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Unassisted for me?

689 Views 17 Replies 10 Participants Last post by  homebirthmama2four
I am 25, in a good relationship with my husband and relatively healthy although I am obese.

I have had it up to my eyes with lazy do nothing hard to get ahold of OBs. I have a bicorunate uterus and I have problem pregnancies with a lot of bleeding usually. But it seems like the OBs don't do a darn thing ANYWAYS!

So I was wondering other womens' opinions. I know ultimately that it's up to me but since the doctors don't do anything for me, should I go for it alone?
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It's the blood loss that would scare me, although it may not seem like the Docs do much, they (or the midwifes....why no midwife?) do have the stuff that can prevent hemoraging from blood loss.

Going it alone wouldn't be my decision.
I'm sorry, but I couldn't let this one go. I don't normally lurk here in UC, since I haven't had one and don't plan on any more children. But to the PP, I really want to caution you to research prematurity a little more. Most babies born before 34 weeks have breathing issues, many require respirators in order to breathe, the simply are too physically immature to make it on their own. I realize you said you go to the ER, but even a couple of minutes without oxygen can permantly brain damage a person. I'm not trying to use scare tactics on you, if you and baby are healthy and you're full term or close to it, that's one thing. But 25 week babies typically weigh about a pound, maybe a little more. Some of those babies don't make it even with medical intervention, but most do, and go on to be healthy, happy children.
Does cord prolase not happen immediately? Or very quickly at least?
I was under the impression that if cord prolapse is happening, then it is a matter of a couple of minutes to get the baby birthed as quickly as possible.

Also having a preterm baby is serious.
Brain damage is definately an issue, that would need to be addressed immediately, as well as a whole other host of problems that may arise.

I would say that u/c would not be the option for everyone.

Laurie, I am sorry that you are having issues with your OB.
Could you shop around for another one? or maybe a M/W?
With my first pregnancy I had an OB, who after 2 visits I did not LOVE, so I changed, to a m/w that I did love.
Then went back to her for my 2nd pregnancy, and found that the practice had changed a little ( 5 minute visits and unwillingness to answer my questions ) so I left, shopped around for someone else.
Good luck.
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Okay, it is your body, your baby, your choice. I just couldn't stand by and say nothing as a BTDT mama of two preemies. I've seen 26 weekers up close and personal, and I can't tell you how frightened I would be to give birth to a baby that tiny and fragile.
I don't know where this turned into a thread about prematurity. My son went full term. I ended up with a c-section because he was complete transverse. I tried a few things to get him to turn but he didn't.

I am a bleeder during early pregnancy. I lost my last son at 12 weeks. I'm bleeding again. I'm at 8 weeks now and I put myself on progesterone therapy. I try to see doctors and they turn me away either because they're too busy or they "can't do anything" for me. That seems like a lot of crap to me.

Since doctors are too busy stuffing their pockets with c-section money to attend to me or my emotional needs, even with a previous c-section, heart shaped uterus and bleeding problems, I've considered not going back to them ever for anything. THEY ARE USELESS. And since VBAC midwives are hard to find, I'm considering going at this alone.

That's what I asked for an opinion on. I don't know where all the rest of this stuff came from.

I'm sorry to derail your thread. Obviously I wasn't responding to you but another poster on this thread. I guess I should have stayed out of it, but her statement was very upsetting to me.
Not sure where the concern about prematurity is coming from? The OP didn't mention anything about going through with a UC for a very premature baby.
Oh I see -- Cara said that. Well, I agree, a 25-week old baby is not going to survive outside the womb without special care. I have to say, though, that not everyone would consider it the right thing to do to go to extreme measures to attempt to make a 1-lb. baby live; some people would rather a peaceful death at home than months in an NICU and possible life-long disabilities and health issues.

Anyway... to the OP, yes, it is definitely something only you can decide for yourself, as everyone has different comfort levels and different situations. Personally, weight isn't an issue for me in itself. Overweight or obese women can have perfectly healthy pregnancies, but if the obesity is creating health problems, then it's obviously something (the health issues, not the weight gain necessarily) that you need to keep a close watch on, and you can do that as well (or better, probably) than a doctor.

I know next to nothing about bicornate uterus, but I know there's been a lot of talk about that in the other birth forums, just recently I saw a thread about homebirthers with that condition. Maybe talking to others who have also done research and have some experience would help in making your decision.

The bleeding... well, without knowing more of the details, all I can say is that which ever choice you make, you are still the one who is expected to be on top of that. Regardless of whether you are UCing or planning a homebirth or hospital birth, you will still be in the same position of needing to seek help if something isn't right.


Originally Posted by ella-makes-3
Does cord prolase not happen immediately? Or very quickly at least? I was under the impression that if cord prolapse is happening, then it is a matter of a couple of minutes to get the baby birthed as quickly as possible.
It's a serious emergency, but even in the hospital they're not going to get the baby born in a matter of minutes (unless it's already ready to be born, in which case the baby would be born as quicly at home.) When it becomes apparent that there is a cord prolapse, whether in a homebirth or a hospital, and the birth is not imminent (like going to happen in a few minutes,) the mother is put in a position that takes the pressure off the cord (kneeling with chest down on knees,) the cord is put back in the vagina (if it is actually hanging out) and something protective (like a warm cloth) put over the vagina. Assuming that the baby's head is not putting the pressure on the cord and the cord is protected from the air, there is no immediate danger. In hospitals the time from "decision to delivery" is typically 30 minutes in an emergency situation, and most cord prolapse babies do so well for even that long, that the majority don't even end up in the NICU. (Sorry, too lazy to provide sources, but they are all over the place if you just google "cord prolapse protocol".)
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If it were me with an issue of bleeding... I would probably try to assertain WHY I had the bleeding issue and what could be done to prevent it. Make sure that I had a very good transfer plan in place and I certainly wouldn't go totally solo, I'd have to have a supportive dh or other support person there just in case a hemorrage came on quick. I'd also make sure that I and my support person were well aware of what the early signs of hemorrage are and how to treat it at home, make sure you both agree at what point you will transfer and have plans for the baby in the event of a transfer.

I think that with proper research and preperation the risk of hemorrage alone is not sufficient to put *ME* in the hospital.
Ok, first of all, let me apologise to Laurie and Mindy, I got your names mixed up. Duh!
Also, I am sorry to have kind of blown off your question. I was just a little upset by the other posters opinion on premature birth. I am sure that she didn't mean too much in her statement, it just got me wrong I guess, so I apologise for hijacking.

I would be hesitant to be without medical assistance nearby incase of a hemorage, but that is just my opinion.

Good luck and let us know what you decide on.
I don't have bleeding problems at birth (that I know of anyways) and if I knew why I bled DURING pregnancy I sure would stop it if I could because it's scary.
I might try a managed pregnancy until the time when I stopped bleeding. I truly, truly understand what you're saying about no one being able to do anything for you or figure out the source of the bleeding. Boy do I ever! Sometimes the cause is never found.

I might suggest getting an U/S at 20 weeks simply to check on things which you may be at risk for and to possibly determine cause of bleeding. I too know nothing about bicorunate uterus (perhaps I'll google it in a sec), but I'm guessing there are some specific items you may be more at risk for which could make homebirth or unassisted birth not such a good idea. Or maybe there's not, in which case go for it!

I encourage you to do some research into risks and stats and see where your comfort level lies.
Well, if your bleeding issues are occuring DURING pregnancy, and the doctors are really not doing anything to treat it, then I personally don't see why you couldn't UC.

Harshly put, either you will miscarry, or you won't. If your births tend to progress without problems, then why not UC? I'm not sure exactly what the complications are from a BC uterus? Is the bleeding due to placenta previa maybe, because of the shape of your uterus?

Sigh. You really just have to search your heart on this one. What will the doctors do for you, are you comfortable with their treatment, and do the benefits outweigh the risks? Remember, with ANY UP/UC, the hospital, or doctor, or Midwife is always an option if you feel you want/need help. =)
Many big hugs to you as you decide, and I hope your bleeding episode clears up. Let us know how you're doing.

Tiny bit of info here:

Honestly, I wouldn't be comfortable with it. Assuming you'd make it to term (higher risk of miscarriage with BU), you've got some placenta degradation issues, which could turn into placenta separating prematurely from uterus (I think), which could lead to premature birth, stillbirth, and/or hemmorage to mom. Also an increased risk for breech, which in and of itself maybe wouldn't be a huge deal were you not at risk for other things as well. Not meant to scare you, but those are the facts.

Perhaps, again, a managed pregnancy complete with routine U/Ss up til the end to check on that placenta. IF everything's looking good and you get to term, go it alone assuming you're comfortable with the remaining risks.
Oh, guess I misread... I thought your issues were with hemorrage... during pregnancy it's not totally unheard of for some women to bleed regularly or periodically for no apparent reason... I too would probably have occasional (I'd likely "forget" a few appointments) prenatal care done with a US just to be sure that everything was looking good and that there wasn't an actual cause for the bleeding, but a UC would definately be feasible in my mind
I must say right off, that I know nothing about bicornate uterus, but in theory, wouldn't it be possible that one side of the uterus is producing a lining that is being shed as normal, because it's not pregnant on that side? Bicornate means 2 lobes right?

Is the bleeding on a monthly basis or is it constant? And if it's normal for you to bleed during pregnancy, but not during delivery or after (in excess), then what is the worry? If it's normal for you, it's normal- right? Like for instance I don't gain weight, but had a mw freak out on me for it. It turns out it's normal for me and my babies are plenty big and healthy.

Just a thought. I had 3 unassisted births at home all planned, and had a couple of interesting things happen for 2 of them. But having done the research, we knew what to do and everything turned out fine. One was haemorraging during delivery, but then it stopped after baby was out. Not text book, but we are alright.
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