I'M PREGNANT! Anyone VAAC in a military hospital? Any military moms homebirth? - Mothering Forums

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#1 of 13 Old 02-14-2006, 09:31 PM - Thread Starter
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I had a c=section for polyhydramniosis/too much amniotic fluid. I'm still not sure if the c-section was necessary, but some sites say midwives won't even take you if you have poly..is. So I think it may have been. It isn't supposed to be a recurring thing so I am keeping my fingers crossed.

I want to have a home VBAC, but it is to early in the pregnancy to know if there will be any complications.

I am worried about the intermittent pain near the c-section scar I have had since DS was born. Any mama's with c-section pain could you tell me if it gets worse as your belly grows?

I heard it is pretty easy to homebirth since it is cheaper for the military. How about VBAC homebirths?

If you read this long rambly post, Thank You! TIA for any help!

* I guess that vbac homebirths would just be HBAC I am learning!
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#2 of 13 Old 02-15-2006, 12:07 PM
 
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Do you have Tricare Prime or Standard? If you have prime, I think you need to get a referral from your PCP to use a midwife. If you have Standard, it should be much easier. I have a friend who is using midwives that do homebirths. She is electing to deliver in a hospital with them but there is no reason why she couldn't homebirth if she wanted. I'm not sure if she has prime or standard though.

And yes, homebirth VBACs are called HBACs!

I have Tricare Standard as secondary insurance and hope to use those same midwives someday. HBACs are illegal in my state so I'm not positive that I have HBAC although I'd love to!

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#3 of 13 Old 02-15-2006, 12:48 PM
 
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I'm not VBACing, but I am homebirthing. Tricare won't cover my homebirth midwife (she's a LM, not a CNM) so I'm paying for her out of pocket. I am going to our local Naval Hospital for some care also, mainly for my 20 week ultrasound and the GBS screen. I do know of some other military mamas that are VBACing at military hospitals.

Good luck, mama!

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#4 of 13 Old 02-15-2006, 04:53 PM
 
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Oh yeah - good point. I remember reading that Tricare will only cover CNMs, not LM.

Proud mommy 9/2004 ribboncesarean.gif , 11/2007 vbac.gif, 2/2011 ribboncesarean.gif
ICAN of New Jersey --> find 2010 NJ hospital birth stats here!

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#5 of 13 Old 02-16-2006, 12:46 AM
 
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here is a link. i dont know what the plan will be next time. i really love my OB and he is willing to give it(vbac) a go again, but i like the idea of being at home when i deliver. we'll see what happens when i get pregnant. having a home birth will depend on so many things for me. good luck

http://www.tricare.osd.mil/TricareHa...cfm?tn=22&cn=8
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#6 of 13 Old 02-16-2006, 10:17 AM - Thread Starter
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Thank you all for the replies! I just checked RAF Lakenheath hospital and they do not do VBAC's. I was told the risk is "so much higher than just scheduling a c-section". : But I am moving to Nebraska soon, so I am keeping my fingers crossed that they will be different. They also couldn't tell me if the stitches were the one layer or two, they didn't have my records but I thought it was something standardized at the hospitals. I have another apt. in a few weeks, I should find out then.

Quote:
Do you have Tricare Prime or Standard?
TBH, I am not sure. What do they put Active Duty people under?


BTW, previous C-section pain.... really starting to get on my nerves. Does it keep getting worse the whole pregnancy?
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#7 of 13 Old 02-16-2006, 11:23 AM
 
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My c-section was in a military hospital (failed induction at 41 w, 5 d). The doctor who did the surgery told me the very next day that he did the incision and suturing to ensure that I'd be able to deliver vaginally the next time. No reason not to VBAC he said . My next birth was a VBAC in a hospital, but I kind of did it in a backward way ~ I hired a homebirth midwife to labor with me at home until I was 10cm, and then we went to the hospital to deliver. It worked out great though. This time, I've hired the same homebirth midwife and will just stay at home. Because we live in a state where mw attended homebirth is "alegal", Tricare does not cover my MW fees, so we're paying that part out of pocket. Check the laws in Nebraska ~ if it's a midwife friendly state, you may have no problem with HBACing. Good luck! It can be done.

~~Kristina~~ Mama to DS(10/30/01), DD1(VBAC 3/28/04) and DD2(HBAC 5/21/06)
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#8 of 13 Old 02-16-2006, 11:40 AM
 
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just as long as you stay away from the ft campbell MTF you'll be fine. i wasnt sure my water had broken(sounds stupid but had never happened to me before) so i went there befreo i left for my OB, just in case i just peed on myself ya know. i walked in, said i think my water broke. they took a quick history and the doc came in shortly after and told me i was having a c/s if istayed there! he said "if you were my patient id seciton you right now and not let you labor" i said, thats why im not your patient, so im leaving. so needless to say any future pregnancies will be watched over by my former OB, who did my last c/s and is willingt o let me give it a go again(vbac, not pregnancy, lol). good luck. have you called the MTF you are going to to find out theire policies on VBAC?
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#9 of 13 Old 02-16-2006, 07:28 PM
 
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Quote:
Originally Posted by pumpkinsmama
TBH, I am not sure. What do they put Active Duty people under?
If you are AD, you must be under Prime.

Dependants must register for Prime; otherwise we are automatically put under Standard (enrolling in DEERS automatically enrolls us in Standard so you need to register separately for Prime).

Proud mommy 9/2004 ribboncesarean.gif , 11/2007 vbac.gif, 2/2011 ribboncesarean.gif
ICAN of New Jersey --> find 2010 NJ hospital birth stats here!

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#10 of 13 Old 02-17-2006, 09:38 AM - Thread Starter
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Thank you! I tried the Tricare website but it must be too obvious to mention. Hmmm. Sounds like it will make some things more difficult.
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#11 of 13 Old 06-04-2006, 11:18 PM
 
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Do any of you that have had homebirths live on military posts? I am moving to KY in less thatn 3 weeks and have found a lay midwife that has attended births on post. In checking with some other area mommas that have home birthed, but off post, one informed me that it's a federal offense if we get "caught" home birthing. I've read the housing regulations and am currently searching for the post regulations again but didn't see any reference to birthing at home in either.

TIA,
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#12 of 13 Old 06-06-2006, 07:50 PM
 
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I'm planning a VBAC at Wilford Hall here in San Antonio. I've been told that the hospital is very pro-VBAC with low C-section rate. I meet my (potential) CNMW there in a few weeks and will be asking a lot of questions. I used to work at Tripler in Hawaii and they were also very VBAC friendly and had a nurse-midwife program patients could choose, or they could select a regular OB or a family practice doc.

If you are active-duty you pretty much have to get your care at the military treatment facility. You might be able to get a referral to a local civilian provider if you can ask nice. The hospital/doc (your PCM most likely) will have to do paperwork and submit it for funding. It is a big PITA and some docs may not even know it is possible. Be sure you have a nice explanation about what you want, why, etc. and make super nice. They are pretty reluctant to refer out for care that they can provide - it tends to happen routinely for things they can't do (e.g. subspecialist services, for instance). It can also take a while for the request to work its way through the system - but it is possible.

If you are a family member then you can disenroll from Tricare prime (which is pretty much what all family members are in). This will allow you to see anyone in the community who accepts Tricare (standard or whatever they are calling it these days - gold? silver?). You may have a co-pay or other fees assocaited with the care. Since Tricare is totally confusing your best bet is to call Tricare or visit your local Tricare office. They should be able to give you a handbook with a list of all local providers. The list isn't always up to date so don't hesitate to call around and ask at specific doctor's offices if you hear of someone you'd rather see.

Finally you have the option in either case of just paying out-of-pocket to see whoever you want, have a homebirth, etc.

If you do get care on post. Ask one of the nurses in labor/delivery or in the OB office which providers are most VBAC/natural birth friendly. They will know. Also ask if you can see the same person or team throughout for continuity of care, it does help and usually it is possible. (Rather than seeing 15 different OB residents.)
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#13 of 13 Old 06-09-2006, 09:43 AM
 
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if you are active duty and take the name and addy to your provider and explain why you want to see a civilian you should be able to get a referral for a civilian. i was able to. my ob/gyn and all labs, u/s, etc had no copay, but my hospital stay cost about $25. so still not bad for a delivery (had a c/s)
good luck
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