Especially if you've been through the emotional rollercoaster of a natural birth turned C/S. Thanks a lot!
post #2 of 9
Lots and lots of hugs first off!

I think only you can really decide what your heart desires and after that, go for it!

One thing that struck me was how you said the babies heads never engage even after 25 hours of labor and pit. Do you know their positioning? Any chance they were malpositioned? Have you been to the spinningbabies website? http://www.spinningbabies.com
What about Optimum Foetal Positioning? http://www.homebirth.org.uk/ofp.htm
What about a chiropractor?

The reason I ask these things is because I had 2 malpositioned babies, that were malpositioned in the same position and seem to be due to misalignments in my pelvis. My first was induced, so I fully believe my chain of intervention after intervention had a lot to do with my c/s, even though I got to the point of pushing, and pushing, and pushing. But, my second I went into labor on my own, I was mobile, but I still needed a LOT of intervention at the end to get her out, after pushing, and pushing, and pushing. Finally now, I realize through going to a chiropractor who was comfortable with pregnant women (instead of a physical therapist when I was pregnant with #1 who was basically scared of pregnant women, so obviously THAT was a problem there with getting care from someone who barely did anything, not that she was a PT, but she didn't know what to do with me while preggo). But anyway, my chiro found my issues and now just 3 adjustments later I'm seeing a difference and have a LOT of confidence that with my hips in alignment, that my baby will find his comfy way to come on out freely! So, just thought I'd pass along this in case you haven't tried it!
post #3 of 9
My first child was an attempt at natural birth turned into cold pit/arom induction at 40 weeks. If I were you and I were planning on having any more children, I would try for a VBAC. If I had 3 sections though I would probably go to an OB just to be on the safe side *if* the OB really was a VBAC provider and not just someone who strings women along till it's too late to switch. I traveled 2 1/2 hours to get my VBAC from a provider recommended by the ladies on ICAN. Do you have a chapter up there?
Good luck.
post #4 of 9
Thread Starter 
Quote:
Originally Posted by MNHall View Post
Lots and lots of hugs first off!

I think only you can really decide what your heart desires and after that, go for it!

One thing that struck me was how you said the babies heads never engage even after 25 hours of labor and pit. Do you know their positioning? Any chance they were malpositioned? Have you been to the spinningbabies website? http://www.spinningbabies.com
What about Optimum Foetal Positioning? http://www.homebirth.org.uk/ofp.htm
What about a chiropractor?
LOL! I am a chiropractor! So of course, my pelvis is in alignment. I agree that can be a major issue. I'm also familiar with the Webster technique for posistioning. Positioning didn't seem to to be the issue for me. I really wonder if I do have a narrow pelvic outlet? Thanks so much for your input and good luck with your next delivery!
post #5 of 9
Thread Starter 
Quote:
Originally Posted by LisaSedai View Post
My first child was an attempt at natural birth turned into cold pit/arom induction at 40 weeks. If I were you and I were planning on having any more children, I would try for a VBAC. If I had 3 sections though I would probably go to an OB just to be on the safe side *if* the OB really was a VBAC provider and not just someone who strings women along till it's too late to switch. I traveled 2 1/2 hours to get my VBAC from a provider recommended by the ladies on ICAN. Do you have a chapter up there?
Good luck.
Thanks! While it is possible to find an OB for a VBAC, it is not possible to find one to assist a VBA2C around here (anywhere in this state or surrounding states.) And this would be VBA3C for me! My only option is to go underground with an illegal HB midwife. I did that last time. When she dumped me at 41w+3d, I had no choice but to walk into a hospital not knowing any doctors and with records the midwife had changed to read that I was 40w+3d and eliminated her name from. She asked me not to reveal her name. I felt like I had been doing something dangerous or wrong. It was disturbing.

If it were an option to plan a VBA3C in a hospital, or perhaps even legally at home with an OB to back-up if I transfer, then I would do it in a heartbeat! I would be overjoyed!

My options are sign up for C/S or illegal HB midwife like last time. My biggest problem is I don't know if I have it in me--emotionally--to feel confident in the HB choice again. Obviously though, I haven't made peace with the C/S choice either. I appreciate the discussion to help me work it out!

I guess I'm wondering...when is a C/S necessary? I know a lot of unnecessary C/S are performed, but when is it prudent? Am I there yet, given my history and my options?
post #6 of 9
. what a crazy birthing journey you've been on!

So why did your first hb go to an induction? why did your last mw drop you? is the high bp you experienced the second time present in all pregnancies?

just trying to get a better idea of what some of the issues are that you have faced.
post #7 of 9
Thread Starter 
Quote:
Originally Posted by sharr610 View Post
. what a crazy birthing journey you've been on!

So why did your first hb go to an induction? why did your last mw drop you? is the high bp you experienced the second time present in all pregnancies?

just trying to get a better idea of what some of the issues are that you have faced.
With #1 my water broke at 40w+2d. Labor never came on strong. My doctor had me come in for a non-stress test the next morning. I trusted because these docs advocate HB and no vax that they were non-invasive with everyhting. I was uninformed and let them do vaginal checks and checked into the hospital for induction thinking there was no other choice. I did avoid the epidural even with pitocin. At 25 hours after water broke and only 6cm dilated and going nowhere, they told me I needed to do a C/S. I didn't know any better. Knowing what I know now, I never would have told them my water broke and just waited until labor started on it's own to call them. This is the birth I feel I could have changed if only I would have known...and then perhaps the others would be different too.

The high BP only came on once labor started with #2. Oddly enough, my water broke at 40w+2d again an hour earlier than the first time. This time contractions came on fast and strong. I was 2 minutes apart within 2 hours. Everyone was at the house when the high BP and protein spilling started. We transferred 2 hours in construction traffic at midnight to the hospital. I had an epidural when I got there instead of Magnesium Sulfate because I was afraid it was cause terrible burning in my veins like Potassium does for me. (And after 2 hours of 2 min. apart contractions in traffic--I was relieved.) I wasn't given any pitocin this time because of the previous C/S. I labored for 23 hours before they called it failure to progress (at 6cm) and did a C/S. I have not had any blood pressure issues during pregnancy other than this.

With baby #3, my midwife didn't feel that she could safely attend me once I hit 41w+3d. I guess given the previous failure to progress (not engaging and not dilating past 6cm) and history of big babies (9lb6oz and 10lb3oz), she thought my chances of a successful HBA2C were declining. So I showed no signs of being close to delivery and HB midwivery is illegal in my state, so she decided to cut and run. My DD was 10lb 6oz, not that that means I HAD to have a C/S. I just wasn't given any other choice. This is the biggest thing preventing me from just jumping into a HBA3C attempt. What if the midwife quits on me again, or worse yet, is hesitant to transfer to the hospital if I really need to because of the legal climate?
post #8 of 9
Birthing Better with the Pink Kit Method http://www.birthingbetter.com has a lot of info and techniques for helping move a baby down and creating more space in your pelvis. Walcher's position can help a baby engage as well.

http://www.spinningbabies.com/techni...rochanter-roll

If you want to try again, I would get the Pink Kit and use the techniques as well as Walcher's position for the next labor.

If you don't want to try again and have the option of driving an hour to a doc who will let you go into labor before your c-section, why not do that? An hour isn't a bad drive. Scheduling a c-section in your town would be the easiest logistically, but if you don't feel good about it, don't it.

I think you have to decide whether you really want a VBA3C or whether you think you just think you SHOULD want a VBA3C. Play out the various scenarios and chose the one that feels best in your gut.
post #9 of 9
Thread Starter 
Quote:
Originally Posted by cairomama View Post
Birthing Better with the Pink Kit Method http://www.birthingbetter.com has a lot of info and techniques for helping move a baby down and creating more space in your pelvis. Walcher's position can help a baby engage as well.

http://www.spinningbabies.com/techni...rochanter-roll

If you want to try again, I would get the Pink Kit and use the techniques as well as Walcher's position for the next labor.

If you don't want to try again and have the option of driving an hour to a doc who will let you go into labor before your c-section, why not do that? An hour isn't a bad drive. Scheduling a c-section in your town would be the easiest logistically, but if you don't feel good about it, don't it.

I think you have to decide whether you really want a VBA3C or whether you think you just think you SHOULD want a VBA3C. Play out the various scenarios and chose the one that feels best in your gut.
Thanks for the info.

I definately want to have a VBA3C! BUT I want to have it in a hospital, and that is not an option anywhere within hours of here. I am very leary of using an illegal midwife for a homebirth again after my last experience--if that is even an option. It's the only thing I haven't completely investigated because I'm unsure if I can accept a planned C/S.
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