Is this overthinking things?

userdeleted · March 2011

DH and I currently live in Texas. I see a great OB/Midwife collaborative office that is extremely supportive of VBAC. We had a very good experience with them for my VBAC and I had planned to go to them again. We just decided however, that we are going to move home to Michigan, probably in about two years. We were planning on trying for #3 in the fall of this year, but we were starting to think maybe it'd be better financially and logistically to wait until we've moved.

But now I'm thinking - wait! What is the VBAC policy back in Michigan? I have no idea what the atmosphere is like up there, and the googling I've done isn't promising. I could call different providers, but I'm honestly very distrustful of what they say, after experiencing a bait and switch myself (thankfully earlier rather than later in the pregnancy) and seeing the same happen to others. Am I overthinking things to say we should go ahead and have one more here, where I know I will be allowed to VBAC in peace? DH feels like we "shouldn't base our life plans" around this, but I feel like he doesn't understand how seriously I take this, and isn't really remembering how difficult my first c/s was for both of us.

What do you guys think?

Brownie_222 · March 2011

Hopefully someone in Mi can chime in with some details, but in my opinion you're not overthinking things. If you had a great provider for your VBAC, I can see why you'd want to use them again. GL with the decision!

Kdonn15 · March 2011

I you start TTC #3 in the fall the baby will be born within two years (if you get pregnant fairly quickly) so I think you're ok as far as delivering in a VBAC friendly environment. If you are considering TTC earlier just to be sure I think that's a pretty personal decision to be made between you and your husband.......I honestly don't think it'd be that difficult to find a VBAC friendly practice in MI if it were to come to that especially since it appears you've already had a successful VBAC.

iris427 · March 2011

I think it's a valid thing to consider. When we were deciding whether to move from St. Louis to Asheville, one of the first things I did was get online and check out my VBAC options. If they had looked grim, I honestly don't know if we would have moved here.

I'm not saying you shouldn't move. A lot can change in two years too. If there are enough other reasons to move there, I might do it and tackle the VBAC issue once we were ready to get pregnant again. I think the fact that you've already had a VBAC may make things easier for you next time around.

GL!

honkytonk_kid · March 2011

I don't really have anything to add- if it's financially/logistically feasible to have #3 while still in Texas, I can definitely understand the desire to stick with providers you know and trust- but do you mind me asking where in Texas you're located? I'm just thinking about the future, but I don't know of any vbac friendly OB/MW groups around here.

Good luck with your decision

userdeleted · March 2011

honkytonk_kid:
I don't really have anything to add- if it's financially/logistically feasible to have #3 while still in Texas, I can definitely understand the desire to stick with providers you know and trust- but do you mind me asking where in Texas you're located? I'm just thinking about the future, but I don't know of any vbac friendly OB/MW groups around here.
Good luck with your decision

I'm in the Austin area. The group I go to is OBGYN North and they are really great and totally VBAC supportive

Thanks for the input everyone! It's good to know that at least I'm not totally crazy for thinking about it as an aspect of the move

ABMcKinney · March 2011

iris427:

I think it's a valid thing to consider. When we were deciding whether to move from St. Louis to Asheville, one of the first things I did was get online and check out my VBAC options. If they had looked grim, I honestly don't know if we would have moved here.

I'm not saying you shouldn't move. A lot can change in two years too. If there are enough other reasons to move there, I might do it and tackle the VBAC issue once we were ready to get pregnant again. I think the fact that you've already had a VBAC may make things easier for you next time around.

GL!

This exactly. I doubt you'll get much resistance from any provider considering you've already had a VBAC. Are you ready for another child? If you're ready and wanting another I'd go for it, especially if you're going to be more comfortable with your current providers.

AnneShirleyBlythe · March 2011

Definitely a valid concern.

My friend R has had 6 babies. With her twins, she had a classic (vertical scar) c-section at our local hospital. A few years later, she had a VBAC at same hospital. Between baby #4 and #5, the policy changed and she was no longer eligible for a vaginal birth due to the scar situation. (It used to be once you had a VBAC, all future births were considered just a regular vaginal birth). Nobody within many hours of our town would deliver her, so she had a UC with #5 and 6.

I hope you don't run into any issues like this. We have many de facto bans on VBAC around upstate NY so I am glad to be near my hospital but I have a low incision. And I also don't get why a woman wouldn't just be considered a vaginal birth, not even VBAC, for a second birth after a vaginal, but maybe there is a reason I am not considering.

iris427 · March 2011

AnneShirleyBlythe:
Definitely a valid concern.
My friend R has had 6 babies. With her twins, she had a classic (vertical scar) c-section at our local hospital. A few years later, she had a VBAC at same hospital. Between baby #4 and #5, the policy changed and she was no longer eligible for a vaginal birth due to the scar situation. (It used to be once you had a VBAC, all future births were considered just a regular vaginal birth). Nobody within many hours of our town would deliver her, so she had a UC with #5 and 6.
I hope you don't run into any issues like this. We have many de facto bans on VBAC around upstate NY so I am glad to be near my hospital but I have a low incision. And I also don't get why a woman wouldn't just be considered a vaginal birth, not even VBAC, for a second birth after a vaginal, but maybe there is a reason I am not considering.

Lawsuits? The mindset that VBAC is always dangerous?

I think there is still an increased risk of rupture compared to a mom who has never had a c/s, but a much lower risk compared to a primary VBAC mom. And when you compare that risk to other labor risks (prolapsed cord, etc.) it does seem silly to focus on UR so much, especially in a repeat VBAC.

changingnames · March 2011

might your current provider have some insight (and if you are really lucky a referal) for you? Also a call to the local ICAN chapter might be helpful : )

Ritzy19 · March 2011

I'm from Michigan, and I honestly don't think you'll have a problem. I think it obviously just depends on the Dr./practice that you decide to go with, but as long as you check around first you should be fine.

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