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Discussion Starter · #1 ·
This is likely going to be long, but I would really appreciate some thoughts on this.<br><br>
I had a (probably) unnecessary c-section with my first child in 91. My OB told me at the time that I shouldn't attempt a vbac. I changed OB's with my second, and he saw no reason I couldn't vbac and I did in 92 (albeit with pitocin and an epidural). My third was also a vbac in 94.<br><br>
When I got preggers 2 years ago, I assumed that with 2 vbac's under my belt, I'd have no trouble getting an OB to do another. Well, boy, I didn't know about all these studies that came out between the early/mid 90's and 2003. When I first went to my OB last time he led me to believe that he was not against vbac's but we'd cross that bridge when we came to it.<br><br>
I brought it up again at 16 weeks and he said that his practice had recently decided to not do them at all anymore because of legal reasons and then told me about the lawsuit that made them change their mind. He then told me that all the hospitals in the town (which is ALREADY an hour from home as my hometown hospital doesn't do c-sections) were getting ready to ban vbac's because of 2 babies deaths and 1 maternal death in the last year. He said I "might" be able to find someone in Omaha (over 2 hours from home) to do it, or "maybe" the perinatal specialist in Lincoln "might." Well I called that specialist in Lincoln and asked his receptionist and unless I made an appointment, she wouldn't even tell me if he allowed any of his patients to vbac, so I d didn't feel very confident there.<br><br>
Keeping mind that my dh was a first time dad, totally freaked about something going wrong, and my next appt with my current ob was the 20 week u/s (which my dh was totally excited about) I just dropped it, towed the line, and consented to a planned c-section. It ended up being totally irrelevant, though, as my bp climbed to 178/98 and at 37 weeks on the dot they decided to do an emergency section (i had been having severe headaches for weeks and could hardly see anymore). I can't say I think that was the wrong decision, as I really really felt ill. However, I had the dickens of the time recovering. My incision reopened and took weeks to heal and I was sore for a lot longer than I was in my 20's. (well duh, I'm old now <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> )<br><br>
So. Now we are here. Pregnant again. And again I'd like a vbac. I'm switching dr's for a multitude of reasons, but I'm wondering how far I should take this with the more recent studies that have come out in 2004/2005 that show vbac isn't really that risky. I really can't afford to not use someone my insurance covers. My husband WOULD IN NO WAY be ok with a homebirth (and I'm not sure I would either, though I'd like to think I could).<br><br>
Do I just meekly go to the knife again? Especially knowing I will likely have at least moderately elevated bp (though I hope not as high as it was!). My 2 vbac's were induced, which I know now is a HUGE no-no.<br><br>
Well anyway, thanks for listening. Any SE Nebraska mom's know vba2c friendly doc's?
 

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nak- you will prolly have more luck finding a midwife that would "let" (hate that word) you vbac than an OB, midwives do hospitals too, they're not just for home
 

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I searched far and wide for a vbac friendly OB, too, with my last pregnancy, and failed in an hour-drive-radius around us search. I got c/s number 3, which I deeply regret now for a couple of different reasons.<br><br>
Anyhow, this time I went the midwife route. I'm seeing a super experienced woman who has attended over 10,000 births and runs a free standing birth center. Depending on how my labor progresses, I might end up going to the hospital with her.<br><br>
It is SO much better, the midwife route..they really LISTEN to what you say, the appts are longer and more friendly, you have a real say in your care and choices, and so on. I highly reccomend it. Recent studies have actually shown that it's safer to give birth with a midwife, than an OB, because OB's are so much more likely to jump for interventions that actually CAUSE problems...
 

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Discussion Starter · #4 ·
Unfortunately, midwives are almost and basically, illegal in Nebraska from the reading I've done. Also, I can not afford the $3000-$4000 fee. I have to have something that my insurance pays for.<br><br>
I feel so trapped. I hate how every OB I've ever gone to treats you so paternalistically, like a child. I'm a grown woman, with 4 kids, and damnit, I want to make my own decisions. It's insane that I could choose to abort my child, but I can't make medical decisions regarding my pregnancy and birth because its "too dangerous."<br><br>
I'm just waiting to see if my new OB recommends an amniocentisis. It's risk rate is greater than a VBAC (as far as death or serious disability) and it'll be interesting to hear how she justifies that when I ask that question.
 

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You should read this: <a href="http://www.birthpolicy.org/ican05.htm" target="_blank">Reclaiming the Rights of Birthing Women: A Primer</a> and get in contact with <a href="http://www.ican-online.org" target="_blank">ICAN</a>
 

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Don't you think you deserve better care???<br>
If you really believe you are a grown woman who should be 'allowed' to make her own decisions than go talk to a midwife. Just talk to her - you aren't obligated to anything and you can negotiate the fee. But that's beside the point - put your money where your mouth/heart is!<br>
We are consumers of health care and we "pay" for it in more ways than just cold hard cash.Nothing is set in stone.<br>
You do not and should not sit by and take the misinformation and fear mongering that the medical model dishes out to you.<br>
You are intelligent.<br>
You've given birth and have raised your children. You are not an idiot and shouldn't be treated like one!<br><br>
I wish you the best and the strength to do what you believe is right. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up">
 

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Hmm - the almost illegal thing is the pits <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> However, as far as cost, you might want to check into it further. I'm on Medicaid and midwives are covered by that here. Medicaid for pregnant women is VERY easy and simple to get, especially if you already have several children. Just a thought.
 

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Discussion Starter · #8 ·
Well i called the only certified nurse midwife center that 60 miles away. And I asked if they do vbac's and they said that the doctor they have on staff does. And then I asked if they'd do vbac2 and she said she'd go ask and came back and said no, they don't do vbac2.<br><br>
Homebirth is illegal in nebraska (yes, illegal. Feel free to look it up), as is midwives attending homebirth. Plus, I honestly wouldn't feel comfortable doing a homebirth an hour away from the nearest "decent" medical facility. The one where I live (pop 12k) could not handle vbac complications.<br><br>
So basically, I'm screwed. I figured I was, but was really hoping that somehow I could have another vbac. This really upsets me and I really wish it were different, but it isn't.<br><br>
Thanks for all the replies.
 

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why not show up at the hospital in advanced labor and refuse a cesarean? You have the right to refuse any proposed treatment you wish.
 

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Discussion Starter · #10 ·
I've thought of that. I have to admit, though I've had 4 children, I'm not very experienced on labor. #1 (ultimately a c-section) was a water break at 37 weeks, followed by pitocin and "OMG, its been 12 hours, time for a c-section so I can be home for supper." #2 was long drawn out early labor, and then to the hospital for pitocin (at 38 weeks), then an epidural, and hours of pushing with no feeling. #3 was induced (at 39 weeks) for high blood pressure, using the cytotec gel on my cervix, followed by pitocin about 12 hours later. #4 was a c-section at 37 weeks due to high blood pressure.<br><br>
SO.. I'm afraid I wouldn't do a very good job at judging just where I was in labor. Plus, I am absolutely not going to deliver at my local (deathtrap) hospital, so its an hour in the car to the "big" city hospital. They delivered my #3 (note how they induced me) and also gave me a uterine infection by insisting on manually checking for uterine rupture after delivery (ouch ouch ouch omg). Then sent me home with said uterine infection, even though I'd reported severe pain and clotting to the nurse.<br><br>
It's very possible I'd have to have another c-section for blood pressure problems anyway. I understand that induction, even for blood pressure problems, IS a danger in Vbacs. I can accept that. What I'm having a hard time accepting is not even being given the chance.<br><br>
Ultimately, if my blood pressure stays ok, (and it was fine for one of my pregnancies, yeah, not the greatest track record) I might choose to do just as you suggest. I just hate that the medical/insurance industry holds us hostage to their financial interests. I hate that.
 

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Sounds like you made your decision already. What about showing up in labor at the hospital an hour away? Is that not an option?<br>
-----<br>
Hey Tina - are you going to the MMC? I saw you're in Homestead. I'm in Ft. Lauderdale and Shari is the only mw I know who has attended that many births <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">. I'm going there as well - just wanted to say hi.
 

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girrllie - Hey, yeah, I am! Neato <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
For all I know, you'r IN the childbirth class I've been attending for the past two weeks!
 
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