Four Vbacs, No Explosions

My first baby was an unnecesarean.  My second baby was an all natural VBAC in a hospital.  My other three were born at home, with another on the way.  I'm quite the birth advocate now.  I politely challenge doctors (because they make really stupid comments) and some of them have changed as a result.  I no longer take hospital/medical bull crap anymore, either.  

SHWA SHWA
36-40, F
2 Responses Feb 7, 2010

It was an "unnecesarean" because it wasn't really needed. I was cut open because they said my pelvis was probably too angular and small and because I wouldn't get to a full 10cm. Well, my pelvis is obviously not too angular and small as I've since delivered babies 1.5lbs larger and also posterior (the width of the head is greater when born 'sunny side up.'). I knew this prior to my first VBAC because I did a lot of research on the subject. The fact of the matter is that a pelvis isn't one bone... it's three bones connected by ligaments and cartilage. Flexible tissue! That means #1 they can't really measure a pelvis because its size is variable and #2 factoring in the pregnancy hormone "relaxin" the pelvis is able to expand and adjust even more at the time of birth! Factor in that baby's heads also mold and flex and, unless there's some kind of injury or deformity to a woman's pelvis, or the baby is grossly large for gestational age (I'm talking over 12lbs) then that whole "CPD" (cephalopelvic disproportion) diagnosis is really one made from speculation and fear. As for not being able to dilate, sheesh... I was a 9-something! Good enough, right? All my births had a cervical lip on one side that was easily rectified by rolling over. You know, they never once tried to change my position in labor? Furthermore, I had an epidural. The uterus has two sets of contradicting muscles. It has to learn how to coordinate to effectively dilate. But my body was pumped full of fluids (to offset a drop in blood pressure from the epidural, which flooded my system and made an imbalance of my electrolites and hormones, etc) and I was numb from the chest down. After having six babies I could probably get all kinds of drugs and have no problems because my body has labor and delivery down to a science. But as a first-timer I wasn't so experienced.<br />
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So, in a nutshell, my baby was posterior, I was a first-time mom with an inexperienced uterus, I was sitting on my butt, pumped full of fluids and immobile with an epidural. Eliminate the immobility and drugs and my body did just fine!<br />
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First, the limit of 4 c/s is the recommendation, not the rule. I know women who have had far more than that. One lady I know had five c/s before her first VBAC!<br />
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YES! I was scared. Even though I was confident I was also scared at times. But when labor came all the fear disappeared because I was focused on getting through that.<br />
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Doctors WILL feed you fear. It's not that they're trying to manipulate you... it's just that they've been fed fear (litigation, statistics, and fear feeding fear feeding fear, and maybe seeing some bad situations). If you really do the research you will find that there are less complications with a VBAC. C-sections are way more risky for mother and baby! Uterine rupture probability is so low that it isn't even considered statistically significant. They might say it's a .5% chance of rupture (give or take). If you think about it, it's still a 99.5% chance of no rupture. That's pretty stinkin' safe if you ask me! Did you know even non-scarred uteruses rupture? Especially if the uterus had a prior surgery (any type) or the mother is given high doses of labor augmenting drugs such as Pitocin. <br />
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Here's my best advice for you. DO THE RESEARCH! And don't just research the online stuff, or what I call the "hippy tree-hugger" or even the extremist stuff. Doctors are people, too. They're own research speaks against their practices and ideas. Ask a doctor to site where they're getting their recommendation from, and then go out and buy/loan that book! My OBGYN told me that her ACOG compendium was her "bible" and that anything recommended in there I was not permitted to refuse. Then she pointed to some place that said inductions were ok for VBAC moms. So I went out and bought a copy of her ACOG compendium and right off the bat highlighted a section that reiterated over and over again that the compendium was not to be used as a course or care (aka, bible) and it also had a whole section on pitocin risks and how it shouldn't be used for VBAC moms. I went right back to that OBGYN and used her own weapon against her.<br />
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Do the research and hire a midwife. Preferably an experienced, balanced homebirth or birthing center midwife.

how was it was an unnecesarean? I had one of those and I LOVE your phrase for it! I am so worried that im not going to find a good doctor to do a vback. I want lots of kids and having a limit of 4 with c-sections is just uneceptable for me. Were you scared? Im just so nervous about having a vback now that ive had a csection and there can be more complications!