Thursday, August 20, 2009

Tacoma General

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 month…

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 individual circumstances… But really they are MUCH more reasonable than the UW was! I mean, the UW wanted to immediately schedule a section at 37 weeks! And when I pressed them, they grudgingly agreed to allow a ToL IF I didn’t have a baby bigger than 8lbs 13oz. no matter what the circumstances were, and I had to go into spontaneous labor by 39 weeks!


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…

1 comment:

gerrycammy said...

It's a lot of conditions to meet, but it still sounds more reasonable than UW!! -C