I do UC because I am very shoulder distocia prone. I am also very dependent if I feel (even if I know otherwise) that another person can help. Thus, if I have a doctor or midwife on hand, the shoulder distocia can get very ugly, whereas with me being the "expert", there is no other choice - so I just do it.
I want to UC again, but have a long list of "warning signs" that I would seek help for in a heartbeat.
I figure labor is pretty clear on when it needs help.
(here's my list of ones I remember - most are obvious something isn't going right)
If baby hasn't dropped when I go into labor, I wouldn't UC (all my babies have VERY long cords, and are at higher risk for cord prolapse.
Usually I get a high small leak, and my water doesn't break untill the baby is born. This is perfect for UC for me, as I don't worry about infection like I would if my water was all the way broken for very long, but I can see that it is clear - if I saw blood before I was actually pushing the baby out, I would seek assistance. The same if I saw old meconium (the old meconium can have gotten in the babies lungs for too long, deteriorating them and causing potentially fatal MAS.
I have short labors - if one was long, I'd seek help.
- can't remember any others. To me, part of UC is listening to my body when it says it needs help - and getting it that help.
So I want to UC again, but if it doesn't turn out that way, then in a way it is all the same thing - listening to my body.
oh, we wouldn't go it alone with twins either - the whole long cord thing might be a problem.
hospitals are usefull if you use them (vs. them using you) so I would definantly go to one to have a premie or something. (hosp. is close by, so not much we can't do here, that they'd be able to do any faster there if we were there.)
UC is risky in some unpredictable situations - mostly cord entanglement. We have long cords and have had UC's with a couple of true knots etc. that didn't affect the birth at all - but as much as I love UC, it has to be something you feel right about inside personally - well any birth choice needs to be.
Though, if you do a more medical UC, and listen to the heartbeat and stuff, the risks are probably lower. I've thought about it, but checking on the heartbeat while my body is trying to push a baby out, seems looking for something wrong at the moment of truth, to me.
Told dh if we do go to a hospital, I'm hiring a thug to stand gard at the door, lol.