I am not sure this is in the right place, so someone please alert me if I need to move it. Also, it is going to be long, sorry!
I had my son in March 2011. He had a partial shoulder dystocia that has unfortunately resulted in Erb's palsy, requiring one surgery (so far), and many hours of PT.
My birth was great, I labored at home until 5/6cm, then went into a hospital where I continued to labor without complications. My birth was attended by my midwife and a high risk OB, because of my mw being in a non-compete clause (she could not technically deliver, so she came as a nurse and the OB was delivering all of her patients at the time).
During pushing, he became stuck. I am hazy on details bc at that point I was exhausted and focused on getting him out. It is my understanding that he was stuck and she rotated him, allowing him to finally come out. He had difficulty breathing, as well as temperature and blood sugar issues. I firmly believe that I was a case of undiagnosed GD, as he was also almost 3 weeks early, already 8lbs, and also suffered severe jaundice. My mw has agreed with this and we are already planning to treat me as GD this pregnancy (I am only 9.5 weeks so far).
When my husband asked, my son's surgeon had told us that for our next child we would need to discuss options with our ob team. He said he has only rarely seen siblings both present with brachial plexus injuries. He also said he has seen them happen with C sections. So basically he had no opinion, but said to discuss further with my care providers.
My midwife says that she is not concerned with recurrence. She says that a) it was a matter of his positioning, b) likely the GD, and C) my pelvis is larger now after having one baby.
I made the mistake of googling this issue, and came across some really scary info. One study claimed a 25% recurrence rate, with it even higher for SD resulting in injury. However, this is only with a sample size of 44. I also don't believe they included any incidence of the Gaskin method, which she claims reduced SD 82% when caught during labor.
Basically, I am distraught. I worked hard last time and have a very strong believe in natural, no intervention birth. I have read a ton, taken classes, etc. I DO NOT want my baby cut out of me, but I also am not sure I can assume the risk associated with putting another baby through what my precious son has already endured at 18 months old. None of the literature I came across discussed GD in terms of controlled/not controlled, so I have no idea if controlling it this time will put me at a lower risk.
Any advice or input would be greatly appreciated. I have read a lot around here (including an older similar thread) and feel lucky to have found a place that seems to be full of smart women with similar values to my own.