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VBAC monitoring public hospital

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#1 Lickety Split

Posted 30 January 2013 - 08:10 PM

Had my OB appointment today at 37+4. Going public so I see a different OB each time. This OB told me I'd have to come in as soon as the contractions were less than 10mins apart as they will want to monitor me the entire time and I'll have to have a drip in straight away. This does not sound like something I want. Happy to be monitored but non-stop from so early on?

Now that it's looking like I'll have a less active birth I'm less keen on the idea of having a VBAC at all. If it means being stuck on a bed from the get go I think I'd rather the caesar sad.gif

*UPDATE* As you can see, I achieved a drug free VBAC original.gif I'll write a birth story and add it to the list at the top of this forum.

Edited by Lickety Split, 12 June 2013 - 10:20 AM.

#2 Gembac8019

Posted 30 January 2013 - 10:16 PM

Why do u need a drip in so soon? I just had a vba2c and had no drip, also in public hospital.

#3 naturalgoodness

Posted 30 January 2013 - 10:23 PM

I was told a similar story when having DD2 - not the drip but the constant monitoring. Anyway, I arrived at the hospital with contractions under 3 minutes apart and they were unable to hook me up to anything and only realised after the birth (30 minutes later) that I was a VBAC and should have been monitored!

I tried to stay home as long as possible because I did not want to be tied to a bed undergoing constant monitoring too early into labour.

Next appt have a talk about the drip and why they want it in so early. At the end of the day though, when you present at the hospital is your choice original.gif

#4 madammuck

Posted 30 January 2013 - 10:30 PM

It's policy to be monitored constantly at our hospital too, annoying. But the midwife told me last appointment that the majority of their monitors can move around the room with you, and I'm sure she said go in water too (but I could have made that up). I imagine they'd still be a bit restrictive but better than being on a bed the whole time.

Can you check to see if your hospital have any monitors like these and then request one as soon as you present in labour?

But as PPs have said, I've heard a few stories where once they actually get to the labour ward, the constant monitoring rule is less strict but really dependent on the midwife you get on the day.

Don't lose hope OP, you can do it!

#5 Minxybug

Posted 01 February 2013 - 11:15 PM

You can have telemetry monitoring, this is cordless and can get wet as far as I know.

You can also have the ob sign a non standard management sticker (placed on your file) which states that you do not want a cannula ect, that you are aware of the risks and after discussion (in labour) may consent if it is medically necessary

Hope that information helps.

You may need to check if the hospital has the telemetry monitors and how many as it could be a first come first served basis. Also make sure to tell them you want this type of monitoring when you ring (once labour starts)

#6 ~shannon~

Posted 07 February 2013 - 11:19 PM

OP, I could have written your post word for word. I had my 36 week appointment today and was told I could not get in the bath or the shower at all. I am, to be honest, devastated... because I have wanted this for my first two children and now my plan to be in water for baby #3 is slipping away.

They also said they'd want the cannula in as soon as possible "just in case" something goes wrong... bugger that! I'm not letting them near me! They did this to me for my first baby and it was completely unnecessary and caused me pain and stress.

I am low risk, healthy and have already birthed naturally, so I know I can do it. Yet, because of the caesar I had for my second child, the ob just kept going on and on and on about risk of uterine rupture. I am hoping I get a good midwife at my next appointment who understands my birth preferences and will relax a bit. sad.gif

Minxybug, I have never heard of telemetry monitoring, can you provide a link? I don't think my hospital has this, otherwise she might have suggested it.  All she said was I could be strapped up to the machine for external monitoring, or have my waters broken for internal monitoring with the electrode (which can't be in water either due to the fact that it's electric).

#7 Lickety Split

Posted 10 February 2013 - 06:40 AM

They only have one cordless monitor and if it's already being used then tough luck. I have another OB appt on Wednesday (I'll be 39+3) and I'll see if the monitoring and drip are absolutely necessary because coming in so early and being so restricted (cannot use bath or shower at all either) sounds like torture.

#8 Eirinn

Posted 10 February 2013 - 06:46 AM

The telemetry monitor can be used in the shower but not the bath, and yes , it is sheer luck if you are able to get it. I found when I transferred to hospital (planned HBAC), that even though I got the telemetry, it got a whole stack of interference every time I tried to get into the shower, so I couldn't even have that comfort. I was NOT expecting the monitor and the drip, and it really interfered. My labour stalled and I ended up with another caesar. I would strongly, strongly recommend staying at home for as long as possible if you want your VBAC.

#9 Lickety Split

Posted 10 February 2013 - 06:53 AM

Thanks Eirinn. We live 45mins drive from the hospital and there have been quite a few bubs born on the side of the highway so I don't want to leave it too late but totally get what you are saying.

#10 LittleC

Posted 10 February 2013 - 07:56 AM

Fingers crossed for you that no one else is using the telemetry monitor when its time for you to go to the Hospital. I'm going for a VBAC as well but haven't had my ob appointment yet to discuss any of these issues with him as I'm not quite that far along (36 weeks is when I see him) I will be asking if they use one of these at the hospital. i live in a rural town so my guess is we may not have those little luxuries.

#11 NinjaMum

Posted 15 February 2013 - 09:23 AM

My hospital was adamant that I needed monitoring and cannula upon arrival. I wrote a short birth plan which accepted intermittent monitoring and did not consent to a cannula unless there was a clear emergency need for it.

As it was, I arrived with contractions less than 3 minutes apart and I was there less than an hour before the pushing started. Birth plan was handed to the midwife by my Doula when we arrived. Monitoring was started shortly before the pushing, and no cannula (and no pressure regarding it either).

Just because something is hospital policy, does not mean you must have it - you can choose not to consent to it, but please make sure you're informed about what their reasons are and what the implications are for you and your birth if you choose not to consent to something.

#12 MinnieC

Posted 18 February 2013 - 02:00 PM

QUOTE (NinjaMum @ 15/02/2013, 10:23 AM) <{POST_SNAPBACK}>
Just because something is hospital policy, does not mean you must have it - you can choose not to consent to it, but please make sure you're informed about what their reasons are and what the implications are for you and your birth if you choose not to consent to something.


I had a VBAC last September and did my research and declined continuous monitoring, I was happy to have the cannula. I had to speak to the OB about my decisions and go through the risks etc but I decided that intermittent monitoring was right for me. Having said that this is not how it went rolleyes.gif . I ended up having an induction with a balloon catheter and ARM and consented to go on the monitor for 15 mins to see how things were going and didn't end up coming off because he was showing signs of distress. Once down in the labour ward I was on the cordless (telemetry) monitoring but this was still a pain because I had to hold the monitor on during a contraction so opted for the scalp clip which allowed me complete freedom of movement and I could go in the shower (where I spent 5 hours). I ended up with an epi but still did it in the end. I needed fluids during labour so I was glad I had the cannula in before hand so I didn't have to have it done while in labour.

In NSW it is now the NSW Health policy to have continuous monitoring and a compulsory cannula for all VBAC's. I assume it's similar in most states. Just because it's policy does not mean you have to have it though. It's a good idea to remain flexible though and just take things as they come. Good luck with whatever you decide.

#13 Jean Genie

Posted 12 March 2013 - 06:18 AM

I laboured for 6 hours with my VBA2C, 3 hours of that was in hospital. I live 40 minutes away from that hospital. The midwife tried to push continual monitoring, but I refused and had intermittent monitoring with a Doppler, which ment I spent the majority of time in the shower. I also had a doula, which I found invaluable. Luckily, there wsd no talk of a drip, and I didn't need a canuala inserted.

Good luck!

#14 tenar

Posted 12 March 2013 - 06:23 AM

Going by the OP's sig, the baby has arrived and the birth went well.

Congratulations OP!

#15 pinkcupcakes

Posted 12 March 2013 - 06:36 AM

i too had a vbac and was worried about not having an active birth. but while i had to have the ctg thing strapped to me the whole time and constantly readjusted, i still had a very active birth from the get go. the midwives were actually encouraging ( or gently persuading) me to change positions every so often and they were such a great help.

but yes, stay home as long as you can, and also include very clear wishes in your birth plan. with mine i think it was probably a bit overkill but when you're in the heat of the moment it gives you much more of a say and much less of a need to have to try and focus on it too much when you clearly have other things going on! happy.gif

this might sound a bit cheesy but if you just believe in yourself, have confidence in your vbac, and brush off those silly negative comments from some of your healthcare professionals, i feel that you truly will succeed. i did it and im not confident in my abilities at all. all the best with it op! bbighug.gif

*oh. did not see sig before.

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