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Any other VBAC-ers? - Page 6

post #101 of 180

SHE TURNED!!!!joy.gif  The midwife confirmed it, for the first time I have a head down baby and my VBAC hopes have returned!  Except now I'm paranoid, everytime it feels like she's shifting around I push my hand in the spot where her head was, which is the same spot where my sons head was, just to try to prevent her from going back there.  Plus I'm going to walk, tons, don't care how swollen it makes my feet and legs, I'm just going to walk as much as possible!  I've found the ultimate in flip flop comfort so even though it's hot right now I can still walk without sweaty socks and runners.    SO excited!  Thanks for letting me vent everyone!

post #102 of 180

YAY SMURFY!!  <3

post #103 of 180

Oh hell yeah Smurfy! biggrinbounce.gif Fantastic news!

post #104 of 180

Yay!

 

I seem to recall a warning about how deep squatting can "lock" a baby down in a bad birth position so you shouldn't squat if your babe isn't head down... so maybe squat a lot too?

post #105 of 180
Hooray, Smurfy!
post #106 of 180
Thread Starter 

Yay yay yay for head-down baby!!! 

post #107 of 180

I'll start the squatting now!!  Everytime she moves I freak out though, I don't think she's turned back but I'm trying to make sure she doesn't.

post #108 of 180

Hey everyone! I wanted to update from my last post -- I managed to put a stop to my GBS worries with some determination, some hypnobabies, some talking it over, and some swimming and walking. I am very proud of myself. That little worry cycle only lasted about 36 hours. It's good practice for the end-of-pg and labor emotional rollercoaster.

 

And then I had the most unexpectedly pleasant OB visit on Friday morning. My blood pressure was great (it usually stinks there -- I have massive white coat syndrome with OBs), u/s showed a head-down baby and a nice high placenta, and I passed my 1-hour GTT. That's the very first time in 3 pregnancies, including an early test in this pregnancy no less, that I have ever passed a 1-hour. So I am very very excited, and unless there turns out to be a reason why I need a c-section, now I am done with the OB's office! orngbiggrin.gif

 

One other thing -- baby was posterior but I have a lot of time to work on that. thumb.gif

post #109 of 180

YAY!!!!!!!!!!!

 

That's great news!  :)

post #110 of 180

Thanks! orngbiggrin.gif

post #111 of 180

YAY!!!  It's been a good couple weeks!

Mine's still head down, and I'm pretty sure she's facing left, I have no idea where she's supposed to be other than head down!  I asked my midwife and she liked my idea of keeping my goals small, head down, actually go into labor, other than that I have no expectations.  My friend just delivered an 8 lb 11 oz baby in less than 3 hours, five pushes, and no tearing,  while that would be great I'm just really hoping to get to experience labor this time around.

post #112 of 180

I had a consultation with my OB today, he was extremely positive about my VBAC chances.  He said I have the same chance of success as someone who would be coming in to have their first baby.  He also said that while I will have to be constantly monitored I can still be quite mobile with the monitors.  He was also very positive about the benefits of doing a VBAC vs. a r/cs.  I knew there was a reason I liked him last time. 

post #113 of 180

Joining the party! due late sept (the 28th). I actually just switch practices because while the one I started with said they are VBAC friendly when I actually discussed it with the doc at the last visit she said some very odd things.  Quoted a rupture rate of 3-5%, that they'd do a RCS at 40 weeks if I hadn't gone into spontaneous labor, they want an epidural placed once my water breaks . . . and that since I didn't get past 7 cm and 80% effaced with DS, that I might not be able to get past that, ever. So I switched to the practice where I had DS - I knew they "did" VBAC's but didn't realize how friendly they were until a client of my doula's - who is VBA2C -  had a great birth with them with very few interventions. Not even constant EFM. and that at 40+6.

 

This baby is head down most of the time, but she floats transverse sometimes too.

 

Yay for all the head down babies and good OB/MW visits! keep them coming!

post #114 of 180

So glad to hear of these good OB appointments, ladies! Supportive providers make a huge difference.

 

Welcome to the thread, Katrina!

 

orngbiggrin.gif

post #115 of 180

take My friend had a very successful VBAC almost a year ago.  She took a VBAC class and was told that if she was considering an epidural to try to hold off until she was at least 5 cm dilated.  Apparently the chances of the epidural causing the labor to slow or other problems is significantly lower after that point.  Ideally I'd like to go without an epidural all together, but I'm also a realist and my birth plan is to take things as they come, I'm not going into this completely refusing any and all meds, I'm going to try my best without but be prepared to resort to them if I need to.

post #116 of 180

Glad to hear everyone's positive news! I had a fine appointment with the CNM last week, and then on Monday went for a growth scan, and found baby to be head down (which I've been pretty sure he's been now for a few weeks) and growing very normally, even about a week ahead. They estimated his weight at 3.5 lbs. joy.gifThat's only 1 lb less than DS1 was when he was born at almost 39 weeks! So that puts my mind about a repeat of the IUGR at ease...

 

I have to do a "VBAC consult" with one of the hospital OBs at my next visit where the mw says s/he will talk to me about the "benefits and risks of VBAC--mostly the risks...." I am planning to have the new NIH consensus info printed off and with me so I can see whether the practice is keeping up with the research and also have ammunition if s/he is giving bad info. I think I'm mostly going to try to use that appointment as an opportunity to see how resistant the OBs are to doing DCC if I do end up with a c/s. I'm really going to push for that this time.

 

 

post #117 of 180

It may be that my brain just hasn't turned on this morning, but what is DCC?

 

Smurfy - with my first I think I got the epidural around 3 c.m. - more because the pitocin contractions were incredibly strong and irregular and weren't giving me a break between - and I actually dilated more once I had it in than I had before, I think it was because I could relax a bit. Granted I did stall out at a 7, but I don't think that had to do with the epidural (except for being stuck in bed) - more to do with body's reaction to Pitocin and baby not being in a great position.

 

This time, since I know they won't be using pitocin, I hope to avoid the epi altogether. I really hate being stuck in bed!

post #118 of 180
Dcc=delayed cord clamping
post #119 of 180

Delayed clamping in a c/s can be a REALLY tough sell.  Unless you're planning a lotus birth and come at it from a "religious requirement" angle, it's tricky.  In a vaginal birth it's easier because the babe generally goes to your chest and there isn't a real rush for the placenta to be delivered.  But in a surgical setting there is a clock running (the longer an incision is open, the greater the chance for complications) and the babe HAS to be moved "right then".  If they're still attached to the cord it can complicate moving them, and then the pediatric nurses who would generally be taking care of the babe probably wont have experience with a babe+cord+placenta and might not be willing to take the added risk of "ripping" the cord and causing complications there.  And of course, the reason for the c/s is probably going to play a role too... if they do the c/s for, say, fetal distress, they're going to want the babe out and under the care of the pediatric attendant pretty darn quickly.

 

I don't want to discourage you, and I do know one woman who managed to have delayed clamping in her (scheduled) c/s, but she said it was a real fight even with her very crunchy OB and despite the fact that everything was scheduled and being done without rush.  She's the one who actually suggested playing the "religious lotus birth" card when she spoke to our birth group since then you could "compromise" down to "just" delayed clamping.

 

Also, make sure you specify what you mean by delayed clamping.  Some people feel a few minutes is enough, others till the cord stops pulsing, and others feel that 15-20 minutes is the bare minimum before you should even think about clamping.  Since your care provider may have a different definition than you it would be worth setting out exactly what you mean when you speak with them.  And also speak with the pediatrician you'll be using for the babe... since in a c/s the babe is usually handed directly to the pediatric staff so they're the ones who would be directly affected if the regular flow of steps in the surgery didn't go as planned.

post #120 of 180
Quote:
Originally Posted by wombatclay View Post

De

I don't want to discourage you, and I do know one woman who managed to have delayed clamping in her (scheduled) c/s, but she said it was a real fight even with her very crunchy OB and despite the fact that everything was scheduled and being done without rush. She's the one who actually suggested playing the "religious lotus birth" card when she spoke to our birth group since then you could "compromise" down to "just" delayed clamping.

Also, make sure you specify what you mean by delayed clamping. Some people feel a few minutes is enough, others till the cord stops pulsing, and others feel that 15-20 minutes is the bare minimum before you should even think about clamping. Since your care provider may have a different definition than you it would be worth setting out exactly what you mean when you speak with them. And also speak with the pediatrician you'll be using for the babe... since in a c/s the babe is usually handed directly to the pediatric staff so they're the ones who would be directly affected if the regular flow of steps in the surgery didn't go as planned.


Yeah, I know it's going to be a fight. The CNm was like, "not gonna happen" but I'm still going to try. I figure the consult appt is as good a time as any to present the evidence. I'm not going to ask for more than a minute of delay bc that's been shown to be a quite fine length for getting most of the blood needed. Dr nick Fogelson on academic obgyn blog (sorry I'm on my phone--not gonna look up the link) has great info about the science supporting dcc. I asked him dpecifically about any contraindication for dcc in c/s, and he said there's no reason barring emergency with baby that it shouldn't be done in a typical c/s, even an emergent one (again, I'm talking a brief delay, not 5-15 mins or anything). He also said that dcc was now routine in his hossy. So things are changing....
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