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VBAC
The old bait and switch
Need advice! My OB, who was so supportive of my VBAC decision early on, gave me a doom and gloom lecture today. Basically she said if she's not in, the on call dr will do a CS 100% of the time, and i can't go too long or get any kind of induction even the gel, and often at this point women choose to just schedule a RCS because it's better to know what to expect, blah blah blah. I was totally shocked and told her I understand things happen but this is still my plan. She kind of gave me the "well we'll see" response. Anyone deal with this? I feel like she was suddenly trying to talk me out of it, I feel duped!
My first baby
<a href="http://s60.photobucket.com/albums/h14/Petunia999/?action=view
<a href="http://s60.photobucket.com/albums/h14/Petunia999/?action=view
This discussion has been closed.
Re: The old bait and switch
Wow, I'd totally feel duped too. Why is it that doctors never give the doom and gloom speech about the risks of a RCS?
It looks like you might need to think about a new OB if you have another option in your area. It doesn't sound like there's any way they are going to let this happen and that she really assumed you'd give up on this idea by now. And if you end up with the on-call doctor, you'll be arguing while in labor.
Sorry you are going through this.
Very similar. My OB who did the c/s with my son said I would be a great candidate as she was sewing me up and then at my 6 week PP appointment. My first appointment with this PG at 10 weeks she was just like your's doom and gloom. I just switched to a MW practice that does VBAC's in the same hospital my son was born in because every appointment with my OB since getting PG she has been more and more negative, I was walking out of the office each time feeling anxious and so unsupported. I had my first MW appointment this week and left feeling totally different, so positive about my chances and with a ton of support behind me.
My dr offered VBAC as an option for me at my first appt with this pregnancy, I already had it in my head that I would need to RCS and was somewhat excited to have the possibility to VBAC. But she was stuck on the 1% chance of uterine rupture, she was like a broken record with it. I finally asked her what the risks were for the RCS. She shut up rather quickly. FTR I wasn't trying to shut her up - I legitimately wanted to know so I could make an informed decision. I think RCS are easier on them, plus they make more money with a c/s than a vaginal delivery.
<a href="http://s60.photobucket.com/albums/h14/Petunia999/?action=view
Call the hospital L&D department and ask what doctors do the most VBACs.
Contact local Doulas and get their take, generally they have experience with various doctors and hospitals so can point you in the right direction.
Contact the ICan chapter nearest you for info and support
This is the same exact thing that happened to me. At 29 weeks she gives me a similar speech to yours and had me in tears. She said, "well we will see, we can discuss it when you are at 39 weeks". Well at 39 weeks it is too late to switch doctors so she knows she would be pushing my back to the wall and pressuring me into a cesection. I immediately found a VBAC supportive OB in my area and switched that week.
Definitely google VBAC friendly docs in your area, check out the VBAC website, along with the ICAN chapter, and talking to local doulas is a good idea too like hopecounts mentioned.
Keep in mind no one can force you to have a csection. If you do not want to schedule one then dont. Let your body do what it was designed to and go into labor when the baby makes you go into labor.
So many hospitals and doctors are more concerned with malpractice lawsuits and what is easier for them than they are concerned with what their patients want or what is best for the patients. They dont want to have to be on call for hours on end and they want to be able to work around their days off and vacations. It is sinful and I will get off my soap box now sorry. Got sidetracked.
Find a doctor that will respect your wishes and switch ASAP. I would make a point to set up as many appointments this week and next as you can for consultations. You might have to take time off work but it will pay off in the end.
I know someone who switched at 40 weeks, so never assume it is too late. You can always try a new place for one appt, or see if they will do a meet and greet. If you don't like them, stick with the current doctor. But if you don't look into your options, you may end up regretting it, which what happened to me with my first pregnancy.
hopecounts had some good tips on finding a VBAC friendly doctor/midwife. You can also look on mothering.com's boards or see if you have any local message boards for moms--that is how I found the wonderful doctor who I used for my VBAC. GL!
This happened to me with my doctor.
In addition to the bait and switch, she started using scare tactics (dead baby and mother's with ruptured uteruses) to try and sway me to do things her way.
I made an appointment with a second doctor who is on the board at the hospital on Friday (at 39 weeks, 2 days) and got all of my questions answered professionally, and grilled him on hospital procedures. He was pretty open to VBAC for me after highlighting the risks (in the manner of a medical professional, rather than scare tactics) and told me I could either switch to his practice, or take the info he gave me back to my original doc and use it to my advantage.
I have another appointment with the original OB this morning. I'm going to tell her I saw the second doc and tell her that I have all of the right info. If she continues to give me a hard time, I'm switching to the other guy. He told me to call him today and tell me what I want to do.
If you are uncomfortable with your doctor's attitude, it is not too late to find a doctor who will be more supportive of your wishes. You might wind up with an RCS at the end based on circumstances, but at least you'll know you gave it your best shot.
I had a massive bait and switch problem after 40 weeks. The writing was on the wall though earlier, but I ignored it.
I fired my OB at 40 weeks+. It sucked and then it didn't. I wrote about it: https://twincubator.blogspot.com/search/label/VBAC
If you don't have time to read this, my short answer is to call ICAN. There are OB practices that will take you. The home birth community knows who they are because there are OBs that take home birthers for them on a "regular" basis when things go wrong in a home birth.