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Any midwives/obstetricians about? Precipitous labour (v short)

27 replies

pandarific · 10/12/2020 09:30

I'm pregnant with my second, and having a bit of a worry about a more than likely quite short delivery with them.

My first baby was born at 42 weeks after a 5 hour labour so fast and furious for a first timer (it probably would have been quicker but I sort of tried to hold him in in the taxi to the hospital). I had been booked for a home birth as we have excellent service here and only live 5-10 mins from the hospital but the midwife was at another birth, didn't send anyone else to check us despite numerous phone calls and 4 hours at home.

She assured us I had 'lots of time and to get in the bath and take cocodomol' when I was struggling with the pain). HmmHmmHmm Cue transition in said bath and urge to push, panicked taxi ride to hospital, fully dilated on arrival, vaginal delivery about 30 mins later, second degree tear. I have a grade 1 cystocele but I think this may have happened post birth by me moving something heavy I shouldn't have.

So I'm worried about having a very very short labour, and having read up on it, it seems it's quite likely for a second after a fast first delivery. I'd love to some advice from mws or obs here on what they'd do, in my situation? Home birth (I have been ASSURED someone will show up this time and FAST will be all over my notes) or hospital?

My worries:

  • Making my prolapse worse! I've read on here about precipitous deliveries making it worse and I'm worried about it. Hence I'd prefer to deliver in a birth pool, nice and calm and easy, tea lights etc as was the plan last time had the mw shown up. I'd still rather chance the vaginal birth with lots of hypnobirthing and go for a repair afterward if needed rather than elective c section up front (would really rather avoid c section if possible).
  • Being alone with my husband (or worse the toddler) when the baby is born - this happens I know when people have half an hour to an hour deliveries. I really, really do not want to give birth alone in my house with ambulance people coming through the door, the idea just freaks me out, I was scared enough last time with no one there but us, I absolutely do not want that this time. This is my main concern with having a home birth, that they won't come in time and we'll be on our own.
  • During my first labour when I was in the final stages my baby's heart rate kept dipping (turned out he had cord x2 around his neck, my cord was nearly 2metres long) so I was kneeling up on the bed with a monitor on. I am worried that if I go into hospital to birth I'll end up with cascade of intervention, monitored rather than in a birth pool which would be my massive preference (to help with a calm, slow, safer from POV of birth injuries, relaxed delivery), possible c section etc.
  • I'm not quite clear on how they judge if a baby is in distress or not, or if the baby's heart rate is 'just' dipping from a really quick labour/cord compression etc which my midwife has said is quite common? I just would rather avoid major abdominal surgery c section if possible.
  • Induction. I refused it last time, preferred to just wait, which was fine with the team. I don't expect to go so far over this time but they already have dated me a week further on than I actually am based on the scan so it may come up. I feel like if they touch me with a pessary etc it'll cause everything to go into overdrive, so I wondered if I get to that point if they'd agree to break my waters instead and see if that kicks it off (seem to remember high percentage of people go into established labour after waters go)? And I think I could still use the pool etc in hospital if we did that as it's not the kind of intervention you need the constant monitoring for. (?) So this time induction in this way looks more attractive to me, because I'll be in the hospital so not risking having no medical professionals there, I could in theory use the pool and have the chill birth I'm hoping for.
  • any other advice at all for e.g. 1.5 hour delivery? I'll be hypnobirthing and doing the perineal massage as much as possible to minimise tearing.

Obviously I will do whatever is safest for the baby, but I would also like to give myself the best chance of having a nice calm birth this time, knowing it's likely to be quick. So... in my situation, what would you do? I will of course also be talking to my mw but a range of opinions would be great to hear.

OP posts:
notafanoftheman · 10/12/2020 16:17

OP this was me. I had my first in 5 hours, my second in under 2. Fast labours run in my family, my mother and sister had fast labours too. I had the second in hospital but by the skin of my teeth and if there had been any traffic I would have had her by the road - luckily it was the dead of night, but I went from 0-fully dilated in the car in one long contraction which was NOT fun. In your shoes I would 100% have a home birth, especially as you'd have to wait until someone turned up to look after your toddler before you could set out for the hospital.

Howmanysleepsnow · 10/12/2020 17:41

My first labour was an hour from first pain to birth. I was worried about getting to the hospital in time for the second and my MW tried to persuade me to have a home birth, but when I asked how quickly a midwife could get to me was told it’d be 45 minutes to 6hours depending on where they were coming from and if they were with someone else when I went into labour. Based on that I went for planned induction, which took 50 minutes from the first pain.
I did the same with my 3rd (40 minutes) and 4th (3.5 hours but with massive haemorrhage and dangerous decels meaning he was born in ICU as they prepped for an emergency section).
I’m very glad I was in hospital when I went into labour each time as my 2nd and 3rd would’ve been born with no MW, and my 4th may not have ended well.

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