VBAC Policy Change, Date Change, Help me with my mixed emotions! - Mothering Forums

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#1 of 10 Old 11-06-2008, 08:40 PM - Thread Starter
 
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Ok, going for a VBAC here (duh) and there have been some recent changes to the VBAC policy at the hospital. One is no pitocin which I'm fine with - I don't want it or its increased risk of uterine rupture.

The second change was no going post-dates. RCS on due date (or sooner) if spontaneous labor doesn't commence. I don't like this one, doesn't make a whole lot of sense to me. Due dates are estimates at best - babies come out when they want to. Unless there is some medical reason not to go post-dates it should be left up to the OB and patient to decide if/when a RCS should be scheduled.

I have 3 EDD's depending on who you ask. 12/6 according to my LMP based on a 28 day cycle (which I don't have), 12/9 based on my 20w ultrasound, and 12/16 according to the early ultrasounds done by the reproductive specialists. Which one is correct?

We were going with the 12/6 date and that's the one I'm worried about going over (or having a RCS on) so my OB mentioned stripping my membranes at 37w to help prevent that and I've been debating that option. I was thinking of asking him to change my date (again, I have 3). Which he did! He looked at my chart and used the 12/16 date.

Now I'm having mixed emotions about that. I was 35w5d when I entered his office now I'm 34w2d. I'm happy that my date was pushed back - I know I won't go past that - I don't think I'll get to that! But part of me is actually bummed because I was so happy to be near the end and now it feels farther away.

I think my hormones are running amok with my emotions. Because in the end, this whole thing is moot - babies don't care about due dates, they come out when they want to! Even though I know this, I still feel like my pregnancy "sentence" was just extended. I'm huge and I'm tired and think that's partly why I feel this way.

Just needed to vent this out. Very odd to be happy and sad about something that I have no control over anyways. Maybe he moved my date just to relax me a bit and becasue he knows I'll never get there anyway. Maybe relaxing about the whole thing will help me go into labor anyway - I just need to get over the idea that I just went backwards in my pregnancy!

Jennifer
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#2 of 10 Old 11-06-2008, 09:16 PM
 
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My understanding is that the early ultrasounds are pretty accurate. In any case, it sounds as if your doctor is giving you the best chance possible for a VBAC, in light of the hospital's policy on going over dates.

It's just 10 days. Weigh that against a scheduled C-sec and it seems a really good thing to me. As you say, the baby is still going to come when it comes.

I think you're lucky to have someone so supportive.

Mom of two girls.
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#3 of 10 Old 11-06-2008, 10:28 PM
 
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I've always heard that early ultrasounds are the best predictors because there are certain early changes in the fetus that happen at predictable times. But, of course you know that your baby could come 2 weeks before or 2 weeks after that day and be perfectly normal! Anyhow, that happened to me with my second, and I was happy about it because I figured then i wouldn't get bugged about inducing or scheduling a c-section because they went with the later date my whole pregnancy, and my baby ended up coming 2 days before the early date! Hope all goes well for you, those last few weeks are so hard, but your baby will be here before you know it!
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#4 of 10 Old 11-06-2008, 10:38 PM
 
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Take a slow deep breath. It's tough being near the end and having all this to deal with. In perspective, even though he changed your estimated due date, you're still just as pregnant as before, you didn't actually lose the growth or anything, so it's really as a good thing because it bought you more time! And remember you don't have to show up for any c/s you don't want, if an OB scheduled me at 40 wks and I was against it, I would just reschedule it for a week or two.

Momma to DD (12/04) hearts.gif and DS (11/09) hbac.gif.
I survived 16 mos! Ask me about breastfeeding a baby with posterior tongue tie, high palate, and weak oral motor skills- whew!

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#5 of 10 Old 11-06-2008, 11:48 PM - Thread Starter
 
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Thanks, I needed that.

When I say I'm huge I mean it! My DS was 9lb 14oz, 22.5in and this one is not going to be smaller. I was measuring 37w at my 32w appt and today I was measuring 36w at what should have been my almost 36w appt so I had done some catching up. Now I'm measuring 36w at 34w I feel behind again!

He is giving me the best chance for a VBAC - I need to focus on that just let my body do what it's gonna do. I don't have to worry about having my membranes stripped, doing nipple stimulation, RRL tea, cohosh, or castor oil! Odds are, I'll go into labor by myself - I went into labor 4 days early with DS.

One day at a time and I'll make it.

Jennifer

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#6 of 10 Old 11-07-2008, 11:51 AM
 
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It doesn't matter what the hospital policy is, you can always refuse when the time comes to schedule and say you want to "wait a couple more days" and just keep waiting. I went to 42 weeks with my VBA2C and believe my VBAC was successful because I let my baby come when she was ready.

Write a letter to the hospital challenging the policy and ask them to show you the research they used to make that policy - let them know that all the research you found does not show such a policy is warranted.
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#7 of 10 Old 11-07-2008, 12:42 PM
 
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Quote:
Originally Posted by Pod4One View Post
Thanks, I needed that.

When I say I'm huge I mean it! My DS was 9lb 14oz, 22.5in and this one is not going to be smaller. I was measuring 37w at my 32w appt and today I was measuring 36w at what should have been my almost 36w appt so I had done some catching up. Now I'm measuring 36w at 34w I feel behind again!
And remember, babies flex and move during labor to get into better positioning, and pelvises open up, they are not granite, so you could birth a 12 lber if you need to...i have seen it done at home. Your really best bet for avoiding a RCS is to have a homebirth, but barring that, stay home as long as possible, even til the ctx are 2-3 min apart and 60-90 seconds long. I wouldn't try to do any induction techniques, if the cervix isn't ready yet, it's just wasted time and frustration. Everyone feels huge by the end- it's just part of the job! Generally the size of the measurement is the # of weeks, but only 2 cm one way or the other, that's less than an inch and 3rd trimester u/s are notoriously innaccurate when it comes to baby size.
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#8 of 10 Old 11-07-2008, 03:44 PM
 
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Not allowing post dates is not a VBAC friendly policy. But since you have to deal with it, pick the LATEST date possible (ie 12/16 in your case) as your EDD to buy you the most time. This one was dated with u/s so your docs shouldn't have much trouble believing it.

You might consider opting for membrane sweeps starting at 38 or 39 weeks, depending on how dilated you are (I was still completely closed at 40 weeks despite my best efforts to have a sweep done). Sex, walking etc. Personally, I'd take the castor oil before consenting to an RCS. Maybe when you go to schedule the thing you can wait as long as possible to schedule, and push back the schedule date with your doc. For example, if your EDD is a friday, schedule for Monday or Tuesday.

Good luck to you - I hope you get your VBAC!!

Mom to James (ribboncesarean.gif 5/2006), Claire (vbac.gif 6/2008), furry kitties Calvin and Bob, and wife to Dennis. 

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#9 of 10 Old 11-07-2008, 04:48 PM
 
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I went over my EDD by almost a wk with DS2 and he was suppose to be my VBAC baby. I had no probs from him staying in a few extra days. My MW said the eariler U/S the closer to the EDD it is so I would use the EDD of the 16th.

I would just not schedule a C/S and just wait for labor to start on its own.

Best of Luck, LM

~Lisa Marie~ Married 08/03, Mama to 2 Fall Princes '04 :, '06 CBAC & :
Late May '09 Princess VBA2C success :
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#10 of 10 Old 11-09-2008, 03:37 AM
 
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I'd go with the latest date possible too. The worst thing that can happen in that situation is that you go early and they label him/her as "pre-term" and rush them off to the NICU, and if you have your VBAC then you just insist on going with and having kangaroo care and breastfeeding while the monitor for 24 hrs or so. That is a MUCH better situation, IMO, than going quite possibly falsely post-dates and being "forced" into a RCS.

Mom to Kayleigh (05/07) Jacob (05/09) and Ned decluttering 615/2010
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