April 2015 Moms

VBAC (TOLAC) check-in 1/7

sb42715sb42715 member
edited January 2015 in April 2015 Moms
Hello! Welcome to A15's first official VBAC check-in. VBACs are attainable but can be extra challenging -- physically, mentally, and emotionally. Let's get to know and support each other as we prepare for (or make a decision about) a trial of labor after cesarean.

How many weeks along are you?

How are you feeling about TOLAC? Whether you're on the fence, pumped, or anxious, let us know!

How are you preparing for the unique challenges of VBAC? Resources, books, exercises? If you haven't decided to TOLAC, what resources are you using to make your decision?

Are there any medical challenges that complicate your pursuit of VBAC ? How supportive is your provider?

Anything else?

Edited for typo!

Re: VBAC (TOLAC) check-in 1/7



  • How many weeks along are you?

    24 and change

    How are you feeling about TOLAC? Whether you're on the fence, pumped, or anxious, let us know!

    I'm 90% pumped and 10% anxious that we could have a repeat placental abruption, either before or during labor. I'm delivering at a great hospital that can accommodate a crash section if needed, but the increased risk of PA on top of uterine rupture (even though both risks are minimal) sometimes spins me out a bit.

    How are you preparing for the unique challenges of VBAC? Resources, books, exercises? If you haven't decided to TOLAC, what resources are you using to make your decision?

    I've really JUST started to prepare mentally. When making my decision, I read a lot of ACOG and NIH position papers, talked to my OB, and talked to other moms I know about their decisions and experiences with VBACs vs repeat sections. I plan to start the Hypnobabies home study course at about 28 weeks.

    Are there any medical challenges that complicate your pursuit of VBAC ? How supportive is your provider?

    Previous placental abruption, as noted, slightly increases my risk of complications. My OB has stated that I'll be watched closely during labor, but overall she's incredibly supportive and encouraging -- particularly because she had 2 successful VBACs herself.

    Anything else?

    Edited for typo!



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  • Hi everyone! What a perfectly timed check in for me, I've just started thinking about the option of VBAC.

    How many weeks along are you? 27 weeks, 3 days

    How are you feeling about TOLAC? Whether you're on the fence, pumped, or anxious, let us know! On the fence and pumped at the same time. 

    How are you preparing for the unique challenges of VBAC? Resources, books, exercises? If you haven't decided to TOLAC, what resources are you using to make your decision?

    I know very little so far, only what I've seen you ladies posting over the past few weeks. I'm going to bring it up with my OB next week, we've only grazed the topic of delivery.

    Are there any medical challenges that complicate your pursuit of VBAC ? How supportive is your provider? I'm not sure how supportive my OB is yet, but from the little we've talked about it I have a feeling he'll be hesitantly supportive. My first c/s was because baby's heart rate kept dropping and I know my OB is focused more on whether this baby might repeat his brother's health problems (or come up with some of his own) than anything. So his preference is an atmosphere he can completely control...which means scheduled c/s. We shall see what he says on Tuesday! 

    As long as I come home with a happy, healthy baby I'll be thrilled either way. I just know I'll regret it if I don't at least try for a VBAC.
  • @saltbox40 Why the 39 week cutoff? 
    I know I should probably wait to ask questions until after I talk to my OB since I'm sure there's a lot I don't know, but I like to be as prepared as possible in advance.
  • How many weeks along are you?  25 weeks today :)

    How are you feeling about TOLAC? Whether you're on the fence, pumped, or anxious, let us know!  I am anxious about my TOLAC....I remeber how much longer it was to recover from my csection and how much pain I was in :(

    How are you preparing for the unique challenges of VBAC? Resources, books, exercises? If you haven't decided to TOLAC, what resources are you using to make your decision? I was sitting on a yoga ball for a while which my doctor said would help but now that I'm bigger my back hurts too much. I haven't done anything else :(

    Are there any medical challenges that complicate your pursuit of VBAC ? How supportive is your provider? There are no medical challenges since my c-section was 8 years ago with Twin B. My doctor is VERY supportive and is keeping me pumped for this VBAC.

    Anything else? I am so ready to meet my baby girl. I am ready for her baby shower to come and go so I can get her room ready...we still have NOTHING for her yet :( We haven't done this baby thing for 8 years so I'm so scared of that.

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  • saltbox40 said:
    @saltbox40 Why the 39 week cutoff? 
    I know I should probably wait to ask questions until after I talk to my OB since I'm sure there's a lot I don't know, but I like to be as prepared as possible in advance.
    It's standard for diabetic moms. There is a risk for stillbirth and placental failure statistically after 39 weeks. I will be having NSTs and will be willing to push back if it feels right once the time comes. I am hopeful my cervix will be favorable for induction by that point, but if not, I will plead for more time.
    Well, doesn't that add a nice layer of complexity to a complex situation?
    Sounds like you're wise to be planning in advance. I hope your blood sugar stays under control and baby girl keeps growing on track!
  • How many weeks along are you? 24w3d

    How are you feeling about TOLAC?
    This will be my second TOLA2C. I had a successful VBA2C's, Feb. 2013. Then, I was ecstatic! This time around, I'm surprisingly apprehensive. Partially thinking because I'm still 'iffy' about my current OB. My last OB retired earlier last year, so I had to do a forever, extensive search for someone who was willing to do a VBA2C.

    How are you preparing for the unique challenges of VBAC? Resources, books, exercises? If you haven't decided to TOLAC, what resources are you using to make your decision? Just participating in my local ICAN and rereading all of the ACOG info.

    Are there any medical challenges that complicate your pursuit of VBAC ? How supportive is your provider? My provider tells me she is supportive and she's had many successful VBA2C's, but I keep getting the vibe from her that she is just telling me what I want to hear, and when it comes down to it, she'll find a way to CS... I don't know...

    Anything else? I am feeling really unprepared for this baby! I have SOOOO much to get done! Ack!!!
    Hairdresser, turned seamstress WAHM, ♥Joseph 04/04♥Amaya & Tressa 05/06♥Silas 02/13 successful VBA2C!!!♥Baby #5 EDD 04/26/15 *crossing fingers for another successful VBA2C*


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  • How many weeks along are you? 25 weeks

    How are you feeling about TOLAC? Whether you're on the fence, pumped, or anxious, let us know! Still very much on the fence.

    How are you preparing for the unique challenges of VBAC? Resources, books, exercises? If you haven't decided to TOLAC, what resources are you using to make your decision?
    I haven't done much yet other than stress over the decision.

    Are there any medical challenges that complicate your pursuit of VBAC ? How supportive is your provider?
    The complications I had last time will hopefully not be an issue.  I was overdue when my water broke and I went into labor.  There was meconium and I got a bad infection complete with a dangerously high fever.  After 24 hours of laboring that way, the risks were significantly greater, so I had a c section.  Hopefully things will turn out different this time.
    My providers are amazing. It is a group of women doctors and midwives.  They are all great but have told me the decision is ultimately mine.
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  • chlsyswllchlsyswll member
    edited January 2015
    How many weeks along are you?
    26 wks + 5

    How are you feeling about TOLAC? Whether you're on the fence, pumped, or anxious, let us know!
    I am excited to try for a vaginal birth but scared about the risks involved and going through natural (meaning my body starts it, and goes through contractions etc) labor since I've never experienced it before.

    How are you preparing for the unique challenges of VBAC? Resources, books, exercises? If you haven't decided to TOLAC, what resources are you using to make your decision?
    I've read a lot of books and online resources

    Are there any medical challenges that complicate your pursuit of VBAC ? How supportive is your provider?
    So far everything is a green light for a VBAC but I wont know until next Friday's visit if my uterine incision from my previous c section at another hospital was vertical or horizontal. If it is horizontal my midwife will let me deliver via VBAC, if it's vertical she is going to make me have a repeat cesarean. :( Praying for that horizontal incision scar.
  • Hey Ladies what is "ICAN"?

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  • How many weeks along are you? 27 weeks How are you feeling about TOLAC? Whether you're on the fence, pumped, or anxious, let us know! On the fence. Lately I have been thinking vbac but I get so nervous about the uterine rupture or something happening to this LO. I know cs has risks too but my first went fairly smooth so that has me torn. How are you preparing for the unique challenges of VBAC? Resources, books, exercises? If you haven't decided to TOLAC, what resources are you using to make your decision? I have been doing a lot of online reading. I have focused mostly on the medical/science based articles/papers. Other than that just what I have read on here. Are there any medical challenges that complicate your pursuit of VBAC ? How supportive is your provider? My doctor said I was a good candidate and is supportive. I plan to talk to her more at my next appt now that I have done more research. I had a c-section with DD because she was breech. So far this LO is not breech so hopefully she doesn't turn. I have partial placenta previa. Next week I have an ultrasound to check if it has moved up, so that could play a factor. Anything else?
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  • Holly9239Holly9239 member
    edited January 2015

    *How many weeks along are you?

    27

    *How are you feeling about TOLAC? Whether you're on the fence, pumped, or anxious, let us know!

    Both anxious and pumped.

    *How are you preparing for the unique challenges of VBAC? Resources, books, exercises? If you haven't decided to TOLAC, what resources are you using to make your decision?

    I've read a bit and asked around about the induction method they will use. Not sure how I should be preparing. A bit worried that I haven't done any preparing yet.

    *Are there any medical challenges that complicate your pursuit of VBAC ? How supportive is your provider?

    Like @saltbox40‌ , I am a Type 1 diabetic (for 30 years!!!). I am very strict with control - baby is measuring fine so far. I am not allowed to go past 39 weeks either - I have to be induced via a Foley bulb at that time. I will try to kick start things if I can before that time though. My son was born via emergency c-section as his heart rate was dropping with every contraction I was having - I was induced with him at 39 weeks and two days (I really pushed/pleaded for extra time). The induction did not really go well, but I felt good that I handled the contractions well.

    I will have to have a c-section if baby ends up measuring too big (10 lbs is the cut-off point for me - they will make me have a CS). My son was 8lbs 6oz. Hopefully this baby will be under or around the same size (my husband and his brothers were all over 9lbs so that does not help!). :)

    There were a lot of scare tactics used with my last pregnancy - I was told my baby was over 9lbs and that the baby's stomach was big which gave an increased risk of shoulder dystocia. While being induced, I kept being asked if I was sure I did not want a CS. And nurses were checking on me so frequently. My doula helped shoo them away, but it was annoying. I was able to ignore most of these scare tactics last time and hope to be able to again!

    My OB is not all that supportive of a VBAC. He said my chances of having a successful one are pretty good, but he continues to ask me if I am sure about my choice and reminds me that the decision will be based on baby's size more so than anything else. He talked a lot about uterine rupture - but then told me the risk was small...

    *Anything else?

    Thankful there is a group started and I am hoping to learn more about how I should be preparing.
  • dadaloudadalou member
    edited January 2015
    How many weeks along are you? 25 weeks 3 days

    How are you feeling about TOLAC? Whether you're on the fence, pumped, or anxious, let us know! I am fully committed to do a VBAC. I already signed the paperwork. I just don't know if I will be able to.

    How are you preparing for the unique challenges of VBAC? Resources, books, exercises? If you haven't decided to TOLAC, what resources are you using to make your decision? I have done nothing to prepare. I don't know that there is anything I really can do. 

    Are there any medical challenges that complicate your pursuit of VBAC ? How supportive is your provider? My OB group is supportive of a VBAC for me. They have told me that there is no medical reason that I would need to have a c-section. I have discussed VBAC with them before I even got pregnant this time. I needed to know that it was an option. I really don't want to have another c-section. Their only concern is that I had an emergency c-section because my son lost his heartbeat during labor and ended up being stillborn. If there is an emergency with this baby they will do a c-section.

    Anything else? I have not gone into labor on my own for either of my other pregnancies. Both labors started with an induction. I'm a little worried about this. I'm not expecting to go into labor on my own this time either. I was told that they would not induce me and that they would not let me go over my due date. I don't know if they meant they will not induce me at all or that they will not use pitocin or other drugs to do it. I should probably ask at my appointment next week. Having an answer to this might help with the anxiety. 

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  • How many weeks along are you?

    26 and 4 days

    How are you feeling about TOLAC? Whether you're on the fence, pumped, or anxious, let us know!

    I have no idea my OB said we would discuss my options at 28 weeks so I have to wait until my next appointment.

    How are you preparing for the unique challenges of VBAC? Resources, books, exercises? If you haven't decided to TOLAC, what resources are you using to make your decision?

    I'm not even sure what the challenges are, now I just feel stupid for not researching it sooner. I'm really glad you posted these questions.

    Are there any medical challenges that complicate your pursuit of VBAC ? How supportive is your provider?

    So far no issues. My LO seems to be in perfect health. I've always been a little overweight, I'm not sure how that might affect my odds of success.

    Anything else?

    Thanks for this post. Realizing I should look into the possible problems before my next appointment. I usually avoid the Internet for stuff like that b/c I don't want to freak myself out. But I need to know what to ask next time. Thanks for opening my eyes for me!
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