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Waiting before going to the hospital?


Forum: VBAC: Vaginal Birth After a Caesarean

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  #1  
September 12th, 2010, 10:18 AM
Angel.Eyes4351's Avatar Mega Super Mommy
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So, I'm going to be trying for a natural, unmedicated childbirth. Normally, I know with NCB's you don't rush to the hospital as soon as labor starts... but is there a difference with VBAC's? The last couple of dr. visits I've had they've told me to come right on in if I feel I'm in labor or my water breaks. But also, I am not quite "term," so IDK if that's another reason. But it's also been stressed that they will want to monitor me more than a non VBAC laboring mother... which I plan on using the wireless monitors that my hospital has available, so that I can be mobile.

So I'm just trying to figure out how long I'd wait at home before heading to the hospital if

1) I start having timeable contractions?

2) My water breaks?

Oh, I'm 50% effaced as of last week, IDK if that makes a difference.
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  #2  
September 12th, 2010, 10:51 AM
MamaMandy's Avatar is it Spring yet??
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I'm sorry, I'm not informed enough to say any specifics on how long to wait. I'm meeting with my doula tomorrow, and those are some of my questions as well, so I can post more tomorrow. My OB is urging me not to wait, BUT since he has time limits on how things should go, I am going to labor at home for a while with my doula before heading in. So long as things feel right, that is. I know w/my OB anyway the reasoning for coming in right away is the uterine rupture risk. Gosh, I am tired of feeling/being treated like a uterus on verge of exploding rather than an expectant mom! Also, I've been told there is a risk of infection if you go so long (24 hours, I think? Preggo brain!) after your water has broken without delivering. How far of a drive is it to the hospital? You might want to try & somehow factor that in, although how in the world can you really predict progression? I am just hoping and praying my body will tell me what to do!
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  #3  
September 12th, 2010, 12:42 PM
KatieHeitman's Avatar Platinum Supermommy
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I think one of the reasons they want you to come in right away is because if your uterus were to rupture they would be able to take care of it right away. Where if you were still at home they wouldn't be able to do anything right away. All the doctor's I saw said that was the main reason they wanted me to come in right away. I could still do an unmedicated birth.
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  #4  
September 12th, 2010, 06:45 PM
HurricaneLady's Avatar Platinum Supermommy
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My OB has instructed me to come to the hospital as soon as the contractions become painful - his concern is also to monitor the baby. While I also agree some monitoring is good in a VBAC I do not want to be put on a clock to deliver so I will be at home or my aunts house down the road from the hospital until the contractions get very painful/close together. In my mind, wrong or right that is when I am at a bigger "risk" as the uterus is not getting a break between contractions and they are very strong KWIM?
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  #5  
September 13th, 2010, 09:46 AM
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I was planning a hbvbac but I ended up going in after laboring at home until I couldn't stand the pain.

IMO, if it were me doing it again... I'd stay at home till I was having painful contractions for more than 2 hrs before I'd go in, but I know that my labors are longer. So for you, I'd suggest staying at home till the contractions are 2-3 minutes apart and painful before you go in....
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  #6  
September 13th, 2010, 10:20 AM
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I had a 2 1/2 hour drive to my hospital, so my OB told me to head to the hospital when contractions were 8-10 minutes apart, but to not come TO the hospital until they were 3-5 minutes apart.

I, personally, would treat it like any other birth. Don't go until contractions are close together, and you feel you need to go in. The longer you wait, the better. If you are uncomfortable with that, you can always go to the hospital and walk around - without being checked in. Walk the hallways, visit the gift shops (if they're open) walk around outside. Sit around the waiting rooms. Or, if there is a mall/shopping center nearby, you could walk around that. That way you would be really close if you feel the need to rush in for an emergency, but you're not in their "clutches" and on a time clock.
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  #7  
September 14th, 2010, 01:36 PM
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Mama, if you'd like to read a story about waiting to go in, read Graeme's birth story (posted here in VBAC stories). I was in labor for 75 hours, I stayed home for 74 of them with DH, a doula, and a midwife/monitrice there to monitor baby.
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  #8  
September 18th, 2010, 05:06 PM
MamaMandy's Avatar is it Spring yet??
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What a great, simple idea! Why in the heck didn't I think of that?! Anyway, I'm glad you did & shared it!

Quote:
Originally Posted by WendyD View Post
I had a 2 1/2 hour drive to my hospital, so my OB told me to head to the hospital when contractions were 8-10 minutes apart, but to not come TO the hospital until they were 3-5 minutes apart.

I, personally, would treat it like any other birth. Don't go until contractions are close together, and you feel you need to go in. The longer you wait, the better. If you are uncomfortable with that, you can always go to the hospital and walk around - without being checked in. Walk the hallways, visit the gift shops (if they're open) walk around outside. Sit around the waiting rooms. Or, if there is a mall/shopping center nearby, you could walk around that. That way you would be really close if you feel the need to rush in for an emergency, but you're not in their "clutches" and on a time clock.
__________________
Raising my kids with boundaries - NOT battle lines.

Children are not little adults, but they ARE people too!

There's a reason they are called dependents...

AP is not alternative to those who see no other choice

http://helpguide.org/mental/parentin...t_disorder.htm



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  #9  
September 23rd, 2010, 09:39 AM
~*Kixs*~'s Avatar Platinum Supermommy
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Great question! I was wondering this also. Thank you for posting it and letting me read all the responces

Have you decided what you are going to do?
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  #10  
September 24th, 2010, 06:20 AM
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With my VBAC's, I have always waited until both my contractions were about 5 minutes apart, AND painful enough that I have to focus and breath through them. That always puts me at 5cm or so when I arrive, if I do it that way
I've never had my water break on its own, so I am not sure what I would do in that situation. I guess if it was clear fluid I would call my midwife and see about waiting at home for a little bit and see if labor started.
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  #11  
September 24th, 2010, 09:20 AM
Angel.Eyes4351's Avatar Mega Super Mommy
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Quote:
Originally Posted by ~*Kixs*~ View Post
Great question! I was wondering this also. Thank you for posting it and letting me read all the responces

Have you decided what you are going to do?
You're welcome! I suppose I'm just gonna play it by ear??? And maybe follow what Heather said about 5 minutes apart and painful enough to have to breathe through. The pain is really one of the major factors, I think.... I have BH's all day long.... so I just ignore them, sometimes they will fall into a timeable pattern... but not for long... and then throughout the day I will get a few minor painful ones....

If my water broke first, I might not wait quite as long, though... But with Aidan when my water broke, contractions got really painful, pretty fast.... so the same rules might apply anyhow.
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