Just trying to figure out I stand...
Had an emergency cs with DD after 36 hours labour, dilation to 4 cm and level 2 meconium- they broke waters after Charlotte's HR was dipping AFTER contraction, as opposed to during.
I will be having a VBAC this time around, and am beginning to look at my options regarding homebirth or not.
Given the 'collaborative' relationship that must now exist between ob/gp and IM, are they likely to class me as high risk and prevent me from birthing at home?
hope that makes sense - I am typing one handed so trying to be brief. lol
I don't know the answer to that one babe, cos OB's and GP's usually see us as very high risk - where most midwives don't see us as risks at all - ITMS?
The ob probably would see it as high risk as you can't be induced, and shouldn't have an epidural either due to the risk of a rupture. But like arimeh has said a midwife would see it differently.
From the perspective of a VBAC after a c-section you are not high risk. From the perspective of a home birth - I have no idea!!!
DS was an emergency c-section after dilation to 7cm, attempt vaginal breech delivery and dropping heart rate due to being stuck. DD was a VBAC and only considered high risk due to my other issues, not related to the c-section at all.
The CMP in Perth once did VBAC's but are no longer able to, They still like people to apply so they can build a case to get VBAC's done again. What you may be able to do it register with them for a hospital birth but still have all your care at home and labour at home in the pool. Occasionally babies in this situation are "accidentally" born at home
The other option for home birth would be Independant midwife. Teh advantage of the CMP is its free. The disadvantage is there are a lot of restrictions but the prenatal and post natal care is fabulous and all in your own home. I am sure you would have a better chance at getting your VBAC with them than through hospital care.
Not sure which part of Perth you are in, If you're in Freo PM me and I'll let you know who to talk to from CMP
Good luck
can you access the gov funded HB in WA?
often these HB systems wont let VBACs... but a IM will.
its really important to contact IMs ver soon as they book out quicker then obs.. so even just your ground work will be done before you make a definate decision.
according to gov VBAC is a high risk but we all know that bollocks
Thanks Polly I have already contacted the CMP and they have refused to take me on lol
But We are moving back home to Melbourne in a few months, so I will be birthing in Melbourne.
Until then, will go through MW clinic at Rockingham I think, or at Peel where I had Charlotte.
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Does Emerg CS = High Risk birth next time around?
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