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Monday
Jun252012

VBAC: "Should I stay home to labor until it's too late?"

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This search arrived on the blog:

 


“hospital doesn’t allow vbac, so should I stay home to labor until its too late?”

 



I would like your thoughts on this. If you have experience with this from either the patient or provider side, please share. Comments left here or on one of the Facebook pages will be de-identified and compiled for a future post.

 

 

 

 

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Reader Comments (21)

I have not had kids yet so take this comment with a pound of salt, but wouldn't waiting until it's too late make a hospital more likely to pressure/force you into an emergency c section? Where I live you have to petition for the right to elect a c section actually and I am considering this as my plan so I can have my c section (please don't assume I don't know what I'm talking about just for wanting a c section.)

June 25, 2012 | Unregistered CommenterCP

I haven't done it, but I would. I do plan to stay home to birth next time, thanks to my hideous, traumatic BS c-section last time. If I did however plan to birth in the hospital again, or if there was a medical need for me to birth in a hospital again...I would hands down show up with the baby almost falling out of my body if they told me "no vbac" because IT IS MY BODY, IT IS MY CHOICE! Stupid, moronic hospitals. Where the f*ck do they get off telling people how to birth their baby's!?

June 25, 2012 | Unregistered CommenterS

So happy that I deliver my patients in a VBAC friendly hospital. I tell my patients to stay home until they are in good active labor, as I do all my patients!

June 25, 2012 | Unregistered CommenterBriga710

As a doula I've noticed that the same medicalised approach and inflexible procedures and policies that caused the primary c/s in the first place, by making normal physiological birth near impossible for a primip, apply again when she tries to have a VBAC. They want to do VEs. They want her on the bed, confined to the room, tethered to leads and monitors. They want an IV in, just in case. They don't want her to eat and drink freely. She can't use movement and gravity freely, because otherwise the CEFM monitor won't work right. (What do you want - the machine to work right, or the woman's birthing body to work right?) They do scareproviding instead of careproviding. She is attended by strangers. There are a lot of interruptions. There is little privacy. There are voices expressing doubt and concern, instilling fear, anxiety and time pressure in the woman. There is reference to numbers and time-frames, which stimulate the woman's neo-cortex. All these things inhibit the natural birth hormones and hinder physiological large mammal birth. So the only way women can have a fair and reasonable go at a VBAC is stay home as long as possible .... because it is hard to do all those things to her if she is just not there. We have rocked up to the hospital with the mother fully and pushing on several occasions, and that is how those clients managed a VBAC in the hospital system. But VBAC homebirths (HBAC) are so much easier and stress free. The success rate of HBACs in my state (in Australia) are nearly 90% - compared to 12% in the hospital system! I guess that is why the obstetric monopoly is trying to ban HBACs.

June 25, 2012 | Unregistered Commentersaoirsewoman

This is one of my options for my next birth, which will be a VBA2C. Our hospitals don't have a VBAC ban (well some do - but not where I'd birth), but I don't want to labor in a hospital again. Last time I got told almost immediately upon arrival that I would "no doubt be having a c-section for a uterine window" (subsequently proved untrue) and if I didn't my "baby might die." I fired that nurse immediately from the room, but it sucked just the same. I won't go through that again.

If I elect this option I will use a monatrice to monitor dilation and show up pushing/crowning.

June 25, 2012 | Unregistered CommenterAnon

Prior to switching care providers, I'd joked that I planned to show up to the hospital pushing to ensure I got a VBAC because, while the hospital allowed them, and the doctors all said "Oh, we do them, but..." I was meeting resistance from doctors who thought they knew my body better than I know it. Little did I know that I'd show up to the hospital complete and crowning anyway because my contrax weren't regular UNTIL THEY WERE, which was when I hit transition. I'm not sure if links are allowed, but I'm leaving mine here. You're welcome to use any part you may need for your upcoming post. (http://notsuperjustmom.com/2012/04/emmas-vbac-birth-story/) Basically, I wouldn't change anything about how my VBAC happened. Laboring at home ensured I wasn't unnecessarily tied down and allowed nature to take its course.

June 25, 2012 | Unregistered CommenterMiranda

My biggest regret was going to the hospital too soon. It was my first, and I was so freaked out because I knew that when my water broke, I was "on the clock" according to the doctors. I wanted to labor at home but I was too chicken... afraid the doc would be mad when I got there. I ended up with a c-section for "failure to progress" -- actually, technically "failure to descend" because the baby never moved past 0 station after two hours of pushing. BUT, I still question whether that c-section was necessary. My hospital and OB group both are VBAC friendly (on paper anyway) but if I don't get to have a homebirth with the next one, I am DEFINITELY laboring at home until the absolute last moment.

June 25, 2012 | Unregistered CommenterGina

If you're serious about staying home as long as possible to avoid anti-VBAC protocols, think about having some good labour support from birth-wise women: private independent midwife, or doula, monotrice, or sisters/mothers/friends who are birthwise. And the "I went to hospital too soon" regret - we hear that often. Here is a good article about the first night of labour, to share widely with any first time mamas of VBAC mamas who are wanting to experience unmedicalised birth: http://melbournedoula.blogspot.com.au/2012/04/your-first-night-of-labour-denial-is.html

June 25, 2012 | Unregistered Commentersaoirsewoman

I had my first child C-Section. I then had 3 VBAC's at the hospital. I attempled to have my 5th child as a VBAC and ended up having major birthing complications (Placenta Percreta). MY OB was very supportive of me having my children VBAC, but he requested that I do all of my laboring at the hospital. This was so that if there was a complication, I would be somewhere that I could receive the medical attention that I needed. I am so glad that I did not attempt to have my last child at home because I would not have survived. Statistics don't mean a whole lot to you when you because the statistic.

June 25, 2012 | Unregistered CommenterCassandra

I haven't had a c-section, but I think the answer for all women (trying to VBAC or not) is a resounding YES. Get a doula and stay home until you are ready to birth a baby. That's what I did for my daughter's birth because I wanted to avoid any intervention and I couldn't have been happier with the result: arriving complete and pushing; baby born 20 minutes later. Of course, next time we're hoping to just skip the hospital altogether, but if you aren't comfortable with/able to homebirth, at the very least labor at home and stay out the hospital for as long as possible.

June 25, 2012 | Unregistered CommenterAmber @ Au Coeur
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