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Now I am afraid:(

post #1 of 19
Thread Starter 
i feel like i am being railroaded.

i just got another cold email from my OB.

Ms. *******,

As I said, your delivery plans have generated quite a bit of conversation. Dr. Boehm, our MFM Director and Vice Chair, wants to talk to you about your delivery plans tomorrow around the time of your visit with me at One Hundred Oaks. Can you be available to talk to him at ~4pm? He would like to talk with you and your husband at the same time if at all possible. Thanks.


i have a feeling i will be issued an ultimatum of some sorts. my hubs cant come since he works til 4 amd has to get our daughter at daycare afterwords.

will update after
post #2 of 19
Well, it's illegal to refuse you care, but I would bet that you will be "guided" to a repeat cesarean when the time comes unless you walk in with a baby plus three.
post #3 of 19
Hold strong, mama! And bring any evidence to show that a RCS is totally unnecessary...studies and stuff are great. ACOG statement assuming that your case follows under their new guidelines. I hate the ACOG with a passion, but if your case falls under their new guidelines then it will help shut their mouths...hopefully.

Good luck!!!
post #4 of 19
Forum crashing just to point out that you don't have to be available at their beck and call. Tell them that 4pm will not work for you and insist on having the appt when your dh can be there (assuming he is firmly on the side of a vbac). In fact, I would be tempted to decline their appt time simply on the premise that you don't jump and run to their office with only 24 hours notice unless there is an actual emergency.
post #5 of 19
Thread Starter 
yeah hubby is on board and is as outraged as i am.
post #6 of 19
The only time I have been asked to come into my doctor's office on such short notice was when my biopsy results came back positive for cancer!

VBAC is safer than RCS in most cases. The statistics and medical studies are on your side. Hold strong -- your VBAC is worth it!
post #7 of 19
Quote:
Originally Posted by marquess78 View Post
yeah hubby is on board and is as outraged as i am.
That will throw a spanner in the works, as I'm sure they're counting on talking him into RCS, so that he can talk you into RCS.

Go when it's convenient for you, not convenient for them...if you go at all.
post #8 of 19
Thread Starter 
Quote:
Originally Posted by Storm Bride View Post
That will throw a spanner in the works, as I'm sure they're counting on talking him into RCS, so that he can talk you into RCS.

Go when it's convenient for you, not convenient for them...if you go at all.

i know thats what they were counting on. but hubs and i have already discussed it and are in agreement, no c/s unless it is for a true medical emergency. these babies were not easy to conceive and we have been blessed with a wonderful pregnancy (with the usual discomforts and a few early contrax) and dont want to rock the boat. babies decide their birthday, end of story.

have a c/s isnt convenient for me (or anyone but the doc IMHO) at all, especially considering that hubs will be out on the road for his job the entire month of nov and half of dec. he will be allowed to come home for 3 days folling the birth and then has to go back so i will have new twins, 10 yr old, and no help at home (besides my daugher of course...who will be in school)
AND try to recover from major surgery. sure. sign me up. geez. i wish they would look at the whole picture and not just see their side.

as for options, i am getting in touch with my insurance today to see how difficult it will be to switch at this point. and i am calling several of the hospitals and OBs and relying on some hypno mommies who were also vbac's locally to help me find something. i am also getting in touch with nashvilles ICAN chapter via facebook.

hypnobabies will be going with me to the OB today. i will need to be a relaxed as possible and this is the only way i know to get that way. if not i am sure my BP will be super high. as it is i have not had even one blip on the BP radar this whole time, except for when i talk about the current drama with the docs. i dont want to give them an excuse to keep on their current train of thought.
post #9 of 19
Quote:
Originally Posted by Artichokie View Post
Forum crashing just to point out that you don't have to be available at their beck and call. Tell them that 4pm will not work for you and insist on having the appt when your dh can be there (assuming he is firmly on the side of a vbac). In fact, I would be tempted to decline their appt time simply on the premise that you don't jump and run to their office with only 24 hours notice unless there is an actual emergency.
I. TOTALLY. AGREE!!!

Even if you are willing to talk to them w/out your dh in attendance, I'd still reschedule the appt. This is about power dynamics--and if it were me, I'd do all I could to establish my equal power to theirs (as a Being), and avoid complying with anything/everything that tends to support their notion that they have more power than you.

Great idea to have your hypnobabies on deck with you. You are one awesome mama, don't let them make you think otherwise
post #10 of 19
this sounds so typical. I had a very similar situation at the end of my pregnancy in July. I had a hbac with a lay midwife but also had a family dr following my pregnancy. My super supportive Dr moved just 2 weeks before my due date and his replacement was less than ideal! he was really into the fear mongering and I had felt so confident throughout the whole pregnancy with my previous Dr and my midwives , it really got to me , his negativity. I basically just wanted to have one meeting with him before my due date to let him know my home birth plans and to let him know that I would be transfering to his care in case of a real emergency. He was so unpleasant it really shook me. He tried to force me to come for one more appointment to sign a release form saying that that the hospital wasn't responsible if I died at home . I knew it was all BS. So when I got home, I called his secretary and simply cancelled the appointment saying I was too busy. I knew just to have this negativity around me wouldn't do any good, I steered clear of the Dr from that point on. I practiced my birth affirmations when ever his words would go through my head. I went into labor 9 days past my due date and had a very successful HBAC with a perfect baby boy.
I just wanted to add my experience because I think it is quite typical for vbac mom's to go through exactly this especially at the end of pregnancy (when mom's need the most support!)
Do keep us updated and good luck!
post #11 of 19
Wow what a bad situation. Don't let the fear-mongering get to you mamma.
post #12 of 19
I hope it went well. I am sending you good thoughts!
post #13 of 19
Thread Starter 
i was right. the chiro worked her magic and little man is now very much head down again. so that shut them up as far as the breech business goes. but now there is another issue

we're concerned about little girl. she didnt even grow a pound since last u/s. she was 2.8 last time and 3.6 this time. little man was 3.3 last time and 4.10 this time!! she is in the 8th % growth percentile and he the 50th. so now i have to have weekly BPP until delivery. i know u/s can be off quite a bit, but the side by side comparison of their heads and abdomens is scary. not that i will be jumping on the c/s bandwagon or anything. she has always been smaller, but just as healthy. but she really is petite compared to him.

the MFM guy was really nice. i was suprised. course initially i was nearly out of it since i did a major hypnobabies session before my appt. but he basically said he wasnt there to talk me out of anything and that everyone is right in this situation. i am choosing what is right for me and the dr's are choosing what is right for them. he read my entire chart. i was impressed by that alone, LOL. cuz its pretty big!
OB was there with us too after a bit. he apologized because it wasnt his idea at all. he is still on board and supportive. his partners however, freaked out. basically none of them know me, we've never met, and they didnt read anything my OB sent over except my birth plan. not the emails where i said that i would consent to a c/s if an emergency arose or if i felt it was neccessary. none of it. they just saw what they wanted to see and said they wouldnt deliver me if i came into the hospital in labor! he apologized for being so brutal in the emails but since his partners are reading them he had to be. basically they have been giving him crap for supporting me all this time. nice huh.

what the MFM head did say is that we are putting together a form of sorts, saying that i understand that the other partners are not supportive and that they do not support or recommend me having a VBAC. they also have to sign saying that when i come into L and D that they will treat me with the utmost respect and will give me the same medical care as anyone else, despite their personal opinions. also, i get my very own MFM specialist AND OB when i go in. he is meeting with them and will have it set up so that when i come in, whoever is on call for MFM will be required to come in and assist the OB on call with my care. dont i feel special. the MFM guy was very nice and not pushy at all. he was very reasonable and told me i was very smart for doing the research and bringing it with me, and that he feels i am making the best decision for myself and that i am more than capable of deciding what is best for me. he also said it makes perfect sense that i want an actual medical reason to have surgery and currently there is no medical reason indicating that. i have to do what i feel is best for me and my babies.

we also discussed what conditions i would agree to a c/s for. i explained that my hubs wil be gone and taking care of new twins, a 10 yr old, and recovering from a major surgery i didnt actually require, is not something i am interested in doing. but should little man require breech extraction we will do a c/s because in my research the most cases of rupture w/ twins came with the 2nd twin needing breech extraction. so DH and i have agreed should that be the case we will have little man via c/s.

so all in all, it wasnt as bad as i thought it would be. i am scared for little girl. she is so tiny compared to my little bruiser man. who is gorgeous, btw i finally got great pics of his face. to me, they both look like DD but we shall see.

i plan to read this form, re read it, then have other people read it before i sign it. i dont want to be blind sided by something i missed.
post #14 of 19
Wow, mama--you ROCK! I mean, it sounds like your MFM and OB rock pretty hard themselves...but they would not have treated you with so much respect if YOU didn't ROCK so much yourself Wow...

Anyway--eat! Eat, eat eat! And visualize your little girl growing strong. Remember too, that BOTH twins may be bigger than estimated--which would account for the side by side clarity of the difference in their sizes. At this point, accurate u/s size estimates just can't be counted on. I know you are counting down the days to stopping your job, in the meantime rest and eat just as much as humanly possible around work demands--and if you can keep those bubs in there past the point of stopping your work, then spend those days lazy, eating eating eating resting (putting in as many calories as you can, spending as few calories as possible on running around).

Wow, you so rock. And you have a good team there--this is such great news, I'm so happy for you!
post #15 of 19
Thread Starter 
thanks for all of that i think they rock too.

and i feel so much better now. even though i was hyped up and anxious about the meeting, i feel like a big weight was lifted. i still plan to have the BPP, even though u/s measurements being off either way is a high probability. as long as she continues to grow i will be happy.

as for eating, we arent picky currently we are addicted to homemade breaskfast burritos. cannot stop eating them. lots of veggies and protein. basically, i can and will eat anything.

my little canine babies(they are only 7w old) are screaming for their dinner now, so im off.

i will let you all know how things progress from here. i think it will go well. either way, i feel so much better
post #16 of 19
I just wanted to let you know that my twin and I were VBAC babies back in the 80s (unheard of!). C-section with our then 7yr old sister, then the 6 yr old and 3 yr olds were vbac'd. My mom's doc was supportive, but his partner said no way no how (ugh). It was a perfect birth 5 days before the edd when her doc got nervous and stripped her membranes. I was 7.11 and my sister was 7.5. You CAN do this! GL!
post #17 of 19
Wow. What an amazing MFM! If I were you I would give his name to your local ICAN chapter...he sounds like a really awesome supportive guy!

I'm glad to hear your OB seems to be completely on board with you. Though I would still be a LITTLE weary just because he was obviously letting himself be bullied...so just be prepared to fight, but hopefully with all that has been done you won't have to!

Is there any way that your OB would be willing to come in even if he's not on call when you go into labour? Occasionally awesome OBs will make exceptions for cases like yours in which there is no other provider who is truly supportive and you really need them specifically. Personally, I find the whole "on call" thing ridiculous in the first place, but I have never experienced a hospital birth (first hand or as a support person) and my mom had all of us at home...I was extremely naive about hospital birth until I started reading up, and still am in many aspects. I guess it's a good thing, though, because it just means I grew up knowing normal birth.

Good luck, mama!!!!!!!! Sending positive happy vaginal birth vibes your way!!!!!!!!!!
post #18 of 19
Great update!
post #19 of 19
Quote:
Originally Posted by smeep View Post
Is there any way that your OB would be willing to come in even if he's not on call when you go into labour? Occasionally awesome OBs will make exceptions for cases like yours in which there is no other provider who is truly supportive and you really need them specifically.

I was wondering this too! I know my OB will write on charts of his natural patients specifically (but double that because I'm a natural VBAC) to CALL HIM REGARDLESS!!!!! I'm actually thinking of asking him this week if he can write to CALL HIM day/night on a script and signed! That way, when someone says, oh he's not on call, I don't think we can do that, I can show them and say, YES, he WANTS YOU TO!!!!

Anyway, I'd just ask...see if your OB is willing to deliver you day or night, knowing that he's so supportive and the partners are not!
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