Comments on: Another VBAC consult misinforms http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/?utm_source=rss&utm_medium=rss&utm_campaign=another-vbac-consult-misinforms Vaginal birth after cesarean? Don't freak, know the facts. Mon, 21 May 2012 06:08:41 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: MomseekingVba3c http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/comment-page-1/#comment-71991 MomseekingVba3c Mon, 12 Mar 2012 04:03:28 +0000 http://vbacfacts.com/?p=1086#comment-71991 OMG! Congratulations! I wish I had been more informed like @Momtobeagain... I am stil hopeful for a VBA3C :D OMG! Congratulations! I wish I had been more informed like @Momtobeagain… I am stil hopeful for a VBA3C :D

]]> By: JQMD http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/comment-page-1/#comment-71987 JQMD Mon, 12 Mar 2012 03:34:21 +0000 http://vbacfacts.com/?p=1086#comment-71987 Congrats to you! Stories like these make me very happy. I'm also in the boat of many others (like mentioned in this article) where I'm scared to get pregnant again because of the daunting task of battling to even "try" to have a vaginal birth. The stories of other women really give me hope and courage. I've been pregnant twice since my first (delivered by cs), unfortunately, I miscarry before 7 weeks every time. Congrats to you! Stories like these make me very happy. I’m also in the boat of many others (like mentioned in this article) where I’m scared to get pregnant again because of the daunting task of battling to even “try” to have a vaginal birth. The stories of other women really give me hope and courage. I’ve been pregnant twice since my first (delivered by cs), unfortunately, I miscarry before 7 weeks every time.

]]> By: Jen Kamel http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/comment-page-1/#comment-69443 Jen Kamel Thu, 16 Feb 2012 15:07:12 +0000 http://vbacfacts.com/?p=1086#comment-69443 Momtobeagain, I am so thrilled for you! I have goosebumps! You did it!!! Congratulations!!!!! Thank you so much for updating me! Warmly, Jen Momtobeagain,

I am so thrilled for you! I have goosebumps! You did it!!! Congratulations!!!!!

Thank you so much for updating me!

Warmly,

Jen

]]> By: momtobeagain http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/comment-page-1/#comment-69423 momtobeagain Thu, 16 Feb 2012 10:21:08 +0000 http://vbacfacts.com/?p=1086#comment-69423 btw my baby was 6.13 lbs but I had a very big tummy which everyone assured me I can't get it out coz it is big baby. well ha! they're all wrong. btw my baby was 6.13 lbs but I had a very big tummy which everyone assured me I can’t get it out coz it is big baby. well ha! they’re all wrong.

]]> By: momtobeagain http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/comment-page-1/#comment-69422 momtobeagain Thu, 16 Feb 2012 10:11:18 +0000 http://vbacfacts.com/?p=1086#comment-69422 hi Jen, I'm in the hospital right now and still in recovery(typing in one hand). just want to inform you that I had a successful VBAC with a very healthy baby girl!!! had it not been coz of all the resources I read here, i would have not known that vbac is possible. after all the scare tactics my OB told me, I still managed to achieve my goal coz I am well informed becoz of your site. thank u sooo much! details: - Bloody show at feb 15 @7:30am but did not go to hospital yet like what my OB told me. I tried laboring at home as long as I can. I got admitted 6cm already which was the next day Feb 16 @2:30am when my contractions are 5mins apart. - they augmented my labor with oxytocin coz contractions stopped when I had the epidural which I refused but they won't listen and my dilation got stuck at 6cm for almost 2 hrs. - they gave me more epidural which I refused but gave me anyway(I was glad I had it or I would have quit, the pain was unbearable when I was 7cm, I almost wanted to faint). My wateer broke at 7cm, just few minutes after baby was out -They transferred me to delivery room at 8:05 am -I was pushing but can't feel a thing but it took me just 5 pushes and baby girl was out @ 8:32 AM feb 16!! -got a tear and is painful right now, I asked OB not to cut me and just let it tear naturally but I think she still did. hi Jen,

I’m in the hospital right now and still in recovery(typing in one hand). just want to inform you that I had a successful VBAC with a very healthy baby girl!!! had it not been coz of all the resources I read here, i would have not known that vbac is possible. after all the scare tactics my OB told me, I still managed to achieve my goal coz I am well informed becoz of your site. thank u sooo much!

details:
- Bloody show at feb 15 @7:30am but did not go to hospital yet like what my OB told me. I tried laboring at home as long as I can. I got admitted 6cm already which was the next day Feb 16 @2:30am when my contractions are 5mins apart.
- they augmented my labor with oxytocin coz contractions stopped when I had the epidural which I refused but they won’t listen and my dilation got stuck at 6cm for almost 2 hrs.
- they gave me more epidural which I refused but gave me anyway(I was glad I had it or I would have quit, the pain was unbearable when I was 7cm, I almost wanted to faint). My wateer broke at 7cm, just few minutes after baby was out
-They transferred me to delivery room at 8:05 am
-I was pushing but can’t feel a thing but it took me just 5 pushes and baby girl was out @ 8:32 AM feb 16!!

-got a tear and is painful right now, I asked OB not to cut me and just let it tear naturally but I think she still did.

]]> By: Jen Kamel http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/comment-page-1/#comment-68457 Jen Kamel Wed, 08 Feb 2012 18:42:35 +0000 http://vbacfacts.com/?p=1086#comment-68457 Hi Momtobeagain, I addressed your question <a href="vbacfacts.com/2012/02/08/cesarean-due-to-high-blood-pressure/" target="_blank" rel="nofollow">here</a>. Warmly, Jen Hi Momtobeagain,

I addressed your question here.

Warmly,

Jen

]]> By: momtobeagain http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/comment-page-1/#comment-68359 momtobeagain Wed, 08 Feb 2012 02:52:35 +0000 http://vbacfacts.com/?p=1086#comment-68359 Hi Jen, me again. I will be due next week feb 14 but Ob is now trying to convince me to CS. I do have hi blood pressure of 130/100 and yesterday she was convincing me to have a CS asap this week and I said no. But my husband is trying to convince me too and do not want to put baby in risk.I am very confused. I already am under medication to lower my BP and it is now back to normal 110/80. If my BP rises to 130/100, is it adviseable already to give in to CS? she mentioned about preecmlapsia, fetal distress etc, not to mention I was CS before.In short, so many reasons for her to CS me and it is now me against everyone. would not want to end up with stillbirth baby, high hospital bill and blame is all on me. I am not sure If I still am being reasonable. The nearer my due date is, the more my vbac goal is getting blurred. thanks -momtobeagain Hi Jen, me again. I will be due next week feb 14 but Ob is now trying to convince me to CS. I do have hi blood pressure of 130/100 and yesterday she was convincing me to have a CS asap this week and I said no. But my husband is trying to convince me too and do not want to put baby in risk.I am very confused. I already am under medication to lower my BP and it is now back to normal 110/80. If my BP rises to 130/100, is it adviseable already to give in to CS? she mentioned about preecmlapsia, fetal distress etc, not to mention I was CS before.In short, so many reasons for her to CS me and it is now me against everyone. would not want to end up with stillbirth baby, high hospital bill and blame is all on me. I am not sure If I still am being reasonable. The nearer my due date is, the more my vbac goal is getting blurred. thanks -momtobeagain

]]> By: Jen Kamel http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/comment-page-1/#comment-64113 Jen Kamel Thu, 12 Jan 2012 04:26:49 +0000 http://vbacfacts.com/?p=1086#comment-64113 Momtobeagain, The fact that you have a low transverse CS is good news! Can you get a doula? That might help. I wish you luck! Please keep me posted on how it went! Warmly, Jen Momtobeagain,

The fact that you have a low transverse CS is good news!

Can you get a doula? That might help.

I wish you luck! Please keep me posted on how it went!

Warmly,

Jen

]]> By: momtobeagain http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/comment-page-1/#comment-64109 momtobeagain Thu, 12 Jan 2012 03:57:34 +0000 http://vbacfacts.com/?p=1086#comment-64109 Hi Jen, Thank you for your reply. I was able to get my old record from my prev OB. It says I had a low transverse cut cs with her signature on it. I am hesitant to look for another OB as I am very near my due (feb 11, 2012) and I will be full term this jan 21(37 weeks) already. I ams ure that I do not want another CS this time and I was kind of depressed upon realizing that she may eventually decide to CS me., coz from her tone, I think she just agreed to "try" labor but then discourage me on my most vulnerable time, in pain and distress. She said even if I am low transveresed CS, I had a big baby 7.1lbs before and it's big for my built. She IEd me and said my pelvics are small (which was actually the indication in my prev CS - CPD). It is like she's trying to find every excuse for me not to try VBAC. I have read a lot of articles here and suggests that having a big baby is not a factor for CS unless I had a 9lbs baby previously etc. So I guess I will just try to go to the hospital when I am in real labor, that way She can not meddle anymore. I hope I will achieve my goal and my baby will cooperate as well as my body. Thanks for the great articles...very informative and encouraging. :) Hi Jen,

Thank you for your reply. I was able to get my old record from my prev OB. It says I had a low transverse cut cs with her signature on it. I am hesitant to look for another OB as I am very near my due (feb 11, 2012) and I will be full term this jan 21(37 weeks) already. I ams ure that I do not want another CS this time and I was kind of depressed upon realizing that she may eventually decide to CS me., coz from her tone, I think she just agreed to “try” labor but then discourage me on my most vulnerable time, in pain and distress. She said even if I am low transveresed CS, I had a big baby 7.1lbs before and it’s big for my built. She IEd me and said my pelvics are small (which was actually the indication in my prev CS – CPD). It is like she’s trying to find every excuse for me not to try VBAC. I have read a lot of articles here and suggests that having a big baby is not a factor for CS unless I had a 9lbs baby previously etc. So I guess I will just try to go to the hospital when I am in real labor, that way She can not meddle anymore. I hope I will achieve my goal and my baby will cooperate as well as my body.

Thanks for the great articles…very informative and encouraging. :)

]]> By: Jen Kamel http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/comment-page-1/#comment-63372 Jen Kamel Sun, 08 Jan 2012 18:07:02 +0000 http://vbacfacts.com/?p=1086#comment-63372 Momtobeagain, You will almost certainly have another cesarean with this OB. The question is, are you ok with that? If you aren't, it's time to find another care provider. You can find more information here: <a href="http://vbacfacts.com/2009/01/15/im-pregnant-and-want-a-vbac-what-do-i-do/" title="I’m pregnant and want a VBAC, what do I do?" target="_blank" rel="nofollow"></a>. Your doctor has already given you some questionable and false information. The average rate of VBAC success is around 70-75%. Where is your OB getting this 30-40% number? Additionally, while the risk of rupture is certainly higher with a classical incision vs. a low transverse ("bikini cut") incision, it is nowhere near 99.9%. That is just a flat out lie. According to this <a href="http://vbacfacts.com/2008/10/30/comprehensive-chart-on-uterine-rupture-measuring-multiple-variables/" target="_blank" rel="nofollow">chart</a>, the risk of rupture in a classical incision is 1.2% or 1 in 83 births. Now the Landon 2004 study found that the risk of rupture in a spontaneous labor after one bikini cut cesarean was 0.4% which means that the risk of rupture with a classical incision is much greater. But that is assuming that you have a classical incision. Can you contact your old OB to get your medical records to confirm? Here is information on how do to that: http://vbacfacts.com/2008/06/09/the-cost-of-getting-your-medical-records/. Warmly, Jen Momtobeagain,

You will almost certainly have another cesarean with this OB. The question is, are you ok with that? If you aren’t, it’s time to find another care provider. You can find more information here: .

Your doctor has already given you some questionable and false information.

The average rate of VBAC success is around 70-75%. Where is your OB getting this 30-40% number?

Additionally, while the risk of rupture is certainly higher with a classical incision vs. a low transverse (“bikini cut”) incision, it is nowhere near 99.9%. That is just a flat out lie. According to this chart, the risk of rupture in a classical incision is 1.2% or 1 in 83 births. Now the Landon 2004 study found that the risk of rupture in a spontaneous labor after one bikini cut cesarean was 0.4% which means that the risk of rupture with a classical incision is much greater. But that is assuming that you have a classical incision. Can you contact your old OB to get your medical records to confirm? Here is information on how do to that: http://vbacfacts.com/2008/06/09/the-cost-of-getting-your-medical-records/.

Warmly,

Jen

]]> By: momtobeagain http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/comment-page-1/#comment-63142 momtobeagain Sat, 07 Jan 2012 11:29:56 +0000 http://vbacfacts.com/?p=1086#comment-63142 Hi, I had a cs delivery last 2004 with out any warning. I had no labor pains or whatsoever but the OB decided to cs me. I was very young then and did not know any better so I just said yes. Now, I am expecting my 2nd child due on feb 2012 and really want a VBAC. my OB told me I only have 30-40% chance of success rate for vbac, and that is if I had a low segment type of CS and not classical cs (I will ask my prev OB what I had). because if I had been classically cs-ed then she said there is no way she will risk me into labor as there will be 99.9% uterine rupture chance. This is very scary but then I have read a lot about here and having trust issues on her. Now I do not know if I will believe her and just go with whatever she says coz she's the doctor after all or should I still push thru with what I want, a VBAC that is? Is it true that if I had classical CS, there is no way I can have tolac? pls reply. thanks. Hi, I had a cs delivery last 2004 with out any warning. I had no labor pains or whatsoever but the OB decided to cs me. I was very young then and did not know any better so I just said yes. Now, I am expecting my 2nd child due on feb 2012 and really want a VBAC. my OB told me I only have 30-40% chance of success rate for vbac, and that is if I had a low segment type of CS and not classical cs (I will ask my prev OB what I had). because if I had been classically cs-ed then she said there is no way she will risk me into labor as there will be 99.9% uterine rupture chance. This is very scary but then I have read a lot about here and having trust issues on her. Now I do not know if I will believe her and just go with whatever she says coz she’s the doctor after all or should I still push thru with what I want, a VBAC that is? Is it true that if I had classical CS, there is no way I can have tolac? pls reply. thanks.

]]> By: Quick Facts on VBACs | Olive Tree Midwifery http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/comment-page-1/#comment-12926 Quick Facts on VBACs | Olive Tree Midwifery Fri, 05 Nov 2010 06:18:46 +0000 http://vbacfacts.com/?p=1086#comment-12926 [...] bans (Kamel, 2010); unsupportive health care providers, friends, and family (Kamel, 2009b & 2010b); or the misrepresentation of VBAC risks (Kamel, 2009b & [...] [...] bans (Kamel, 2010); unsupportive health care providers, friends, and family (Kamel, 2009b & 2010b); or the misrepresentation of VBAC risks (Kamel, 2009b & [...]

]]> By: Megan http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/comment-page-1/#comment-6829 Megan Wed, 24 Mar 2010 06:30:01 +0000 http://vbacfacts.com/?p=1086#comment-6829 I had an emergency C section with my first. Then I had an amazing VBAC with no complications what so ever with my second, and infact my doctor told me I should really try VBAC and im so glad. Now im pregnant with my third, and my doctor told me I have a 4-7% chance of rupture. And C-section should be first on my mind. I really want to do VBAC, it was great the first time. Im glad I read this, cause my doctor (who is really pushy and rude at times) had me in tears thinking I was gonna make the wrong choice. I had an emergency C section with my first. Then I had an amazing VBAC with no complications what so ever with my second, and infact my doctor told me I should really try VBAC and im so glad. Now im pregnant with my third, and my doctor told me I have a 4-7% chance of rupture. And C-section should be first on my mind. I really want to do VBAC, it was great the first time. Im glad I read this, cause my doctor (who is really pushy and rude at times) had me in tears thinking I was gonna make the wrong choice.

]]> By: stephanie http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/comment-page-1/#comment-6821 stephanie Mon, 22 Mar 2010 22:55:54 +0000 http://vbacfacts.com/?p=1086#comment-6821 Thank you for this post. Sadly, these same care providers are the ones making up the reasons for the unnecessary inductions and interventions that lead to the primary sections to begin with. And in our later years, the same ones who recommend hysterectomy for common problems when there are less invasive and just as effective treatments. Again, all without completely honest and open discussion regarding the risks and benefits of ALL the alternatives. Thank you for this post. Sadly, these same care providers are the ones making up the reasons for the unnecessary inductions and interventions that lead to the primary sections to begin with. And in our later years, the same ones who recommend hysterectomy for common problems when there are less invasive and just as effective treatments. Again, all without completely honest and open discussion regarding the risks and benefits of ALL the alternatives.

]]> By: Naomi http://vbacfacts.com/2010/03/16/another-vbac-consult-misinforms/comment-page-1/#comment-6819 Naomi Mon, 22 Mar 2010 20:49:30 +0000 http://vbacfacts.com/?p=1086#comment-6819 You know, I cannot help but wonder: How do the OBs that outright lie to women on a routine basis live with themselves? I think it should be 100% illegal to deliberately misinform your patients. That sounds like malpractice to me. What recourse do women have when they find that an OB is lying to them? It seems to me that there should be some sort of corrective mechanism for doctors lying to their patients to deliberately skew the process of "informed consent". You know, I cannot help but wonder: How do the OBs that outright lie to women on a routine basis live with themselves?

I think it should be 100% illegal to deliberately misinform your patients. That sounds like malpractice to me.

What recourse do women have when they find that an OB is lying to them? It seems to me that there should be some sort of corrective mechanism for doctors lying to their patients to deliberately skew the process of “informed consent”.

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