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Discussion Starter #1
Just wondering what your thoughts are or if anyone else has been in the same situation?<br><br>
Nine months ago my ds was born via CS after an attempted HB. We hired a licensed midwife, apprenticing midwife and doula for our home birth. After approx. 35 hours of labor and my water being broken our midwife said we needed to go to the hospital. DS was posterior (very bad hip pain) and was not descending. Our vitals were good. My husband and I really didn't want to go. I was supposably at 10cm and was determined to have a HB. After some debating we agreed to go to the hospital. They started to pack everything up and my husband and I kept working hard. We decided we didn't want to go. Our midwife said she had never had anyone change their mind like that but she would stay awhile longer. After approx. 15 minutes with no progression she said we would need to go to the hospital. She said, "We'll go to the hospital get some help, deliver a healthy and we'll be back home in a few hours!" That got me up and we were off to the hospital.<br><br>
Once we arrived to the hospital the on call doc refused to come in bc my midwife had contacted another doc the first time we had agreed to go to the hospital. The doc was going to meet us there. Well, because we changed our mind by the time we got there the doc was gone and wouldn't come back. So to make a long story short we were at the hospital for a good couple hours before we could receive assistance. We finally got a doc, he was down the hall with another client. He said he would agree to take me as long as he had someone for back up (the first doc my midwife contacted agreed to be his back up). Well, the nurse checked me and got me at 10cm. Then the doc checked me and got 6 cm. Then the doc explained that he knew we came to the hospital because we needed something more than what we had access to at home. He gave us a couple choices 1. epidural 2. statyol (sp?) or 3. CS. He gave us time to think about it and then came back to say he doesn't normally recommend cs (he has a 5% cs rate) but he felt from the circumstances and DS positioning that that would be the best choice. We all talked about it and that is what happened. To say the least after recovering from the surgery I was so disappointed. I felt like I failed. Since then I have come pretty much full circle.<br><br>
Has anyone else planned a HB that ended up with a CS? I would love to know! Thanks in advance.
 

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Some states don't "allow" HBAC with a midwife. So you should check your state laws if you are set on having a HBAC.<br><br>
Baby's position is usually unique to that pregnancy. It doesn't mean at all that it will happen again. I would hope your midwife and doula worked with you to get optimal positioning during your pregnancy and labor to even avoid being in that situation.<br><br>
I'm hearing you have issues with your midwife... and I think I agree with you. You are always the one in charge, I can't imagine a mw "giving you" 15 more minutes to progress. However, there are times when something different needs to be done even though you don't want to. (Been there done that.) I think you should take your time and really sort out the events and your feelings. Was your midwife being pushy and telling you she was ready to get things over with? Or was your midwife being honest and trying to get you the help you needed (not wanted- there is a difference). Till you figure out your relationship with that MW, I would suggest a different one. At this point, it sounds like you feel she did you a disservice.<br><br>
As for the dr you ended up with, remember, you are still in charge. If you wanted more time to labor naturally (which I think is what you wanted) then that would have been a valid choice/decision (since you and baby were still healthy.) Walking into a hospital doesn't mean you give the dr and nurses all the power, they are just tools to help you achieve the best birth you can have.<br><br>
So if I were in your position: if HBAC could be attended by a midwife and there were no complications during pregnancy or any cause for concern.... then yes, I would do a HBAC....but would probably find a different MW.
 

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I had a relatively similar experience. We'd planned a homebirth, and after going to 42 weeks (officially it was 41 weeks 3 days), I had to go into the hospital for a non-stress test. There, it was discovered that I had pre-eclampsia. At that time, my midwife decided that it would be too dangerous to attempt a homebirth, even though I was already in labor (mind you, this is over about 18 hours that the NST happened and decision was made), so I had to go into the hospital and was met with a VERY hostile doctor. One thing led to another, and after 20 hours in hospital hell, I consented to the c-section.<br><br>
Even though my midwife didn't do anything to cause my c-section, I know that I still have some feelings of betrayal that she didn't know better, or didn't educate me better, or do SOMETHING to get me to avoid that c/s. Ridiculous, but, hey, it's my feelings.<br><br>
I also knew that in getting pregnant this time, I wouldn't go back to that midwife even if I could (she doesn't do VBAC), because I was too afraid of lingering feelings clouding this birth.<br><br>
So, personally, I wouldn't go back to her. Also, it sounds like she sort of gave up on you.<br><br>
I would bet that there are other midwives, perhaps ones who cater to HBAC regularly, who would be a better fit for you this time around.
 

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First of all, I applaud your bravery and willingness to stay your own course for as long as you did. It would be very difficult to go with your gutt feeling when a midwife (professional) is steering you towards a different direction. What amazes me is that you were able to do all of this will (I am assuming, no pain meds). What a trooper!<br><br>
I agree with the previous comment when it comes to positioning, that is usually unique to each pregnancy. If you are worried about positioning with your next baby check out spinningbabies.com. This website gives great tips on how to get your baby in the optimum birthing position.
 

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By the way you describe it I would not choose that midwife again. I don't see that there was a reason for transfer if you and the baby were doing fine.<br><br>
-Angela
 

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<div>Originally Posted by <strong>CMcC</strong> <a href="/community/forum/post/7974934"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Some states don't "allow" HBAC with a midwife. So you should check your state laws if you are set on having a HBAC.</div>
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Some midwives will still do HBAC under the radar. If your state doesn't "allow" HBAC, and you still want it....I would highly recommend talking to midwives anyway. You may be surprised. I was! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1">
 

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Discussion Starter #7
Thank you for all of your thoughts! The one thing that stood out to me about several of the responses was the sense of betrayal you guys got from my post. The interesting thing is is that I have never had any ill feelings toward my midwife. I guess I just took the stance that I couldn't really blame anyone, including myself. Things happened the way they did - just a lot different then what we had hoped for.<br><br>
Thank you for suggesting the website regarding positioning. I will definitely check it out! One thing that I think we should have done sooner is a internal exam. We (my husband and I) had decided to wait as long as possible because during our Bradley Courses we had learned that sometimes the exams could steer you wrong. So we waited 15+ hours. That is when we found out our DS positioning. From that point on we did everything we could to try and get him to move but I am assuming it was too late.<br><br>
Since I am in CA lay midwives are allowed to do HBAC and our midwife does do them.<br><br>
Re: transferring to the hospital I was told that it is protocal to transfer after 20 hours of your water breaking. Does this sound familiar to anyone?
 

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<div>Originally Posted by <strong>knumom</strong> <a href="/community/forum/post/7975465"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Re: transferring to the hospital I was told that it is protocal to transfer after 20 hours of your water breaking. Does this sound familiar to anyone?</div>
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All sorts of places have all sorts of protocal.... doesn't mean I like them or care to follow them.<br><br>
And I would not have allowed any VE if my water had broken.<br><br>
-Angela
 

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My posterior labor was only half that time, and I was SO miserable. You are such a strong woman!<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/hug2.gif" style="border:0px solid;" title="Hug2">
 

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i would plan a home birth again but with a different midwife. she should have known the position without an internal exam, just by palpating yoru uterus and listening to the heartbeat. if you were dilated to 10 with a posterior baby she should have changed your position to rotate the baby. maybe it was just her rule for you to transfer after 20 hours of arom but every midwife is different. that should be a question you ask when you interview potential mws. i cant belive there was no doctor at the hosptial they they refused you. what if someone walked off the street and needed an ob where would they have been? my cs baby was posterior also. i've read this book, sit up and take notice by pauline scott, it's about fetal positioning, you have to be persistent and practice ofp (optimal fetal positioning) your whole pregnancy or at least the last 10 weeks.
 

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<div>Originally Posted by <strong>alegna</strong> <a href="/community/forum/post/7975223"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">By the way you describe it I would not choose that midwife again. I don't see that there was a reason for transfer if you and the baby were doing fine.<br><br>
-Angela</div>
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I agree.<br><br>
Did your midwife attempt to try and get baby to move into a better position?<br>
I would still try for a homebirth but with a different midwife!
 

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I had a very similar situation, malpositioned baby, only I labored 48 hours at home, was only 5 cm dilated, and the hospital provided ten hours of appropriate intervention and support to try to get the baby out before resorting to surgery. I'm not sure whether I will try for another homebirth, but I wouldn't use that midwife again if she were the last birth attendant on earth. She was hands-off to the point of being unsupportive (actually lay down on <b>my bed</b> to sleep while I struggled through the worst of it with her apprentice who'd been on the job for a whole month) and I hold her much more to account for my c/s than I do the hospital. After all, if a HB MW couldn't get my baby out naturally, why should I expect any better of the medical system? Especially considering that they tried harder. Whatever one may think of L&D nurses, at least none of them actually <b>napped</b> while I was in their care.<br><br>
My point isn't that you should feel exactly as I do, but that I understand your sense of betrayal and you should listen to your gut even if it doesn't fit the typical MDC storyline where all blame ultimately rests on the medpros. Midwives don't walk on water and if you feel you got a bad apple you should honor that.<br><br>
About homebirth in general, I don't know though. I haven't decided for myself, yet. At least I've learned a lot about what to look for in a birth attendant.
 

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<div>Originally Posted by <strong>ebony_vbac</strong> <a href="/community/forum/post/7975733"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">she should have known the position without an internal exam, just by palpating yoru uterus and listening to the heartbeat.<br></div>
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That has been my experience as well. With just an external examination my OB's nurse was able to tell me around 36 weeks that DD was posterior.
 

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Ok, so I have experienced something very similiar with dd birth and it has bugged me ever since! My water broke before labor started. My midwife was with another labor so 15hrs after my water broke she sent over a student to do nipple stimulation and castor oil. I hugely regret this!!!!! My labor was induced and it was horribly painful for the next 48 hrs that I labored. After 48 hours she "advised" me to go to the hospital for pit cause I was only at 3 cent. and progressing very slowly..I didn't want to go..but I trusted my MW completely and "thought" she knew best!! uugh, NO!!! We transfered, when we got there I was 5-6 cent and stayed there for the next 12 hours even with pit! I then broke down and got the epi cause I was exhausted and the pit was torture..well, an hour later the dr's started pressuring us about c-sec. hey did the whole "scare" tactic on my inlaws so they freaked..anyway, my dd was born 10mo ago and I have had alot to work through emotionally. I lost my dream birth. I of course take responsibility and have decided that my next baby will come out of my vagina, at home and I will have a diferent midwife there and prenatel care will be to the minimum and I wont be calling the MW until I am pushing and I wouldn't mind having a UC. I have come to a point that even MW's can interfere with the natural process of a woman trusting her body and her baby. I really wish that my midwife had trusted my body and told me to get some rest and we will wait for me to start labor on my own..I'm sad that we pushed my body into something it clearly wasn't ready for and baby wasn't in the best position either..there was tooo much intervention.
 

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We too had planned a HB that ended up in CS. I still haven't decided if it was good or bad that we ended up in surgery, but as CS go, it went really well.<br><br>
My water broke before labour, and I was positive for GBS, so I was "on the clock." (Now I know I could have pushed that more, but at the time, I was content to follow protocol.) I had 12 hours to get to active labour, and it didn't happen, so we transferred to the hospital (and to OB care from our midwives - although they remained with us as support.)<br><br>
I was induced with pitocin, and 8 hours later there was no progress. Dr. suggested CS then, I said no. She said, well, try an epidural then, it might relax the pelvic musculature and help the baby descend (was that a legitimate potential outcome, or not?) I reluctantly agreed, as I was exhausted, it did hurt, and I preferred that to a CS. 5 hours later, still absolutely no progress (through the whole process, I never got to 3cm, and DS's head was never engaged.) Dr. wanted surgery then, I begged for another hour, she reluctantly agreed. An hour later, I started to spike a temperature, and baby's head was swelling, so with the GBS in mind, we reluctantly agreed to surgery. I had a student midwife with me as well as my regular midwife, and I think she was more upset that I was that we weren't going to have our "natural" birth!<br><br>
Anyway, the surgery and recovery went really well (except that they gave me Gravol that I didn't want... I said I felt I was going to vomit while being sewed up, they asked if I wanted something, I said "yes," meaning a kidney dish, they thought I meant drugs (but so did DH.) That left me dopey, and it sucked.) The Dr. also said at the moment they extracted DS that "this baby was never coming out vaginally!" His head was still 50% above my pubic bone, and he was 9'15". (I know MANY women have birthed bigger!)<br><br>
I always felt nothing was going to be done without my permission, but I wonder if I gave in too easily. I wasn't pressured, but took the information given to me at face value - maybe I should have questioned it more. I don't know. Wish I had all the answers!!!
 
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