Community› The Bump Message Boards› VBAC
VBAC
New Discussion

Suggestions on how to approach OB?

Ceci131Ceci131 member
in VBAC

I just received my operative report from previous OB and it clearly states that it was a complication free low transverse incision. I am wanting to talk with my OB about a VBAC, although I know they are very uncommon in my area. Any suggestions on how to approach her or what points to bring up? Anything I should compromise on to "sweeten" the deal for her if she is resistant? Now that I know I am a candidate (there was concern that the uterine incision was vertical), I really want to try. I am probably too far along to switch OBs (25 weeks) and love my doc, I just hope she will support a trial of labor for a VBAC.

Thanks!

Lilypie Pregnancy tickers Lilypie Second Birthday tickers image image image
Report Reply to Post

Re: Suggestions on how to approach OB?

  • nosoup4unosoup4u member

    I wouldn't think 30 weeks is too late to switch.

    In 2010 the NIH came out with a recommendation for VBAC, as did ACOG.

    This site is a good overview of what your choices are:

    https://givingbirthwithconfidence.org/2-2/a-womans-guide-to-vbac/

    And here's the specific page about talking to a provider:

    https://givingbirthwithconfidence.org/2-2/a-womans-guide-to-vbac/discussing-your-options-with-your-care-provider/

     

    DS1 - Feb 2008

    DS2 - Oct 2010 (my VBAC baby!)

    Report Reply
  • Loading the player...
  • cecilyandgautamcecilyandgautam member

    25 weeks isn't too late to switch. 

    I'd approach it as "I've reviewed my medical records and am excited to be a good VBAC candidate. What are your experiences with VBAC patients and are there any particular steps you recommend VBAC patients take during their trial of labor?"

    That way it's more like you're letting her know of your plans rather than asking permission. If she doesn't have any experience with VBACs, then perhaps you'd want to look for some one who has more experience with them. If she has a laundry list of special requirements for vbacs, then that's a warning sign I guess, but if it's more like - "I'd feel more comfortable having you on continuous monitoring and a hep lock, but otherwise you're just like any other patient" then I'd take that as a sign that's a great Dr to have attend the birth. 

    If she's not supportive, or just inexperienced, and she's your only option in town, then there's the labor at home with a doula as long as possible option that so many of us are going for.  

    Good luck! 

    Baby Birthday Ticker Ticker

    BabyFruit Ticker
    Report Reply
  • holly321holly321 member

    Has she ever brought up how you are going to deliver? At my firs appointment, myob said , " you wanted to vbac, right?" Then we discussed the pros and cons of each way.

    so does your physician assume you are rcsing?  

    Report Reply
  • Ceci131Ceci131 member
    imagececilyandgautam:

    25 weeks isn't too late to switch. 

    I'd approach it as "I've reviewed my medical records and am excited to be a good VBAC candidate. What are your experiences with VBAC patients and are there any particular steps you recommend VBAC patients take during their trial of labor?"

    That way it's more like you're letting her know of your plans rather than asking permission. If she doesn't have any experience with VBACs, then perhaps you'd want to look for some one who has more experience with them. If she has a laundry list of special requirements for vbacs, then that's a warning sign I guess, but if it's more like - "I'd feel more comfortable having you on continuous monitoring and a hep lock, but otherwise you're just like any other patient" then I'd take that as a sign that's a great Dr to have attend the birth. 

    I love this approach!! Thanks so much for the suggestion!

    Lilypie Pregnancy tickers Lilypie Second Birthday tickers image image image
    Report Reply
  • kim_lekim_le member

    i wouldn't think it's too late at all to switch until you're more like 35 weeks.  i tried to switch at 39 weeks, but the limit was 35 weeks.

     you shouldn't try to sweeten the deal at all for your OB.  it's your body and your birth and if it's something you're okay with, then you should fight for it,  my VBAC would not have happened three weeks ago if i hadn't fought like hell for it.  i was talked into csection multiple times.  but i'd been confident about my decision the entire time.  i was also high risk with "pre hypertension" (more like white coat syndrome, but they wouldn't listen) and still had a successful VBAC,  you would be a perfect candidate. 

    don't let them force you into anything you don't want.  unless it's clear that your baby is in danger or you're in danger, then i would fight for it, 

    Report Reply
This discussion has been closed.
Choose Another Board
Search Boards
"
"