I am planning my first HBAC, 2nd VBAC.
#1 was born vaginal prematurely, medically managed to the hilt. She needed that though. NICU staff was wonderful, but peds stay was terrible.
With #2 I freakd out over every twinge. I wanted a natural vaginal delivery though, and to avoid being seperated from my baby. I had prodomal labor for 2 days. Went to the hospital too soon and was exhausted. I think I was having back labor also. I wasn't feeling strong and I don't think my CNM really gave me much support. Pretty soon, they start crying fetal distress, but they spent a long time waiting for the anesthesiologist to call the section. They left me thinking they had NO HEARTBEAT for over 20 minutes, which had me fearing my baby was already dead. In the OR, heartbeat was 90 BPM. There was never any suggestion made to change position or get off my back, just the epidural for anesthesia. Thinking back on it, if they completely lost the heartbeat for so long, why on earth would they wait for the anesthsiologist to get out of another surgery to save my baby. This is our big hospital with a level 2 trauma and level 3 NICU. And if they can't do a section quickly in a real emergency, what's the point of being there? I am grateful to the CNM for latching my baby on right after they had me sewn up and for keeping her with me. The recovery was terrible. DH was overseas military, didn't see DD until 10 months. I drove home with a new baby, a 3.5 yo, and a huge slash through my abdomen, to take care of all 3 of us on my own. DD is 6.5 and I still have trouble with my incision. (By the way- don't try to use Nads on the bikini area!!!)
Then I got pg with #3 while DH was stationed in El Paso, which is not your most forward thinking place. The OB care in the army hospital was a nightmare. They did all kinds of behind the times routine procedures. The local hospitals were even worse. I knew I would have to fight for everything. I talked to a mw who advised me that if I wanted the OBs to leave me alone (not cut) I needed to stay home as long as possible. I joked with DH about having dd on the kitchen floor, he freaked! I went 2 wks past due, hadn't been seen by anyone in over 3 weeks. But, I knew they wanted to induce me on Monday. I had been having prodomal labor every day for about 4 weeks, but I was getting rest and just went along with it all right. Sat. night I had a friend who is a massage therapist come work on pressure points. A couple of hours later we left for the hospital, not at all sure I should be leaving yet. I was 8cm. when we got there and they were mad. Of course they put me in bed, IV in, AROM and internal monitors etc... I just wanted to move, so I was twisting from side to side in that stupid bed. When the baby's head passed by the incision, I felt burning pain, and freaked out a bit because I had read that was a sign of rupture. The irritated nurse coldly told me uterine pressure and baby's heartbeat were find and to remember "I did this to myself!" Thanks. Then comes forced pushing with legs lifted while on my back. They place my baby across the room to give O2, watch color and temp, and make her fast for her 1hr PKU! Then they retracted the cord. When I asked to leave early, they said they'd be keeping the baby if I left before checckout a day and a half later. Oh, and then the OB comes over, shakes DH's hand (what!) and says, "Congratulations, that's the only way to have a baby, but if you'd been here earlier I'd have cut her open."
When I got pg with this baby, back in the green capital, I thought I'd have no trouble having a VBAC in our forward thinking city. Wrong! There is one OB in the whole city who'll allow a trial of labor. At first I was a little nervous about the idea of doing this at home, but now I am completely comfortable with the decision and am sure it's the safest place for me to be, unless I need to transfter for surgery- in which case I'm not so sure being in the hospital gets me help any more quickly.