Several people are curious about my appointment with the midwife the other day. I've held off mentioning it because I'm undecided about what to do.
Basically, she was very positive about a homebirth. She did some research on vaginal birth after multiple cesareans and she didn't see any reason why I would be any different than a woman with only one previous c-section. The are two possible options. I can go for a homebirth, she can come here and I'm only 10 minutes away from an ER in the case of any problems. She herself has never encountered any major emergencies in her 75 births. She carries pitocin (in case of hemorrage), oxygen and also is skilled in resusitation. The only time she has transported someone to the hospital is for what they call 'failure to progress' where they genuinely need some extra help from pitocin or whatever.
The other option is for her to be employed as my doula, or a labor coach. She could come to my house when I'm in labor and check my progress, then when I'm getting pretty far along in labor, we can go to the hospital and she would still stay with me through the birth. I'm uncertain about that one, because I need to double check with the doctor about me coming to the hospital in labor. Plus, most doctors don't want c-section moms to go overdue.
There are so many scare tactics out there regarding this subject. But, when you weigh the risk of a catastrophic uterine rupture with getting hurt in a car accident, you are 30 times more likely to be in an accident. Yet, we still drive. In my mind, the uterus is a muscle, and muscle tissue heals up. It's being gradually stretched over a period of 9 months, and then it begins flexing and contracting. The incision site is so low in the uterus, to me it poses little threat of separating. If my bicep muscle was operated on, would they tell me the it could rupture if I started lifting weights a few months later?? Doubt it.
So, the ball is in my court. My husband has left it up to me to decide pretty much. The main obstacle with homebirth is the cost right now. The nice thing about an OB is they take insurance and you can pay a little at a time. I'm still just amazed that I found a willing midwife.
Anyways, so that's how it went. I will admit to feeling slightly fearful about a non-medicated birth. I've never felt any labor and wonder how I will handle it. I have a high pain tolerance for certain things like cuts, scrapes, and aches. If it's on a limb I can take it better, but if it's in the core of my body, that's harder to deal with. Guess I need to do some more reading about that...