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Discussion Starter · #1 ·
Doula?<br><br>
Supportive partner?<br><br>
Medicated (ie epi/pain relief) vs. Unmedicated?<br><br>
If unmedicated, some type of "unmedicated" help (ie hypnobabies)?<br><br>
Classes?<br><br>
Supportive OB?<br><br>
Supportive hospital?<br><br>
HBAC is the only way to go?<br><br>
Stay at home for most of labor?<br><br>
Run to the hospital for peace of mind?<br><br>
Enquiring minds want to know! TIA!
 

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You asked:<br>
"HBAC is the only way to go?"<br><br>
I just have to chime in. I'm planning a VBAC in August also and so of course I'm very interested in this thread. I have been on this board a long time and I am REALLY FED UP with 50% of the responses saying basically "why don't you just have an HBAC."<br><br>
We can't all have an HBAC for many reasons. I don't feel like I need to spell out the reasons but top of the list would be lack of HB mws or other care, insurance woes, and actual medical complications resulting from previous births.<br><br>
Preparing to VBAC in a hospital with an OB or anywhere else for that matter, is HARD ENOUGH without this cavalier attitude of "just have an HBAC".<br><br>
I hope this board can extend to support to ALL of us HBAC or not.<br><br>
Sorry to sabotage this thread, and I know at least one MOD is pro HBAC so I'll probably get wiped off but I just got done reading a bunch of other threads where this kept coming up. I can't stand it anymore and don't feel there is equal support for us poor, pathetic hospital goers.<br><br>
Go ahead, flame away....
 

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To the PP: This may not be the thread to air your grievances about people suggesting HBACS. The OP was asking what was essential to everyone's individual VBAC success and that was one of many options. I think the reason that many people suggest homebirth after cesarean is because it is often the hospital institution and unnecessary interventions that cause cesareans in the first place. No one says you have to hbac, it just makes it much easier to get the birth you want.<br><br>
To the OP: hands down for me, it was my supportive OB. He wasn't perfect, but i would have to have fought for a vbac under the circumstances with any other care provider. He knew i was well-informed and for the most part, i called the shots. No scare tactics, no manipulation, just dialogue and respecting my decisions.
 

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<div>Originally Posted by <strong>milkydoula</strong> <a href="/community/forum/post/11537880"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">To the PP: I think the reason that many people suggest homebirth after cesarean is because it is often the hospital institution and unnecessary interventions that cause cesareans in the first place. No one says you have to hbac, it just makes it much easier to get the birth you want.</div>
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That sums it up.<br>
I think doing whatever to avoid the repeat C/S and having a knowlegable and supportive Healthcare Provider is key.
 

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If you decide to go unmedicated, practicing certain breathing techniques can really help. I practiced belly dancing before and during pregnancy. I would have loved to labor that way the entire time, but alas became too tired and stayed on the toilet for a long time with a pillow to rest. So those are my two recs. Stay in the bathroom, you will feel so comfortable releasing all your tensions. Plus if you need to pee, you're already there. Good Luck<br><br>
Oh yeah a doula!!! You can read my daughters birth story to get the whole picture
 

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I looked back on Why I had My c/s in the first place. After figuring that out, I took steps in this pregnancy to try to prevent that. Mine was due to PIH, I researched ways to keep blood pressure down for hours and hours. I had the mind set that if I could keep the bp down, then nothing could stop me....but that is what was the cause of my c/s, everyone's finds themselves here for different reasons. Grab the bull by the horns, ask questions, find out why, and learn more<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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Metality<br><br>
You have to think "YES I CAN VBAC!" "Yes, I will VBAC!!"<br>
You have to say it, believe it, live it!!!
 

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mentality for me as well here....<br><br>
But for me, this also means <i>doing</i> things...becuase for me, I like to feel that I can activly <i>control</i> things - in order to get my mind set right...<br><br>
I also think looking back and seeing why your CS happened in the first place is a good idea...if anything, to help you through it because for me, it was a loss and I had to get through that. For me though, there was not much I could have done about my CS but...<br><br>
We plan to TTC soon (see sig! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/orngbiggrin.gif" style="border:0px solid;" title="orange big grin"> hehe)...and It will be a planned HBAC so I am doing things (for mind set) like taking red raspberry leaf capsules and EPO and massaging my scar area everyday and doing my kegal exercises, etc. All things that I know I can <i>do</i> to help give me a 'stronger' uterus in perparation for its journey ahead!<br><br>
For me - it is HBAC as well for some reasons mentioned above. I also just had a bad exerience in hospital - being stuck there with my husband only able to visit me during visiting hours when I needed him most, etc... These things I can avoid at home. And unlike the US - in the UK, every woman gets a MW regardless of where they plan to birth, you have the legal right to give birth werever you wants and you will have a MW as it is illegal to leave a woman in labour alone...and I only pay for this through our high taxes <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/wink1.gif" style="border:0px solid;" title="wink1"> lol - as healthcare is free here, so I dont have to worry about insurance, etc. It seems much less a struggle here basically, than in the US...so for me, I might as well just have a homebirth! <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
I also dont feel I need support ...But I dont want the oppsosite! - It would be a bother to me if people were unsupportive...but they dont need to be supportive. ...I think that would just be a bit much for me becasue I know I can do this and I dont really need them cheering me on. I guess I just find that sort of attention OT and it would just make me feel more uncomfortable then helpful for me.
 

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For me, it was a number of things (not necessarily in this order, but all were important for me):<br><br>
1) having no doubt it was the best choice and that I *could* do it<br>
2) having a doula to support both myself and my DH. I chose her probably as much for me as for my DH. She made my DH feel very comfortable that everything that was happening was normal (well, b/c it was normal).<br>
3) having a supportive OB. The OB that I go to is fully supportive of natural birth, vbac and will provide backup support for homebirths. I am almost 100%sure that if I'd ended up with a repeat c-section during labor, it would be because I truly needed it and not b/c the dr wanted to be somewhere else.<br>
4) choosing to go to a supportive hospital. I had a choice of two hospitals where the OB attends births. I chose to go to the one twice as far from my house (about 30-40 minutes) rather than the one closer to my house (about 20 minutes) b/c they were more supportive. The first nurse I had when I got there said she'd had two vbacs herself (one using the OB that I was using). I remember the word "vbac" being mentioned twice in my presence: once when I had to sign the "vbac consent form" and once when the nurse mentioned her vbacs. I was never treated like "THE VBAC WOMAN IN ROOM 4".
 

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1) I had a supportive, great doula who encouraged me and warned me what the dr/nurses were talking about during my vbac.<br>
2) My mindset...I was bound and determined that I was going to have a vbac and nothing short of a real emergency would convince me to have a c/s<br>
3) Education.....I read up on all the interventions so I was informed when they "offered" different interventions. I was able to refuse and tell them exactly why i was refusing. Also, I was able to direct them to other tests eg..when monitor failed, they wanted to do c/s so i told them to do a an internal monitor to get another reading. They had been trying to use that as an excuse to do c/s...boy they were ticked.<br>
4) Being assertive....if you dont want an intervention tell them no! They wanted me to have an epidural and I refused. The resident yelled at me and I yelled right back. Eventually she left the room...Incidentally, try to keep the residents out of the room. They just are soooo pro intervention and disrespectful (in my experience anyway). They dont seem to know what a more natural birth is.<br>
5) Be aware that obs seem to have a disease called lackofpatienceitis. C/s is faster and easier for them rather than waiting for a woman to labor normally.<br>
6) Have an advocate with you if you can. I am planning to have a friend with me to speak up and remind them of my wishes and to back me up...it is hard to be assertive when you are trying to push a baby out.
 

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Discussion Starter · #11 ·
Thanks, ladies, for all the responses. They are wonderfully helpful!! Keep 'em coming!! I am putting together my "tool kit" now, and am really getting excited about getting pg and giving birth the way it was intended!!
 

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Go to an ICAN meeting. Creating supportive social bonds as well as informative connections will be key tools to creating your perfect vbac, no matter your choice of locations. Its easier to find good doctors, doulas, midwives (especially the underground ones) when you meet face to face with other women who have experiences similar to your own.<br><br>
A key to my personal success was having an HBAC because it meant that I would recieve the kind of care and support I needed to birth normally.
 

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I just had my VBAC this past Saturday 6/21/08!! Here's my take....<br><br><div style="margin:20px;margin-top:5px;">
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<div>Originally Posted by <strong>citymomstl</strong> <a href="/community/forum/post/11537592"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Doula?<br><b>Had my mom, a CNM and an amazing labor coach with me - very essential!</b><br><br>
Supportive partner?<br><b>Yes - he never doubted my decision for a minute. He was 100% supportive</b><br><br>
Medicated (ie epi/pain relief) vs. Unmedicated?<br><b>Mine was unmedicated - very doable as long as you have good support - and totally worth it.</b><br><br>
If unmedicated, some type of "unmedicated" help (ie hypnobabies)?<br><b>I used hypnobabies early in labor but by the time things got really intense I relied more on my mom. I also spent about 3.5 hours in transition (8-10 cm) which was tough. Having someone to help me maintain my focus was key.</b><br><br>
Classes?<br><b>No classes with this one. We did read through "The Birth Partner" which was very helpful.</b><br><br>
Supportive OB?<br><b>I used a family practice doc. She actually ended up being out of town for the birth and I had the on-call attending, who was *excellent* (I'd never met him before but I was so impressed I may switch my care over to him). He was 100% supportive, reasonable, and was great at interfacing with me. The birth was officially co-managed by Family Medicine and OB (baby had low fluids at a 41 week AFI test, so we were sent straight to L&D). He was also excellent at interfacing with the OB folks, who were keeping a close eye on things - it was nice to have an extra "layer" in the decision making process for us.</b><br><br>
Supportive hospital?<br><b>Very supportive hospital, with the lowest c/s rate and the highest VBAC rate in the city of Chicago.</b><br><br>
HBAC is the only way to go?<br><b>Not for me. I was not comfortable with this and neither was my husband.</b><br><br>
Stay at home for most of labor?<br><b>That had been my original intention but we ended up at L&D in early labor because of the testing results. I got there around 2:00 PM. I think I probably would have headed over there around 6 or 7 PM otherwise.</b><br><br>
Run to the hospital for peace of mind?<br><b>Had things been 100% assuring during our testing I would have felt fine about waiting until I was really ready to head to the hospital. Because they weren't, I felt very good about making sure things were fine with the baby. My main concern was that (1) they left me alone if everything looked ok and (2) that if things did NOT look ok, the problem was identified quickly and dealt with appropriately. It worked out perfectly for us.</b></div>
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ETA: Just read a PP's comment about residents. My VBAC was at a teaching hospital and I interfaced with 2 different residents, who had 2 very different approaches. The OB resident who was "on" was very good medically but her bedside manner sucked. She was much more aggressive about wanting to move things along and I was quite assertive with her in terms of "if the baby looks fine and things are progressing, let's just leave me alone". At the end of the day she was pretty reasonable and I didn't really pay much attention to her - I was too busy dealing with labor.<br><br>
The Family Medicine resident was quite good and I think it was probably a very interesting experience for her to see a completely natural labor and delivery. She worked closely with the attending and I was happy to let her come in whenever they wanted. Despite the fact that this hospital has a lot of MWs (like 25-30), there are still fewer than 10% of all births that are unmedicated, which is pretty amazing.<br><br>
I feel like if it's as easy as letting a resident observe, we can serve as great examples of how great a natural birth can be. They may go through their entire training and never see that otherwise.
 

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Having an HBAC with a midwife who never talked about my up coming birth as a VBAC. There was almost no mention of it at all.<br><br>
It was just a normal birth at home.<br><br>
That's it. Forget about the VBAC.
 

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Hi, mine was a good 16 months ago but here's what did it for me.<br><br>
The first thing was knowing a midwife willing to work illegally to help people like me who had had 2 c/s. She was really knowledgeable and I trusted her.<br><br>
The second thing was seeing a chart of the birth process in my doctors office and realizing that the vagina isn't very long and that I could easily get a baby out of it.<br><br>
The third thing was education. My midwife educated the heck out of me with videos, contacts with other vbac moms, books, etc.<br><br>
The fourth and possibly most important thing was me coming to a place within myself where I believed what I was doing was safer and better.<br><br>
It also helped when my neighbor showed up (the midwife was out of the area until 30 mins before birth) and assured me I sounded like she did when she was in labor which soothed any fears that perhaps I was in more pain than usual indicating a uterine rupture.
 

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<i><span>Doula?</span></i> <span style="color:#000000;"><b>Yes!!!</b></span><br><i><span><br>
Supportive partner?</span></i> <span style="color:#000000;"><b>Unfortunately, no.</b></span><br><br><i><span>Medicated (ie epi/pain relief) vs. Unmedicated?</span></i> <b><span style="color:#000000;">Unmedicated -- in my case, I was concerned about side effects & repeating the chain of events that led to my c/s.</span></b><br><br><span><i>If unmedicated, some type of "unmedicated" help (ie hypnobabies)?</i></span> <span style="color:#000000;"><b>Hypnobirthing, visualization, yoga.</b></span><br><br><span><i>Classes?</i></span> <b><span style="color:#000000;">No.</span></b><br><br><i><span>Supportive OB?</span></i> <b>Yes.</b><br><br><i><span>Supportive hospital?</span></i> <span style="color:#000000;"><b>Yes.</b></span><br><br><span><i>HBAC is the only way to go?</i></span> <b><span style="color:#000000;">It depends on your health history.</span></b><br><br><i><span>Stay at home for most of labor?</span></i> <b><span style="color:#000000;">YES!!! You'll be on the clock as soon as you go to the hospital.</span></b><br><br><i><span>Run to the hospital for peace of mind?</span></i> <span style="color:#000000;"><b>It depends on the situation -- I did go to hospital triage when ctx were 5 min apart, but went back home because I was not dilated at all, I wanted to avoid interventions.</b></span>
 

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Discussion Starter · #17 ·
Thanks again for all of the information! For those of you that used yoga, how did you use it? I practice several times a week, and did a prenatal yoga class during much of my last pregnancy, but I am intrigued by how it can be used in labor. Do tell!!
 

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These are the steps I'm currently taking:<br><br>
Doula? Yes, I need an advocate in case I am being railroaded. In labor, I am in no mindset to fight.<br><br>
Supportive partner? Absolutely, I wanted my DH on board 100% because if he gets swayed into a c/s then its pretty much all over for me.<br><br>
Medicated (ie epi/pain relief) vs. Unmedicated? I'm going unmedicated as I want to stay at home until hopefully 8 or 9 cms.<br><br>
If unmedicated, some type of "unmedicated" help (ie hypnobabies)? I'm using Hypnobirthing.<br><br>
Supportive OB? I switched providers I didn't want to have to fight during labor... Informed Refusal does not mean they will leave you alone but will do everything in their power to convince you. I'd rather have a pleasant birth experience and not have to fight during labor.<br><br>
Supportive hospital? The hospital has no stance on VBACs and leaves it up to the providers.<br><br>
HBAC is the only way to go? Not for me, unfortunately.<br><br>
Stay at home for most of labor? Absolutely, the minute you go in you are on the clock!
 

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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">For those of you that used yoga, how did you use it? I practice several times a week, and did a prenatal yoga class during much of my last pregnancy, but I am intrigued by how it can be used in labor. Do tell!!</td>
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I used yoga breathing techniques to ease discomfort -- the Lamaze breathing techniques made my pain much worse. I used any and every yoga position I could think of to get through ctx -- both Hatha poses and more active Kundalini exercises. Child, Cat, Cow & Sunflower were the most effective. My labor was 68.5 hours long w/ctx 5 min apart. No medication necessary...the pain was nothing compared to my induced labor &c/s recovery.
 

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Freedom! Freedom to move around, not being tied up to any monitors or an I.V. It was so important to me to be able to do whatever I needed to at the moment with no judgment, unsolicited advice, etc. And for some reason, certain parts of my house (even my room) felt more comfortable to be in. I was either in the bathroom (peeing after every contraction during first stage) or standing next to my bed (couldn't lie or sit during contractions at all). And I loved my midwife and her assistant--they were quiet and respectful and I felt so safe with them! My labor dragged on and no one made comments about that so neither did I. Anyway, that's what made my HBAC great I think.
 
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