forced c-section

Debbie - posted on 02/08/2010 ( 30 moms have responded )

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I had a c-section 12 years ago and since then have had 2 vaginal births with no complications. My local area hospitals have now implimented new regulations in which they will not perform a c-section after a woman has had one. I have looked online, called the hospitals and called the medical board. They all tell me the only way to avoid a c-section is to blow off the appointement and show up in labor, and at that time will be forced to sign paperwork saying that if anything (relating to not having the c-section or not) goes wrong I cant hold the hospital liable. The nearest hospital that will do a vaginal birth after c-section is about 45 minutes away. Has anyone else experienced this? What did/would you do? Would a 45 minute drive in labor be unsufferable?

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Mary - posted on 02/15/2010

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And another thought....they are not FORCING you to have a section, they are telling you that they do not have all of the necessary emergency personnel in place at all times to ensure the safety of you or your baby, but it does sound like they have told you that if YOU are willing to accept responsibility for the outcome, you can do it. If you are so sure that it is safe for you and baby, why wouldn't you sign the paperwork required? Why do you feel the need to be able to hold them liable. If this is your choice, then you whould be willing to accept ANY outcomes from you choice...but it sounds like you want the safety net of blaming someone if things go wrong.

Sharon - posted on 02/08/2010

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Your hospital isn't covered for a VBAC. They may not have doctors with the requisite skills for a VBAC.

Is this the situation you want to give birth in?

For me 45min is how long it takes to get into town anyway. But I hate my tiny town hospital so two weeks before I was due to go into labor I moved to a bigger town nearby and stayed in a hotel. I had a doctor who believed in the 40 week rule. IF certain conditions were met - at the 40 week mark, they would induce if I hadn't gone into labor myself. So my stay in the hotel wasn't infinite. lol.

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Meg - posted on 08/24/2011

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I would suggest staying home with a midwife. I did! It was the best thing I ever did.

Good luck. I'm sorry they are bullying you like this, it's just unacceptable!

Mary - posted on 02/15/2010

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Is 45 minutes too long of a drive? Well, how important is a VBAC to you? You'd be a fool to show up at a hospital that tells you upfront that they are not EQUIPPED to handle any possible complications that could arise...why in God's name would you want to put you or your baby in that situation? Just to avoid a longer drive? Really?

Switch OB's now to someone at the closest hospital that is CAPABLE of doing VBAC's, suck it up, and make the drive if that is what you want to do. Where I live, most people routinely drive that distance to deliver, because that is their only option, not just to have the delivery method of choice.

Otherwise, have your baby at home without any medical assistance/intervention, or take the shorter drive and have another c/section.

Stephanie - posted on 02/14/2010

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I have had 4 VBACs after my first baby was born via c-section. There are serious risks to VBACs as well as to c-sections. If you choose to have a VBAC then talk to your doctor. having had a vbac already shows that you pelvis is adequate but each VBAC does increase your risks. 45 minutes isn't too long unless you go very fast. Good Luck. If I had another baby I would choose to do a VBAC again. My doctor will do a VBAC if I agree to an epidural and internal monitors to be able to "catch" a problem as early as possible and be able to ruch to the OR if needed. Thankfull I have not yet needed that.

[deleted account]

Since you've already had 2 VBAC's in the hospital that is now saying it isn't allowed.... I think that's really crummy. Sorry. :(

I don't live someplace where VBAC's are an option. I was ok w/ it though. My second recovery was a breeze compared to my first. :)

Shanda - posted on 02/14/2010

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Are there any midwives in your area that perform home births or births in a freestanding birth center? I think often this is the best option for avoiding a c-section. That's such crap though, my research on VBACs has shown up to a 90% success rate for VBAC and you know that in all likelihood you can have a VBAC again since you've already had two! HUGS!

Kristi - posted on 02/14/2010

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I have heard of hospitals not doing vbacs and I think its utterly ridiculous. Especially when you have already had 2 vbacs. You have no other choice...dont go in for your c-section...just show up when you go into labor. Its not like they will come knocking on your door and force you to have a c-section. See if you can find out exactly what the papers say that you will have to sign. I dont want to advise you to wait as late as you can before you go in, but...wait as long as you can. I went in several hours after my water broke and got "bitched" at for doing so...but everything was fine. Apparently you should go as soon as your water breaks. But I know that delivery can still be hours and hours later and I did not want to be "tied" down in labor for that long.
I hope things work out for you.

[deleted account]

That's crazy! But I know how you feel. I'm pregnant with my second child and they are forcing me to have a c-section as well. I had one with my daughter 8 years ago, so now I must have another one. At first I was really upset, but now I'm dealing with it. There aren't even any hospitals 45 mins away that'll do a vbac.

If I were you, I would find a midwife since you have had two children since. If not drive the 45 mins. Good luck to you!

Michelle - posted on 02/12/2010

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I feel for you matey. I was forced to have a c-sec for my twins but there were medical reasons. On the driving matter. It was only 15 mins but I drove myself to hospital in labour with the twins. My hubby didnt believe me when I said I was in labour and went to the pub for two hours.

Kelly - posted on 02/12/2010

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There is a blog dedicated to VBAC it's http://www.thepathtovbac.blogspot.com/ You can go there and see what hospitals will let you even do a VBAC. It's banned at alot of them. When I asked my Dr. about it she said that only 2 Dr's in and hour radius will even preform one :( Good luck.

Rachel - posted on 02/09/2010

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I had 2 c-sections and then 2 successful vbac's. I searched high and low for midwives and doctors who would support me. I would recommend trying to find a midwife who will deliver you. If you are not able to do that or not comfortable, then do the drive. I drove an hour and 15 minutes to the only doctor who would deliver me. Otherwise, just show up and sign the papers. DO NOT allow them to force you into a c-section because you will never be able to vbac again.....they have gotten even stricter about it since I did it and it was almost impossible for me to find a dr. who would deliver me. Good luck.

Amanda - posted on 02/08/2010

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I have no advice only sympathy. You must feel really trapped. Especially finding out after you were already pregnant and have had 2 VBAC's already in that hospital. Seems like a very strict rule that doesn't take the actual patient(s) situation into consideration. Shouldn't Dr's treat according to whats going on not some strict rule?

Tamra - posted on 02/08/2010

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Before you can decide what you want to do you should make sure you have an ultrasound to tell you how thick the uterine wall is. If it is too thin it can rupture during vaginal birth. I'm in Canada and there aren't the set regulations here. My friend had an emergency c-section, followed by a vaginal birth. For her 3rd child a c-section was recommended because her uterine wall was thin. So, my advice is that you get an ultrasound first and then decide for yourself which way is safest.

Alice - posted on 02/08/2010

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I was told the same thing, except I'd have to travel about 1 1/2 hours away. The reason I was given for this is because they don't have a NIC unit at the small hospital in the small AZ community I live in. You might try asking why this is and dependent on the answer make your decision.

Abbie - posted on 02/08/2010

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I am 45 minutes in good weather from the hospital I go to. When I inquired about a VBAC, I was told by my doctor, that the hospital has a rule that once a c section ( for the first child) you must have repeated c sections. I am personally ok with this, I don't hold ill feelings about a c section, I know many women do. You do have options I would think. Have you considered mid wives? duala? Home birth? You have had a vag. birth so they might allow that. Its all in what you want to put forth on energy.

Cherie - posted on 02/08/2010

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I am a first time mom, but I had to get a c section after 35 hrs of labor. I traveled an hour and a half to get to my birthing center then was transferred to the hospital. I live in Maryland, and here in Maryland they do vbac. VBAC is a state to state option. Some states do not allow you to do a vbac if you have had a c section. Also something to think about... I dont know if it is still this way today, but some health insurance wont cover you or you will have to pay more if you have had a c section.

Debbie - posted on 02/08/2010

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Sarah
My labor typically only lasts 4-5 hours and delivery with both vaginal births was quick, as was recovery. I looked up a midwife but the only one closer then the 45 minute drive is not certified.

Sharon
I have already had a VBAC at the hospital that is refusing to do one now, I was told the local area hospitals decided not to do VBAC's anymore, but I know they are perfectly capable. I like the hotel idea though, I do have three kids at home but my family would be more than willing to help on that front. If it was neccessary for me to have a c-section I would do so, but with the research I have done I truly believe I would be putting myself and my baby in more danger with a surgery. My first was breech so the c-section was not due to any other medical reasons.

Lisa
Im in California and the idea that they would allow something to happen or be less concered about me because I have signed off all liability is my exact fear, I would have no problem signing off liability due to the c-section but was told I would have to sign off ALL liability.

Marina
I am only 13 weeks along but was hoping to solve this problem and get it out of the way as the idea of a c-section is seriously stressing me out. I would have no problem if I went to the doctor and was told something made it neccessary for me to have one, but as it is I believe a surgery is putting both me and the baby in more danger.

Michelle - posted on 02/08/2010

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Wow. I don't know, I've only had two vaginal births, but a close friend of mine had a c-section, then a home birth, then a home-water birth, both attended by nurse midwives. She felt very "robbed" during her first birth, as the hospital more or less took over and decided she needed a c-section. Her following two births went just fine with no complications.

I get so angry hearing these hospital bureaucrats deciding what we're "allowed" to do with our bodies. I'm sure it would be more cost-effective for the hospital, i.e., ,they'd make more money, if EVERYONE had a c-section, but it doesn't make it right. If your trusted doctor or midwife felt it was a high-risk situation, then that would be one thing, but for a hospital to have a strict "rule" about VBAC - especially with all the statistics I've seen showing it can be safely done - makes me absolutely crazy.

I would also never go to a doctor who had some 40 week "rule". Every pregnancy is different, and there are no real steadfast RULES to follow - each should be done on a case by case basis.

I'm pretty stubborn, so I would probably say screw you guys, I'll go to a different hospital. But I'm lucky enough to have more than one around me.

I hope it turns out OK for you. It comes down to doing what you feel is best for you. I know that's not very helpful, but ultimately it is YOUR body, and YOUR baby, and you have to choose what's best.

Good luck with your pregnancy and birth.

~♥Little Miss - posted on 02/08/2010

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I am dealing with that EXACT issue myself right now! I am 31 weeks prego, and the 3 hospitals in my area will NOT do vbacs. I found a midwifery directly across from a hospital that WILL perform a vbac...but it is 1hr away. The success rate for vbac's is much higher with midwifes, that is why I am opting in that direction. I will definately be delivering at a hospital in support of vbacs, but have to travel to have the opportunity. This is my 2nd baby and I want to be given the chance to have natural. I am also hiring a doula. As soon as I am in true labor, I will be driving up to the area so I do not have close contractions while I am stuck in the car. I have been told by my midwife, and doctor to NOT arrive at the hospital to early, becouse the chance of having another c-section rises. I will be getting a hotel room near a park so that I can do most of my labouring there. I do have other advice that has been given to me, if you would like to contact me directly feel free. I wish you the best of luck...these new regulations are absolutely disgusting! More and more women are being forced into c-sections wether necceasary or not...like I was on my first one,,,,just disgusting! How far along are you?

User - posted on 02/08/2010

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VBACs have become a matter of liablility rather than patient choice. I had 4 c-sections. My first was breech and during the second pregnancy, the hospital gave me no choice. After the second c-section no one but a very brave, confident mid-wife will consider anything else. I often wish I had know about midwives before my second c-section. I think it would have enabled me to have more children in a much more pleasant and natural manner! The midwives work with the hospitals, but are often far more reasonable about VBACs. That's the route I would take.

Lisa - posted on 02/08/2010

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Where are you located? That is a scary thought. I had 2 awesome births & then a not-so-fun c-section due to a doctor's misinformation. I love children & would like more 1 day, but I never want to have a c-section again. The recovery was horrible & still, 5 1/2 years later, I think about it. I would drive out of area before being forced to have a c-section. How can they do that, that is crazy, it is your body & your birth. They can't make you have surgery, but I don't think I would trust them after that, I would go somewhere else for fear that they would allow something to happen after signing papers.

User - posted on 02/08/2010

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I feel really angry on your behalf! It should not be for hospital managers to dictate how women are allowed to give birth. We are adults who should be able to make decisions for ourselves, not little girls who need telling what to do. Have you considered hiring a doula or independent midwife? How fast have your other labours been? I have a friend who went into labour while she was away from home and had a couple of hours drive while in labour.

Ashlie - posted on 02/08/2010

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I only have one daughter so I havn't had to worry about this yet. I knew that was how it was around here so I just kinda guessed from now on I'd have to have Csections but its nice to here I have a chnace at a normal Vaginal birth on my next one

Emilie - posted on 02/08/2010

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I had the experience. The doctor I saw for my last pregnancy would not let me have a vaginal birth, because my first baby was breech and he was also very large. Even though they could see that my second was not too big, they would still not let me have a vaginal birth. I would go to the other hospital if I were you, or just go to the hospital in labor and sign the forms.

LaKeshia - posted on 02/08/2010

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i had my first c-section through an emergency event. With my second child, i was offered to do a vbac. i was in labor for 12 hours amd decided to do a 2nd c-section. In cleveland, Ohio, you can have a vaginal birth after 1 c-section. but once you have two, they wont allow you to have a vaginal birth.

Sharon - posted on 02/08/2010

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I had a c-section with my 1st and havnt been told this with my recent pregnancy so dnt know if its the case everywhere or not but if I get told this i will let you know.

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