Mears are you there? And/or any other midwives??

[allyco]

have posted today about possible homebirth following c/section and just wondered how you personally would feel at being asked to attend at home a woman who had had previous c/section, a fibroid uterus (hospital have said I will bleed hugely following the birth because of this, but given me no real reason as to why and I think is more scaremongering) is para 4 + 4 and is 41 (!).

I just wondered. I will ask my comunity m/w's point of view when I see her next but am concerned that she very rarely does homebirths anyway as they are not exactly popular in my area/...

Honest opinions please - I can take it!!

TIA

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hi Norms - on my other thread someone pointed out that legally you are entitled to have a homebirth and it's up to hospital to supply you with midwives. The question is, are you up for the fight?

At the mo I'm not sure. How about you?

Hopefully Mears and or other m/wfs will see this thread and let us know what they think.

38?? Old?? FFS!

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bumping for evening crew in general and Mears and midwives in particular!!

TIA

Sorry - have been offline with internet access problems for a while.

All depends how confident your midwife feels TBH.

What was C/S for last time? Have previous deliveries been normal? I would be more concerned about the fibroids than the C/S to be honest. There is a risk of haemorrhage with fibroids because the uterus is occupied by them and may not contract so well. The problem is that you will not know if that is going to be a problem till it happens.

I think the ideal situation would be to have a minimal intervention labour in hospital. You should be allowed to moblisie and adopt whatever position you would like. However, depends how confident you feel. Might be worth going and having a chat with the senior midwife of the labour ward.

It certainly is your right to labour wherever you choose - home or hospital. You need to have all the information though to make an informed choice. Good luck with whatever you decide.

Having had 2 emergency ceasareans for different reasons whilst living a (as much as I can do!) holistic lifestyle and being 31 when DD1 was born, I would suggest a midwife led 'Home from Home' room might be the best option for you and your baby. This is what I tried. You are in the hospital, but down a seperate corridor where the doctors aren't welcome unless invited in the event of something that the midwives can't deal with. You can take music, bedding, food, drink etc. but don't have the worry of a potentially life-threatening ambulance ride if a problem does (God forbid) occur. I totally understand the stay away from hospital ethic, but was unable to avoid it for the birth of dd1, despite labouring at home, and with hindsight a middle of the road option will give you the best of both worlds. Good luck.x.

thanls mears and Jumble for that.

previous c/s was for: well, I don't know really .

I had been having problems with pain caused by degeneration of a fibroid so I had been in hospital for about 12 - 14 hours anyway (this was at 34 weeks).

Eventually someone said "have you been on the monitor?" and I hadn't so they hummed and haahed and put the CTG on. After a bit they said baba wasn't happy and examined me and said I was 2cm dilated. Firstly the registrar said maybe we could let you labour for a bit seeing as you have fast labours (excuse me, I don't, and that was on my notes. My previous labours were augmented), so went straight to c/s for foetal distress.

I found out when pregnant with this baby that the c/s was done for placental abruption (they never mentioned that at all during the proceedings) but that at c/s they then couldn't find definite evidence for an abruption...

So all in all I don't feel overconfident about hospitals but still appreciate that they may well be the safest place for me.

I want a 6 hour discharge then!!!

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Norms your hosp sounds a bit like mine - where do you live (if you don't mind me asking)?

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hi Norms.

I'm just outside Newcastle (upon Tyne).

Are you near??

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sit on the toilet?? in labour? how strange [confused emotican]

still, what do i know?

i do have my mother staying with me at the mo, as im due on mon, and shes a MW, so i'll ask her in the morning for her tuppenceworth, if you like.

will post back then.

Hi, Notacow's mum here, been a pro-homebirth midwife for 27 years.
Too many risk factors in my opinion I'm sorry to say....C-section alone wouldn't rule out home birth entirely if more than 2 years ago, or if vaginal delivery since. In short agree with Mears, fibroid makes it way too risky. Anything left in uterus after delivery might prevent it contracting firmly enough to prevent bleeding, and nothing bleeds like a post-birth uterus. Sorry, suggest you put your energy into arguing for 6 hour discharge. Good luck.

thanks Mears and notacow - I would rather ask on MN and have opinions I trust than go with what the hospital say!!

My community midwife's opinion was much the same tbh - the fibroid is more of a problem than teh previous section.

Something else I wanted to ask: currently baby is breech. The opinion on THAT seems to be that he may stay that way because he's comfortable and the fibroid is preventing him turning and it it therefore inevitable that I will have a section anyway. But why is this, can you not have a breech baby vaginally??

TIA (again)

Yes you can have a breech birth where all else in the pregnancy is normal and you have doctors/midwives who know what they are doing. With the fibroid being present, it might cause a problem with progress in labour.
Think this baby is telling you something TBH

oh mears do you mean he is saying "have a section mum"

Bugger.

That is what I am thinking allyco

Well. Bum. Don't know what to say!!

Will keep you posted though..