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VBAC
wdyt re laboring at home?
I live in a smallish town, where there is only one hospital. I love the ob practice I am using and they are very supportive of me vbacing. There are 3 doctors in the practice. I have met with each one and they have each reviewed my operative report with me, talked about the circumstances surrounding the c/s and given the thumbs up for a vbac. I'm very confident in every dr in the practice and feel no matter who is on call when I go in to labor, they will be nothing but supportive. However, I have been warned by each dr of the restrictions placed on vbacs, by the hospital. Appartently, the hospital has a "de facto ban," in place. They will allow vbacs if the ob oks it but place a lot of restrictions as far as monitoring, etc. I would like to try to go med free and really don't want to be stuck on my back, in bed. I live less than 5 minutes from the hospital and am thinking when the time comes it may be best just to stay home as long as possible. I know the chances of uterine rupture are very small but I want to make sure that I am not being irresponsible in staying home to labor. When I was induced, with DD, I did get to 10cm dialated and I'm pretty confident in my ability to determine when labor has progressed to the point where I would need to get to the hospital. However, the small risk of uterine rupture is making me rethink this (not the whole vbac, just the laboring at home part). WDYT? I know there are some people on this board who are far more educated on the topic than I am and I'm hoping to hear what some have to say. TIA.
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Re: wdyt re laboring at home?
I had a VBAC last month and it was definitely my plan to labor at home for as long as possible. When I asked others- how will I know when to go to the hospital? They told me, "you'll just know" and it was true. I knew my labor was progressing quickly and I just "felt" when it was time to go.
As far as being concerned about the risk of uterine rupture, I was told numerous times in my ICAN meetings, when a mother is unmedicated, she will know long before a uterine rupture occurs. (And, then others say there truly is no way to predict if it will occur). It's natural to be concerned because there is so much fear mongering about it, but it truly is a very small chance.
It's awesome all 3 of your providers are supportive. But with the hospital policies, you are smart to labor at home for as long as possible.
After my SIL's experience VBACing twins Monday, I'm glad to hear they gave you aheads up about potential hospital issues...she didn't get the same. She got to the hospital and even though her provider was 100% supportive, since he wasn't in the building, they were waiting there ready to cut her. It went as far as calling their attorneys trying to force her to be sectioned! She was delayed 90 minutes in the ER while everyone tried to force her to consent to a section.
Take your providers' input to heart, and definitely labor at home as long as you can. AND, take at least one person with you that you know can speak up and handle absolutely EVERYTHING for you while you concentrate on your labor!
Holy crap.
OMFG this makes me angry. I want to hear more about this. How did she get her VBAC in the end? Did the hospital finally agree or did she just give birth before they could do anything?
Tell your friend to come over here and post her birth story! And what an awesome OB.