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Childbirth

Share experiences and get support around labour, birth and recovery.

"Support for imminent VBACers" thread?

871 replies

pendulum · 05/09/2007 08:42

Hi there,
I am 38 weeks today and planning a VBAC after my el CS for breech.

I haven't spent much time on the ante natal threads because I couldn't keep up with them! But now I am on mat leave and due date is approaching I would love to chat to anyone else hoping for a VBAC in the near future.

Is there anyone else out there, or another thread I can join? (Am just heading to docs to check baby position but will log in again later!)

Thanks
p xx

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Milkmade · 05/11/2008 09:16

All, I just had my booking in appt yesterday, so by no means imminent, but would appreciate some advice. Consultant and I are aligned in most of our thinking, i.e. VBAC preferable to another C-Section (and she was very positive about my chances) but on the other hand if they need to get the baby out early again due to recurrence of pre-eclampsia than I don't want to be induced (it really didn't work last time) so at that point I'd go for an elective. So far so good. Where we differ in views is the standard bug-bear of continuous monitouring. Now I'm not saying that was the sole or even main reason I ended up c-ection last time, I think the fact that it was 3 weeks early, my body wasn't ready, I didn't react well to the induction drugs and it was back to back all contributed.... BUT I do think being stuck in the bed labouring so long and not being allowed to get up in the pushing stage did play a significant part. So 2 questions, one long shot - does anyone know the dutch guidlines on CFM in a VBAC, and secondly, can anyone help me develop my case for intermittant monitoring? Thanks...

LackaDAISYcal · 05/11/2008 11:39

hi milkmade and congratulations

just a quick post and run from me as i have my hands full of baby, but there are some links on page 2 (I think) with info on monitoring, which although may be uk generated, will be just as relevant for you.

At the end of the day, they can't make you do anything you don't want to do, and you are within your rights to refuse any interventions offered (note the word offered, tis key!!) based on your assessment of the risks involved (something like 5 in 1000 of scar rupture in a VBAC1) and whether that rsik is liveable with.

Having just had a successful VBA2C with intermittent monitoring initially, I would heartily recommned a doula; mine was able to advocate for me when I was finding it a bit hard in the face of all the white coats.

the thread is a bit quiet some weeks, but i'll try and pop in now and again (keeps falling off my actvie convos) I might start a new thread so the information is all fresh and available.

Good Luck

hedgepig · 05/11/2008 22:34

milkmade although i did end up with CFM because I was induced; my case in my birth plan if I had had a spontaneous labour was that I wanted to be active and mobile and I was concerned it would CFM interfere with this desire. As Daisy says you have to agree to it they can't strap you down and tie it on! But my personal experience is that it is good to have a plan but you have to be flexible too, just reading as much as possible made be confident in the choices I made.

Milkmade · 06/11/2008 08:57

Daisy - thanks for your reply - am working my way through the history of this thread, and looking into the links.

Hedgepig: I know I can't just will a birthplan into being but having had over 24 hrs of CFM last time I do know I am very keen to avoid it this time, it's not just the mobility, but also last time being able to shower really helped my back pains and and of course that's not compatible with cfm. Obviously if intermittent monitoring shows anything untoward I'd react accordingly.

Incidentally (and this is going to make me sound the vainest person out) is it true that if I have a planned c-s they can go in through the same place but in an emergency you end up with two scars?

mppaw · 06/11/2008 09:43

Lacky and hedgepig, FANTASTIC stories and thanks for sharing them. Really feels me with confidence that I am going to do this.

(Still no internet at home, Bloody BT, and I only work thursday and friday, hence the delay in posting).

hedgepig, Had not thought about checking the colour of my waters if/when they break, so that is going on my plan.

Milkmade, MY hospital wants CFM, have not kicked up too much of a fuss at the moment, as I am thinking once I am in the throws of labour, I would like them to try and pin me to the bed etc....NO CHANCE

Will definately keep this thread going as the info on it is SO VALUABLE.

Speak soon all.
xx

BaracktorianSqualor · 06/11/2008 09:53

mppaw, I wrote (what I think was)a pretty good birth plan for my VBA2C (it's been pinched and copied a few times)if you want me to post it on here?

mppaw · 06/11/2008 10:04

That would great squalor.....Thanks.

BaracktorianSqualor · 06/11/2008 10:19

It's quite long so apologies for taking over the thread with it!

My Birth Preferences-.
Companions
?The companions I have chosen for my birth are my partner, and his mother, . Both know my wishes, have read this birthing plan and are happy to support me in this.

Birthing Environment.
?If I am in labour during the night time, I wish the lights to be dimmed, if during the day I would like my curtains to be closed.
?As I am not overly keen on spending much of my labour in hospital I do not want the room to seem over-medicalised which is why I am asking for the above.

Labour
?Although I am a VBA2C, I do not want to be treated differently to any normal labour.
?I am willing to have CFM for the beginning of my labour but if I want to move around as long as the baby is coping well I wish to change to intermittent fetal monitoring.
?Please do not treat me like a potential rupture of scar. The statistics on this show the actual risk is minute so although I appreciate people being aware that it may occur I do not want it to be at the forefront of my labouring experience.
?If I am overdue I will not consent to induction unless my baby is compromised.

Pain Management
?Because I have been careful to not take anything that may harm my baby for the last 9 months I want to ensure that this continues in labour. I know that drugs cross the placenta rapidly and I wish to protect my child from this.
?Encourage me to vocalise my labour and not feel inhibited by this, as it can be surprising and confronting to hear myself like yelling or moaning.
?If I ask for an epidural or a caesarean section, please do not take me up on that immediately, I may just be scared and need support. I need to be informed when I can still have an epidural and when I must make my decision by but I really want to try to do it without.
?If I do require some pain relief I am willing to try gas (entinox) I understand it can help me to focus on my breathing and to get through each contraction.

Cuts and Tears
?I would like the midwife to assist me in avoiding a perineal tear by encouraging me to deliver slowly. I believe that delivering in a good position and waiting until I feel the natural urge to push will help me to avoid this.
?If at all possible I wish to avoid an episiotomy
?A small tear is preferable to an episiotomy
?I do not want stitching unless the tear is deep
?I want a local anaesthetic to be used if I need stitches.

The Birth
?I wish my partner to be present at all times.
?Forceps/ventouse only in an emergency and after consultation and discussion with me and my partner.
?I want my partner to find out the sex of our baby.
?On delivery I want baby to be placed on my chest, skin-to-skin and a blanket is good care if a cold baby and this is my preference.
?My partner is to cut the umbilical cord.
?If any extra care is needed for baby, I wish my partner to go with it. I do not want baby to be left alone without either of its parents at any time.
?I am not decided on which position I wish to give birth in, I would like encouragement to find a way that suits me best.

After the Birth
?I want my other children to be present as soon as possible, depending on the time of day.
?I want to breastfeed and also to allow baby to breastcrawl to initiate breastfeeding so skin-to-skin contact is extremely important.
?I am happy for my baby to have the vitamin K injection
?Baby is not to be fed formula at any point.
?Baby to be examined by any health professionals only with parents authorisation and in our presence.
?If there is any concern regarding baby we wish to be told immediately.
?I plan to keep the baby near me following birth and would appreciate if the evaluation of the baby can be done with the baby on my abdomen, with both of us covered by a warm blanket, unless there is an unusual situation.

Caesarean Section
?Having had two previous c-sections, I do not want another without dire need.
?Caesarean Section can only proceed with my consent.
?I will not accept a Caesarean section for time limit reasons, if my baby is still healthy.
?I will not accept a Caesarean section for maternal tiredness, an epidural may be enough to give me a rest and try again.
?I do not want to be left without anyone I know before the operation, no pre-operative abandonment.
?I want my partner to cut the baby's umbilical cord.
?I want my partner to tell me the sex of the baby please do not announce it for him.
?I have already had a caesarean operation, please use the existing transverse scar.
?I wish to have skin to skin contact with my baby, please leave one arm accessible/unrestricted.
?I may be depressed about the birth and need to talk about it without any criticism for feeling the way I do.
Breastfeeding
?I am planning on breastfeeding my baby exclusively.
?I wish for skin-to-skin contact immediately for at least 10/15 minutes before any checks, unless checks can be performed whilst baby is on my abdomen.
?I do not want anyone to give my baby formula or to supplement its feeding.
?Although I have previously breastfed, I would appreciate full support with this baby.

Lastly, I would like to take this opportunity to thank everyone that aids me during labour incase I forget or do not get the chance later. I understand that in certain situations my birth plan will not be able to be adhered to completely and ask that my wishes are taken into consideration as much as possible. The main objective is to get baby out safely but I wish this experience to be one I look back on positively and not full of regret.
Thankyou.

Signed???????????????????????????????.

In the end I had a CS as there were placental issues but my care team were really good with my birth plan and everything I asked for was adhered to, the anaesthetists even told every person that entered the room not to mention baby's sex as Dad was going to do it.

Poledra · 06/11/2008 10:50

hedgepig, weren't you giving birth at the Rosie, or have I confused you with someone else? If yes, did you get the wondeful Anita as your mw (she delivered DD3 as an induced VBAC)?

Sorry for hi-jack

mppaw · 06/11/2008 13:36

Oh wow, squalor this is fantastic. Am going to cut and paste and use it if no objections.
My birth plan with DD was 1 line, DP to tell me the sex, and like you this made its way to the op theatre and when she was pulled out of the sun roof, the surgeon gave my DP a shout and he announced to me what it was.
This time round, it is definately going to be more detailed.
Am also thinking, if another CS asking for the screen to be lowered so I can see DC sort of come out.

Thanks again Squalor.

BaracktorianSqualor · 06/11/2008 17:03

No problem, it was hashed together from some links Klaw gave me.

hedgepig · 12/11/2008 09:36

hi poledara yes I was at the Rosie. I didn't have Anita but had really great support from Claire and Deborah, I went through a couple of shift changes!

MrsMattie · 12/11/2008 09:59

Loving your new name, VS

Just wanted to come back to this thread - as it's been such a great source of support for me - and wish all you imminent VBAC-ers lots of luck and send positivity your way.

Unfortunately, health problems mean I will now be having an elective c-section next week - but I will still be checking in here (and on the birth announcements board!) to see how you're all doing. I think you are all fab .

xxxxx

mppaw · 13/11/2008 10:04

Hi MrsMattie, hope you are ok, not long now til your LO makes an appearance.
Keep us updated.

hedgepig · 13/11/2008 16:07

MissMattie I hope the elective cs goes well and you get good recovery and your LO is OK. Hxx

fourlittlefeet · 17/11/2008 14:41

Hello, just seen this; am 31 weeks and hoping for a vbac... posting to bookmark... then off to read through!

fourlittlefeet · 17/11/2008 21:19

any more vbac'ers out there???

fourlittlefeet · 18/11/2008 11:55

where have you all gone

hedgepig · 18/11/2008 12:04

hi 4littlefeet how was the reading? this thread does seem to go hot and cold a bit, but has great info on it and so is good to keep going. How is your hospital viewing your VBAC plans? DS has just filled his nappy so I best go and change him

fourlittlefeet · 18/11/2008 12:08

amazing read; took me a couple of hours or more last night! some amazing stories on here and have come out the other side armed with a birth plan (never thought I'd need one) and a desire for a home birth or at the least a go at a water birth. Feel completely inspired!

thanks for coming back to talk to me, it was a little lonely!

BetsyBoop · 18/11/2008 13:17

hi 4LF & welcome

Just shout up if you've any questions & I sure someone will pop on to answer if they can.

As hedgepig said, this thread does go hot & cold, but it's been running a while & is still managing to hang on (about 18months I think as I was one of the orginal "gang" & DS is now 1!)

There is some great info throughout the thread, but have you checked out the links on the second page posted when the thread started?

Glad you feel inspired to pursue the birth you want, you will need to be assertive with some medical staff, who think a VBAC is a walking rupture , but if you push hard enough (no pun intended you can generally get somewhere close to what you want (I managed to get the consultant to agree a water birth with no CFM after an outright "NO" from his registrar!)

BTW - I ended up with an el c/s at 40+10 rather than my longed for VBAC, but that's a looong story...!

BetsyBoop · 18/11/2008 13:19

just noticed you new name VS {waves hello}

fourlittlefeet · 18/11/2008 14:44

Thanks BB. I read you story... theres only so much you can do and after all it is more about a healthy you and baby in the end. I've read lots of the links, printed others out and will update you all once I've had my first 'battle'!

Nevil · 18/11/2008 21:10

Hello, I'm new to this thread and although not quite imminent (27+5) im hoping for a vbac after 3 previous sections .

Have read through thread and found it fascinating, inspirational and informative, so thank you all who have posted experiences and general advice you have assisted me in believing that I may actually be able to achieve a Vbac after chickening out twice previously.

Fourlittlefeet - I also have my first 'battle' on thursday when I need to to in for a growth scan and appt with consultant which is when I plan to broach subject of Vba3c. The appt was originally booked when hospital discovered i was producing antibodies so decided i need to see consultant about that, i thought might as well kill two birds with one stone. Im not looking forward to appt at all, first DH can't make it due to work commitments (he has tried to get out of it but can't) so going in on my own with 17 month old DS and I'm not the most confident person and I know they will probably laugh in my face when I first suggest vbac.

From what i've read the consultant can't actually deny me a vbac as long as I am aware of the all the risks involved, or can he?? What do I do if it's an outright no??

I read somewhere on this thread that its important how i word my intentions i.e. I will not consider a CS without a trial of labour first.

My first pregnancy was a failed induction at 41+ wks, laboured until i dialated 10cm but never felt the urge to push, had emergency cs (they said DD was too big 8lb 3oz im only 4ft 11). Second pregnancy they wanted to book me in for elcs at 40 wks I asked them to give me further week to see if I went into spontaneous labour, I didn't therefore elective at 41 wks. They didn't give me a choice with third pregnancy and booked me in for elective at 38 wks. So after discovering mumsnet and this wonderful thread I have decided as this will be my last pregnancy it's now or never, I will do my best to achieve a vbac and even if it doesnt go to plan at least I know i've given it a good try.

It does p@** me off that if i had been given the option of a vbac after my 1st or even 2nd section I wouldn't have to fight for a vba3c which i know is not easy to achieve at all.

Good luck to all imminent vbacers and will give updates on my progress.

fourlittlefeet · 18/11/2008 21:43

gosh Nevil, thats quite some history. I think some of the links show that its no more dangerous after one section than several. it looked to me like it was the consultant midwife who needs to be on your side to be successful in them agreeing. Look forward to hearing how you get on! I'm definitely going to threaten homebirth if they give me wanky excuses and am printing out the green top paperwork to take with me as back up.

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