In need of support for potential VBAC - page 2

L&D Nurses - I will be giving birth to my second child in mid-September and I'm trying to gather as much information as possible about VBACs. I do have a very reputable and supportive OB, who is in... Read More

  1. by   SmilingBluEyes
    Yes a DOULA, great advice, esp. if you plan a VBAC! I can't believe I forgot that! A good doula is worth his/her weight in PURE PLATINUM! And often, there are CNM's who will take on TOLAC/VBAC cases at many hospitals. THEY are VERY supportive of the family's desire for a low-intervention course in most cases, if that is what you elect.

    And you guys, thank you for the kind words. Really, I don't feel all the knowledgeable, but do want to help out! I appreciate the nice remarks! Elenaster, any more questions, please ask. You have a very smart group of OB nurses here (not me) who can help ya!
  2. by   fergus51
    I'm with you on that Deb. The VAST majority of our VBACs were women who also wanted epidurals as soon as they could, so pit was the norm not the exception. I have had very few VBACs that didn't include my "pit kit" at the bedside
  3. by   SmilingBluEyes
    rofl fergus. you have such a way of putting things. Iguess that is why I agree with you more than not. Have a good day!
  4. by   fergus51
    You too, my L&D guru/sister!

    LOL! I didn't notice you changed your sig quotes! I especially like the Britney Spears one! I guess I should be thankful she knows we are another country
  5. by   Elenaster
    Thank you all for your kind sentiments and support! So far, "little baby" (as it's called at our house) is doing great and actively kicking me in the ribs as I type. I'll be sure and keep you updated, and I should be finding out the gender next week.

    As for the suggestion about the Doula, that's a wonderful idea and something that I've actually considered. I do have two wonderfully supportive nurse friends who both have OB experience who I plan on having with me, mainly because my poor DH is pretty much useless in the delivery room.

    Marla- I appreciate you sharing your story. That's the exact scenario that I would like to have, but my greatest fear is being "put under" for an emergency c-section. I really would like to go the natural route, I was actually talked into the epidural last time to see if it would "speed up" my labor and it only caused problems, but I'm so afraid of the worst case scenario resulting in general anesthesia. My doctor assures me that he won't let things get to that point, but he and I both know there's only so much we can control.
  6. by   mother/babyRN
    Our hospital does not carry insurance for VBACs any more. We are supposed to have a VBAC waiver but with the literature out there we don't have any docs willing to do it...So, I think some of our successful VBACs, who want to deliver with us but understand why we don't do them now, wait until they can't take it anymore at home and then come in, despite the fact that they are STILL made to have csections until they are actively pushing. Too bad....Thats potential litigation for ya...
  7. by   SmilingBluEyes
    and how, mother-baby.
  8. by   mother/babyRN
    Yep, it is really too bad, isn't it?
  9. by   mother/babyRN
    Did you all hear that there is a new trend toward elective csections ( and of course Hollywood types don't have to do a trial of labor if they don't want to). Much like in Brazil where an elective csection is the thing to do...The reason being according to the documentary I saw, was to alleviate the pain and potential complications of labor..Although I have done it both ways and it hurt less for me to have csections, I am happy that I got to experience the vaginal delivery and even the labor ( that said LONG afterward), but wouldn't it be sad if people just decided not to take the time or trouble to go through labor and all it entails. Times they are a changin........Sigh...
  10. by   SmilingBluEyes
    There was an article in some magazine that was entitled

    "Too Posh to Push" that discussed this phenomenon. I also read an article in LHJ or some other housewife mag, written by an obstetrician who stated she would elect to have a csection with each child she bore to avoid "likely" prolapse of the uterus and damage and resulting incontinence of her bladder. NO trial of labor for her, nuh-uh. So, it's no surprise in our fastfood world that women of means will demand a csection in order to make the birth more "convenient" or "easier" in their minds.
  11. by   BabyRN2Be
    Deb covered it all in an earlier post. I do have one more suggestion for you. If you can, find a doula in your area who is EXPERIENCED in working with VBAC clients. They have additional resources for you to consider. If this is what you truly want, I'd invest in a doula who has this experience.

    Good luck and I hope that all goes well for you!
  12. by   BabyRN2Be
    Quote from SmilingBluEyes
    There was an article in some magazine that was entitled

    "Too Posh to Push" that discussed this phenomenon.
    Yes! I also read this but can't remember for the life of me where I read it. I don't know if it was a baby magazine in my OB/GYN's office or not.

    Here's the online version of it, but I could have sworn that I saw it in print media. If anyone is interested in it, here ya go.
  13. by   BBnurse34
    My first child wasa delivered my emergency C section secondary to abruption. My second child was delivered C section due to placenta previa. My third child was delivered VBAC with Pit and an epidural. It was the greatest experience of my life. I had felt like I had missed out on the other two. Even with a fourth degree laceration, the recovery was a piece of cake compared to the sections.
    I did have internal monitoring and a surgical suite was ready just in case. I have never regretted my decision to VBAC.