Re: Birth announcement (birth mentioned)

[Guest guest]

Judith,

Congratulations on the arrival of baby Reuben! It is so wonderful that

you were able to have a natural labor and delivery! Your story certainly

gives me hope, I am happy to hear that your uterus performed just as it

should. Best wishes to you and your family.

Lyn

27, UD

Preg w/#1 32w1d -On strict bed rest until this baby is born!

-- Birth announcement (birth mentioned)

Hi All,

Just to annouce another successful UD pregnancy. Baby Reuben was born

11th November at 40 wks+6 days, 8lb 3oz and perfect in every way.

I had a natural labour and delivery (using paracetamol, water

immersion and keeping mobile to cope with the pain - and don't let

any natural birth advocates tell you it isn't painful!). I was always

concerned about whether my vaginal septum would allow a normal

delivery - and been told by my consultant that 'we hope it will be

pushed out of the way by the descent of the baby's head'. There are

lots of women where this has been the case, but obviously no

statistics - for all the usual reasons (we're so rare, etc...)

As it turned out, I had a big tear in the septum, and had to be rushed

to theatre to stop the bleeding and get a transfusion. I'm not quite

sure what the result is yet in terms of function/cosmesis (obviously

the docs were focussed on stopping the bleeding rather than the longer

term result) - but I may well be back on the board in a couple of

months asking for advice on getting the remnents of the vaginal septum

removed.

Despite the high drama at the end of the birth, I'm still glad I was

able to have a normal labour - and that my funny uterus performed it's

job just fine. I was out of the hospital the day after the birth -

much quicker than if I had had a repeat elective CS - which was really

the only sure way to avoid problems with the septum. I can't feel

the internal stitches at all - the small tear in the perineum is way

more painful!

Reuben is lovely, and now I really feel my family is complete - so

that should be the end of my adventures in reproduction with UD!

Best wishes

Judith

UD, 2 babies! (1999, 2005) 2 m/c

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[Guest guest]

CONGRATULATIONS Judith!!!

I'm sure you'll enjoy your baby and i also hope you heal quickly

and without consequences.

by the way, was this birth a VBAC? sorry but i don;t quite understand

from your post if your first chile was born vaginally or via c/s ....

thanks!

big hug

gabi, SU

[Guest guest]

CONGRATULATIONS Judith!!!

I'm sure you'll enjoy your baby and i also hope you heal quickly

and without consequences.

by the way, was this birth a VBAC? sorry but i don;t quite understand

from your post if your first chile was born vaginally or via c/s ....

thanks!

big hug

gabi, SU

[Guest guest]

CONGRATULATIONS Judith!!!

I'm sure you'll enjoy your baby and i also hope you heal quickly

and without consequences.

by the way, was this birth a VBAC? sorry but i don;t quite understand

from your post if your first chile was born vaginally or via c/s ....

thanks!

big hug

gabi, SU

[Guest guest]

> by the way, was this birth a VBAC?

Yup, - because the consultant at the time thought that any uterine

malformation should be c-section (something to do with higher risk of

uterine rupture). My current consultants think that's nonsense

(although they won't say that in so many words - being doctors, they

are more diplomatic...)

I ended up having quite a lot of discussions with the consultants

about their standard VBAC management (continuous Electronic Fetal

Monitoring, IV access, and time limits on the 1st and 2nd stages of

labour), because obviously all those things would have affected the

labour quite a bit (e.g. I wouldn't have been able to be really mobile

or in water with the monitor). As it was, we ended up discussing the

VBAC risks much more than the risks of the vaginal septum tearing.

I'm actually quite glad I didn't have a graphic description of that

eventuality in my mind during the 2nd (pushing) stage - but it might

have been a good idea to have planned a bit more for tearing and what

would happen if I did, if only for the benefit of the doctor who had

to sew me up afterwards. She was I think very shaken - and quite

cross that I didn't have IV access already in place.

As far as refusing standard VBAC management goes: having continuous

EFM would have made no difference to the vaginal septum tearing or

not, IV access took a matter of seconds to put in when I actually

needed it, the time limit on the 2nd stage may actually have

contributed to the tearing of the septum - although it's very hard to

judge these things. If there hadn't been such urgency maybe the

septum would have just stayed put, no descent of baby's head and

eventually he would have become distressed. On the other hand, a less

urgent 2nd stage may have allowed the tissue to stretch gradually

rather than tearing? i don't think there is any way of knowing in

advance when it comes to MA deliveries.

I know that Ravasia et al think MA + VBACs are high-risk of uterine

rupture , but that study is only of 25 women, both of the women who

had uterine ruptures had been induced, and neither of them were UD -

so I really just discounted that study in making my choice to go for

VBAC this time.

Best wishes

Judith

[Guest guest]

> by the way, was this birth a VBAC?

Yup, - because the consultant at the time thought that any uterine

malformation should be c-section (something to do with higher risk of

uterine rupture). My current consultants think that's nonsense

(although they won't say that in so many words - being doctors, they

are more diplomatic...)

I ended up having quite a lot of discussions with the consultants

about their standard VBAC management (continuous Electronic Fetal

Monitoring, IV access, and time limits on the 1st and 2nd stages of

labour), because obviously all those things would have affected the

labour quite a bit (e.g. I wouldn't have been able to be really mobile

or in water with the monitor). As it was, we ended up discussing the

VBAC risks much more than the risks of the vaginal septum tearing.

I'm actually quite glad I didn't have a graphic description of that

eventuality in my mind during the 2nd (pushing) stage - but it might

have been a good idea to have planned a bit more for tearing and what

would happen if I did, if only for the benefit of the doctor who had

to sew me up afterwards. She was I think very shaken - and quite

cross that I didn't have IV access already in place.

As far as refusing standard VBAC management goes: having continuous

EFM would have made no difference to the vaginal septum tearing or

not, IV access took a matter of seconds to put in when I actually

needed it, the time limit on the 2nd stage may actually have

contributed to the tearing of the septum - although it's very hard to

judge these things. If there hadn't been such urgency maybe the

septum would have just stayed put, no descent of baby's head and

eventually he would have become distressed. On the other hand, a less

urgent 2nd stage may have allowed the tissue to stretch gradually

rather than tearing? i don't think there is any way of knowing in

advance when it comes to MA deliveries.

I know that Ravasia et al think MA + VBACs are high-risk of uterine

rupture , but that study is only of 25 women, both of the women who

had uterine ruptures had been induced, and neither of them were UD -

so I really just discounted that study in making my choice to go for

VBAC this time.

Best wishes

Judith

[Guest guest]

> by the way, was this birth a VBAC?

Yup, - because the consultant at the time thought that any uterine

malformation should be c-section (something to do with higher risk of

uterine rupture). My current consultants think that's nonsense

(although they won't say that in so many words - being doctors, they

are more diplomatic...)

I ended up having quite a lot of discussions with the consultants

about their standard VBAC management (continuous Electronic Fetal

Monitoring, IV access, and time limits on the 1st and 2nd stages of

labour), because obviously all those things would have affected the

labour quite a bit (e.g. I wouldn't have been able to be really mobile

or in water with the monitor). As it was, we ended up discussing the

VBAC risks much more than the risks of the vaginal septum tearing.

I'm actually quite glad I didn't have a graphic description of that

eventuality in my mind during the 2nd (pushing) stage - but it might

have been a good idea to have planned a bit more for tearing and what

would happen if I did, if only for the benefit of the doctor who had

to sew me up afterwards. She was I think very shaken - and quite

cross that I didn't have IV access already in place.

As far as refusing standard VBAC management goes: having continuous

EFM would have made no difference to the vaginal septum tearing or

not, IV access took a matter of seconds to put in when I actually

needed it, the time limit on the 2nd stage may actually have

contributed to the tearing of the septum - although it's very hard to

judge these things. If there hadn't been such urgency maybe the

septum would have just stayed put, no descent of baby's head and

eventually he would have become distressed. On the other hand, a less

urgent 2nd stage may have allowed the tissue to stretch gradually

rather than tearing? i don't think there is any way of knowing in

advance when it comes to MA deliveries.

I know that Ravasia et al think MA + VBACs are high-risk of uterine

rupture , but that study is only of 25 women, both of the women who

had uterine ruptures had been induced, and neither of them were UD -

so I really just discounted that study in making my choice to go for

VBAC this time.

Best wishes

Judith

[Guest guest]

Dear Judith

Congratulations!!!!!!!!!!!! Welcome Reuben!!

How wild that you had a natural birth- you are

SUPERwoman!

Thank you also for the valuable info re: your septal

tearing, as this is a concern for me with the remnant

of my vaginal septum that sits between my cervices (im

probably going to be induced next week). Im sorry to

hear about your perineal tear, I hope it heals very

quickly.

Great job, Mom!

Best xox and many prayers to your whole family,

Heidi

[Guest guest]

> the remnant

> of my vaginal septum that sits between my cervices (im

> probably going to be induced next week).

Hi Heidi,

My vaginal septum was complete (from cervix to the entrance of my

vagina) so had to take a lot of stress in the second stage. If the

remnent is very short and between your cervices it seems to me (but

I'm no expert) to be much less likely to cause an obstruction. But

you should perhaps discuss with your consultant what the plan will be

if it does cause an obstruction in labour (which won't necessarily be

the case at all - I think I was unlucky). Incidentally, one of the

women in my antenatal class had to have a planned caesarean for

placenta praevia (where the placenta covers the cervix, ahead of the

baby). She ended up getting peretonitis (amazing, in this day and

age) and having to have another operation two weeks after the first.

So, it's true that childbirth is only normal in retrospect, but it's

also true that surgery is only routine in retrospect.

All the best with the birth of your baby,

Judith