Showing posts with label pregnancy. Show all posts
Showing posts with label pregnancy. Show all posts

Monday, November 16, 2009

Get On Track, With a Successful VBAC!

By VBAC Mom, Sally H.

Get On Track, With a Successful VBAC


When I was approached to write a blog about my experience with a VBAC, I have to admit that I was little reluctant. I mean who wants to hear another story about VBACs? But when I starting to tell other women about my VBAC experience they encouraged me to share my story. You see, like me they wanted to try to have one, but unlike me, they were told they couldn’t. I couldn’t believe this. Even though the success rate of having a VBAC is 75%, many women are denied this either because her doctor does not want to risk the liability or her doctor or even her spouse is afraid of the possibility of her uterus rupturing. Sure, there are many risks with pregnancies and many risks with birth. In fact, death is a risk for both mother and baby any time when giving birth. In fact, according to ICAN, “the risk of fetal death among the 13,115 women attempting VBAC was 0.038 percent (5/13,115). Thus the risk of a baby dying in association with VBAC was 12 times lower than the risk of a baby dying from non-rupture-related causes.” So how do we change the tide and encourage our doctors, spouses and even the hospitals that VBACs are safe and they are worth the attempt?


When I was pregnant with my second child in 2005 I knew that I wanted a VBAC. My first delivery was a nightmare and my doctor explained that the need for the ‘emergency C-section” was eminent. I did not want to go through with the pain of another C-section again. I certainly did not want to miss the opportunity of giving birth naturally. I had read enough to know that I was not in the high risk group, however my biggest obstacle was getting my doctor to be in agreement with me. More importantly, I had to get my husband to be in agreement as well. We barely fight, but we fought over this for weeks. This is a serious decision to make. If there is not the support from your doctor or midwife, nor your spouse, then I suggest you get them to agree with you or find another doctor or hospital. I guess you cannot go out and find another husband, but there is so much supported evidence as to why VBAC are safer than repeat C-sections that he may oblige.

VBACs are safer for both mother and baby. VBAC is not major surgery, repeat C-sections are and who wants more surgery?


So, you have to get them to be in agreement with you. I was fortunate that I had my doctor’s approval. There were other doctors in this practice who were not with me and my VBAC but I explained that this is what I really wanted. They all agreed for me to go into labor naturally and when the time came to be in a birthing room next to the ER, you know just in case. I had my plan and the hospital made me sign a consent form which basically said that I knew of my risks of attempting a VBAC, but I am willing to take it anyway. It is so funny how even at the last minute the head nurses and the hospital were still asking me if this is what I wanted. I remember looking at them and saying through my grunts of labor, “don’t you think this is what my baby wants?” My first one was poked in the eye in utero, was drugged from the anesthesia and I did not get to hold nor see her for three hours after birth. I was not going to go through this again. Again, I had the support of my doctor and my doula who helped me through the worst part of my second child’s labor. I had to push through the old scary memories of the first birthing process and move through the second, natural one. To have everyone in that birthing room to be in agreement with me and to be on the right track, was part of my success. It all came down to that moment when I pushed her out and heard her cry. To be able to be there for the whole process was surreal and beautiful. I encourage anyone who is thinking about VBAC to go for it, but please make sure everyone supports your decision. Now, if I can only encourage my husband to go for a third, but this story I will keep for another day.


Wednesday, July 2, 2008

Thank you March Of Dimes

For a long time we all knew that there was a serious link between the dangerously high number of cesarean births and the amount of babies being born prematurely in our country.

  • Women who schedule their Cesarean around their work and vacation schedule.
  • Well I think my last period was April 7th, but hey, that could be 2 weeks off.
  • I had a c-section with my first 3 kids and it was just sooooo easy, so pump in those pain meds and lets get that baby out!
  • I don't want to stretch out my vagina!
  • I am scared of child birth!
  • Once a Cesarean always a Cesarean right?
  • OMG my risk of uterine rupture from VBAC is just scary!
Thankfully an amazing and reputable organization in the medical community has stepped forward to shed some light on this major issue.

Thank you to The March of Dimes!
The following is a release from them.

C- Sections a Critical Factor in Preterm Birth Increase

Some C-Sections May Not Be Medically Necessary, March of Dimes Says

WHITE PLAINS, NY, MAY 28, 2008, Cesarean sections account for nearly all of the increase in U.S. singleton preterm births, according to an analysis of nine years of national birth data.

Between 1996 and 2004 there was an increase of nearly 60,000 singleton preterm births and 92 percent of those infants were delivered by a cesarean section, (c-section), according to research by investigators from the March of Dimes and the U.S. Centers for Disease Control and Prevention (CDC) that will be published in the June issue of Clinics in Perinatology. While singleton preterm births increased by about 10 percent during this time, the c-section rate for this group increased by 36 percent.

Preterm birth is a serious and costly health concern and is the leading cause of death in the first month of life. More than 520,000 babies – one out of every eight – are born too soon each year in the United States.

Late preterm babies, those born 34-36 weeks gestation, account for most of the increase in the US singleton preterm birth rate. These infants have a greater risk of breathing problems, feeding difficulties, temperature instability (hypothermia), jaundice, delayed brain development and death than babies born at term. This new analysis shows that that these late preterm infants had the largest increase in c-section deliveries.

“While maternal and fetal complications during pregnancy may result in the need for a c-section, we’re concerned that some early c-section deliveries may be occurring for non-medically indicated reasons,” said Alan R. Fleischman, M.D., the March of Dimes medical director and senior vice president. “We need research to determine how many c-sections that result in preterm babies are not medically indicated and may place both mother and baby at risk for little or no medical benefit. ”

C-sections are the most common major surgical procedure for women. More than 30 percent of the 4.1 million U.S. live births are delivered via c-section and the rate has increased dramatically since 1996. A c-section delivery can be lifesaving when there are complications during pregnancy, but it is a major operation with potential risks to the mother from the surgery and anesthesia and to the baby, if the delivery occurs too soon. The March of Dimes is concerned that some early deliveries may occur without good medical justification and may be done at the request of the mother or based on an inappropriate recommendation from the doctor.

“The Relationship Between Cesarean Delivery and Gestational Age Among US Singleton Births,” by Bettegowda VR. et al. will be published in Clinics in Perinatology, Vol. 35.

The March of Dimes is the leading nonprofit organization for pregnancy and baby health. With chapters nationwide and its premier event, March for BabiesSM, the March of Dimes works to improve the health of babies by preventing birth defects, premature birth and infant mortality. For the latest resources and information, visit marchofdimes.com or nacersano.org. For detailed national, state and local perinatal statistics, visit PeriStats at www.marchofdimes.com/peristats

Tuesday, July 1, 2008

What is Cesarean Epidemic?

There are blogs for everything today! Family blogs, Book Blogs, Craft Store Blogs, Midwife Blogs, Doula Blogs, Nurse Blogs.... You get the picture right?

This blog is to point a focus on the cesarean birth epidemic taking place in The United States, and other parts of the world. Posting facts, related news pieces, opinion blogs, and everything that goes hand and hand with the problem our country is facing today.

We also have a yahoo e-mail group, a cafe mom group, and a myspace group.
We are working on a full scale website also.

I hope you enjoy!