Advice on challenging hospital VBAC policy
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(14 Posts)
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WOuld like some advice as am now starting to lose all sense of perspective!
I had an em-cs with DS after a long induced labour. In our area, we are fortunate in having a dedicated maternity hospital. Within it, there is midwife led-unit - like a birth centre within the hospital, which is where I started off my induction. After hours of making slow but continuing progress, I was moved to another floor, to the cosultant led unit becuase the midwife on duty said she wasn't happy with my progress. I was put on the drip to strengthen contractions, on continuous monitoring, and ended up asking for an epidural - I found the pain too hard to cope with stuck in bed. DS - who was 9lb10 - moved into an awkward position, my progress stalled, and I ended up with a section.
With this pregnancy, I am going for a VBAC - however I have been told that the hospital protocol is that I must be on the consultant led unit, cannuala inserted, continuous monitoring, nil by mouth. I was very upset about this,as I feel my best chance of a VBAC is on the midwife led unit. My midwife referred me to a consultant, and made out that it was simply a case of getting them to sign off on this. She also said I could have "mobile" monitoring. The consultant refused to ok my being on the midwife unit, and said they couldn't promise mobile monitoring. She has in turn referred me to a consultant midwife,to talk about a birth plan - but the idea is how to make being on the consultant led ward better for me, rather than agreeing to what I am asking for.
I hated the consultant unit, it had a completely different atmosphere, and my progress stalled as soon as I was moved there. I feel that I have a much lower chance of a successful VBAC there. However, the hospital are being really rigid. DO I keep pushing this, or am I ignoring reasonable medical advice and being unecessarily demanding?!?!
Thanks for the advice - I think I will call AIMS in advance of midwife appointment, as I really feel I need to be really well prepared.
From the outset, I definitely think the emphasis on VBAC has been on what "must" be done - the more I look at the VBAC info sheet, which sets out the whole CFM, nil by mouth thing, the more annoyed I get - and frustrated with myself; I "know" that they can't "make" me do anything - but it is hard when it is presented as both strict policy and what is "best" for me and the baby.
I'll update after my appointment!
calls AIMS and they will help. I had a vbac after 3 sections and had been told all the continoual monitoring nonesense. Legally you can give birth where and how you wish and refuse all intervention and no, you don't have to sign anything saying you refused. They cant make you do anything.
In the same position as 35 weeks pg and had emcs under ga with DS due to foetal distress following induction for reduced movement and no amniotic fluid at 40+6.
I won't have the cannulam they said they'd 'prefer' it but doesn't look like they will insist, and I have been told the CFM will leave me mobile. Have to be on the ward though but I'm ok with this as long as they don't move me rooms again half-way through as they did last time.
Had to fight for a CS date ahead of 40+10, got one at 39+6 in the end. They are very keen for me to try a VBAC. I would be keener if I felt they had the support mechanisms to enable its success, but I don't.
Interested in this thread, I want a homebirth when I get pregnant next (TTC at the moment) - I ended up with c section after similar labour to yours - long & lack & progress & then bad position after the drip - have already been told by a MW friend they won't allow me - what are they going to do, arrest me & handcuff me to a hospital bed? Just say no politely and repeatedly - I bet they'd rather have you in the MLU than a homebirth 0 that will really freak them out! And if you insist on a HB whilst they may not be happy they definitely won't want to risk you giving birth unassisted on their watch if they suggest they will refuse to send you a MW.
I am a member of a fairly militant VBAC email group - ukvbachbac@yahoogroups.com - you'll get good support there & practical tips about how to achieve what you want using polite pushiness & stuck record techniques
I had the same concern about you about ignoring reasonable medical advice but have researched thoroughly and honestly believe the safest place to plan to give birth is where you feel most comfortable - with easy access to hospital if it all goes wrong - nothing to say it will go wrong as quickly with a VBAC than a first time labour
In fact when I saw the consultant I just blurted out "I want to be on the MLU" and then cried when she told me the reasons I couldn't. I really beleived my midwife when she said it was just a case of getting them to write it was ok on my notes...but this was the same midwife who thought DS was going to be 7lb

!!
I have thought about asking for a homebirth and then letting the MLU seem like a compromise, but knowing my luck, they will ok it!!
I definitely felt pushed into things last time and was very determined not to just go along with what I was told this time around - it wasn't having the section itself which upset me so much as the feeling that I should have stood my ground more.
Thanks very much for responses - I think I need to prepare for my appointment with the consultant midwife more - and be armed with specific facts and questions - which I wasn't when I saw the consultant.
no, they don't have any say at all.
they can advise. that is all.
I'm probably completely wrong btw!
I just found it so incredibly hard to reason with them
But if it's on the hospital grounds. Surely they have more of a say than the mother?
i would point out to them that where and how you labour is YOUR choice and not theirs/
and that while you are willing to listen to any concerns they may have and take it on board, that at the end of the day you will be having your baby where you want to have it.
don't be pushed into doing it their way. if you aren't comfortable and relaxed then you are far more likely to end up having a lot more intervention again.