VBAC with a midwife???

Question

My daughter is 2 1/2 yo. I had her when I had just turned 21. I went into preterm labor with her at 31 weeks, i was dialated 1 cm, and 80% effaced. I was put on bedrest by my dr, who by the way was (not my dr anymore) an od, not md. Doctor of osteopathy sp. not medical dr, there is a difference. So I had all the drugs and steroids to stop labor and mature her lungs. I went 1 1/2 week overdue, so then I was induced at 41 1/2 weeks, with a string with medicine to soften everything, and basically make me raw, that went on for 12 hours, just made me have extremely bad period like cramps. then they brought on the pitocin, which did nothing but raise me out of the bed screaming. In between the 15-18 hours of all of this taking place my husbands entire family was shuffleing in and out of the room every 2 secs, like I was a frickin display. It was their first grandbaby, so they thought they had the right. I was asking for the pain meds as soon as i could get them every hour

just because i was irritated, my mother in law went off on me because i didnt want in the room while i was delivering, they had to escort her out of the room with her screaming at me, and i was balling!!! only to finally after all of this get to 4 cm, epidural, then i wouldnt progress so my daughter was like oj its been about a day of this crap I am ready to come out whether you are ready or not mom, to then have an emergency csection. Do you think that a home birth would be better for me this time around, and safe with a midwife???

i think because of all of my stress with the in laws, that is why my labor didnt progress, and if i do a home birth this time, it would be so much different

Answer 1

not many midwifes do vbacs

Answer 2

Hi there... sorry to hear that you had such a bad experience having the first baby. Now to the question: you need to check with your doctor to see if VBAC is even an option for you. It really depends on how the incision was made (to the uterus, not the outside at your skin), and how well it healed. You want to make sure this is safe for you. Not all midwife will take a case for a VBAC. So check around, and make sure they have experience doing this. I had a cousin that did have a VBAC with a midwife at home for 2nd birth. We thought she was crazy but she and her baby turned out fine. She really enjoyed it because she had music, was more relaxing for her. So make sure you do your homework, and get all the facts, the procedure for emergency, etc. A very experienced midwife with VBAC is a must, however, you still need to weigh the risk. Good luck!

Answer 3

A homebirth is an option, but be aware that in some states, a midwife cannot attend a homebirth VBAC. I had planned to have a homebirth VBAC, but had to put off pregnancy due to medical difficulties. I now have a medical problem that makes a repeat C-section a wiser choice. If you are unwilling to have an unattended VBAC at home, then my suggestion is to not notify any family members that you are at the hospital whether you have a VBAC or a repeat c-section.

If you want a homebirth, there are several Yahoo!groups on homebirth and it includes a number of women who had VBACs at home.

BTW, uterine rupture is actually very uncommon in a low-horizontal cut c-section when induction and labor enhancing drugs are not used. In MN, every single case of uterine rupture from VBAC involved these drugs. That is why they are no longer used.

Answer 4

Wow, I am so sorry you had such a bad experience with your first childbirth.

As for a HVBAC with a midwife...it is very possible. Just check the laws in your state, because in some states it's illegal. If you go to a hospital, you can also use a midwife. I am having a VBA2C in the hospital in about a month or so.

There are lots of scary stories out there about uterine rupture, but they are the exception, not the rule. In fact, uterine rupture can happen to a women having her first baby (with no uterine scars). Please do your research and find out the facts, and not just the scare tactics. But, don't let them use Pitocin or cytotec. They are the major cause of uterine rupture.

Answer 5

with a vbac there are serious risks to ruptureing i had my fisrt son via v-bac (breech) and whith my second (daughter) i chose to just go ahead and have repeat c section, cause i had talked to 3 people who had vbac's 2 of which ruptured the uterus, one lost her baby the other had to go into emergency section, and the third went well, so when it come time to talk about it i dicided that i woudl just do a planned c section, and get it over with! SO personaly i would not do a vbac at home, there is such a big risk of problems arising, i would do it in a controled hospital setting where i knew at a moments notice i could have a section! good luck and i wish you all the best!

Answer 6

Please don't attempt it! I attempted a VBAC in a hospital and it ended with a uterine rupture. Yes all health care providers will say that they are rare, but think about the risks. If you attempt VBAC in your home and God forbid something happens, you have no time. You will could bleed to death and your child could die. My daughter fell out of my uterus into my abdominal cavity and went 13 minutes with no air. The risk is just to great. I was in the hospital down the hall from the OR, imagine you are in your house. I sympathize with the in law situation, trust me mine are a handfull, but don't risk your you and your babies health over it!

Answer 7

Absolutely not!!! Your chance of a successful vaginal delivery after a c/s for failure to progress is about the 30% range based on the FLAMM scoring tool. Attempting a vaginal delivery if you go into spontaneous labour should only be attempted at a medical center capable of doing an emergency c/s - with in-house anaesthesia and OB in-house to step in to help. If no spontaneous labour occurs by about 38-39 weeks, schedule your c/s. In order to avoid your crazy mother-in-law's antics, do not call her and invite her to your party. Notify her after the baby is born. Blame it on the doctor, say they made a sudden decision even if it was booked a month earlier. They really don't care if mom-in-law likes them or not.

Answer 8

I know someone personally who had a c-sec with their first one because of failure to progress. The second time they stayed home and got along fine. Whatever you do, don't get induced. Being induced is usually what causes uterine rupture.