X-Posted: Questions to ask at 6 wk PP visit after C/S for future pregnancy/VBACS

[khaoskat]

Ok, ladies, in about 3 weeks I have my 6 week PP visit to my OB. I ended up in an emergent C/S because baby turned transverse lay and stuck her hand out during a vaginal breech delivery.

We are not sure if we are done with having children yet, but I do know that I will never voluntarily sign up for a c/s again....I have almost no memory of the surgery itself (I am not good in hospitals and I think I just blanked everything out to protect myself) or of my baby being born...I have a few snippits (some of hurting; some of DH holding baby next to me for like maybe 1 minute before being wisked away from the OR)....

So, I guess my question is....

What question(s) should I have written down to ask my OB about future pregnancies, labor and delivery. My OB does (or at least right now does them) VBAC's. Unfortunately our birth center does not allow VBAC's in it, so it is either going to be a UC homebirth or a hospitalized birth with full EFM and stuck in a bed.

My history with pregnancies is that I a) Go beyond 40 weeks with every pregnancy; b) have large sized babies - 9+ pounds; c) have very fast painfree or low pain labors where I do not realize I am in labor. (With my last one a few weeks ago, I walked into triage fully dialated and people didn't believe me I was in labor because I was to calm.)

[snugglebug14]

Becuase you have a "proven pelvis" and this c/s was for something unrelated to yo ability to birth vaginal, you have really good odds of having a VBAC. Of course the key is finding a provider who is supportive.
In terms of questions to ask, double v/s single suture is the standard question. You may also want to request the records because if you for whatever reason switch care providers they will want to see the records (plus i found it informative and healing to be able to read what "their" perspective was on my c/s)

[khaoskat]

I am sure my OB's office does VBAC, because when one of the OBs was trying to brow beat me earlier that week into a c/s because of the cord was wrapped 3-4 times around the neck, he said "You can always VBAC". Trust me, this is has been and will be addressed again when I see the main OB in the practice for my follow up visit.

I know the OB who delivered (main OB in the practice) would probably be fine with VBAC's, as he is totally comfortable with Breech delivery. DD2 was full breech when we tried to do the delivery (heads up, but down but high in the pelvis still) but turned in the middle of pushing to trasnverse with shoulder engaged.

Which records should I ask for --- hospital records or OB's records?

[snugglebug14]

i found the ob records were included in the hospital records but may have just been y office. if you arent switching providers its not necesarily necessary to request your records, more just if you want them

[khaoskat]

I am not changing providers, but with the lack of choice around here for VBAC Mommas for birthing options (basically UC homebirth or maybe lay midwife assisted - not sure if any of them do it or not around here; or a fully medicalized hospital birth; only birth center here wont allow you to VBAC because the hospital policy where they are affiliated with require continuous EFM).

So, basically I will probably end up, even though it is not my first choice, in doing a homebirth. My first choice is the birth center again (used with DS2).