VBAC ban yet don't want another c-section, what are my options?

I am not pregnant, yet. But we plan on havng another baby in the near future. I just found a OB-GYN that Im in love with, she is wonderful. However no doctors in my area will preform a VBAC due to insurance prices being through the roof. My doctor actually had somone perferate (?) and have their scar burst open during a VBAC. I HATED my first delivery. It was induced and I labored for over 38 hours only to have an emergency C-section, it was horrible. I hated it completely and never want to experience anything remotely like it. I always dreamed of a natural birth, a water birth, and NORMAL vaginal birth. My first son was 8 12 and second babies tend to weigh more, so Im afraid this is another reason they will make me have a C-section. I REALLY want to be able to plan for a natural vaginal delivery for my next child, is there any way I can do this. Is there anything I can do to insure an VBAC for my next one? Unless of course a medical emergency where I need another emergency C-section.

VBAC ban yet don't want another c-section, what are my options?
Your story sounds just like mine...Induction at 41 weeks, 21 hour labor, including 2 hours of pushing, cesarean for an 8 lb 14 oz boy!!! I hated it too. The only 2 good things that came from it were 1 my son, and 2 what knowledge I have gained about all aspects of childbirth especially VBAC.





I am going to cut to the chase, and you will probably think I am nuts, as I did when I was first given this advice. Seek a midwife and a homebirth!!!





For the last year I have been planning on TTC sometime this summer/fall, waiting until I had a team of people willing to support me in my VBAC journey we are but a few months away from TTC now. I have a CPM, LM Midwife, who is doing nutritional pre-conception counseling with me. (I was a tad overweight during my first pregnancy and borderline diabetic also during that pregnancy) We feel that by getting my nutrition/blood sugar under control that we can have some control over the weight of a future baby...so that it is not necessarily bigger, than my first. I am going to plan on having a homebirth, in order to avoid, any %26amp; all intervention. You will see if you do your homework on VBAC/HBAC and interventions that interventions actually put you at higher risk and that there are many safer ways to treat some complications should they arrise.





I also have had a friend have a uterine rupture/ perforation while trying to VBAC, her placenta was attached to her previous incision site, so when she ruptured the placenta detached before the baby was born leaving the baby without blood or oxygen for sevral minutes. The baby has very, very mild cerebral palsy now, though I can hardly tell...Actually I didn't know until her mom told me.





Anyway…I am not sure where you are located but you should go to this site:





http://www.ican-online.org/





They have on-line groups through Yahoo Groups, sometimes you can find your local group, but I also like the main group.





There is also a Homebirth group, too. And they have great answers to many, many questions and offer wonderful support even during the time of decision making.





I can recommend some good books to get you on your journey:





The Thinking Woman’s Guide to a Better Birth by Henci Goer


http://www.amazon.com/Thinking-Womans-Gu...





Obstetric Myth Versus Research Reality by Henci Goer…(A compilation of medical studies which the author helps you to interpret.)


http://www.amazon.com/Obstetric-Myths-Ve...





The VBAC Companion by Diana Korte


http://www.amazon.com/VBAC-Companion-Exp...





Silent Knife by Bergin %26amp; Garvey


http://www.amazon.com/s/ref=nb_ss_b/103-...





There are many more but that should be enough to get you pointed in the right direction…





Other birthing methods are:


The Bradley Method


http://www.bradleybirth.com/





Hypno-birthing


http://www.hypnobirthing.com/





Birthing from Within


http://birthingfromwithin.com/





I am glad to see that you are not going to accept ERCS (elective repeat cesarean section) without exploring your options. If you need more info or have more questions feel free to email me!!! But I hope this helps to point you in the right direction.
Reply:The only thing you can do is try to find a doctor who thinks that you're an acceptable risk. Shop around, talk to lots of different OB-GYNs... hopefully you can find one who'll follow your wishes. If not, then maybe it'll help to think to yourself "better safe than sorry!"
Reply:First you have to know if it is even possible because if you have a vertical uterine incision, they positively will not allow a VBAC. It doesn't matter if the external skin incision is horizontal - the uterine could still be vertical. So make sure you know.





More and more OBs are willing to do VBAC, especially if your uterus has had a few years to heal properly - if you just had your baby in the last 6 months to a year, that is not as favorable.





You'll just need to keep searching until you find one. I suggest calling perinatal specialists, who are OBs with more training in high risk pregnancies and deliveries. Get a referral from your primary OB.





Good luck to you, but be open to whatever needs to happen, because ultimately your safety and the baby's well being are what's most important.
Reply:If your first c/s was a emergency, and a horizontal incision was used, then you can't have a vaginal delivery : ( . For emergency deliveries, both the abdominal and uterine incisions are transverse, instead of horizontal, which is used for planned, or even rushed c/s. ( http://www.mayoclinic.com/popupnowrap.cf... ) Because of the risk of uterine rupture (when the scar burst open) during labor, VBAC is NOT allowed. Usually, the doc will plan the c/s at 38 weeks or so, to avoid the possibility of going into labor and threrefore the possibility of rupture, with can quickly kill both mom and baby.





If the incision on your uterus was a transverse, then you should be allowed to attempt VBAC. First off, call your insurance company to see if they have any policies that wouldn't allow it. If they give you the go ahead, talk to your doc, but be firm about your decision! If she flat out refuses, which is her right, you may have to start a new search for a OB. Or your current OB may even recommend one who does VBAC's. Some midwifes do have privledges in some hospitals,,, so you might give that route a try as well (your insurance company shold have a list in your area). The hospital of your choice may also avoid VBAC's, so be prepared to switch hospitals as well. I would NOT recommend a home birth though! (simply because there is a higher risk of complication)





P.S. This only covers the information about incisions! There may have been some factor that I'm not aware of that forced your first c/s. If so, and it's something that is still present, then it may rule out a VBAC.
Reply:unfortunatly your situation is sooo common....the induction itself causes a c-section





as much as you may love you newfound OB......if you truly want a VBAC is to shop around for a midwife or other OB and find a birthing center or consider birthing at home





a VBAC can be done safely if you are allowed to have a spontaneous labor.....No inductions of the medical kind





good luck

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