VBA3C how can i convince my Dr/

[aussiettc]

Ok so i have decided to try and convince my OB to let me try for a VBA3C.
i know some people will think it really dangerous i think i can do it. I had a terrible experience with a spinal with my third c-section (CS) so i'm really scared about having another one. I know i cant really aviod it if i have to have another CS but like i said i think i can have #4 naturally. My first was a due to failure to progress after being induce without bubs being engaged. DS head did not drop below my spine during my entire labour experience. With DD (#2) it was again for failure to progress after another induction without bub engaged. after about 10 hours of labour it was decided for another CS. With #3 he was a straight CS, the aneathisist took 25 mins to get the needle and even started asking me if it was in the right spot. It took that long that the midwife came in wondering if something was wrong cause it was so long and they hadn't said my DH could in.

Ok so basically for all of you who have had a CS how are you convincing your doctor to let you go naturally??

 

[Mervs Mum]

Change doctor. I wouldnt even try to convince anyone. If he wont support your wishes then maybe he's the wrong doctor. Find one supportive of VBAC. You have had 2 CS because they induced you and one elective. You've never been allowed to labour spontaneously! If you werent induced you may labour easily as opposed to them trying to FORCE your body to labour when it's clearly not ready.

Yes you can do it. You just need the right support

 

[indigo_fairy]

I'm going for a home VBAC after having the failure to progress too. I haven't tried but I'm not going to try to convince my consultant as I know he won't support me what so ever. If you know in your own mind it's the best thing to do, as I do aswell, just trust yourself and your body. It's taken me a while to have the confidence to decide on a homebirth but I feel so much better for it, I feel relaxed and excited about the birth rather that terrified I did a few weeks ago thinking about all the rules I was going to have put on me in hospital, not to mention the monitoring, and just the way it made me feel uncomfortable.

If you are going for a natural hospital birth I would just build up your confidence and know you have the right to birth how you want to, so if they try to tell you that you need the same because of failure to progress again, but baby and you are not in distress etc... then you have every right to refuse their recommendation.

I'm hiring a Doula, so if I do need to transfer to hospital she can be my voice, so I've still got the best chance to achieve my natural birth I think she will be a big help, maybe you could consider one? I think it helps to have the support, when people around you aren't being so supportive of your decision, it's helped me an awful lot.

 

[aussiettc]

I don't think i explained myself very well at all.
I have my first appointment with the Dr on the 21st of February.
I guess i'm just after some advice to show i know the risks annd that i still want to try.
How should i explain my choice to the doctor so she doesn't think i'm an absolute loon, and that i have a clear idea of what i'm doing and the risks involved.

 

[Mervs Mum]

What I'm trying to say is it's not your job to prove you understand the risks etc. It's his/her job to convince you that they will support you in your choices. You dont have to justify your choices.

 

[Bournefree]

There is nothing wrong with wanting to prepare for an appointment with your consultant. It will help you to ask the questions that you want to and use the time you have effectively.

Here is lots of info on VBAC posted by the lovely ladies of the home and natural section BnB..

Section Risks
https://www.childbirth.org/section/risks.html
https://www.childbirthconnection.org/article.asp?ck=10166
As with any surgery, there is some risk associated with the anaesthesia used during caesarean births. If you happen to be sensitive to the anaesthetic used, you may experience a drop in blood pressure of respiratory complications. Infection is also of concern. Organs close to your uterus, like the kidney and bladder, may be infected during the c-section. If you have a c-section you may also notice increased blood loss. You will lose about twice as much blood as with a vaginal birth.
Your baby can also experience some problems associated with a caesarean delivery. Babies born through caesarean section tend to have a greater chance of having respiratory problems

Risk of needing a c-section
'the risk of having an emergency caesarean section for risk of serious
acute condition in labour (such as for fetal distress, post partum haemorrhage,
or cord prolapse) is 2.7%, or up to 30 times more likely than for a uterine
rupture with a planned vaginal birth after caesarean section.' (p96 Midwife's
labour and birth handbook, 2003)

VBAC/HBAC Info:
VBA3C Video- bit of a tear jerker video..
www.homebirth.net.au/2009/09/home-birth-vbac-after-3-sections-one.html
https://health.groups.yahoo.com/group/ukvbachbac/ Yahoo group
https://www.caesarean.org.uk/articles/Myths.html
The often quoted rupture rate of 2.2% for classical incisions is based on studies carried out more than 30 years ago. It is not known whether advances in surgical technology over recent decades will have affected this figure.
https://www.choicesforbirth.org/faqsarticle.php?id=44.. Explains the differences between risk of UR in a classic and LSCS (Lower Segment Caesarean Section)
https://www.homebirth.org.uk/vbchances.htm
https://www.theunnecesarean.com/
https://www.plus-size-pregnancy.org/C...begrateful.htm
https://www.childbirth.org/section/ICAN.html
https://www.homebirth.org.uk/vbacsigns.htm
https://www.childbirth.org/section/ICAN.html
https://wellroundedmama.blogspot.com/...rted-risk.html


UK NICE GUIDELINES
https://www.nice.org.uk/guidance/inde...o=7261&ht=7252
https://www.nice.org.uk/guidance/inde...o=7253&ht=7252
　
Continious fetal monitoring
https://www2.cochrane.org/reviews/en/ab006066.html
cochrane review of continuous monitoring and its outcomes shows that there is no difference with maternal or neonatal death rates but increased rates of instrumental deliveries and c sections when CTG is used!
https://www.nct.org.uk/info-centre/decisions/view-40
"continuous fetal heart rate monitoring", lancet, 12 Dec 1987, 1375-7
2 - RCOG recommendations from a study of 35k women showed that there wasn't any beneficial outcome to baby from CFM. C-sections and use of forceps were increased by 33%. Due to any signs of distress is acted upon more frequently, but this study also showed the babies chances of survival were not improved by operative deliveries. Also it found that often the baby wasn't found to have a lower APGAR score after operational delivery, which would have been expected in cases of fetal distress.

XxX

 

[indigo_fairy]

I don't think i explained myself very well at all.
I have my first appointment with the Dr on the 21st of February.
I guess i'm just after some advice to show i know the risks annd that i still want to try.
How should i explain my choice to the doctor so she doesn't think i'm an absolute loon, and that i have a clear idea of what i'm doing and the risks involved.

You could look at the links Bournefree (wow theres loads - might have to have a look myself!) has given and then print out/write down some of the points you'd like your consultant to know you understand? If that makes any sence at all. If you've got them in front of you with facts you can discuss things more easily, as I didn't have anything written down at the time. My consultant knew all these percentages and statistics implanted in his brain, I could've never compete with! He went so fast I don't even remember much of what he said actually