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Would like to have VBAC / told I have pelvis "issue" - Page 3

post #41 of 60
Quote:
Originally Posted by mom2clairenlily View Post

 

I agree with you, I have felt that laboring to complete then having a c-section is a true injustice smile.gif 


While this may be the most physically difficult on the mom, my understanding is that in most circumstances the baby really actually benefits from labor, and that laboring and having the hormonal shifts that causes, are ultimately a good thing for baby, for bonding and for breastfeeding.

post #42 of 60

I agree with these ladies.  An actual CPD is really rare- but you wouldn't know that if you looked at the standard practices of local hospitals.  What I have found is that it is always about the babies position.  What position your baby is in during labor will directly predict what type of labor, how long, and if you will have a c-section.

 

With my first I started out with a home birth but after 24 hours of back labor, no sleep or food (I threw up), I transferred to the hospital was given an epidural, and I slept, got pitocin, and gave birth another 12 hours later (with a total labor of 46 hrs from beginning to end).

 

The second time around I saw a chiropractor regularly (2 times a week in the beginning to ease my nausea and lower back pain), then once a month, and then starting at 36 weeks 1-2 times a week.

 

Both my babies had been in perfect position with every prenatal visit, and then they turn as they go down the birth canal. 

 

When I was in labor with my second, I could see it all happening the same exact way (I had labored intensely for hours with no progression, not even 2 cm!)....I googled and found this site-

 

http://spinningbabies.com/

 

I followed the instructions for the "lift and tuck" procedure.  It was really hard and painful- but after doing it for 5 contractions in a row the baby turned, and the next contraction was so big it broke my water, and I was at 5 centimeters! Within an hour I was at 10 and pushing.  It took me a few hours to push though because I had a 10 pound baby. :)

 

Shortly after he was born I found a pediatric chiro that assisted DURING labors and moms that were stuck in this pre-labor stage (but with contractions as painful as transition) found that they went straight to 10 by being adjusted while they were in labor!

 

My next baby will have a chiro as part as my birth team. :)

 

I could give you all of this advice, but the biggest advice I could give you is to use a midwife.  It lowers your chance of c-section by 50-60% alone, and they will do whatever they can for you (instead of you having to advocate for yourself in labor). 

 

Don't be scared to switch this late- you totally can- and you will not regret it!

post #43 of 60

Oh, sorry- here was the link to the position I used!

 

http://spinningbabies.com/techniques/activities-for-fetal-positioning/abdominal-lift-and-tuck

 

There are other great positions to get the baby in the right spot as well- if you can MOVE (aren't hooked up to an IV) you can do these in labor to move the baby.

post #44 of 60


YAY! for Doula!!  GOOD!!  And the accupuncturist is just as likely to 'induce labor' as a the chiropractor.  If they both know what they are doing - it won't happen!!!  LOL -- My husband is a Chiropractor and we see a LOT of pregnant women in our office (I'm the radiographer - (no, no x-rays while pregnant!!) - and the office manager)   I am pregnant with #4 and don't think my body would handle pregnancy very well (really bad posture before I met DH!) if I weren't married to him!!!   He recommends two visits per week for entire pregnancy.... If insurance doesn't accommodate this visit schedule, he works out a deal for monthly payments with the mommas because he feels so strongly about the benefits of chiro during pregnancy.... 

 

Keep us all posted!!  Thoughts and prayers (and recommend Hypnobabies to help you relax and release your fears for this pregnancy!!  Seriously - I LOVE HB!!)

 

 

Quote:
Originally Posted by MilkMachineMom View Post

Thanks, everyone.

 

I'm looking into getting a Doula ... and also into going to a chiropractor.  I spoke with my acupuncturist, and she just cautioned me that chiropractic adjustments can cause you to go into labor and to ask LOTS of questions of the chiropractor to make sure they have plenty of experience.  Did those of you that went to a chiropractor wait until later in your pregnancy or did you go throughout? 

 

Either way, I feel like with adequate support and more prep work (meaning if the baby isn't positioned correctly and we know that ahead of time) before labor I will be in a much better position this time around and hope the labor will be more productive.  If the baby comes close to my due date we'll be back in L.A., and I'll have my normal OB, who is willing to let me try for a VBAC.  Now I just need to find a new OB here who is more understanding just in case I go in to labor very early (hoping that's not the case, but need to be prepared).

 

I appreciate the support I am getting here ... unfortunately many of my friends and family do not understand my resistance to having another c-section and think I'm "crazy" for wanting to try again.  Thankfully my husband is 100% on board and behind any decision I make, but it's nice to have others out there encouraging me orngtongue.gif

post #45 of 60
Thread Starter 

Kiera - thanks for the chiropractor tips ... and YES!  Acupuncture can certainly induce labor.  For my first I went to acupuncture during the first trimester to help with sickness / etc., then she doesn't like to see clients again until they are 36+ weeks to help "prep" for labor.  For some reason I suspected I would go early with my little guy from the get-go, and between seeing my acupuncturist and getting a pre-natal massage within a day of each other ... well, I went into labor less than a day later and I've always felt those two things had something to do with spurring him on :)

 

I feel very encouraged by everyone's chiropractic experiences, and even if it doesn't change the final outcome, I feel like it would do me a world of good during the remainder of my pregnancy.  I have been having horrible back/hip pain during this pregnancy (I'm now 26 weeks) and the last week or two it has gotten much worse.

 

I've been reading a bit of the spinning babies website, too, and again ... makes me feel more educated/better prepared/optimistic.  If nothing else, this babe has a much better chance of getting into a good position, and at least for the last go-round, that seemed to be the stumbling block from which everything else sprang.

post #46 of 60

Gotta be quick, they're waiting to open presents . . . ;)

Second spinningbabies.com. Very important regarding position.

Please, please, talk to a doula and an independent midwife. I was medically different, but when I wondered if I should sign up for the scalpel and be prepared for the surgery, OR try to VBAC, I talked to a MW at a freestanding birth center first. It was the most important decision I made. The MW was so relaxed and confident, also very experienced, she didn't even order a US. The climate in the BC was so completely different than the hospital, even though we liked the MDs okay, but even DH got excited to birth, when before he'd been more afraid, and was not in favor of VBAC. There's wonderful advice here, but it's different when you're talking to an experienced professional whose looking at your history and the reports from the last labor/birth.

 

Also I used: Hypnobirthing, learned the importance of relaxation for successful labor.

Pam England . . . art therapy . . . they're yelling at me, have to go, easy book to find.

post #47 of 60

There have been so many great suggestions here!

 

I agree that finding a second opinion from a practitioner that will be completely supportive and whom you trust is crucial. (In whichever location you are in when labor begins.) 

 

I also think that Chiropractics and acupuncture could help.  I would also highly recommend BELLYDANCE.  Bellydance will help strengthen your pelvic floor muscles and prepare your body for the birth.  It is also extremely helpful in moving the baby into proper position. I think any form of dance will help with labor, as will remaining upright and switching (mobile) positions.  (Supine position--flat on your back--is the WORST position to labor in and the position that most often arrests labor and leads to interventions.)

 

I don't know alot about the actual condition that your doctor diagnosed you with and how much clout is has, but I did learn from my midwife that the hormones present during labor actually help the ligaments in the pelvis spread and stretch. Also, the baby's skull plates have not fused for the exact reason of coming through the birth canal.  The baby's head is soft enough to allow it to pass through. There are some great resources out there that can help visualize your own pelvis. You can google it, or here is one of the many examples I found:  www.maternalsource.com (click on anatomical models, then childbirth teaching models). This one is great because it shows that thepelvis is not just a solid round, immobile bone, but a set of bones, and the part we commonly refer to as the pubic bone is not actually bone, but cartilidge (pubis symphysis--Wikipedia).  This cartilidge becomes more elastic during labor.

 

I agree that seeking a doula (someone to be your advocate) could be a great benefit, and I think that seeking a doula who has experience with your specific circumstances  would be even wiser.

 

ICAN (International Cesarean Awareness Network) is also an amazing resource.

 

Above all else, know that you are strong and powerful and you radiate beauty and feminine grace.  You created a life; sheltered and protected it, loved it and connected it to the world.   No matter how this beautiful child comes into this world, he/she comes into your arms, your breast, your heart. You don't have to "do it" because you've already done it. Your little one is already here, thanks to you...Good Job, Mama!!!!!

 

post #48 of 60

You are a good candidate, better than I was and I've VBACed 3x now. thumb.gif I pushed for 90 mins before my c/s and then had to wait another hour after pushing before my actual surgery. AJ was asynclitic as well from AROM w/ induction at 38 wks. 18 mos and 10 days later I had my first VBAC, which incidentally had a placental abruption as well but it was faster to pull him out than do a c/s. I've had 2 more VBACs since then! Best wishes!

post #49 of 60

 

Renai - any tips on finding a chiro like that? I'm finding they vary so much!

 

I realized for myself, that my posture for YEARS from being self conscious about my breast size has really impacted my pelvic muscle posture. I never realized the impact of tucking my pelvis in (to then also slouch and hide bust) would have on childbirth!

 

organiclifelove - that's encouraging to know about the lift and tuck procedure.  Thanks for the specific link.  I would LOVE to have a chiro at my labor or at least stop by, my current one said she's gone to the hospital before. I may ask her some specifics for what she offers to do and what she knows about resolving positioning issues.

 

Quote:
Originally Posted by DuckDuckGoose View PostOh and one other detail in my story made me second-guess.  When I was complete I actually wasn't. I was 9cm with a lip.  That should have been a warning sign to me but i was in lalaland and all too happy to try to push past it.  I had read plenty of stories here of mamas who did. Why not?  I wonder if I sealed my fate in not waiting longer or trying more in that period of time before pushing. The other question I have is that IF I had been at a hospital would it have been possible for the doctor to try to adjust my babys head before I started pushing?  I have read stories of success from that technique as well.   Obviously being a VBAC my midwives didn't feel comfortable trying that.


This was me - 9cm with a lip, m/w suggested pushing, I didn't stop to think whether that was a good idea or not. I do believe for myself that DS needed more time to mold and come down and pushing before my body ever pushed (and it never did) wasn't good. I completely agree about avoiding "what ifs" - to the extent you live in your past labor. But thinking through those things can teach for next time, we just need to be careful about how much we dwell on it.

 

I too had and have SPD and thankfully it's not as bad this time, at least so far. But I have several weeks to grow and put more strain on it (25 weeks).

post #50 of 60

Everyone has made such good suggestions, but I had to add just one more!

In Spiritual Midwifery there is an emphasis on opening visualization and vocalization, and those stories popped into my head as I read your inital post. 

 

As for Chiro - I LOVED it and had it all during my first preg.  I didn't have accupuncture, but did get massage.  I told that masseuse that if she put me into labor I'd give her a $100 tip, but I think she thought I was joking because I went 2.5 weeks overdue!!  The overall message though is to take care of yourself, and allow yourself to relax! 

 

I think it's great that you are getting a doula so that you have that support with your current OB - sounds like you could def benefit from a liason until you can get back to your original OB! 

Also, as far as your unsupportive extended family goes - my family was weary too until I started rattling off statistics about how a VBAC is safer than a repeat c/s, so that might be a tool for you as well.  They were impressed that I had done my homework and backed down after they realized how much I had educated myself.  (I used the same method when telling them about our pending homebirth)

 

I hope that your birthing goes well, and i wish you all the luck!  the best advice i can give you is to trust your body so much that no one else can doubt it's abilities. 

post #51 of 60

Here is a good place to start to find a Webster Certified Chiropractor. There is a drop down button for finding webster.

I have also heard good thingd about Begnell Certifications.

 

 

http://icpa4kids.org/Find-a-Chiropractor/

post #52 of 60

Saw this post while searching for something else.  Just wanted to offer my experience after having two acynlitic babes (I think if there is another baby in our future we will be doing lots of visits to the chiro as others have suggested!)...

 

DS2 sounded like yours.  Was acynclitic for weeks prior to birth with his head toward my left hip socket.  He was persistently acynclitic through the labor (22hours of VERY intense, and painful work), and finally decended (he was at a high station) after AROM and midwife manually guiding him into place (and before that I was stuck at 9cm for a few hours).  Soon after this intervention he was born, at home.

 

DS3, my recent birth, was not acynclitic prior to birth, but was very high, and seemed to move around from LOA to OP to ROA everyday.  During birth he remained unengaged.  Won't give the full dramatic story (we had other issues going on), but I was dilated to 10 with an intense pushing urge for hours, and he just had to bob up and down, and rotate all around until finally he found the way that he was going to fit.  He was also born acynclitic with some drastic moulding and an off center caput.  

 

As others have said, it sounds like your c-sec was more due to your abruption.  An acynclitic babe is tricky to get out, and may take some intervening or just plenty of time.  With my first I was practically doing gymnastics to get him to shimmy into a better position.  With the second acynclitic babe I was not able to do as much moving due to cord compression, I just had to stay in a position that he was tolerating, and he did the work of rotating... eventually.  I just wanted to encourage you that your body did great getting to 9cm with an acynclitic baby!  Often the acynclitic babes are not even pressing firmly on the cervix, so the uterine muscles and water bag are all that are pressing the cervix to dilate (that was my case).  Your cervix will certainly know what to do this time around... it's proven to be a champ!  You will open right up.  And if for some reason this baby is acyclitic, time and movement (and I second the recommendation of a competent doula who has tricks up her sleeve when dealing with malposition) is what you will need, and likely what you will have as long as you have a practitioner who doesn't wear their watch to every labor. 

post #53 of 60

You don't have a pelvis issue, you have a doctor issue.  You really need a new one.  Really.  Your baby wasn't positioned correctly, that has nothing to do with your pelvis.  I have a fused sacrum and managed a vaginal birth...it took me a lot to get it, but I found a doctor who really wanted it for me.  Good luck!  You deserve a better experience!

post #54 of 60
Quote:
Originally Posted by neveraim View Post

You don't have a pelvis issue, you have a doctor issue.  You really need a new one.  Really.  Your baby wasn't positioned correctly, that has nothing to do with your pelvis.  I have a fused sacrum and managed a vaginal birth...it took me a lot to get it, but I found a doctor who really wanted it for me.  Good luck!  You deserve a better experience!


I disagree. It does have everything to do with her pelvis.  That's not to say that it can't be worked with and that she can't have a vbac, but those kind of statements really invalidate those rare folks who do have structural abnormality.  I do agree that having a supportive care provider can make a lot of difference, but they can only do so much......

post #55 of 60

I am one of those people who really does have a structural abnormality!  My sacrum does not move.  and yes, the 'position' of her pelvis can hinder birth very much...but that can be worked with...chiropractic, yoga, www.spinningbabies.com, not wearing heals, not reclining, getting in the hands and knees position frequently... Her hips and pubic sympysis being malaligned could have caused her babies to be asynclitic.  Usually it is more of a pelvis postition issue than anything.

 

You are right, her pelvis could be odd-shaped but that didn't seem totally obvious to me.

 

Believe me, I don't want to invalidate ANYONE.  I've BTDT, and IMO the most important thing you can do to get a VBAC is have a truely supportive provider...If you don't have that, your chances are slim to none.  This doctor does NOT sound supportive. 

 

After 14 years of researching and fighting to have a VBAC, I have learned to just say it like it is, sorry if that doesn't sit well with someone.

post #56 of 60

And I'm talking about the doc telling her she's not a good candidate for VBAC, not the one who originally sectioned her.  That guy needs to go!

She dilated beautifully!  I know what it's like to get to 9 and then have a c-section.  It sucks.  I got stuck too and my cervix swelled.  She has a very good chance if the baby's chin stays tucked and is positioned correctly.  I want to be encouraging and let her know it can be done!!

post #57 of 60
Quote:
Originally Posted by neveraim View Post
he most important thing you can do to get a VBAC is have a truely supportive provider...


Totally agree. Not just one who will "allow" a woman to "try" it, but one who believes that natural, vag birth is the best way, who WANTS it for every mom. DH was a bit suspicious of me when I started talking this way --he thought a MD who wasn't biased would be safer. But believing in natural birth doesn't mean one can't or won't use intervention if it really is necessary; it just means s/he will be willing to work for what (in this case) the patient has stated is her priority, and which evidence suggests really is better in many ways for both baby and mom (barring real medical necessity for intervention).

post #58 of 60
Thread Starter 

I continue to enjoy hearing about everyone's experiences and suggestions...

 

Had my first ever chiro appointment last week.  Seems the left side of my pubic bone is lower than the right, my round ligaments are VERY tight, alignment in general is off, etc., etc.  There is work to be done but it feels wonderful to prepare my body as much as possible, to know that I am doing everything I can do ... that is my biggest desire: to do what I can so I don't have regrets later, regardless of how things turn out.

 

I also have spoken with a doula in L.A. who is familiar with the hospital I will deliver at (she's not a fan, but it's where our insurance covers), AND my OB (she told me he's the best OB at that hospital).  We have agreed that she will assist me at home and I will labor there as long as possible before transferring to the hospital.  Now we just need to get the babe into an agreeable position and hope everything aligns for a smooth(er) birth. 

 

If nothing else I am feeling calmer these days and that in and of itself feels like a huge step in the right direction. 

 

I'll keep everyone posted....

post #59 of 60

Yay!!! Sounds like you are on the right track!!

post #60 of 60

From your description, it sounds more like your baby was not in a good position rather than problem with the pelvis.  Even the most perfect pelvis might not fit a baby trying to go through the wrong way.  Malposition is what led to my c/s, too, and is not a contraindication for VBAC.  I highly recommend finding the nearest ICAN chapter for a recommendation for a new care provider. 

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