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Is it possible to have a hospital vbac? - Page 2

post #21 of 46
I know we're different. We're even different from the other local hospitals. But my point is that it's eternally frustrating to have the *idea* of a hospital VBAC, or NCB in a hospital, dismissed out of hand as "impossible". Clearly, it's not, since we do it every day.

I think women should birth where they're comfortable. For a lot of women, that is the hospital, and whether the research backs it up as safer or not, it's a cultural norm. So why can't the hospitals learn to be better? Why does it have to be birth at home and have it the way you want it, or birth in a hospital and have your plans ignored? I don't think this is the only choice. I don't think that every woman will choose to birth at home (I was planning a home birth when my liver packed it in, but no, I don't personally think HBACs are as safe as hospital-based VBACs), and I don't think that the hospital should necessarily become a wretched evil place in one's mind. It's possible to be different. I've seen it be different.
post #22 of 46
Quote:
Originally Posted by maxmama View Post
I know we're different. We're even different from the other local hospitals. But my point is that it's eternally frustrating to have the *idea* of a hospital VBAC, or NCB in a hospital, dismissed out of hand as "impossible". Clearly, it's not, since we do it every day.
I can understand that it would be frustrating for you. Unfortunately the "impossible" part is a reflection of a very real reality in the rest of this country. If that weren't the case there wouldn't be so many VBAC banning hospitals.

Quote:
I think women should birth where they're comfortable. For a lot of women, that is the hospital, and whether the research backs it up as safer or not, it's a cultural norm. So why can't the hospitals learn to be better?
That's a good question. Why can't they learn to be better? Quite frankly, I'm afraid it's because they don't want to. That might take a cut in profits and in all reality the healthcare system here is most often a for profit venture. It's sad really...

Quote:
Why does it have to be birth at home and have it the way you want it, or birth in a hospital and have your plans ignored? I don't think this is the only choice.
Unfortunately, for many women everday that is the only choice. I hate that in a country that is full of so many choices, the choice of where and how to give birth is not one of them. So many hospitals ignore your plans. No offense meant here, but I've seen the underlying attitude of some health care providers in your own posts on these subjects...

Quote:
I don't think that every woman will choose to birth at home (I was planning a home birth when my liver packed it in, but no, I don't personally think HBACs are as safe as hospital-based VBACs), and I don't think that the hospital should necessarily become a wretched evil place in one's mind. It's possible to be different. I've seen it be different.
Your right, I don't think that HBACs are "as safe" as hospital VBACs. I think they are safer. I don't think that every woman will choose to birth at home either, but that doesn't stop me from thinking that each one should at least consider it.

What it all comes down to is the issue of fear. If there was ever one thing in this country that was marketed so successfully it's fear. Unfortunately, I find that most of modern obstetrical practice (and sadly a great deal of medical practiced in general) is all about generating and enforcing fear. I'm not sure that it ever would have been as successful with out the fear component. I agree that hospitals need to be reformed, I just don't think you and I agree as to how that should take place.
post #23 of 46
Thread Starter 
Thanks, everybody, I appreciate the differing viewpoints. That's what's great about MDC, right?

I've been thinking a lot about why I don't particularly want a home birth. I always thought that would be by far my first choice. What I come up with are all the problems about this house that I can't seem to get on top of. eg the bathroom has no ventilation of any kind, even a standpipe, and it emanates sewage smell, which has no place to go but the bedroom. We have nice big jacuzzi tub which throws a circuit breaker every time I turn on the jets, plus the water is from a well, and isn't potable. As I look over the house, there are things like this in every room that make it more appealing to me to go somewhere where it's somebody else's job to worry about those things. I suppose I could think about spending a few thou on birth center fees, or the same on the house. I'm still debating that.

I'm not really afraid. I think the statistics are pretty clear that home birth is just as safe as hospital birth. What I'm more afraid of is having a 2-yr old and a newborn and 5 mos of abdominal pain that makes it difficult/impossible to carry either one of them for more than 30 mins a day.

The MDs I worked with before smiled and nodded at me all the way through pregnancy, and the hospital where I had dd was a great place to have surgery, but this time I'm not placing my trust in anybody who doesn't wholeheartedly believe in vbac as the best possible option (given the right circumstances). I guess that's what I really need, regardless of place.
post #24 of 46
Thread Starter 
Quote:
Originally Posted by Oana View Post
here is my story of a hospital VBAC, maybe it provides some hints. Labor at home as long as you can.

GL!
Oana

http://www.mothering.com/discussions...d.php?t=511800
thanks for sharing your birth story, it was inspiring and beautiful.

I wanted to labor at home last time, but my water broke early.
post #25 of 46
Yes, it is very possible to have a hospital VBAC. I did it!
Bring a doula - for sure. Don't go to the hospital until you are ready to push.
I went to the same hospital, but had to change ob's, because my first ob wouldn't do vbacs. I liked him a lot, but I did not like the surgery.
post #26 of 46
by the way, the Birth and Womens center in Topeka takes the medical card, Medicaid.
~Angela~
post #27 of 46
Thread Starter 
Thanks, Angela! Important info that I wouldn't necessarily ask on line.
post #28 of 46
I had a wonderful hospital VBAC and am planning another one. I DO think that the doula was very beneficial, though. Not sure I would have had a VBAC without her but am having a hard time finding a doula to work around the holidays with this one. So, I'm planning a hospital VBAC without a doula. By the way, I didn't wait at home all that long and I had a longer delivery without any problems.

Edited to add: My OB practice always reminded me that I would have to sign a waiver, went over VBAC risks every visit and always said that "there is no guarantee". I never felt any real good vibes about getting a VBAC with them but I had no other options in this area. In the end, I got the absolute worst OB in the practice BUT she followed my birth plan and never gave me one bit of grief during labor. She was actually wonderful in the end and really, really looked over the birth plan!! Just FYI.
post #29 of 46
Thread Starter 
Quote:
Originally Posted by crunchykd View Post
In the end, I got the absolute worst OB in the practice BUT she followed my birth plan and never gave me one bit of grief during labor. She was actually wonderful in the end and really, really looked over the birth plan!! Just FYI.
What made her the worst OB?
post #30 of 46
Another great hospital VBAC here. It was amazing. I also showed up late in the game- like 10 minutes before Ds was born! Good stuff.
post #31 of 46
Yes, it is possible, I just had my VBAC on Sept. 29 and have a beautiful lil guy to prove it

Granted, it was a little bit of unusual circumstance (will post birth story later) but I managed to deliver and they didn't even realize I was VBAC until the last few minutes LOL. Granted, if there would have been a real complication or emergency-we would have been in serious trouble-there wasn't even an anesthesiologist on site at the time...despite the fact that it is one of the areas largest hospitals
post #32 of 46
The short answer is yes, you CAN have a hospital VBAC. I just had a VBA2C at the hospital~ totally unmedicated, no interventions whatsoever.
The longer answer is:
the battle can be long and hard, and tiring. You can't give up the faith or the fight, and you have to know your rights and stand your ground, even under duress... But. it can be done.
post #33 of 46
Thread Starter 
Quote:
Originally Posted by 15yrsbetweenboys View Post
Yes, it is possible, I just had my VBAC on Sept. 29 and have a beautiful lil guy to prove it
Hey! You did it! I've been thinking about you. Will look for your birth story.
post #34 of 46
I really hope it's possible although I know it is. I'm planning a vbac in a hospital and due next month. I have a different dr since we've moved and he is 100% supportive of my vbac and yes it is a male ob.

The reason I didn't consider a hb is it's just not my cup of tea honestly. I have too many "what if's" and didn't want that to be my main focus while I'm in labor at home. Therefore maybe clouding my labor and not allowing me to birth properly.
post #35 of 46
right now in kansas the birth politics are very hostile towards vbacs.
i could only find one midwife in the area who sounded great, if youre near kansas city i can pm you her info, she does hospital vbacs. she wasnt allowed by her insurance or something to take hbacs with "unproven pelvises" but she was sympathetic and offered herself as a comforting e-shoulder

and in response to the question is it possible...
its possible in the way losing 100lbs is possible...
its hard work, you have to have your game face on, you have to know what youre doing, you have to have a plan...
i got to the hospital (not of my own volition) in transition and even though i pushed out the baby not more than 5 minutes later, they jumped at every chance to mess things up. as soon as i was on the ob floor they started yelling absurdities, horrible things, accusing me of things, and trying to coerce me into signing a section consent form.
my daughter was born while i was yelling at them to stop touching me.

our area is getting pretty cut happy too...

im not telling you this to discourage you, im telling you so you can prepare and grow strong. hospital vbac always reminds me of the phrase "birthing warrior"...
you can vbac in a hospital here, it is possible. but its not ideal...

also regarding "tolac" is concerned. just the term is putting the prospect of "failure" out there. its like saying "attempt" or "trying" either you vbac or you dont... i think when people use the positive terms and phrases in reference to vaginal birth the more real it becomes. like self fulfilling prophecy...
post #36 of 46
I understand that there are many anti-VBAC hospitals out there, but I live in one of the biggest lawsuit-happy, insurance-run states (NJ), and lots of hospitals do VBACs. They do have some restrictions (like external monitoring), but it's pretty easy to find one that will do them. I was able to switch from a "trial of labor VBAC" practice where only 1 OB was pro-VBAC (out of 3 who still did deliveries) to a midwife group who does VBACs all the time - in a hospital as required by law, unfortunatley, but I would have chosen that anyway.

And a lot of what happens in labor is still YOUR CHOICE. No one can cut you open without your consent, and if you do your research and know what the real risks are, and have good support people with you, you can do it.

I wish you the best for your delivery!
post #37 of 46
Quote:
Originally Posted by cloak View Post
I had a hospital VBAC. Went completely natural too. It's possible.

Me too! Of course I wasn't actually in labor at the hospital very long as when I got there I was already 8cm. But it is possible. I would look into hiring a doula.
post #38 of 46
I have a hospital VBAC as well (w/ no doula and DH sleeping on the couch most of the time, lol) and plan on having another one this time too. My DR was the same one who did my c/s and was great w/ my VBAC. Obviously it all depends on where you live and the climate there, but here they are still very much open to VBACs and people have them all the time. I had to sign a waiver w/ my last VBAC, but have not had to this time. I am not required to do anything different w/ my VBACs than I was when I went to have my oldest. The only exception is that my DR does prefer I'm at a hospital w/ 24hr DRs and anast. there, not a biggie IMO. Good luck!
post #39 of 46
Thread Starter 
Quote:
Originally Posted by thepeach80 View Post
The only exception is that my DR does prefer I'm at a hospital w/ 24hr DRs and anast. there, not a biggie IMO. Good luck!
Would probably have to travel an hour and a half to get to one of those. Which I'll probably have to do anyway, unless I just want to sign up for the knife right now.

First birth I intended to labor at home as long as possible, but the first sign of labor that I had was my water breaking. Anybody have any comment on that scenario? Would you stay at home for a while anyway? Or go in with a SWAT team of doulas surrounding you with shields, ready to spray tear gas at any OB who approaches with a scalpel . . .
post #40 of 46
Quote:
Originally Posted by richella View Post
First birth I intended to labor at home as long as possible, but the first sign of labor that I had was my water breaking. Anybody have any comment on that scenario? Would you stay at home for a while anyway? Or go in with a SWAT team of doulas surrounding you with shields, ready to spray tear gas at any OB who approaches with a scalpel . . .
when you said 'early' i thought you meant pre-term...
my labor always begins with my water breaking. with my vbac i was in labor at least 38 hours before she was born.
you do NOT need to go to the hospital for that. in the hospital they will check you like a million times. the most important rule of having your water break is DONT PUT ANYTHING IN THERE! no not even fingers, no not even to check dialation, no not even if its "sterile" NOTHING
even something sterile can push already present germs into your cervix and uterus setting you up for infection.
second rule is drink alot of water, amniotic fluid replenishes itself.
i was gushing water and i kept drinking and 38 hours later when liesl was born i pushed her out on a wave of fluid.
i was scared into hospital transport for having my water break in early labor, ive since heard from women who had thier waters break and days later birthed perfectly healthy babies. the longest labor ive heard of with broken water is 13 days, and of course with no complications...

its looking like i just have loooooong sloooooow labors thats start with water breaking...im planning on ubacing the rest of my children.
theres not a whole lot a hospital can do for you except create a job for themselves. they are a pretty new thing as far as birthing is concerned and maternal and fetal outcomes have not improved since the 70s i think it was. the section rate is 29% that is sheer lunacy!
if you havent joined ican i reccomend it...
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