or Connect
Mothering › Groups › November 2012 Due Date Club › Discussions › Meeting with OB tomorrow re: V2BAC. Wish me luck!

Meeting with OB tomorrow re: V2BAC. Wish me luck!

post #1 of 12
Thread Starter 

So please wish me luck tomorrow!  I'm meeting with a local OB re: doing a V2BAC and I'm a little nervous.  It sounds like it will be OK but the concern is the timing more than anything.  OBs in town are willing to support a VBAC after 2 sections BUT only if I go naturally before my dates.  So, that puts some silly stress on me that I don't want nor need.

 

Sooooo, my goal is to discuss rationally with the OB tomorrow so that we can make a joint agreement about the birth of this baby.  Really, it's my baby and my body but it would be nice to have a team of people at the hospital that are supportive of my labour, not breathing down my neck to push me into a 3rd section.  :)

 

Anyhow, here's hoping it all goes swell!

post #2 of 12

Hope it goes well mama! thumb.gif Look forward to your positive update!!!

post #3 of 12

Oh good luck!  I hope you and your OB can sit down and have a reasonable discussion in regards to this matter.  I went through something similar with my DD (not a VBAC2C but a VBAC).  I would not wish that kind of stress on any one.

 

I think it is silly to have a baby out deadline when going for a VBAC. My OB gave me a cut off date with my DD and it was sooo stressful. I was in tears towards the end from the pressure to have her come "on time."  Needless to say she was late.  I just kept pleading my case and pressuring him to let me go longer.  In the end we found middle ground.  He allowed me to go a week three days over. Thankfully, she arrived two days before his "I really can't wait beyond that date deadline." 
 

Wishing the best for you and don't be afraid to be firm.

post #4 of 12
Thread Starter 

Thanks ladies!!  I hope (and trust) it will go well!  Will update soon!

post #5 of 12

.HUGS

Its important for them to be honest with you, atleast.  You may not like what they say but its worse when you're just told what you want Tto hear and suprised later.  

post #6 of 12

Good luck, hope your OB meets you with much more acceptance than you even expect!!

post #7 of 12

Many blessings and may all go well today for you!

post #8 of 12
Thread Starter 

OK, so an update. I *knew* that the OB would have some challenges in that he would want to make sure I knew exactly what I was getting into with a V2BAC.  

 

He was very good, very personable, remembers doing the section on my 2nd baby (3 1/2 yrs ago) as there was a little drama leading up to it with another OB who dismissed me at the hospital saying I wasn't a candidate for an immediate section (turns out I was and Blake came into the world within an hour after seeing the new ob).  I do have a lot of respect for him as he has a great bedside manner, supports the choices of women, and is professional yet warm.  

 

But he did have to do his job in explaining what can happen in labour of a V2BAC.  And what the chances of uterine rupture are compared to women without having had a section or just one section.  (very slight with none, 1/1000 with 1 and between 1/200 and 1/500 with a second) He was explaining there is no way to know leading into labour or even in labour if and when a rupture could occur.  He can measure the scar thickness a thousand times but it still just depends on how a woman does throughout labour.  If it happens, it happens.  And when it does, often they don't know as there aren't a lot of signs that develop really quickly.  

 

But when they figured it out there are only minutes to get me into surgery due to complications with the baby and me.  Everything could go fine or there could be serious challenges - death of baby, maternal death, hysterectomy, major blood loss, etc. etc.

 

He did say that if he had a choice, he would always choose vaginal over section, barring there are no complications.  Even if one section has happened in the past, he would suggest a VBAC over a section.  But, he said, you have possible serious more likely complications than a woman with no or one sections.  (which I knew)

 

He said "I don't want to fear you into making this decision but I think it's only fair that you know all of the potential challenges...." 

 

Well, now I totally have fear.  Not totally, but I"m only 80% sure I want to do a VBAC and 20% of me is worried that if something does go wrong, then I would feel incredibly guilty.  Especially if something happens to my baby.  :(   I was 100% VBAC before talking to him and I don't blame him (he was doing what I expected, his job) but I'm definitely wavering now.  And that makes me upset too.  

 

I'm so conflicted.  My DH, upon hearing this, wants me to make the decision as it is my body but he doesn't understand why I would even risk it.  I still like my odds but I'm worried that even if I did go into labour, every pain I would wonder if that is my uterus having challenges and am I or my baby in danger.  That feeling of "what if" would linger the whole time.  And I'm wondering how much of a distraction that would be in labour - my guess is a major one.  With my daughter, I made it to 7 cm and stalled for 7 hrs.  Then she was a serious emergency section when we transferred from home to the hospital.  If I were to stall again at 7 cm, I think in the back of my head the thought of "omigod, what if something happens now" would still be there.

 

I realize I"m totally acting and thinking on the "what if" and "fear" right now.  Which I always talk to people about NOT doing.  Make decisions based on facts and what your heart says, but not by the fear that someone has instilled in you based on their experiences. 

 

Ugh....I would love some thoughts, ladies.  Any advice/help/words of wisdom would be appreciated.  I'm going to check out the VBAC page too and post this so that people who have done this can give me their experiences.  Thanks for listening/reading this long post!!  

post #9 of 12

Well it sounds like you have a good OB. 

 

This is my story for what it's worth...like I said in my PP I had a natural VBAC, last February actually, for the birth of my daughter.  I wish I could say that I was one of those women who jumped at the chance of having a VBAC full of confidence and faith that everything would be great, but I wasn't.  I felt much like you, in that I was probably 90% sure that everything would turn out just fine, but that 10% of doubt pulled at my head and heart periodically.  In the end I researched the hell out of everything and spoke with women who had VBACs of their own.  I know many will repeat the statistics and really the chance of a rupture happening is very small but when you think about the possibility of being in the less than 1% then all the reassurance in the world means very little.  I am not saying that in any way to scare you but that is how I felt.  I had a good case of the "what ifs" myself.  I think in the end it IS a leap of faith and there are no guarantees in life with anything.  I did choose to birth in the hospital which helped reassure me and I had an almost perfect birth experience (I tore which wasn't so great).  It was one of the most empowering moments of my life and I plan to do it again with this LO.  I can say that once I went into labor all thoughts about rupture and complications went right out of the window.  My only thoughts then where "here we go, let's get through these contractions and get this baby out" nothing else mattered. 

 

Sorry there wasn't much advice in there or if any of that really helped but hearing other peoples experiences (good and bad) was something that helped me reach my ultimate decision.  Good luck with your journey what ever you decide.
 

post #10 of 12
Thread Starter 
Quote:
Originally Posted by Simonsez2u View Post

Well it sounds like you have a good OB. 

 

This is my story for what it's worth...like I said in my PP I had a natural VBAC, last February actually, for the birth of my daughter.  I wish I could say that I was one of those women who jumped at the chance of having a VBAC full of confidence and faith that everything would be great, but I wasn't.  I felt much like you, in that I was probably 90% sure that everything would turn out just fine, but that 10% of doubt pulled at my head and heart periodically.  In the end I researched the hell out of everything and spoke with women who had VBACs of their own.  I know many will repeat the statistics and really the chance of a rupture happening is very small but when you think about the possibility of being in the less than 1% then all the reassurance in the world means very little.  I am not saying that in any way to scare you but that is how I felt.  I had a good case of the "what ifs" myself.  I think in the end it IS a leap of faith and there are no guarantees in life with anything.  I did choose to birth in the hospital which helped reassure me and I had an almost perfect birth experience (I tore which wasn't so great).  It was one of the most empowering moments of my life and I plan to do it again with this LO.  I can say that once I went into labor all thoughts about rupture and complications went right out of the window.  My only thoughts then where "here we go, let's get through these contractions and get this baby out" nothing else mattered. 

 

Sorry there wasn't much advice in there or if any of that really helped but hearing other peoples experiences (good and bad) was something that helped me reach my ultimate decision.  Good luck with your journey what ever you decide.
 

Thank you!  I really appreciate it!  I think I'm going to end up hashing it all out over the weekend and then make the decision on Tuesday.  You're absolutely right about the what ifs.  But if I can put that out of my mind while in labour and have a super supportive team around me, I will probably be OK mindset wise.  :)  

 

I really appreciate your story!

post #11 of 12

Its my plan for a VBAC with twins...a little bit of a controversial situation too.  Know that whatever decision you make, you can always change your mind.  Nothing is set in stone.  From your post, I do like your OB!!  Good luck!

post #12 of 12
Thread Starter 
Quote:
Originally Posted by QMtwins View Post

Its my plan for a VBAC with twins...a little bit of a controversial situation too.  Know that whatever decision you make, you can always change your mind.  Nothing is set in stone.  From your post, I do like your OB!!  Good luck!

Yup - I"m quite fortunate to have amazing midwives ( a team of 3 ) and an OB who is a great back up.  Challenge is that if I do need assistance during labour, it's a crap shoot as to who I will have from the OB perspective as there are 8 practicing OBs in our town.  But, here's hoping there won't be any challenges.  :)  I wish everyone could have an OB who is as open and supportive as this one is - there are actually two like that in our town and as he did my son's section, I chose him.  :)

  Return Home
  Back to Forum: November 2012 Due Date Club
Mothering › Groups › November 2012 Due Date Club › Discussions › Meeting with OB tomorrow re: V2BAC. Wish me luck!