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weeheebaby View Drop Down
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    Posted: 22 October 2010 at 1:06pm
Have just found out the day for my OB consultation. I am planning on VBACing at Hutt hospital. Very supportive MW.

So what happens at this appointment? What should I know before I go and what should I expect? I don't want to be stroppy in the appointment but I do want to stand up for myself and the baby.


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newme View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote newme Quote  Post ReplyReply Direct Link To This Post Posted: 22 October 2010 at 2:44pm
I am wondering the same thing. I have my OB appt on the 1st November. I am preparing myself for an OB who is not supportive of home VBACs....but hopefully it will be ok.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote weegee Quote  Post ReplyReply Direct Link To This Post Posted: 22 October 2010 at 3:41pm
It seems to vary wildly depending on the OB (although I'd be willing to wager none of them are terribly supportive of HBACs, hila1!).

At mine (at Waitakere) the OB looked at my notes, asked me why I thought I'd ended up with a c section last time, commented on the size of my babies (*insert eye roll*), asked me why I'd delivered at North Shore last time, asked me what I thought the risks were of a VBAC (as I'd pretty much opened by saying I intended to have one), then we had a lovely academic discussion about the risks of c-sections in general as opposed to VBACs. He asked how the pregnancy had gone and if there were any complications or risk factors he didn't know about, and when I said the pregnancy had been great with no issues, pronounced me young and healthy and said he saw no reason why I wouldn't be able to birth this baby naturally.

I had been dreading it a little TBH and was all ready to go in guns blazing but it was actually a very pleasant and empowering meeting

Mum to JJ, 4 July 2008 & Addie, 28 July 2010
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weegee View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote weegee Quote  Post ReplyReply Direct Link To This Post Posted: 22 October 2010 at 3:42pm
oh hila1 I did mention at mine that I'd originally considered a home birth and he just shook his head at me

Mum to JJ, 4 July 2008 & Addie, 28 July 2010
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Post Options Post Options   Thanks (0) Thanks(0)   Quote newme Quote  Post ReplyReply Direct Link To This Post Posted: 22 October 2010 at 4:52pm
Thanks for the advice. Perhaps I should go in prepared with some statistics and quote some studies I have looked at!

I think I had better warn DH not to believe what the OB says...
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Post Options Post Options   Thanks (0) Thanks(0)   Quote weeheebaby Quote  Post ReplyReply Direct Link To This Post Posted: 22 October 2010 at 5:41pm
I'm thinking a gentle reminder about 30% might work in your favour (just say you've been reading the paper a bit lately and would like to help get the stats down!)
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mummyofprinces Quote  Post ReplyReply Direct Link To This Post Posted: 22 October 2010 at 6:46pm
Mine just had a quick review of previous section, I told her I wanted a VBAC she said OK, I just want you to get a growth scan and bloods fortnightly and I will see again in a month...

Saw her again, she said she was happy and if I hadnt had baby by 41 weeks we would look at induction.

I had a my son 3 days later (she happened to be on duty)... sadly no vbac for us but our section wasa medical necessity for both of us... she was very dissappointed for me that things didnt go to plan bless her.

That was NSH.


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Post Options Post Options   Thanks (0) Thanks(0)   Quote newme Quote  Post ReplyReply Direct Link To This Post Posted: 01 November 2010 at 12:59pm
I just had my OB appt. Did not go well at all.

Went in and she asked what my plans were for the birth, so I said I was thinking about a home birth. she just stared at me.
I said I had done my research and she started pulling out her stats: 1 in 2000 chance of rupture, and of those that do rupture she said 1 in 200 chance of a still birth and 1 in 100 chance of hysterectomy.
I said I thought they were pretty low risks and she told me they were very real risks.
Her recommendation was for a hospital birth with continuous monitering and an IV line in place. I told her no way. She said if I really insisted that I could come in and have the baby in hospital without the intervention. I asked what about a waterbirth and she just looked at me again. But I took DH with me and now he is scared of a home birth. Now I feel really upset and wish I didn't go.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mummyofprinces Quote  Post ReplyReply Direct Link To This Post Posted: 01 November 2010 at 3:04pm
Hila hun, I dont think any OB would have reacted differently.... Perhaps have your DH at your next mw appt to discuss with her what she would do if she felt things were not going well so he knows that you will be safe etc.... Get him to write down his concerns so they can be addressed.



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Post Options Post Options   Thanks (0) Thanks(0)   Quote newme Quote  Post ReplyReply Direct Link To This Post Posted: 01 November 2010 at 4:43pm
I think I will do that. I cried the whole way home (this is probably more to do with all the crazy preg homones), I just felt upset that my DH had taken to heart everything the OB said. And the OB really made me doubt what I am planning on doing. I was feeling so positive about the birth before hand.

I am starting to feel better. I will get DH to meet with midwife this Friday and we will go over the plan of what will happen if things don't go smoothly.

Also the OB said "many women, understandably, choose an elective after having a prior c-section". This really annoyed me. So I asked what her opinion was of home birth for a women who hadn't had a previous c-section. She didn't approve of that either.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mcshort Quote  Post ReplyReply Direct Link To This Post Posted: 11 November 2010 at 3:51pm
I'm so with you!!
In CCDHB they're all super conservative as well,, despite the new stuff that's come from the American College of Obstetrics and ... (can't remember the rest!) saying VBA2C is perfectly safe.

They're medical staff. In their eyes you're a patient. In your midwife's eyes you're a mother. Remember that :o) Stick with your midwife, if you trust her with your life then take deep breaths, remember thousands of women VBAC safely every year! I always felt completely disempowered after every hosp appt and then I'd see my midwife, she'd put my mind at ease or God would send someone my way (like a random on a bus) who'd birthed a 10-lb-er after having a previous caesar.

And we're gunning for ya!
Mum to two very active boys, born October 2008 and December 2010. Getting excited about becoming a Childbirth Educator, and LOVIN being a birth support to amazing and courageous women!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote weeheebaby Quote  Post ReplyReply Direct Link To This Post Posted: 23 November 2010 at 8:59pm
THought I should pop back and update this.

Things have undergone massive changes at Hutt hospital in the last couple of months (new obstetric staff). It was great. I primarily saw an attending (who's very near the end of ther time - i think) and she was really positive about VBACing. Of course she had to go through all of the "medical risks" of VBACing (but you would expect that of any medical professional). Had a check of my previous scar, talked about what led to my last c-section. And what was really good is she brought the portable scanner in to check bubs' postiion (just to make sure head down). Even better was that she had to get her "boss" to come "sign off" on the scan and he was SUPER AMAZINGLY supportive of VBACing.


ANNNNNNNNNNNNNNNDDDDDDDDDDDDD they didn't even book me in for a c-section (this is what i most was afraid of). The OB said I'm happy for you to go 7 - 10 days over before we do a section. So the upshot is that I have a follow up appointment (only) for 41 weeks to discuss what we will do next. Exciting and daunting at the same time. I love all the new things they are doing at Hutt to encourage women to birth naturally.

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