Poród naturalny po cięciu cesarskim – czy jest możliwy?

Na początek zapraszam do przeczytania artykułu Poród naturalny po cięciu cesarskim – czy jest możliwy?, który pokrótce pozwala zapoznać się z korzyściami płynącymi z naturalnego porodu po cc, czynnikami ryzyka związanymi z takim porodem, a także sposobami na zwiększenie szans powodzenia VBAC.

 

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  1. he could come in when we agreed to the sugerry. The only way I got him let in was when the anesthesiologist asked me if I needed anything before they started and I said “Yes, my HUSBAND!” The anesthesiologist saw him watching outside the door and brought him in. It seemed like it was just a minute or two later that my son was delivered and my husband left to go with the baby. All I knew was that it was a boy. They didn’t show him to me or let me touch him before they whisked him off to the nursery. Then once I was closed up, I asked how much he weighed and no one could tell me. So off I went to Recovery (which was on a different floor) not knowing anything about my baby except that he was a boy. I was furious. Finally after they deemed me in good enough condition to be transferred back up to my room (which was after an hour or so of just lying in a bed with no one to talk to except a nurse every once and a while). I got to my room and no husband and no baby!! Finally I got a nurse to find my husband and he came to the room with our son. Come to find out, no one had bothered to tell him that they had brought me up to my room. I later found out that is how that particular OR nurse treats all the husbands.Shortly after I went home, I developed an infection in my incision, causing a small area of it to reopen. My OB prescribed antibiotics and for over a week, my husband had to clean the wound and pack it with gauze twice a day. Even though he was in paramedic training and a nurse assistant, he wasn’t very happy about the whole thing! Once the infection cleared up, my OB had to put 2 stitches in (which he did without any lidocaine to numb the area!!) to close the wound up. It also took almost a year for me to regain any kind of sensation to my stomach. It was constantly numb.6. My biggest piece of advice is to do your own research to determine what your options are during labor and birth. Don’t trust your caregiver to give you all the answers. Plus, your caregiver’s policies may not match up with hospital procedure. Be sure to check out the hospital and talk to the nurses that work on the OB wing. Remember, you are the customer and your caregiver works for you, not the other way around. Knowledge is power.7. To get an epidural too early in labor.8. For my first two births, I did what I could to try to have the type of birth I wanted within the limitations of what was available to me. Since there was only 1 hospital, I had no choice there. I also didn’t realize there was a homebirth midwife in my area at the time and honestly, I don’t think I was brave enough to try a homebirth living 45 miles from the hospital in the middle of winter. I did write a fairly thorough birth plan and had nurse-midwives and a doula for my birth. I would have loved to have stayed home, but living 45 miles away made it not really an option. Since I went postdates for all 3 of my pregnancies, I was induced for all 3. The first two I was induced at 41 weeks because that was the cutoff for the midwives. For the third, I went to 42 weeks. I decided to get induced between Xmas and New Years when ultrasound showed my fluid levels were low and I knew my OB was going to be the one available.For my first birth, I am convinced it was my midwife and doula that allowed me to avoid a c-section. They had me try a few different positions to alleviate my back labor. My doula was the one who suggested the tug of war to help the baby get past the pubic bone. It was also my doula’s suggestion that I try an epidural once my labor stalled because she knew I was exhausted and it would give me a chance to rest and regain my focus. (It worked great by the way…I took a 15 minute nap, went from a 7 to a 10 while asleep and woke up having to push). I also know that it was my midwife and the particular OB that was on call for my second birth that allowed me to put off the c-section until it was the only option left.For my VBAC, I did end up switching doctors and hospitals to try to avoid a c-section. The only VBAC friendly provider at the hospital I started at was going on vacation the day after my due date. I knew I was probably going to go post-dates (I always have) and I didn’t want to risk ending up with one of his partners, who are very c-section happy. So I switched to the other hospital and a female doctor who was very pro-VBAC to avoid the risk.9. Don’t believe what you hear. Steer clear of people with negative or horrible birth stories. Focus on the positive.10. I think I got my positive view of birth from reading the right books (Dr. Sears, Hypnobirthing, etc), doing online research, having midwives and hiring a doula. Also, my VBAC allowed me to finally have the type of birth I always wanted (even though it was perfect) and was a joyful experience. I think most women should turn to books that talk about birth in a positive way, such as Ina May’s “Guide to Childbirth.” Avoid books like “What to Expect when you are Expecting” and other such books as well as hospital childbirth classes that only prepare you to be a better patient in a hospital. Surround yourself with women who talk about birth in a positive light and avoid negative people.11. Thankfully, I didn’t have any resistance from my providers. I did have a slight disagreement with the hospital I started out with in that they refused to use the term VBAC. They kept calling it a “trial of labor after cesarean”, which rubbed me the wrong way. It just sounded too much like I was going to fail. I did have a few people ask why I didn’t just schedule another c-section, but I just ignored them.12. The hardest part is the fear that it is possible you will end up with another c-section. Even though I kept trying to think positive, I had a small scare during my VBAC labor when the baby’s heart rate dropped and all I could think was “Oh no, not again.” Also, during the pushing stage, for a brief minute I wondered if I could actually do it. Then I pushed that thought out of my mind and focused on doing what I knew I could do…since I’d had a vaginal birth once, I could do it again.13. Each of my pregnancies was a life changing event. My first pregnancy, I didn’t have a clue about pregnancy, labor or birth. I had never heard of Dr. Sears, never thought about what type of provider I would want, seen a birth plan, or heard of doulas or midwives. At first, I was even in denial that I was pregnant. We had actually just decided we probably didn’t want children so that we could travel. Guess Mother Nature had other ideas. Once I came to terms that I was pregnant, I started calling up providers to see if they had openings. I knew that I wanted a female provider, but most of them weren’t taking new patients. It was total chance that I ended up calling the midwives. After my first appointment, I was hooked. The midwife was very friendly, took time to listen to me and never once talked down to me, which is something I hate about doctors. As my pregnancy progressed, I did more and more research about birth. A coworker of mine gave me a copy of “The Baby Book” by Dr. Sears, which really opened my eyes. Soon I bought a copy of the “Birth Book” and went about looking for a doula.Since my second birth ended up in a c-section, I began to research more about ways to avoid it if I ever decided to have a third. This pregnancy is what really made me want to work in labor and delivery, possibly even becoming a midwife. I was all ready in nursing school and had decided I was going to be a doula too, but I knew I wanted to do more. I felt that every woman deserved to have the type of birth she desired and I wanted to do what I could to help make that happen.My third pregnancy was my first realization about how difficult it can be to have a VBAC in some areas. Thankfully, it was still a possibility in my area, but the idea that others didn’t have the option shocked me. It also was my first time dealing strictly with an OB rather than a midwife, since there were no midwives practicing in the area I was living. I was very happy with the two providers I did see. The provider I switched to was wonderful. When we had our first appointment with her, I knew she was the right choice when she asked me “So how do you plan to have this baby?” I replied, “VBAC and as natural as possible.” She responded “Good! I can’t understand these women that come in and just want to have a repeat c-section!” She was very laid back and had no problems with letting me go post dates. She never pressured me about having a c-section. We really only discussed induction when I brought it up and once it got to the holidays and I was all ready almost 42 weeks.14. My biggest suggestion for any woman who is pregnant is to remember that pregnancy, labor and birth is a natural process, not something to fear. It is not a medical event and not something that can be predicted, controlled or rushed. It is not a disease and not something that a doctor needs to spare the mother or rescue the baby from. Don’t let yourself be pushed, coerced or bullied into something. Stand up for yourself and remember…your body will do the work it was meant to do if you let it.

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