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-   -   Feeling a big anxious about induction vs. c-section (http://www.parentingbanter.com/showthread.php?t=34384)

Todd Gastaldo September 20th 05 05:58 PM

Joybelle wrote:

Initially, when we were given the diagnosis of spina bifida, we were told a
c-section was recommended. It made sense what the doctor said (less chance
of injury to the lesion), and we were planning on doing that.

Well, the next three or [sic] physicians said there was no reason I couldn't

do a
vaginal birth. I was really ecstatic about that, and they pretty much laid
any anxieties about injury to the site to rest. Or so I thought. This
week, I keep thinking about this. What if I damage my baby more by having a
vaginal birth? Are these other doctors right? How do I KNOW? Obviously,
I'm worrying. Didn't think I'd do that after I made up my mind!


I was glad to see that Joybelle's "next three or [sic] physicians said there
was no reason I couldn't do a vaginal birth."

Any research that supports vaginal birthing of babies with spina bifida is
only going to be buttressed by the fact that most statistics about injuries
to babies from vaginal births (like the recent fraudulent Hannah et al.
c-section-in-all-breeches promotion) are derived from vaginal births where
the birth canal was senselessly closed the "extra" up to 30%.

CHIROPRACTORS...

Joybelle also wrote:

My mother keeps sharing stories of people she's talked to who think
a c-section is absolutely warranted. A couple of these are nurses and
chiropracters or people who've had kids with sb (she knows a lot of
people!).


Chiropractors offering advice regarding birthing babies - birthing babies
with or without spina bifida - should be pointing out that obstetricians are
senselessly closing birth canals up to 30% and senselessly KEEPING birth
canals closed the "extra" up to 30% when babies get stuck.

NOTE: Talk to a licensed chiro about this...

I am unlicensed - voluntarily...

See Chiro x-ray fraud (also: Why Dr. Gastaldo is unlicensed -
voluntarily...)
http://health.groups.yahoo.com/group...t/message/3899

For some reason, the just cited "Chiro x-ray fraud" post lost some letters
in transmission, but it is still legible.

Thanks for reading.

Sincerely,

Todd

Dr. Gastaldo
Hillsboro, Oregon
USA











[email protected] September 20th 05 06:10 PM

Joy,

Disclaimers: I don't know anything about your diagnosis of spina
bifida, and I don't know anything about birthing spina bifida babies.

But...

How and when was the spina bifida diagnosed? Ultrasound? when? Has
the diagnosis been confirmed? Another ultrasound? When? Have you
gotten a second opinion? I think this is too serious a question to
leave up to the judgement of a single care provider. I strongly
recommend a second opinion.

Next, I know little about the dangers about birthing a spina bifida
baby. I would suspect, however that there must be degrees of the
condition, and that is what your caregivers are talking about when
they talk about the safety of vaginal birth versus c-section. It
would help to know just to what degree they have diagnosed the seriousness
of the condition. Yet another reason for a second opinion.

Finally, I am *really* suspicious about the induction talk. If they
think that it is safe to birth vaginally rather than by c-section,
what possible advantage could there be to induction? I would ask for
study results that show that induction provides better outcomes. I
would doubt that they can produce them. I might even ask Ericka to
see if she could find any information on vaginally birthing spina bifida
babies.

Wishing you the best,
Larry

Joybelle writes:
: I shouldn't be posting, I should really be getting things DONE around here,
: but this has been going on in my head the last week.

: Initially, when we were given the diagnosis of spina bifida, we were told a
: c-section was recommended. It made sense what the doctor said (less chance
: of injury to the lesion), and we were planning on doing that.

: Well, the next three or physicians said there was no reason I couldn't do a
: vaginal birth. I was really ecstatic about that, and they pretty much laid
: any anxieties about injury to the site to rest. Or so I thought. This
: week, I keep thinking about this. What if I damage my baby more by having a
: vaginal birth? Are these other doctors right? How do I KNOW? Obviously,
: I'm worrying. Didn't think I'd do that after I made up my mind!

: We are also facing an induction now rather than being "allowed" to go into
: labor on my own. I really, really dread, fear, despise the idea of an
: induction. I'm just afraid that I'll go through the induction, end up with
: a c-section, and have a harder recovery than if I go for a c-section in the
: first place. We still haven't been scheduled for an induction, so I might
: still have a chance to go into labor on my own. That is what I want the
: most, but I've all of a sudden got a ton of worries heaping up on me! I'm
: sure it's a bit normal, but I figured I'd post here. If I talk about it, I
: just end up crying and getting the other people in my life anxious. They
: are probably the ones causing that anxiety in a way because some people are
: questioning the wisdom of the doctors for allowing me to have a vaginal
: birth. My mother keeps sharing stories of people she's talked to who think
: a c-section is absolutely warranted. A couple of these are nurses and
: chiropracters or people who've had kids with sb (she knows a lot of
: people!).

: I'm really just trying to work this out in my head. Thanks for listening.
: :)


: --
: Joy

: Rose 1-99
: Iris 2-01
: Spencer 3-03
: # 4 Sept 2005



Circe September 20th 05 06:20 PM

wrote in message ...
How and when was the spina bifida diagnosed? Ultrasound? when? Has
the diagnosis been confirmed? Another ultrasound? When? Have you
gotten a second opinion? I think this is too serious a question to
leave up to the judgement of a single care provider. I strongly
recommend a second opinion.

Larry, you haven't been following Joy's pregnancy very closely, but her baby
clearly HAS spina bifida, along with hydrocephalus. Multiple ultrasounds
have confirmed it (I think it was initially diagnosed around mid-pregnancy),
and Joy has seen many specialists throughout her pregnancy. I think it's
pretty safe to say that the degree of spina bifida is well known at this
point. The last thing she needs is to see any more!

Finally, I am *really* suspicious about the induction talk. If they
think that it is safe to birth vaginally rather than by c-section,
what possible advantage could there be to induction? I would ask for
study results that show that induction provides better outcomes. I
would doubt that they can produce them. I might even ask Ericka to
see if she could find any information on vaginally birthing spina bifida
babies.


Yes, this is where I'm confused, too. Given that induction tends to produce
more likelihood of uterine hyperstimulation and thereby produces greater
risk of fetal distress, you'd think inducing would be a bad idea. I'm
suspecting that it has something to do with the hydrocephalus (the longer
the baby stay in, the greater the likelihood of true CPD caused by the
hydrocephalus), but that's only a guess.
--
Be well, Barbara



Welches September 20th 05 06:25 PM


wrote in message ...
Joy,

Disclaimers: I don't know anything about your diagnosis of spina
bifida, and I don't know anything about birthing spina bifida babies.

But...

How and when was the spina bifida diagnosed? Ultrasound? when? Has
the diagnosis been confirmed? Another ultrasound? When? Have you
gotten a second opinion? I think this is too serious a question to
leave up to the judgement of a single care provider. I strongly
recommend a second opinion.

I think if you go into the previous posts here, you'll see that she has had
it thoroughly checked. Not meaning to be rude, but, having had a problem
picked up at the scan, it is very irritating the number of people who keep
telling you that it's probably not right, and all is actually fine, as if
they know better than the 101 consultants that have scanned etc. It also
keeps up a false hope that "maybe" all will be well, which isn't really
helpful, although I'm sure most of them think it is.
Debbie


Next, I know little about the dangers about birthing a spina bifida
baby. I would suspect, however that there must be degrees of the
condition, and that is what your caregivers are talking about when
they talk about the safety of vaginal birth versus c-section. It
would help to know just to what degree they have diagnosed the seriousness
of the condition. Yet another reason for a second opinion.

Finally, I am *really* suspicious about the induction talk. If they
think that it is safe to birth vaginally rather than by c-section,
what possible advantage could there be to induction? I would ask for
study results that show that induction provides better outcomes. I
would doubt that they can produce them. I might even ask Ericka to
see if she could find any information on vaginally birthing spina bifida
babies.

Wishing you the best,
Larry

Joybelle writes:
: I shouldn't be posting, I should really be getting things DONE around
here,
: but this has been going on in my head the last week.

: Initially, when we were given the diagnosis of spina bifida, we were
told a
: c-section was recommended. It made sense what the doctor said (less
chance
: of injury to the lesion), and we were planning on doing that.

: Well, the next three or physicians said there was no reason I couldn't
do a
: vaginal birth. I was really ecstatic about that, and they pretty much
laid
: any anxieties about injury to the site to rest. Or so I thought. This
: week, I keep thinking about this. What if I damage my baby more by
having a
: vaginal birth? Are these other doctors right? How do I KNOW?
Obviously,
: I'm worrying. Didn't think I'd do that after I made up my mind!

: We are also facing an induction now rather than being "allowed" to go
into
: labor on my own. I really, really dread, fear, despise the idea of an
: induction. I'm just afraid that I'll go through the induction, end up
with
: a c-section, and have a harder recovery than if I go for a c-section in
the
: first place. We still haven't been scheduled for an induction, so I
might
: still have a chance to go into labor on my own. That is what I want the
: most, but I've all of a sudden got a ton of worries heaping up on me!
I'm
: sure it's a bit normal, but I figured I'd post here. If I talk about
it, I
: just end up crying and getting the other people in my life anxious.
They
: are probably the ones causing that anxiety in a way because some people
are
: questioning the wisdom of the doctors for allowing me to have a vaginal
: birth. My mother keeps sharing stories of people she's talked to who
think
: a c-section is absolutely warranted. A couple of these are nurses and
: chiropracters or people who've had kids with sb (she knows a lot of
: people!).

: I'm really just trying to work this out in my head. Thanks for
listening.
: :)


: --
: Joy

: Rose 1-99
: Iris 2-01
: Spencer 3-03
: # 4 Sept 2005





Welches September 20th 05 06:29 PM


"Joybelle" wrote in message
...
I shouldn't be posting, I should really be getting things DONE around here,
but this has been going on in my head the last week.

Initially, when we were given the diagnosis of spina bifida, we were told
a
c-section was recommended. It made sense what the doctor said (less
chance
of injury to the lesion), and we were planning on doing that.

=
questioning the wisdom of the doctors for allowing me to have a vaginal
birth. My mother keeps sharing stories of people she's talked to who
think
a c-section is absolutely warranted. A couple of these are nurses and
chiropracters or people who've had kids with sb (she knows a lot of
people!).

I'm really just trying to work this out in my head. Thanks for listening.
:)

Really I think it's okay. A friend's child was born by normal delivery who
had spina bifida. They did know before hand, but couldn't tell how bad she
was. I think she's just got leg problems now, but they had no idea how bad
it was going to be-they were talking about what stage the ventilator would
be turned off before the birth. She was a big baby too-nearly 10lb, I think.
She's a gorgeous child too. Smiley and so happy. The family say she's such a
gift to them.
Debbie



Ericka Kammerer September 20th 05 06:41 PM

Circe wrote:

Yes, this is where I'm confused, too. Given that induction tends to produce
more likelihood of uterine hyperstimulation and thereby produces greater
risk of fetal distress, you'd think inducing would be a bad idea. I'm
suspecting that it has something to do with the hydrocephalus (the longer
the baby stay in, the greater the likelihood of true CPD caused by the
hydrocephalus), but that's only a guess.


That's what I'd be wondering. If it's safe to have a
vaginal birth and the issue is possible CPD, then you are
not likely to end up with a crash c-section because of it.
That's likely to be a situation where you have plenty of
time to realize things aren't progressing well and
moving to a c-section if that seems warranted. And really,
you don't have to go to the mat to avoid the c-section if
you don't want to. You can have pretty liberal criteria
for throwing in the towel with the vaginal birth, if that
seems to make sense to you and you want to avoid going into
an emergent c-section already wiped out. If the decision
is elective c-section vs. trying for a vaginal birth, then
you're certainly no worse off if you try for a vaginal birth
and decide that you'll opt for the c-section if things aren't
going swimmingly.
As far as the safety of vaginal birth with spina
bifida, it really seems to get down to precisely where the
lesion is, and how exposed it is, and such. When I looked
at it, it seems like you just really needed to sit down
the the test results and a specialist and make a decision.
It certainly doesn't seem like vaginal birth is a bad
idea per se, but the details really matter in this case.
If I were in that situation, I'd just put my concerns in
front of the specialist and say, "I want a vaginal birth,
but I hear lots of conflicting things and I'm scared.
Convince me that I am not unduly risking my baby by attempting
a vaginal birth." A good specialist should be able to
back up his or her recommendation with some solid facts
that should put your mind at ease.

Best wishes,
Ericka

Jamie Clark September 20th 05 06:43 PM

Hugs Joybelle.

The problem here is that you'll never really know the correct answer ahead
of time. You have additional risk factors that most people don't have --
risk to your baby's lesion. I think you need to factor in every possible
issue -- baby's health, your recovery, etc, and then make the best decision
that you can. If you feel like you will blame your delivery choice if your
baby is more or less damaged than you've been told, then perhaps you chose a
planned c-section. Whatever choice you make, try not to beat yourself up
over it. You are in a very strange and specific situation -- this is not
just a normal pregnancy and a healthy baby. Hugs my friend.
--

Jamie
Earth Angels:
Taylor Marlys, 1/3/03 -- My Big Girl, who started preschool, and loved it!
Addison Grace, 9/30/04 -- My Little Walker, who wants nothing more than to
go explore the world!

Check out the family! -- www.MyFamily.com, User ID: Clarkguest1, Password:
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Password



Anne Rogers September 20th 05 06:45 PM

Joy, I feel for you, it must be a hard decision, when you first posted about
your baby's condition I did look up a little bit on line, from what I read
it seemed that c-section was only recommended if things were really severe
and the spinal cord was actually bulging. I recall something about
infections to the lesion, but it seemed that treating the infection rather
than preventing it was preferred. None of these was research results, but
that was the impression I got from what I read, I hope someone comes up with
something more concrete. From your posts I haven't seen anything that makes
induction a good idea, other than the distance you have to travel to the
hospital, in all honesty I think I'd be hanging on and waiting to go
naturally, knowing your baby is going to be having surgery and needing extra
care, I'd be wanting to be as well a possible myself, which would mean no
c-section.

Anne



Joybelle September 20th 05 07:45 PM

Feeling a big anxious about induction vs. c-section
 
I shouldn't be posting, I should really be getting things DONE around here,
but this has been going on in my head the last week.

Initially, when we were given the diagnosis of spina bifida, we were told a
c-section was recommended. It made sense what the doctor said (less chance
of injury to the lesion), and we were planning on doing that.

Well, the next three or physicians said there was no reason I couldn't do a
vaginal birth. I was really ecstatic about that, and they pretty much laid
any anxieties about injury to the site to rest. Or so I thought. This
week, I keep thinking about this. What if I damage my baby more by having a
vaginal birth? Are these other doctors right? How do I KNOW? Obviously,
I'm worrying. Didn't think I'd do that after I made up my mind!

We are also facing an induction now rather than being "allowed" to go into
labor on my own. I really, really dread, fear, despise the idea of an
induction. I'm just afraid that I'll go through the induction, end up with
a c-section, and have a harder recovery than if I go for a c-section in the
first place. We still haven't been scheduled for an induction, so I might
still have a chance to go into labor on my own. That is what I want the
most, but I've all of a sudden got a ton of worries heaping up on me! I'm
sure it's a bit normal, but I figured I'd post here. If I talk about it, I
just end up crying and getting the other people in my life anxious. They
are probably the ones causing that anxiety in a way because some people are
questioning the wisdom of the doctors for allowing me to have a vaginal
birth. My mother keeps sharing stories of people she's talked to who think
a c-section is absolutely warranted. A couple of these are nurses and
chiropracters or people who've had kids with sb (she knows a lot of
people!).

I'm really just trying to work this out in my head. Thanks for listening.
:)


--
Joy

Rose 1-99
Iris 2-01
Spencer 3-03
# 4 Sept 2005



Ericka Kammerer September 20th 05 08:05 PM

Joybelle wrote:

I do think the hydrocephalus may be a bit of a factor (but at this point it
isn't-baby is measuring up consistently 7days behind and the head is
measuring up along with that), but I did have some lowering of my amniotic
fluid index. That's when I was told I wouldn't be allowed to go to 40
weeks. I'm finding that I'm fine with the idea of a vaginal birth if I go
into labor, and I'm fine with a c-section if it's indicated I need one, but
I'm not very fine with the idea of an induction. The AFI did go up last
time, so I have to think that gives me some bargaining room.


With that one, you can also ask for a clear description
of risks vs. benefits. On the one hand, we know that in general,
the tests are less than definitive. If one doesn't look so great,
try another the next day and see if you get a different reading.
Two bad readings are far more indicative of problems than one
bad reading.
I don't think you ever need to schedule an induction
in advance. Either there's evidence that it's necessary *now*,
or there isn't. If there isn't, you can wait and look for
more evidence tomorrow (or next week, or whenever would be
appropriate). So, just take it one day, and one set of
tests at a time and deal with the issue of induction when
you have evidence that you need to get the baby out now.
When/if that happens, *that* is the time to evaluate
the likelihood of success of an induction. What is your
Bishop score then?
If you go step by step, it makes a lot of the
"what ifs" easier to deal with.

Best wishes,
Ericka


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