Hi Nicole,

Congratulations on your pregnancy and good on you for wanting a MACS.

I actually wrote my OB a letter explaining how traumatic my previous caesarean was for me and that my first choice for next time was a VBAC but that I'd done some research and should I need another caesarean I wanted a MACS. I also printed and enclosed Paula Becktons MACS story (which I have the link for in my original post in this thread) and I told my OB that I hoped she would be supportive of my wishes for this type of c section, should I need one.

I know Mummaduke will tell you that if your OB doesn't oblige' then go find yourself another one who will!

Where abouts are you located?

I guess that the things that are against you are 1: that you don't have a rapport with your new Ob and 2: that you may not even have him delivering your baby - but all you can do is try, so approch him about it and see what he says.

I've actually made a few different choices since I started this thread. I am now going to have midwifery care in a public hospital for my second pregnancy. One of the reasons I have chosen this is because I know it'll be my best chance of having a VBAC, which to me is the most important thing. I know that this may take away the option of me having a MACS if I end up needing another caesar but I have spoken to a midwife at the hospital (I'm not even pg yet BTW ) and I asked that if I have a caesar could I have the screen lowered so I could see my baby being born and could I have bub placed on my chest in theatre and the midwife didn't seem to have a problem with that. Some hospitals may argue that it's too cold in theatre but really, if your bub is skin to skin with you and has a warmed towell or blanket on them then they would be as snug as a bug. I guess what I'm trying to get at is even if you cannot find an OB who will agree to a MACS, I can't see why they wouldn't agree to the other things I've just mentioned. I also asked the public hospital if I could have bub with me in recovery but they said that depends on whether there is the availability of having a midwife in recovery with me.

Hope this helps

best of luck to you and keep us posted on how you go!

Tamara