Reply to Planned c-section vs. vbac

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Reply to "Planned c-section vs. vbac - what would you do?"

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[quote=Pepita]OP, I would have another conversation with your OB. Since you like and trust him, I actually don't know that you should necessarily dump him, though don't rule it out after you've given it a ton of thought and conclude that he can't give you a fair shake at VBAC given his own limited experience or the hospital environment. I had a posterior baby and I know that I spent at least two hours on my hands and knees wiggling my butt back and forth like a dog slowly wagging its tail. It brought me so much relief, and in hindsight, I think that's what caused baby to turn partially for an easier birth. I didn't have an epidural, but if I had (I wasn't opposed) I really would have wanted to make sure I could still change positions. I think it's nearly universally accepted that different positions open up the pelvis more, as PP said. This is a little bit gross but in SE Asian countries where people squat to toilet, they have fewer issues of constipation, etc. There's a reason for that. So, what I'd ask specifically is if the hospital's anaesthesiologist is able to "right size" your epidural (if you want one) to make sure you can change positions - even if just a little bit - while pushing and get off your hips and at least onto your side, or preferably hands and knees or ideally, squatting with a squat bar. A question I'd have for your OB? Is he willing to be personally invested in your VBAC, really champion you in it as opposed to just "allow" it, and what can he (and you) do to bring that 10 percent figure higher.

Do some research, have another talk, and maybe just for kicks, consult another provider. There are midwives that deliver in hospitals that may present a best of both worlds for you - medical attention if you need it, including pain relief, but also the kind of support that might get you further without it.

GOOD LUCK!  [/quote]

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