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Finally had an appt. with a doctor and got some answers

court1703court1703 member
in VBAC

So I would like your opinions...

He said that they would induce.  With either stripping membranes or a foley bulb.  But no pitocin.  Even if I stall out in labor. (boo)  And they won't try either of those until 39 weeks. (boo)  They will let me go 10 days past my due date as long and me and baby are fine. (Its better than nothing. But I kind of wish it was a little longer or they didn't give me a specific limit.)  When I asked about how many VBACs they have attempted this year he didn't give me any sort of number.  He just told me that RCS are getting more popular.  That moms with one LO really like knowing when so they can plan. (when to watch LO #1, when to leave work, etc.) Um red flag?  Then when I asked how many were succesful, he answered me by telling me that he thinks I have an 80% chance of a VBAC. ( I like the number, but why did he dodge this question too?)  He said he hasn't witnessed any ruptures.  Epidural isn't required.  He won't put me on a time limit if my water breaks. (Love both those answers)  And last but not least, I asked about monitoring.  They do require monitoring, but they do have telementary machines.  I think thats what they are called...

And FYI I have a bicornuate uterus.  So this LO has a good chance of being breech too.

So now I'm torn.  Do I stay with this group of doctors?  Do I wait to see if this LO is even head down?  Or do I start searching now?

Thanks ladies I appriciate it!

ETA: No ICAN chapter in my area.  I contacted the closest one to see if they had any info or advice a few weeks ago and they never even e mailed me back...

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Re: Finally had an appt. with a doctor and got some answers

  • MAprincessMAprincess member

    It sounds like a decent set of rules though I would be concerned with a practice that seems to think it is a good thing that RCS are on the rise (and dodges the number of VBACs question).  You should be glad they don't try to induce in any way before 39 weeks because that means they are following the rules set forth by ACOG and keeping your child healthy.

    But when they dodge the number of VBACs they do or don't seem to be supporting or suggesting VBACs to moms, I consider those red flags that they might be blowing smoke with some of the other things they say.

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  • cchill01cchill01 member

    Honestly, that may be the best you're going to find.  I would be pretty happy with those guidelines.

    As for dodging the question, I don't know that you'll find many practices who will give you statistics on their practice.  And he's right, in general RCS has been on the rise for the past 15 years.  I have lots of friends who think I'm completely crazy for not just scheduling.  But the fact that he gives you 80% odds, I think that's pretty good.

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  • iris427iris427 member
    imageMAprincess:

    It sounds like a decent set of rules though I would be concerned with a practice that seems to think it is a good thing that RCS are on the rise (and dodges the number of VBACs question).  You should be glad they don't try to induce in any way before 39 weeks because that means they are following the rules set forth by ACOG and keeping your child healthy.

    But when they dodge the number of VBACs they do or don't seem to be supporting or suggesting VBACs to moms, I consider those red flags that they might be blowing smoke with some of the other things they say.

    I agree.  The guidelines and the 80% he gave you are pretty good.  The no Pit rule is a little disappointing but not uncommon.  I would be a little concerned that he evaded a few of your questions, since we see so many bait and switches with VBAC.  It is true that more and more mothers are having RCS these days so maybe he was just being honest.  I would try to press the question a little more at another appointment if it worries you.  Both of the practices I interviewed with when I was looking for a VBAC provider were very forthcoming with their VBAC stats.

    If you want to explore other options in your area, try finding the number of a doula or childbirth educator and calling them.  They will usually know a lot about different doctors/midwives in the area and who is good for VBAC (if anyone).

    GL! 

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  • Nov5Mrs.Nov5Mrs.

    I actually think you have one of the more VBAC friendly doctors. It's going to be really hard to find the "perfect" one and I'd have to say, I liked many of his answers. Continue to educate yorself so you can ask the right questions for your particular situation, but I think you're off to a god start with this particular docotr.

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