Jump to content

Vba4c?


  • Please log in to reply
116 replies to this topic

#26 audree

Posted 25 April 2012 - 06:16 PM

Hi OP, I'm pg with my third baby and plan to try a vbac.
Im happy to have been accepted into the nbac/vbac program at Dandenong hospital.
You would need a referral from your GP, and it will depend on where in Melb you live as to whether they will take you or not.
Also, with your medical records, I too wanted mine from my emergency c/s. I called the hospital and although the freedom of information act says you have access, they charge a fee, make you fill out paperwork, and the whole process takes time. Much quicker to just get your GP to fax a request for your records. That should work much faster.
Best of luck with whatever decision you make.



#27 SaraW

Posted 25 April 2012 - 06:23 PM

I would think that if you go into labour on your own, you have a much higher risk of uterine rupture than if you had a planned c/s.

During my 4th c/s 21 months ago, the OB told DH that my uterus was so thin, if I had have gone into labour on my own, it would have almost certainly ruptured.  And this was a planned c/s at 38+2 weeks, I was not already in labour.

You need to remember there are many layers in there, it's not just one cut through the same scar, after 4 c/s.  I remember lying there for #4 thinking it was taking soooo long, compared to #1 emergency c/s where they cut quick and whip baby out original.gif - there were so many layers to cut through, and they were going very carefully, obviously because of the known risks.  If you think about it, every pregnancy is different, your uterus grows differently each time, so there is no way they can cut in the same place every time.

By all means search for OBs that share a similar philosophy to you, and do your own research (uni library is a MUCH better idea than the internet!!) but if it was me, I would be taking the risks very seriously and listening to what the trained professionals have to say.

Good luck with your decision.

#28 Soontobegran

Posted 25 April 2012 - 06:24 PM

QUOTE (audree @ 25/04/2012, 06:16 PM) <{POST_SNAPBACK}>
Also, with your medical records, I too wanted mine from my emergency c/s. I called the hospital and although the freedom of information act says you have access, they charge a fee, make you fill out paperwork, and the whole process takes time. Much quicker to just get your GP to fax a request for your records. That should work much faster.
Best of luck with whatever decision you make.


If the GP is the OP's regular he/she should already have a summary of birth in the records.
Aside from that FOI release of hospital notes takes 10 -14 days and costs about $35.


#29 rosiebird

Posted 25 April 2012 - 06:39 PM

I don't agree with searching for an obstetrician who will agree to a vba4c. For example, if you had a heart condition and 5 cardiologists agreed on the best course of action and 1 cardiologist disagreed, wouldn't you be concerned that the odd one out was wrong? Second opinions are one thing but searching for a doctor who is out of step with their colleagues is a different kettle of fish.

#30 mrsboof

Posted 25 April 2012 - 06:45 PM

QUOTE (audree @ 25/04/2012, 06:16 PM) <{POST_SNAPBACK}>
Also, with your medical records, I too wanted mine from my emergency c/s. I called the hospital and although the freedom of information act says you have access, they charge a fee, make you fill out paperwork, and the whole process takes time. Much quicker to just get your GP to fax a request for your records. That should work much faster.


Keep in mind with above, that your GP won't legally be able to just give you a copy of the hospital notes if they are sent them, as the notes remain property of the hospital and the GP could get into a whole world of legal pain for giving just them out to you. They would most likely be more than happy to give you a rundown of them though and (if they can read the Drs writing on the operation notes) tell you if anything was noted regarding the state of your uterus.

#31 Soontobegran

Posted 25 April 2012 - 06:59 PM

QUOTE (mrsboof @ 25/04/2012, 06:45 PM) <{POST_SNAPBACK}>
Keep in mind with above, that your GP won't legally be able to just give you a copy of the hospital notes if they are sent them, as the notes remain property of the hospital and the GP could get into a whole world of legal pain for giving just them out to you. They would most likely be more than happy to give you a rundown of them though and (if they can read the Drs writing on the operation notes) tell you if anything was noted regarding the state of your uterus.



The OP doesn't need a copy of the notes so much as confirmation of the state of her uterus. Her GP is perfectly able to tell her that if they have a delivery summary.
If she does want the notes themselves then she can apply for them but she may still need someone to decipher them for her.
Other medical staff usually have no trouble reading their colleagues handwriting. I can't imagine there would ever be a case when an Obstetrician has remarked about a 'paper thin' uterus and not actually recorded it...usually in capital letters and in red!

#32 Mumoffour99

Posted 25 April 2012 - 07:20 PM

Edited

Edited by Mumoffour99, 30 April 2012 - 01:07 PM.


#33 deejie

Posted 25 April 2012 - 08:47 PM

Like PPs, I can't think that a private OB or public hospital will be supportive of a VBA4C. Obviously, all they can do is advise you of the risks involved in either an elective repeat CS or VBAC attempt but cannot force you to have a CS. You can be sure though, that you will be under enormous pressure at your appointments if you continually refuse the repeat CS against medical advice.

Have you thought about talking to/hiring a private midwife OP? I am not suggesting birthing at home, but private midwives can attend hospital as a support person. They would be able to go through your hospital records with you and interpret anything you have difficulty with. They could also attend
antenatal appointments with the hospital and provide support during labour if you do eventually decide to go down the VBA4C route. It might help to have a person "in your corner" so to speak. What does your DH think of a VBA4C, would he be supportive?

If you are in Melbourne and interested, I can send you some names. Please PM me if interested.
Of course I can't say for certain if any of them would take a VBA4C even in hospital, but it is an avenue of support certainly worth trying.

Edit- spelling

Edited by deejie, 25 April 2012 - 08:51 PM.


#34 Mumoffour99

Posted 25 April 2012 - 08:56 PM

Thank you deejie I would really appreciate those names if you could pm me pretty please as my pm is not working to send. It keeps sending blank ones. I'm just taking baby steps at the moment and trying to get educated original.gif

#35 Soontobegran

Posted 25 April 2012 - 09:12 PM

QUOTE (deejie @ 25/04/2012, 08:47 PM) <{POST_SNAPBACK}>
Like PPs, I can't think that a private OB or public hospital will be supportive of a VBA4C. Obviously, all they can do is advise you of the risks involved in either an elective repeat CS or VBAC attempt but cannot force you to have a CS. You can be sure though, that you will be under enormous pressure at your appointments if you continually refuse the repeat CS against medical advice.

Have you thought about talking to/hiring a private midwife OP? I am not suggesting birthing at home, but private midwives can attend hospital as a support person. They would be able to go through your hospital records with you and interpret anything you have difficulty with. They could also attend
antenatal appointments with the hospital and provide support during labour if you do eventually decide to go down the VBA4C route. It might help to have a person "in your corner" so to speak. What does your DH think of a VBA4C, would he be supportive?

If you are in Melbourne and interested, I can send you some names. Please PM me if interested.
Of course I can't say for certain if any of them would take a VBA4C even in hospital, but it is an avenue of support certainly worth trying.

Edit- spelling


Deejie, hiring a private midwife will in most cases not mean she will have access to the patient's records, no more than any other support person who will attend any  AN appointments or the birth. I am a great supporter of VBAC under most conditions however I have to say that I would think quite poorly of any midwife, private or otherwise who ignored the warning of an obstetrician who had actually seen the OP's uterus and still advised a VBAC4.

The first thing the OP needs to establish is what her Obstetrician saw and made note of. It is premature to be discussing seeking other opinions until she has either spoken to the Obstetrician or has been able to access what is written in her notes.




#36 Mumoffour99

Posted 25 April 2012 - 09:19 PM

Ok, thank. Soontobegran I've definitely got that happening in the pipeline.  I'll call the hospital as well tomorrow morning to see what I have to do. I'll definitely let you know what I find out but in the meantime it can't hurt to be prepared with names and multiple appointments with diff people to see their views after they see my records. So I'm really appreciating names especially as they get booked really quickly

Edited by Mumoffour99, 30 April 2012 - 11:54 AM.


#37 Mumoffour99

Posted 25 April 2012 - 09:22 PM

Sorry for typos again I'm using my phone

#38 Mumoffour99

Posted 25 April 2012 - 09:28 PM

Edited

Edited by Mumoffour99, 30 April 2012 - 11:55 AM.


#39 Soontobegran

Posted 25 April 2012 - 09:43 PM

QUOTE (Mumoffour99 @ 25/04/2012, 09:19 PM) <{POST_SNAPBACK}>
Ok, thank. Soontobegran I've definitely got that happening in the pipeline. I've got an appt at my local go on Monday so I'll see if she's got my notes but I don't think she does. I've also got an appt with a private obs at the mercy where i had my other kids on next Wednesday. I'll call the hospital as well tomorrow morning to see what I have to do. I'll definitely let you know what I find out but in the meantime it can't hurt to be prepared with names and multiple appointments with diff people to see their views after they see my records. So I'm really appreciating names especially as they get booked really quickly


If your GP doesn't have your discharge summary she/he can just call and have a copy sent to the practice.
If you are going back to the hospital you delivered at then I am certain that if your Obstetrician made a special mention to you then it will be recorded in your notes too.

QUOTE (Mumoffour99 @ 25/04/2012, 09:28 PM) <{POST_SNAPBACK}>
Like paediatricians not all obs have the same level of expertise or experience so I'm looking for one that has experience in this area and can really talk with me.


I agree that there are different levels of expertise and experience but there are some things in obstetrics which it wouldn't matter if you've had 5 years experience or 50  it will be the same recommendation from all. This is probably one of them but good luck getting the information you need and are able to make a decision you are comfortable with.

#40 Mumoffour99

Posted 26 April 2012 - 03:16 PM

Ok got some further news. I've called the hospital and their freedom of information dept is sending over a copy of my theatre notes from my last ceaser to my doc by 11am tomorrow morning. I've also got an appointment with a pro vbac doc on Monday afternoon so we can have a chat. I've been told he is really good and if he says no then basically it will be a no.

Edited by Mumoffour99, 30 April 2012 - 11:50 AM.


#41 amabanana

Posted 26 April 2012 - 04:33 PM

QUOTE (Mumoffour99 @ 26/04/2012, 03:16 PM) <{POST_SNAPBACK}>
Ok got some further news. I've called the hospital and their freedom of information dept is sending over a copy of my theatre notes from my last ceaser to my doc by 11am tomorrow morning. I've also got an appointment with a pro vbac doc on Monday afternoon so we can have a chat. His name is Lionel Steinberg. I've been told he is really good and if he says no then basically it will be a no. But I've also got two other appointments with other obs so I can have multiple opinions. Lionel is Monday and my original hospital but now private obs is on Wednesday next week. I'll let you know how I go but it's all I can think about at the moment!!


I have heard him called Lionel Vaginal as he is pro VBAC.  If he won't do it no one will.

Good luck OP.

#42 Soontobegran

Posted 26 April 2012 - 06:01 PM

QUOTE (Mumoffour99 @ 26/04/2012, 03:16 PM) <{POST_SNAPBACK}>
Ok got some further news. I've called the hospital and their freedom of information dept is sending over a copy of my theatre notes from my last ceaser to my doc by 11am tomorrow morning. I've also got an appointment with a pro vbac doc on Monday afternoon so we can have a chat. His name is Lionel Steinberg. I've been told he is really good and if he says no then basically it will be a no. But I've also got two other appointments with other obs so I can have multiple opinions. Lionel is Monday and my original hospital but now private obs is on Wednesday next week. I'll let you know how I go but it's all I can think about at the moment!!


Can't ask for a better result OP. I hope you will be OK with the outcome of all these appointments.
Remember these people are professionals with a lot of experience. They are not in the business to ruin women's dreams of a normal delivery but to deliver a healthy baby with a healthy mother.

I have to say I am surprised how you managed to get so many appointments with so many Obstetricians so quickly, particularly LS?  You are very lucky to have scored an appointment for 3 days in advance. Be prepared to pay through the nose however sad.gif

Good luck





#43 7girly-girls

Posted 26 April 2012 - 07:07 PM

_

Edited by 7girly-girls, 16 June 2014 - 12:20 PM.


#44 deejie

Posted 26 April 2012 - 07:46 PM

QUOTE (soontobegran @ 25/04/2012, 09:12 PM) <{POST_SNAPBACK}>
Deejie, hiring a private midwife will in most cases not mean she will have access to the patient's records, no more than any other support person who will attend any  AN appointments or the birth. I am a great supporter of VBAC under most conditions however I have to say that I would think quite poorly of any midwife, private or otherwise who ignored the warning of an obstetrician who had actually seen the OP's uterus and still advised a VBAC4.


STBG- I was referring to after the OP receives a copy of her medical records via FOI, a private midwife would be able to go through them with her in detail. I much doubt any private midwife would "advise" a VBA4C and I never said this. I was simply pointing out that if the OP made the decision to try for VBA4C, they are available to attend hospital with her as a support person. We all know if she does try for VBA4C she will be facing an incredibly tough path antenatally. There will be a lot of pressure placed on her in the public system and enormous restrictions on her labour. I was simply pointing out that you can hire a midwife who you have come to know and trust as a support person and it is worth considering in the event she makes the decision.

OP- Good luck with LSl. Private OBs of course have the right to refuse taking you on as a patient. If LS doesn't take you on in Melbourne, I can't think of an OB who will. Good luck and let us know how you go. Otherwise if you do decide to VBA4C you will have to travel through the public system and this is where having a support person might be worth their weight in gold. I have PMd you a couple of names.

#45 Mumoffour99

Posted 26 April 2012 - 07:58 PM

Edited to remove personal info

Edited by Mumoffour99, 29 April 2012 - 06:06 PM.


#46 Soontobegran

Posted 29 April 2012 - 06:32 PM

Let us know how you go tomorrow with LS OP original.gif

#47 Mumoffour99

Posted 30 April 2012 - 11:46 AM

Just a request if people could please delete my comments they have as quotes in their comments pretty please. I'm just trying to remove all personal information. Thank you so much

#48 Mumoffour99

Posted 30 April 2012 - 09:50 PM

I know I'm in good hands when the obs says these are the stats I will support whatever you choose to do. original.gif

#49 anotherid

Posted 30 April 2012 - 10:01 PM

Can I ask what stats they gave you? I am finding if difficult to find any information about VBAC after x 3 caesareans, let alone after 4. I would love any help you can provide.

#50 Fossy

Posted 30 April 2012 - 10:06 PM

Did you go to the ob I suggested OP? He's great, he's my obs stand in(the other ob I suggested).  Glad things are looking positive for you!




2 user(s) are reading this topic

0 members, 2 guests, 0 anonymous users

 

Natural pain relief in the early stages of labour

While managing labour pains on your own can be daunting, there are a number of natural pain relief options to help you cope until you are admitted to hospital.

Chinese woman gives birth to quintuplets

After six years of trying for a baby, a couple’s dreams have come true many times over after the mum gave birth to quintuplets this week.

Five-year-old shoots nine-month-old brother dead

A nine-month-old baby boy died on Monday after he was shot in the head by his five-year-old brother in their grandfather's home.

'Is that baby yours?'

She is my daughter. I gave birth to her. I nurse her. But she doesn't have any of my genes.

Episiotomy in childbirth: not just 'a little snip'

Episiotomies have a place in maternity care – and can occasionally save lives – but should not be performed routinely.

Toddler aggression not caused by language delays after all: study

The logic was that children who don’t have the language to fully express themselves will lash out when they’re misunderstood. Not anymore.

Why we chose to adopt a child with Down sydrome

Everyone in foster care (and really in life) has something that makes them more vulnerable. We just know what our son's is.

Object of desire

Curvy mums make clever babies

Scientists appear to have discovered why women have evolved to have more curves than men – shapely thighs and bottoms lead to healthier babies.

'We'll make sure they know how much she loved them'

A first-time mum will never get to hold her four newborns, dying shortly after giving birth to the quadruplets.

The baby names NZ knocked back in 2014

A New Zealander has tried to name their baby Senior Constable but didn't get away with it - and numbering children is also a no-no.

How can you go into labour without knowing you're pregnant?

For most of us, the idea that a woman could carry a child to full-term without knowing she is pregnant is mind-boggling.

Will you get to the hospital in time?

Worrying your baby will be delivered by the roadside is a common concern for many mothers-to-be. So how likely are you to be caught short?

Video: Funny 'Lips Are Moving' parody just for mums

Meghan Trainor's song 'Lips Are Moving' was already a hit, but now it's been turned into a hilarious parody that is set to be very popular with frustrated mums everywhere.

Out with the clutter

Decluttering by the numbers: take the 30-day challenge

Forget the 5:2 diet - Twitter's 30-day declutter challenge will have your house back in shape in no time (well, a month).

Parents, don't be too hard on yourselves

We need to stop damning parents of today, and embrace their appetite for knowledge instead.

Is my baby normal?

There are chubby Buddha babies and there are thin, smaller babies. Neither are right or wrong, they are all 'normal'.

When an older sibling starts school

When one child goes to ‘big school’ and leaves the other behind, it can cause deep upset. Here's how to make the transition easier.

Stray cat saves abandoned baby

They say dogs are man's best friend, but one cat has proven felines can be just as devoted to their human companions.

How strangers are helping a mum's wish come true after her death

A mum of five, Liz Marquez wanted to breastfeed her premmie son for a year. So when she passed away suddenly, her friends - and strangers - stepped in to help.

Win an Octonauts prize pack

To celebrate the launch of Octonauts Live! Operation Reef Shield, a spectacular underwater adventure live on stage, we are giving away an amazing Octonauts prize pack to one lucky fan.

Download now: Essential Kids Activity Finder app

Got bored kids? Quickly find the best activities for kids wherever you are in Australia with the Essential Kids app.

 
Advertisement
 
Advertisement
 
 
 

What's hot on EB

Stars help save choking babies

It's an important lesson to learn, but one that busy new mums and dads might overlook until it's too late.

New Girl star Zooey Deschanel pregnant

Actress Zooey Deschanel is expecting her first child with her producer boyfriend Jacob Pechenik.

16 times 'dad reflexes' saved the day

Of course, in some cases they may be the ones who actually got their child into a precarious position in the first place, but we'll ignore that for now.

Couple's 'non-traditional' pregnancy announcement goes viral

Knowing you are not the father of your pregnant wife's baby would usually indicate a rocky relationship ahead for traditional parents.

The trials and tribulations of identical triplet newborns

Pip Donnelly is still playing spot the difference with her newborn identical triplets, Isabelle, Georgina and Frankie.

Win an Octonauts prize pack

To celebrate the launch of Octonauts Live! Operation Reef Shield, a spectacular underwater adventure live on stage, we are giving away an amazing Octonauts prize pack to one lucky fan.

Earthquake baby thriving five years on

Jenny Alexis is lucky to be alive after spending four days buried in the rubble of the 2010 Haitian earthquake, but now she's a thriving five year old.

Please don't say I'm lucky because I was adopted

On the one hand I was having a regular life with friends and sports and sleepovers and school. But I was also always wondering: Did my mother love me? What was wrong with me?

An open letter to non-parents who offer advice on child-rearing

Kitty, when you’re the parent of my child you’re welcome to wade in with an opinion – but until then, I’d prefer you to have a supportive ear and a glass of wine ready.

Couple arrested over baby gun video

A US couple faces charges after investigators say they found mobile phone videos showing the woman's 12-month-old daughter putting a handgun in her mouth.

NSW Health dumps 10-year limit on frozen embryos

A 10-year time limit on storing frozen embryos that were created with donor sperm has been dropped by the NSW government.

How my happy-go-lucky husband became a monster

Sharan Nicholson-Rogers watched her husband change from a happy-go-lucky police officer into an unpredictable man prone to violent and emotional outbursts.

Dads-to-be experience hormonal changes, too

Dads-to-be experience hormonal changes in line with their pregnant partners, a new study shows.

'They were just doing their job': mum of toddler killed in police chase gone wrong

"They were just doing their job. I feel so sorry for them. It is all just too sad."

Miscarriages to be formally recognised by NSW government

Women who miscarry will be able to obtain an optional "recognition of loss" certificate as a formal recognition of their often heartbreaking loss.

Cafe cubby house 'too noisy' for neighbours

Teenage parties, domestic disputes, or raucous late night pubs are the things that usually come to mind when you think neighbourhood noise complaints.

Dad films baby playing with snake

Most parents would not consider a snake an appropriate playmate for their baby, but a US dad who filmed his daughter playing with a python has defended himself against criticism.

Clever breastfeeding products

Check out this range of products designed to help make your breastfeeding journey more enjoyable, manageable and convenient.

Win with The Boxtrolls

To celebrate the release of The Boxtrolls on 3D Blu-ray, DVD & Digital with UltraViolet, we're giving you the chance to win a Boxtroll stationary package and DVD.

 

School Term 1

Get after-school care sorted

Wait lists too long at OSHC? Use www.findababysitter.com.au to meet local nannies now.

 
Advertisement
 
 
Essential Baby and Essential Kids is the place to find parenting information and parenting support relating to conception, pregnancy, birth, babies, toddlers, kids, maternity, family budgeting, family travel, nutrition and wellbeing, family entertainment, kids entertainment, tips for the family home, child-friendly recipes and parenting. Try our pregnancy due date calculator to determine your due date, or our ovulation calculator to predict ovulation and your fertile period. Our pregnancy week by week guide shows your baby's stages of development. Access our very active mum's discussion groups in the Essential Baby forums or the Essential Kids forums to talk to mums about conception, pregnancy, birth, babies, toddlers, kids and parenting lifestyle. Essential Baby also offers a baby names database of more than 22,000 baby names, popular baby names, boys' names, girls' names and baby names advice in our baby names forum. Essential Kids features a range of free printable worksheets for kids from preschool years through to primary school years. For the latest baby clothes, maternity clothes, maternity accessories, toddler products, kids toys and kids clothing, breastfeeding and other parenting resources, check out Essential Baby and Essential Kids.