Here's a quick background. I wasn't far enough in my natural parenting journey last time to plan a homebirth. It wouldn't have happened anyway because my son was frank breech from 32 weeks on. The practice I was using said my only option was a c-section and I accepted that. It was not the end of the world but I know that his birth was much less than it could have been. I want things to be different this time.
Well, I am currently 17 weeks with baby #2. This time I have hired a homebirth midwife and I love her. She's very supportive of my desire for a HBAC and I couldn't be more satisfied with her care. On some level I feel like all of this coming together is a sure sign that I am meant to have a homebirth this time around.
But there's a glitch - at least for me. The probable reason that my son was breech last time is because I have a unicornuate uterus (half the size of normal). The statistics (which are very limited) site an 80% chance that this baby will be breech as well. Since I am a major, major planner, this possibility is causing me some major anxiety. If my baby does end up being breech, my midwife cannot/will not attend me. I don't want to find out at 36 weeks that I have no practitioner and be scrambling to find someone. I tend to be very choosy about practitioners because I know how sucky they can be. I also want to be able to choose the hospital because I think that will increase the chance that I can have the birth that I want (as much as that will be possible).
So, I really feel like I need to work now to plan for the possibility that this baby is breech. I feel like if I have a plan in place, I can forget about it and focus my energy and attention on having the homebirth I am dreaming of.
Sorry, this is getting long. Here's my dilemma There is a practice in my city where the doctor was trained in Poland and has experience in delivering breech babies. I really like that idea. I would be a hospital vbac, have a hep loc and have to fight all the hospital BS. I guess I could deal with that. The problem being that the practice is all men and there is no guarantee that when I went into labor, I would get this guy.
My second option is a teaching hospital close by. There is a practice there that has been recommended but I am not sure what, if any, experience they have with breech deliveries and I don't know if I want to deal with having to turn away students. And what if they let them assist???? That practice is all women. They would also require the Hep lock and I'd have to deal with the hospital issues.
And as if that wasn't enough, here's my other consideration and my major fear with a breech delivery.
: I am so, so terrified of having to have an episiotomy, especially becauase I plan to have no pain meds. All I can think of is that if I have to be cut, I would rather just have a c-section because at least my body has already been cut there AND I'd be numb. Why have two areas of my body scarred?
I need to talk this through. Thanks for listening.