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Homebirth after THREE sections??  

post #1 of 52
11/30/05 at 3:20pm
Thread Starter 
Hi Mamas~
Not sure if I should be posting this on the VBAC board or this one, I guess it can be moved if I am wrong. I am scheduled for section #4 in March. (Good thing I have some time, hu??) I am starting to really re-think this. I have been posting on ICAN & some yahoo groups & have had alot of moms tell me a VBA3C is not SO uncommon. I am going to copy & past my original post there...any thoughts/comments MORE than welcome!! Also wondering how one goes about finding a MW??
Here it is...

Until recently I really didn't think I had much of a choice in the matter. My OB says I have WAY too much scar tissue...blah blah blah...so my issues are...
1- He claims woman have pain from sections, with the ST he claims I have I should be in considerable pain, I have none. Why??
2- During my second surgery they remarked how CLEAN the 1st was & there was NO ST. Weird, hu?? So ALL the damage seen during #3 was caused during #2??
3- If it was so "shocking" when I was open the third time, why didn't they clean it out?? They admit to not doing it.
4- And this is my MAIN issue - OB says he MUST do a vertical incision inside this time to avoid all the damaged areas. He will only do this if I sign for a tubal. I DO NOT want a tubal!!
See my angst?? =(
~Marie
post #2 of 52
11/30/05 at 3:36pm
Wow, I know nothing about VBAC, but I couldn't read without giving you a hug!

Quote:
Originally Posted by rmzbm
4- And this is my MAIN issue - OB says he MUST do a vertical incision inside this time to avoid all the damaged areas. He will only do this if I sign for a tubal. I DO NOT want a tubal!!
See my angst?? =(
~Marie
This just seems so wrong to me. Making you sign for a tubal?! Wow. :
post #3 of 52
11/30/05 at 3:38pm
At the very least I would find a new OB. What he is doing is unethical and I would file a complaint with the state medical board. He is forcing sterilization on you and who's to say he wont do it without your consent if he's acting this way?
post #4 of 52
11/30/05 at 3:41pm
Thread Starter 
That actually came thisclose to happening LAST time. (NOT the same OB.) I just know I can never have a normal birth in a hospital...*sigh*
post #5 of 52
11/30/05 at 3:46pm
I dont know anything about vba4c but I think it is terrible that he wants you to sign for a tubal. I would DEFINATELY look for another Dr. That sounds ridiculous. Ask your local ICAN leader. Look on birthpartners.com thats where i found the midwife that was at my hbac. But dont be surprised if it takes a while to find someone willing to do it. I had some trouble and I only had one c/s. It is completely worth the effort. I hope what ever you decide that things work out the way you want.
post #6 of 52
11/30/05 at 4:43pm
I would plan of month of meetings. I would meet with at least one more OB (because that one sounds off his rocker) and I'd meet with at least 3 homebirth midwives. Get copies of your records to take with you. I would NOT agree to a tubal. I have a sneaky feeling that the dr. has other biases (does he see you as "poor" or "uneducated"? does he have a bias against bigger families? etc)

That said, I think a homebirth after 3 sections ABSOLUTELY can be done. It of course depends on the individual case and other factors (like reasons for the sections in the first place- were they all bogus? was there a good reason? is it a reason that's likely to reoccur?)

to you. It's a tough situation to be in, but I think your ob is making it much MUCH worse.

-Angela
post #7 of 52
11/30/05 at 4:52pm
Thread Starter 
Yeah, I think that is the thing to do. I am also thinking finding a willing MW will not exactly be a peice of cake. I doubt he has any prejudices against me...I'm not poor or uneducated in my silly opinion, and he's asked a few times if I want more kids, saying he feels bad I am in this situation if I do. he's a very nice man, seemingly quite knowledgable & even semi-crunchy!! (Is admittedly against vaxing - no circ - natural CB AFTER NO MORE THAN 1 SECTION.) I hate to lose a good OB but I can't just "people please" him either. He has admitted to not knowing what's in there (well duh, lol) so the scarring might not be bad, etc, might not NEED the tubal...but I need to sign just in case, vertical cut is best...these are my bones of contention. I have "natural birth choices" on tape & I keep watching it over & over...and it's depressing me. Maybe I need to get a grip.
Oh, and the reasons for the other 3...
1st - fetal distress
2nd - failure to progress
3rd - no labor, totally scheduled
So, obviously, nothing that is SURE to be repeated!!
WHY did I have that first induction, at that moment I sealed my fate.
post #8 of 52
11/30/05 at 5:06pm


I hear you on that first one. 20/20 hindsight and all that, huh? I think you MIGHT have an easier go of finding a midwife than you think. It seems to me that a bunch of scaring is going to be more of a worry in PREGNANCY (when everything is expanding and being pushed around) than in labor- but that's just my uneducated thought.

That said- OBs are like men (esp. male ones ) in that they want to be able to FIX things. They are not good at sitting back and watching and listening and simply assisting the process if need be. He is uncomfortable with 3-4 sections. He feels out of control. He wants to have the ultimate control- to make sure he doesn't have to do this again. He's not evil- he's just male

Ask around here. Find some midwives to talk to. Maybe even see if you can email with the midwives at the Farm and see what they say (they're too restrictive for my taste, but they do have experience)

You are right that you will not vbac in a hospital. Your only hope is at home. I would stand my ground and talk to the OB no matter what and tell him that you are NOT comfortable agreeing to a tubal and that you feel blackmailed by that request. Tell him that you will not consent to one at the time. If he thinks it's needed you will be happy to discuss it with him at your 6 week apt. Then go a visiting.

good luck!

-Angela
post #9 of 52
11/30/05 at 5:10pm
Thread Starter 
What's the Farm??
post #10 of 52
11/30/05 at 5:16pm
Thread Starter 
Also...just a tad OT:
Does anyone know the difference between scar tissue and adhesions?? I'd always used those terms interchangabally.
post #11 of 52
11/30/05 at 5:17pm
The Farm is a commune-type group but they have midwives and do births there. Do a search here for that and you should turn up a few threads. Someone here had a vbac there....

-Angela
post #12 of 52
11/30/05 at 5:19pm
Quote:
Originally Posted by rmzbm
Also...just a tad OT:
Does anyone know the difference between scar tissue and adhesions?? I'd always used those terms interchangabally.
IMO (layman, but I've read a lot...) adhesions are going to be where scar tissue is connecting two things that shouldn't be connected. If you cut your first two fingers, between the fingers- you'd just have scar tissue, unless they were held together just right and you ended up with scar tissue ATTACHING them to eachother- that's adhesions.

-Angela
post #13 of 52
11/30/05 at 5:23pm
Not sure of the scar tissue/adhesion question. Here's the link to the Farm. It's a group of homebirth midwives in Tennessee, the head one's name is Ina May Gaskin author of "Ina May's Guide to Childbirth" and "Spiritual Mdwifery". They have tons of experience.

http://www.farmcatalog.com/birth.htm
post #14 of 52
11/30/05 at 5:24pm
Thread Starter 
WAIT a second then...
Maybe I am at fault here for not knowing they were different things but when "OB from sections past" made her "comment" she said I have alot of ADHESIONS, I remember that very well. The first mention of scar tissue came from current OB when doing a US about 3 weeks ago. He showed me white masses & said it was ST. So if it's ADHESIONS that are the issue, does that put me in a better place?? I do recall her mentioning that my uterus & bladder were fused together pretty much completely. And my current OB says with that knowledge he may likely cut my bladder, though he claims that's not a biggie. *shrug* Seems after this clarification though a VBAC would be safer!! Uggh...
post #15 of 52
11/30/05 at 5:25pm
Thread Starter 
TN, hu?? I am in NC, close to the TN boarder - will check that out!! Thanks!!
post #16 of 52
11/30/05 at 5:33pm
Thread Starter 
I am talking to a mom on a yahoo group who just had a wonderful VBA3C...she says that you can actually break up the adhesions with a certain type of massage, anyone have any thoughts or experiance w/ this??
post #17 of 52
11/30/05 at 5:35pm
I would RUN from any dr. who says it's no big deal if he cuts your bladder. I've read some HORROR stories about that here... Just what you want while dealing with a newborn and recovering from major surgery- to have a catheter for a few weeks too... hey, who needs to pee the old fashioned way anyway, huh?

-Angela
post #18 of 52
11/30/05 at 5:39pm
Thread Starter 
Now in the obstetrical community there's an old fashioned way to pee, too!! NCB is old fashioned & BF is SURELY old-school!! Ahhh, love those advances!!
post #19 of 52
11/30/05 at 5:52pm
Hey, you can have it all! Can't you see the ads now? New moms don't want to get up in the middle of the night to pee- how inconvient and old fashioned. Ask your dr about our new, easy to use urination system! One easy to use tube- you can insert it yourself! Your bladder is obsolete- you just didn't know it yet!

sigh....

-Angela
post #20 of 52
11/30/05 at 6:02pm
i had 2 c/s's before and my dr. also told me i didnt have a choice w/ this c/s...well, then i changed to a MW...and am much much happier....
you have more than enough time...........
good luck
rach
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Mothering › Forums › Pregnancy and Birth › Birth and Beyond › Homebirth › Homebirth after THREE sections??