Today was uneventful. I met my new health care team today at Tacoma General’s OBAC Unit. They weighed me (I have neither gained nor lost weight…), took my blood pressure, got a detailed history, and sent me home. No tests of my blood or urine. No visit with the physician… Just an intake visit… Took about an hour.
I was told I am “extremely high risk” because of my prior Cesarean and desire for VBAC, current Diabetes, Hypertension, and Non-epileptic Seizures. I will remain in the “extremely high risk” category till I demonstrate that my Diabetes and Hypertension are not a problem for the pregnancy. Then I will be lowered to the “moderately high risk” category.
I was told that they will not discuss VBAC with me till the third trimester but the ARNP did say that standard procedure would be something like this:
After they determine the likely weight of the baby by ultrasound in my seventh month of pregnancy… yeah, late term ultrasounds are notoriously inaccurate…
And if I am not to have a macrocosmic baby… which they say is anything over 9lbs IF my Diabetes is uncontrolled…
And if I submit to NST’s weekly during my 9th
And if I demonstrate my willingness to lower my risk by careful control of my Diabetes and Hypertension… no problem, I want a VBAC, I will do whatever is in my power to do to achieve that goal!
And if I don’t go more than 5 days past my estimated due date… since I went into spontaneous labor with Alex a week early, I think I should be ok… but the DO NOT induce women who have had prior cesareans, which is really a great thing, but could mean that if baby wants to bake a bit longer I may have to fight my birth team.
they will agree to allow a spontaneous trial of labor. However, this is all subject to change by the physician who cares for me based on
Altogether, I feel pretty good about this place. Even if I do end up with a section, I know that it wont be because they had unreasonable expectations…