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Feeling unprepared and helpless, any ideas are appreciated!!

post #1 of 5
Thread Starter 
I am in a tricky and confused situation and not sure how to best prepare myself for my plans on having a VBA2C...maybe you can help me firgure it out cause I worry myself insane.

Here my situation: I am almost 20 weeks pregnant, had my 2nd c-section 11 months ago, this Baby will be due end of March 2011. So my husband had applied for several jobs in Germany (my home country) he works for the government, I thought the process would be over with much sooner so that I would be moved and settled in Germany, where I could start finding a provider and midwife that supports me through my journey on having a VBA2C...However, time is running fast and I figure I am not allowed to fly past mid Feb.

The situation here, I am living in a town with a VBAC ban hospital and 1-2 hr drive to the next hospital that has failed to support me with my last attempt to VBAC, 11 months ago, so that my desire to give birth in Germany close to my family is much higher than ever. My healthinsurance would only pay 70% of their allowed amount, meaning that I would have to cover a lot on my own in Germany, it would be different if we move there than we can switch our plan completely for Germany, but we are not sure how soon that would actually be, so I am stuck on giving birth here or paying a lot on my own over there.

The provider I am having now mentioned that they would section me at 39 weeks since I had 2 c-sections, and like I said I was not concidereing a provider hunt in the area 1-2 hr away from here since I thought we move any time...now my time is running out and I got no peace of mind that I can do things and have a solution that would make my plan on VBA2C at all possible.

I even concidered Homebirth, but again I am 1-2 hr away from the next big hospital that has the equipment to react and treat me and my child in case of an emergency...the local hospital is "bad" and understaffed VBAC ban etc...no NICU etc...plus my husbadn better be on TDY when I give birth cause he will never be on board for a homebirth even under drugs LOL!! under those circumstances I am very scared of it a HBA2C too, to be honest.

Not sure where to start what to do, should I hunt for a provider here again knowing that the 1-2 hr drive will haunt me just like last time, knowing that they are mostly not supportive enough anyhow, or should I fly to Germany and "hope" it will not be as expensive all goes well and I will not have to pay has much, but what if I end up with a c-section or my child needs special care this could get expensive??? I am trying to crack this problem for the last month and just can not seem to find a solution that seems right....I am praying he gets a job in Germany in time for us to move and settle over there, but if not I am stuck here with no clue what to do?? Help?
post #2 of 5
Are you still a German citizen? Can you be covered under the national health plan?

If you have a good option in Germany and can stay with family, look into going over.

I live in Korea and flew back to the States to stay with family and then still had a 2 hour drive for my VBAC and it was definitely worth it.

You don't have any EASY, good options so you are feeling powerless. But, that doesn't mean that you don't have ANY good options. It is just going to take a lot of work to fully explore them. You still have time to research your options:

1. Going to Germany.
2. Traveling a couple hours to a VBAC-friendly option.
3. Homebirth at home.
4. Homebirth at a hotel near a good hospital.
5. Staying at your current practice and just refusing a c-section and showing up in labor. (I wouldn't recommend this one, but it has been done).

For Germany, you need to find out what the costs of a vaginal birth and a c-section would be for you and whether your insurance company would pay anything or whether you could be covered by the national plan.

Staying in the US will require a lot of interviews. You can contact doulas, ICAN and natural childbirth teachers for provider recommendations.

If you explore your options, you will feel better about making a decision and it will be your decision. I know it is overwhelming, but if you don't take the time to explore your options, time will decide for you and that just doesn't feel as good.
post #3 of 5
Sorry you are having this stress!
If I were you, I'd fly back home if you are sure there are MW who support
VBA2C there since you're not wild about a homebirth.

Hope Dh has found that job or will get it soon. Good luck.
post #4 of 5
Thread Starter 
Thank you for your help, I know its a nut to crack LOL...I figured that it would be better for me to go over there since I have family to ssupport me, a support that I needed badly at my last attempt where I simply had a c-section at 41 weeks cause my bp was up and the policy states no induction or going past 41 weeks so I am not thrilled having to worry about my baby if my blood pressure rises again, but having no other option here than getting another c-section, which is insane...In Germany I would live within minutes from 3 hospitals that all allow VBACs so if I need to be watched cause my blood pressure rises again I can go there and go back home if all is well no c-section needed and have time to go into labor on my own...I just do not know how they stand for VBA2C, the guidelines in Germany state it is not "much" more of a risk than after just one c-section, but the docs won't answer me by email when I ask them so who know what I will run into, I just know they are much more against c-sections than in the states.

I'll keep you updated
post #5 of 5
I think that if I had the option of going to Europe to deliver, I'd figure out a way to get my butt over there!
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