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Old Nov 24th, 2009, 17:06 PM   #11
LuckySalem
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Quote:
Originally Posted by snagglepat View Post
Hi Lucky,

Yes I cover Wrexham - anywhere within an hour is fine and I'm just outside Oswestry. I'll PM you now.

We recently had a good discussion about BMI and home birth here. I've no idea if you're considering home birth or not, but the same principles apply no matter where you plan to birth. The evidence for there being problems at birth due to the mother's BMI is very sketchy and the protocols seem to be mostly based on prejudice. Larger women are more likely to develop high blood pressure or gestational diabetes during their pregnancy and both of these can make the birth more complex, but these are monitored during pregnancy. If neither develop you're no more likely to have problems with the birth than any other woman. The high BMI=high risk argument is one of my personal bugbears, possibly because I'm big too. The good news is that most of these issues can be overcome with determined negotiation. You just need to decide what you want and then argue your way into it.

Gina. x
DD was a homebirth that was bluelighted, I've already been told no to HBs and I think DP is a little wary of having another one so I'm going to go to hospital.

Basically I wanna go as late as poss, give birth with no-one touching or asking if I want pain relief, hurry up time constraints etc etc etc, and GO HOME! lol. I dont want DP to leave my side at all either.

I'm against near enough everything they wanna do! lol


 
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Old Nov 24th, 2009, 17:09 PM   #12
LuckySalem
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Originally Posted by Ginaerhol View Post
i am planning a VBAC i have had one normal delivery and one csection. My midwife has told me that they are pretty keen here to let you try for a VBAC but there are certain rules and regulations that they follow...she has yet to tell me what they are but at my 25 week app i will be discussing it more in depth with her. I have done a lot of reading on the subject and if you go in armed with plenty of info and know what you want then there is not a lot they can do. They cannot force u do to anything that you dont want to do but u also have to bear in mind that sometimes things will be suggested for you and the babies sake. There is a lot of info online on VBACS and the risks etc of repeat section vs vbacs xxx
I want to read up everything I can but the problem is I have no idea of what risks I may have etc as to why they wanna do what they wanna do and I don't actually understand what they wanna do! lol, as soon as I have this info then I can argue more and I'm sure thats why they're not giving it to me! lol


 
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Old Nov 25th, 2009, 12:59 PM   #13
LouLou78
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I am assuming you want a hand with your Birth Plan and what to put in it, but it also seems that you really need to have a chat with your health professional regarding your want for a VBAC and this needs to be documented in your notes that this is what you are going for. The health professional should also write in your notes that this discussion has taken place. That way the health professional who will be looking after you in labour is aware. As regard to a birth plan this is YOUR plan, what you would like in labour. It will help the midwife who will be looking after you in labour become aware of your wishes such as whether you would like to Breast Feed, Baby to have Vit K, whether you want an Managed Third Stage (placenta) etc. Of course you should put at the beginning something along the lines of the wish to have a VBAC.

When you are admitted into labour the health professional looking after you should of course read your birth plan but will be reading your pregnancy history and previous pregnancies from your notes and everything a Doctor or Midwife has written regarding any conversations on mode of delivery for this time. That way they are aware of whether it was recommended, discouraged, discussed etc. Just so they are aware. You also have to be realistic with a birth plan, labour can't be set in stone. Some women come in with a birth plan saying nothing but in big letters across their Birth Plan page ''I WANT AN EPIDURAL'' or they have i.e. 'under no circumstances do I want an epidural'. Of course, labour is unpredictable. Not sure if that helps but Birth Plan is easier if you put the vital information in Bullet point especially with the limited time a midwife has to read it and all the notes you come in with


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Old Nov 25th, 2009, 13:27 PM   #14
LuckySalem
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Thanks Lou that really helps, when I wrote a birth plan for DD (Which wasn't even looked at!) I wrote a 2 page essay!! lol

Will remember to bullet point it - do I have to give explanations about why I want to do specific things or can I just literally put things like DO NOT OFFER PAIN CONTROL I WILL ASK


 
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Old Nov 25th, 2009, 17:58 PM   #15
LouLou78
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My pleasure. You can simply put a list of wishes in bullett points, no need for explanation, she/he will ask if they wonder why you have put a certain thing.

Some women have in their list firstly that they would really like an Epidural as soon as possible or would like to stay mobile and start off with minimal pain relief.

Some state who will be present as their birthing partners, another would be whether you would like skin to skin, although this should be encouraged by all midwives. Also, any religous information such as some religions don't accept blood products. Perhaps you are someone who can only accept female practitioners, this would be worth popping in. Then like I said before, whether you consent for baby's vitamin K and which method. Also another thing you can pop in is whether you are happy to have a student midwife, object to students etc

That is just a couple things if you feel strongly about putting in then put it in But like you say not an essay.


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Old Nov 25th, 2009, 19:24 PM   #16
LogansMama
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You have peaked my curiosity... whats with the Vitamin K? Why do doctors use it and why might a mom NOT want it??


 
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Old Nov 25th, 2009, 20:09 PM   #17
LouLou78
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Originally Posted by LogansMama View Post
You have peaked my curiosity... whats with the Vitamin K? Why do doctors use it and why might a mom NOT want it??
Evidence has shown that newborns are born with not enough Vit K which aids in clotting. Newborns especially those born by instrimental delivery are at an increased risk of Heamorraghic disease of the newborn i.e. Bleed in the brain. Paediatricians across the UK recommend a small dose of Vit K either by Injection or Oral. The problem is that many parents have refused it due to this belief that its linked to Lukeamia but this research was prove unfounded and therefore dismissed. The preferred choice to give this and get into the system is by injection, its one off and that is it. Where as oral method needs to be given a few small doses over a space of the month. It could be argued whether baby actually gets it via this route due to vomiting or spitting etc.


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Old Nov 26th, 2009, 04:41 AM   #18
snagglepat
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And then there's the counter argument (aside from the questionable leukaemia link) that human beings have survived for millennia without the need for additional vitamin K at birth. The dosage is actually around 100 times that of the recommended daily intake for newborns and the vaccine contains various other things as carriers, preservatives etc such as aluminium. Here's what AIMs, the Association for the Improvement of Maternity Services has to say on vitamin K: http://www.aims.org.uk/Journal/Vol13No2/vitk.htm

It's a tough decision to make. I researched this one at length when I was pregnant and decided that if my baby ended up having a traumatic/instrumental delivery then I'd probably opt for the Vit K jab due to the increased risk of haemorrhagic disease for babies with that kind of birth. As it happened I had an intervention-free home birth so my daughter didn't have it. I came to the conclusion that there's no easy answer to this one - both sides have valid arguments and reasoning, so it's got to come down to your own parental instincts at the end of the day. Good luck with it!

Gina. x


 
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Old Nov 26th, 2009, 14:22 PM   #19
LuckySalem
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I've just realised that I have no idea if my daughter had it as no-one asked me and they never saw my birthplan at the hospital so I don't know.
Hmmm, gonna have to ask that one I think.

Thanks for all these everybody


 
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Old Nov 26th, 2009, 14:48 PM   #20
snagglepat
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I imagine she had it Lucky. It's considered the normal course of action so if nothing got specified either way they'd have probably given it as a matter of course. I'd be very interested to hear if you learn otherwise though.

Gina. x


 
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