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Tips for a successful VBAC Pls add here!
30 replies to this topic
Posted 01 October 2009 - 04:57 PM
Would just like to add an idea here:
Get to a VbaC Workshop if you can. Many hospitals now provide these, but they can be 'hospital specific' which is not necessarily a bad thing. The hospital ones should be free, but if you can stretch the funds, then go to a privately run class. These are more 'woman centred' and will give you loads of ideas and tips on how to negotiate the system. And they are great for your partner too!!
Posted 09 October 2009 - 12:56 PM
My VBAC is still a wonderful memory for me. I'm so proud I managed to get there BUT I was totally ready that I wouldn't make it. Ladies, if you don't get your VBAC, be proud that you're thinking of it.
That being said, my tips are:
1. Great OB that will let you go to term
2. Great hospital with hardcore midwives that will stare you in the eye and drag you over that finish line
3. Sit down with a midwife from your hospital and go through what to expect from labour and from them. I spent 1.5 hours with mine and we still keep in touch!
4. Get to know an acupuncturist that specialises in conception/pregnancy. I went to one to turn my breach baby (success) and then to bring on labour. The latter was at 39W5D. I lost my mucus plug the next day and I delivered on my due date.
I did all that with a very posh private hospital in Sydney!
Posted 07 February 2010 - 12:01 PM
1. Pick your caregiver with care. It isn't about paying for the service, it is about the support you get.
2. Go over your notes with a IM or Ob. What was it that led to your last CS? Than consider the question, what can I do that will make a difference this time? For me, I thought that my CS was the result of:
*lack of support - found a great midwife. Read a lot about labour. Made decisions.
*Large baby - possibly a result of undiagnosed GD - saw a naturopath, had regular blood sugar tests, talk to an endocrinologist about the possibility of my blood sugars going up after the routine hospital test (he reasured me that it was unlikely), watched my sugar (including fruit) intake very carefully. Exercised.
*Need for induction - found that zinc deficiency can prevent spontaneous labour - took zinc supplements, saw an acupuncturist (mid trained).
*SPD - saw a chiro (mid trained), altered my lifestyle to ensure I did not use a shopping trolley, lift things, like bags with only one side of my body, transferred my son to a toddler bed, encouraged him to walk/clim/use a step or a chair... got orthodics and wore them, saw a physio, pilates,swam (no breaststroke)
*Hospital policy - researched the hospital policies of neighbouring hospitals (so I could find out the differences and then consider the reasons for these differences), avoided hospitals where I was told the possibility was nil to nothing. Researched the hospital policy - what would I do and when?
*Labouring at home - what was I going to do to make it possible for me to stay home as long as possible. Turn water to off peak, birth pool, TENS, babysitting for DS, heat packs, heating Urns for birth pool, ball, food...
*Lack of personal responsibility - I deflected a lot last time.
*Talk to DH about how we were going on manage the hospital staff. We decided that we would stay resolute, not discussing any points raised until they had left the room. We would only discuss important decisions when we were alone or in the presence of a midwife that we trusted. We decided that an emergency caesar didn't require our consent. If they were asking for it, it wasn't an emergency - it was an election. Informed consent is considered to exist in true emergencies.
3. Be realistic, firm, self assured and determined. Plan for a pleasant CS. By doing this, I thought I would protect myself from PND that would follow another CS.
Edited by dragonfly31981, 08 February 2010 - 05:52 PM.
Posted 07 February 2010 - 12:37 PM
Support people are the biggest factor- I'd suggest thinking about a doula (a good one you feel really comfortable with) or a private midwife or (this would be my top choice if I had my time again) a midwifery student. Someone other than your partner who can be there all the way through to support you and reinforce the plans you've made. An informed proactive partner is great, but someone else to remember everything and give that added pair of hands would be great- even better if they've been there before and can reassure you and help you understand what's happening. I was pretty sure how I wanted things to go, but in the middle of it all I couldn't even speak half the time, let alone get myself correctly positioned and it would have been great to have someone to suggest different positions or different ways of coping.
Other things I'd recommend:
- don't carry over expectations from previous labours- my VBAC was very different to my first labour.
- if you're going to have an obstetrician, spend time finding one you like and don't go in with the attitude that they're the enemy. Build a good relationship and hopefully you'll find that they are generally supportive of your choices, or at least open to discussion and some flexibility on things like monitoring. Talk to them about what's bothering or concerning you.
- optimal fetal positioning!
- try to go into labour naturally. Maybe lots of walking, acupuncture, herbal treatments (it may be coincidence, but I'm convinced evening primrose oil worked for me), negotiating going post-dates as long as possible
- try not to have your membranes ruptured artificially, at least delaying it as long as possible
- move heaps during labour, stay upright, have an involved support person who will get you moving
- VBAC classes
- write things down and take it with you!
If I had a second go at it, I'd have gone to a VBAC class, I'd have sorted out much more support before the event, I'd have prepared for a delivery before my due date (did all the natural induction of labour stuff, but never really believed it would happen and was caught unprepared when I went into labour a few days early).
Posted 19 June 2010 - 05:48 PM
I made an attempt at a VBAC with DS2. Although it was unsuccessful I know that I gave it my best try.
I totally agree with the idea of going in with a positive attitude. If you don't believe you can do it then you may as well not try, you have already given up.
My strongest advice would be to listen to your body. Your the only one that knows what your body is telling you. If there is something wrong it won't be picked up by the monitors anyway, so I'm not really sure how much they help. Although I had a ruptured uterus the monitors showed absolutely no sign.
I'm so grateful that I had such a wonderful OB and MW that helped me right through.
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