I explained to her that I wanted to avoid the use of the words donor egg on my chart as much as possible. Everyone in the office knows who I am, and while I don't think anyone would deliberately snoop, it would be easy for someone to see that information, and then hard for them to keep it to themselves. I asked her if she would be comfortable using the same language that another DE mommy friend of mine had on her OB records, "donor conceived." And she was completely fine with that, and understood my reasoning without requiring a lengthy discussion.
The best part about our visit was when she discussed my delivery with Finn, and c-section versus VBAC. Some of you might remember that I tried to do natural childbirth, and managed many hours on pitocin without an epidural, before finally giving in to the epidural, and then hours later to a c-section. I told her about that, and that while I was really disappointed by not getting my natural delivery, I felt at peace with the entire process because my midwife and OB were so great. I know they were certain by 6pm that I was not going to delivery vaginally. But Finn was not in distress, and so they were comfortable waiting until it was clear to me as well. I told Dr. L how much I appreciated that, but that I also felt badly for making such a long night for everyone taking care of me. She reassured me that allowing someone to labor for hours was just part of the job - an important part of the job, as a good OB will realize how important the birth experience is for a mom. It's amazing how those casual words have made me feel so much better about that part of Finn's delivery.
We then talked about VBAC. The group that delivered Finn (who no longer deliver babies at all) were the only ones at my hospital that would do VBACs. I had even considered going to a different hospital so I could try, but my insurance coverage is really bad for anything non-emergent that is done at another hospital, so I decided to stay here just for financial reasons. Dr. L told me that in her training they encouraged VBACs, and she missed that part of practice, but the group had decided that the cost of malpractice insurance was just too high if they offered them, so they don't. And then she said, "But based on your labor history with Finn, you'd be a poor VBAC candidate, and would probably end up with a second section, anyway."
Coming from a doctor who is actually pro-VBAC, that made me feel much better about my decision. Of course, there's all the other pros that go along with a scheduled c-section, like being well rested and being able to plan for childcare for Finn and for my work schedule. I do regret that I will never be able to experience natural childbirth, but that regret is no longer such a huge deal. It's just a little regret, like saying no to that cute guy who asked me out years ago because I was dating someone else who later turned out to be a jerk. (Though, come to think of it, that might actually be a bigger regret.)












I have often thought about a VBAC, but also think I would be a horrible candidate. It would be nice to know that on x day the baby will be born!
ReplyDeletei've done the natural childbirth thing. I promise you its overrated! Next time i will be scheduling a C section!
ReplyDeleteI'm glad that you have a plan in place. I'm scared of enduring another induction, but I have to remind myself even if I can labor naturally, it's still going to suck! It might even be worse! But it might be great. It's all a crap shoot. I do enjoy the ability to plan ahead that a scheduled birth allows for, though. The idea of dragging B out of bed in the middle of the night does not appeal, I'll be honest.
ReplyDeleteSo glad you got into an OB and you like her. There's a big "push" in Ontario to have fewer c-sections and more VBACs. Luckily my doctor was fine with me wanting a csec. I guess with regards to your charts, as a doctor you have more to think about, but also more knowledge. I like the term donor conceived.
ReplyDeleteSo good to hear you are at peace with the delivery decision. And 13.5 weeks, exciting!! Are you showing yet? Is your all day morning sickness better??
ReplyDeleteOh and I like the term donor conceived too, good discussion with your new OB!
ReplyDeleteYour new OB sounds great. I'm sorry that the VBAC won't work out for you, but as you say, there are some definite benefits to a scheduled c-section. If I'm lucky enough to get pregnant again, I will most certainly be requesting a c-section as I don't think I can go through another vaginal birth.
ReplyDeleteGlad things went well with the new doc!!
ReplyDeleteI'm glad the two of you agreed on a plan. It's so important to have doctors you can trust, who makes you feel heard and understood.
ReplyDeleteThe term donor-conceived is genius! They'll all go, "duh, she's a single mom, so..." Smart thinking. :)
ReplyDeleteAnd I never realized a VBAC was such a big deal. When I got pregnant with C, the midwives asked me "do you want to schedule a cesearean?" and I said "no, I want a VBAC" and they said "okay." I've been surprised to hear how many people think it's too risky. I am really glad you're happy with the OB, though (finally)
Sounds like a GREAT visit!!!!
ReplyDeleteAll sounds great! I certainly understand the regret at not having a natural and/or vaginal birth. Having had a miserable vaginal birth and a somewhat less miserable emergency c-section, (both w. pitocin) - I can definitely say it was the team of people supporting me rather than the particulars of how the baby was born that was most important. 2 weeks of prodromal contractions resulting in an emergency c-section definitely sucked big time with a 2 year old at home. So I like your plan!
ReplyDeletePleased everything is going well - the new OB sounds great. I think the scheduled C section is a great idea too, pleased you are at peace with that too.
ReplyDeleteI like your new OB! I think I'm one of only a few in the.minority who understand why some docs and practices won't do VBACs. I understand their needs to control costs (malpractice insurance), risks to themselves, and their scheduling. Our hospitals here require an extra OB from the patient's clinic be on premises as the VBAC patient labors - the WHOLE time. My OB's office had to stop delivering at one hospital to make this possible for their VBAC patients at 4 other hospitals. Many patients just don't know all of this, and bad-mouth OBs who don't do VBACs. I understand why it's becoming a fading option. After all, doctors are just people who do have their own lives and families to protect!
ReplyDeleteYour scheduled section will be great. So easy compared to and emergency section when you're already exhausted.
Donor conceived makes lots of sense!
So happy to hear that you and baby are moving right along and that you're happy with the OB. Having had two scheduled C-sections myself, I can relate to your (mild) regret over not having had a natural or even vaginal childbirth with meds. But I'm with you, it's a regret I've gotten over quickly. The important thing is having our children safely here! I think you'll be glad with the choice after your last experience. Yes, there IS something great about being able to make plans and know with almost certainty when your baby will arrive. :)
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