NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Aug 7, 2014 11:03:59 GMT -5
You'll need to do your research to see if you're a candidate for VBAC and discuss it with your doctor before hand. It's one of those things that varies wildly in support between hospitals/doctors. You'd need to look at the stats too on how many VBACs are performed, you want one with a high rate so you'll have a supportive environment and people available who've had lots of practice with VBACs.
TNMC is big on supporting a VBAC if that is what you desire and you're a candidate for it. Creighton was also big on supporting VBACs.
On the other hand my BFF wasn't ever given the option by her doctor. She had a C-section the first time and that was it she was having another one regardless.
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Aug 7, 2014 11:04:51 GMT -5
how much did Similac pay you to say that?
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Lizard Queen
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Post by Lizard Queen on Aug 7, 2014 11:05:09 GMT -5
When planning my 2nd c section, my doctor said she was going to clean up the scar tissue from the first one at the same time.
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Sam_2.0
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Post by Sam_2.0 on Aug 7, 2014 11:06:55 GMT -5
I'll join you I was just reading yesterday on SIDS and back vs. tummy sleep. From what I saw of the numbers there are a huge variety of risk factors for SIDS and they can't pinpoint the sleeping position as really being beneficial vs. making sure the bed is safe (no suffocation hazards), parents not smoking, proper prenatal care, and checkups to make sure the kid doesn't have an underlying health condition. The news makes it sound like sleeping on their tummies is a death sentence, yet in the NICU they often sleep on their tummies due to colic and reflux. I looked at the CDC and NIH websites and couldn't find any study that actually was able to isolate sleeping position as the cause. Most of them were relying on the reporting of the caregiver at the time of the incident too so it's only as good as someone's memory in a crisis situation (and maybe some of them felt like they had to say back since it's what's drilled into our heads?). Every pedeatrician in the country tells new parents to make sure to put their infants to sleep on their backs. Are they all just drinking the kool-aid? I think it goes back to they don't know the exact cause so they say put them on their backs. But my NICU nurse friend said it didn't matter as long as there were no suffocation hazards in the crib (tight sheet, nothing to get up by their faces). And from the actual research studies I've found I would have to agree with her. I honestly want to find the study that says it can pinpoint the sleeping position as the cause because the ones I've found only list all the other factors.
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Firebird
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Post by Firebird on Aug 7, 2014 11:08:11 GMT -5
Firebird - at least with another section it will be planned, which is nice when you have another kid to juggle in the mix.
Good point. I'm not sure I'll ever be ready for another kid. Having two toddlers in the house all week really did me in. I like my (relatively) peaceful house with only one destruction artist. Yet part of me still wants to have another one. Argh. But you've all heard me sing this song dozens of times, so no need for an encore
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Lizard Queen
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Post by Lizard Queen on Aug 7, 2014 11:10:44 GMT -5
If the little grooves on the sides of their noses allow them to breath while breastfeeding, it should do the same if sleeping on their tummies with a tight-fitting sheet on a crib mattress. However, if they have a cold, then I could see there being a problem.
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Firebird
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Post by Firebird on Aug 7, 2014 11:13:00 GMT -5
LMAO at "little grooves." That's such a perfect term for baby nostrils
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Deleted
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Post by Deleted on Aug 7, 2014 11:14:31 GMT -5
Firebird - at least with another section it will be planned, which is nice when you have another kid to juggle in the mix. I am taking a lot of comfort in planning baby J's eviction date just so we can prepare Aly and get her settled. Depends on how your previous surgery went, but most ladies I know that want to do a VBAC just have to wait for one year first. Several friends have been fine, but one just had a uterine rupture that almost resulted in mom & baby dying (she went to 42w because she insisted on VBAC and her doc wouldn't induce due to the risk of rupture). She would say it wasn't worth it, but thankfully they were able to save both of them - although baby spent several weeks in the NICU on cooling therapy and they still don't know if he has brain damage of some sort. That story probably wasn't helpful at all and to put your mind at ease. I know someone who had a uterine rupture with her 2nd - however her first wasn't a c-section. I don't stats but I don't think the risk of uterine rupture for a VBAC is significantly increased from just the general risk (of course they'll say it's 1000% more but when the overall risk is 0.001% or something, it's not a big increase).
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taz157
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Post by taz157 on Aug 7, 2014 11:19:17 GMT -5
SIL swears by them. I am not convinced at all. I do think she's possibly taking risks with her family's health by using them (side effects, interactions with other medicines, possibly delaying treatment for something until it's too late like your cancer example) but I don't tell her so because 1) she didn't ask me and 2) not my kids/husband. They aren't actually being harmed in any way so not my place to say anything. So yes, I "judge" her and think it's stupid, but I am sure she thinks I do things that are stupid too. I thought your SIL was the one based on a recent blog post about 1 of the quads...
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ArchietheDragon
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Post by ArchietheDragon on Aug 7, 2014 11:19:53 GMT -5
Every pedeatrician in the country tells new parents to make sure to put their infants to sleep on their backs. Are they all just drinking the kool-aid? I think it goes back to they don't know the exact cause so they say put them on their backs. But my NICU nurse friend said it didn't matter as long as there were no suffocation hazards in the crib (tight sheet, nothing to get up by their faces). And from the actual research studies I've found I would have to agree with her. I honestly want to find the study that says it can pinpoint the sleeping position as the cause because the ones I've found only list all the other factors. But why would anyone want to test it? Even though no one has figured out what causes it, including sleep position, doctors think it is important enough to tell every parent not to do it.
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Sunnyday
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Post by Sunnyday on Aug 7, 2014 11:20:31 GMT -5
swamp, did you consider a VBAC for your second or did you pretty much know going in you'd have a second section? That's one (relatively minor) thing that bugs me about the prospect of a second kid. I hate the idea of going through another C-section but on the other hand if it's inevitable I'd just as soon skip the 30+ hours of labor I went through prior to having the first one. It's something I'll have to do a lot of thinking about beforehand. ETA: Also, do they reopen the original scar? Does it look a lot worse afterward? Because I was pretty impressed at how minimal and unnoticeable it looked immediately after the birth. I know that you asked swamp, but I attempted to do a VBAC, and the exact same thing happened. No dilation, but I was not allowed to be induced and when finally the contractions kicked in, the epidurals were not allowed. I tried for a really long time, and ended up with a c-section anyway, again! I know people who did have successful VBACs, but you're not going to know that until you've had one or not. And for me the scarring was minimal, and it gets fainter with time. My only issue is now my "apron." I get the feeling that the only way to get rid of that is surgically via a tummy tuck.
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swamp
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Post by swamp on Aug 7, 2014 11:21:37 GMT -5
I was given the option of VBAC, nobody tried to push me into a c section.
I had been having contractions for a week, had been in the hospital a week previously. Water finally broke, but the contractions didn't go anywhere. I wasn't dilating, the contractions weren't getting stronger.
I had an option of Pitocin or csection. I took the csection. considered emergency because it was in the middle of the night. It was more like "unscheduled"
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Sam_2.0
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Post by Sam_2.0 on Aug 7, 2014 11:27:02 GMT -5
I think it goes back to they don't know the exact cause so they say put them on their backs. But my NICU nurse friend said it didn't matter as long as there were no suffocation hazards in the crib (tight sheet, nothing to get up by their faces). And from the actual research studies I've found I would have to agree with her. I honestly want to find the study that says it can pinpoint the sleeping position as the cause because the ones I've found only list all the other factors. But why would anyone want to test it? Even though no one has figured out what causes it, including sleep position, doctors think it is important enough to tell every parent not to do it. Well, like Drama said earlier, it's not that they are testing for it, but rather data-mining from SIDS cases to see what the common factors were that can be changed. For a baby with tummy issues, sleeping on their tummies can actually help which is why a lot of them do it in the NICU. The "back-to-sleep" campaign info came out of a period from 1994-1999 where the rate of caregivers reporting putting kids to sleep on their backs went from about 26% to about 66%, and SIDS fell from 4000 cases to about 2600 cases. Yet in the actual study there are a ton of factors mentioned (temperature, smoking/impairment somehow of parents, improper co-sleeping, suffocation hazards in the crib). They couldn't say that it was the back sleeping position that made the difference or if it was awareness and reduction of the other factors so they changed it to the "safe-to-sleep" campaign. ETA - here's what I was looking at: www.nichd.nih.gov/sts/about/SIDS/Pages/progress.aspxAnd the actual data: www.cdc.gov/nchs/data/nvsr/nvsr50/nvsr50_04.pdf
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zibazinski
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Post by zibazinski on Aug 7, 2014 11:37:33 GMT -5
In 1983 the fad was on their tummies. By 1989, the fad was backs. Guess what? My babies slept whatever way they wanted and I let them.
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Aug 7, 2014 11:39:57 GMT -5
You forgot that in-between 1989 and now the trend was to have them sleep on their sides to prevent SIDS because the theory was that babies were spitting up and would choke if they were on their backs/stomachs.
You could even buy little widgets you could slide under them like you do doors in order to keep them from rolling over onto their backs/tummies.
That was around 1990 when my brother was born.
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zibazinski
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Post by zibazinski on Aug 7, 2014 11:41:20 GMT -5
Oh, lord. I'm so glad I'm done with all that. Now it's car seats until they go to college and helicopter parents minding YOUR parenting skills or lack of them.
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Chocolate Lover
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Post by Chocolate Lover on Aug 7, 2014 11:41:44 GMT -5
You forgot that in-between 1989 and now the trend was to have them sleep on their sides to prevent SIDS because the theory was that babies were spitting up and would choke if they were on their backs/stomachs. You could even buy little widgets you could slide under them like you do doors in order to keep them from rolling over onto their backs/tummies. That was around 1990 when my brother was born. I had a widget for my DD who is a 2001 baby. She refused to sleep on her back at all and slept on her stomach. IDK if I used the widget that much but I had it.
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Aug 7, 2014 11:42:22 GMT -5
DH thinks it's hysterical that I'm 31 and still under the weight limit of Gwen's new booster seat. I AM over the height limit so
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ArchietheDragon
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Post by ArchietheDragon on Aug 7, 2014 11:42:25 GMT -5
But why would anyone want to test it? Even though no one has figured out what causes it, including sleep position, doctors think it is important enough to tell every parent not to do it. Well, like Drama said earlier, it's not that they are testing for it, but rather data-mining from SIDS cases to see what the common factors were that can be changed. For a baby with tummy issues, sleeping on their tummies can actually help which is why a lot of them do it in the NICU. The "back-to-sleep" campaign info came out of a period from 1994-1999 where the rate of caregivers reporting putting kids to sleep on their backs went from about 26% to about 66%, and SIDS fell from 4000 cases to about 2600 cases. Yet in the actual study there are a ton of factors mentioned (temperature, smoking/impairment somehow of parents, improper co-sleeping, suffocation hazards in the crib). They couldn't say that it was the back sleeping position that made the difference or if it was awareness and reduction of the other factors so they changed it to the "safe-to-sleep" campaign. ETA - here's what I was looking at: www.nichd.nih.gov/sts/about/SIDS/Pages/progress.aspxAnd the actual data: www.cdc.gov/nchs/data/nvsr/nvsr50/nvsr50_04.pdfI don't think using the NICU as a basis is a fair comparison, because the babies they are hooked up to monitors and have nurses looking over them 24 hours a day. If a baby there goes into distress for any reason, someone knows about it quickly and can take action. Not true at home, Maybe it is because I am not a scientist, but when every doctor in the country recommends something, to me, that means something.
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zibazinski
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Post by zibazinski on Aug 7, 2014 11:43:40 GMT -5
I think it means, like autism, they don't have a clue and just blow the way the wind is going.
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Aug 7, 2014 11:47:02 GMT -5
She refused to sleep on her back at all and slept on her stomach. IDK if I used the widget that much but I had it.
My MIL bought one of those foam things that forces the baby to sleep on its back for Gwen. The kid hated it.
MIL also kept putting it around Gwen's HEAD and I was concerned she'd turn into the giant foam bumpers and suffocate. DH and I ended up having a huge fight with her over it.
I'm pretty sure you were supposed to lay it in the middle of the crib and then the bumpers went around the waist of the baby, but we felt it was better MIL not use it at all since she tends to think she's right and we can't control what she does when we're not around. DH took it home with us and we threw it in the trash.
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Firebird
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Post by Firebird on Aug 7, 2014 11:48:36 GMT -5
My only issue is now my "apron." I get the feeling that the only way to get rid of that is surgically via a tummy tuck.
Have another baby - I've heard that certain surgeons will perform a tummy tuck right after the C-section
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Sam_2.0
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Post by Sam_2.0 on Aug 7, 2014 11:52:18 GMT -5
The links also say that from 2001-2009 the rate of SIDS has remained unchanged even though the reporting of back-sleeping has gone up. If SIDS was caused by tummy sleeping then it should have gone down as back sleeping went up. It appears to have way more complex causes that they are just now starting to understand (race is a big factor, birth weight, and now some studies on brain issues). I'm not saying it's not worth mentioning to sleep on their backs, but if the baby prefers their tummy it isn't a death sentence either. Provided the other factors are accounted for (safe sleeping environment, controlled temps, not smoking in the house) I don't see that there's a statistical difference in back v. tummy.
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raeoflyte
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Post by raeoflyte on Aug 7, 2014 11:52:26 GMT -5
Every pedeatrician in the country tells new parents to make sure to put their infants to sleep on their backs. Are they all just drinking the kool-aid? I think it goes back to they don't know the exact cause so they say put them on their backs. But my NICU nurse friend said it didn't matter as long as there were no suffocation hazards in the crib (tight sheet, nothing to get up by their faces). And from the actual research studies I've found I would have to agree with her. I honestly want to find the study that says it can pinpoint the sleeping position as the cause because the ones I've found only list all the other factors. What I had read was that sleeping on their backs didn't prevent sids (and tummy/side sleeping didn't cause it), but that the # of infant deaths dropped significantly when they went to the back to sleep standard. Sent from my ADR6410LVW using proboards
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Chocolate Lover
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Post by Chocolate Lover on Aug 7, 2014 11:52:28 GMT -5
She refused to sleep on her back at all and slept on her stomach. IDK if I used the widget that much but I had it. My MIL bought one of those foam things that forces the baby to sleep on its back for Gwen. The kid hated it. MIL also kept putting it around Gwen's HEAD and I was concerned she'd turn into the giant foam bumpers and suffocate. DH and I ended up having a huge fight with her over it. I'm pretty sure you were supposed to lay it in the middle of the crib and then the bumpers went around the waist of the baby, but we felt it was better MIL not use it at all since she tends to think she's right and we can't control what she does when we're not around. DH took it home with us and we threw it in the trash. The one I had was basically 2 foam rolls with a piece of fabric attaching them. It did go around her middle and I may have used it to force her on one side to even out the flat spot from laying facing one way too much. DD literally would not sleep on her back at all, not even in the car seat if it wasn't in motion in the car. She had a cold when she was under 3 months old and couldn't be given any kind of medication for it. Doctor said to let her sleep in the car seat. Nope, she slept propped up on my arm in the bed. Might be the only time I didn't toss and turn in my sleep.
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MJ2.0
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Post by MJ2.0 on Aug 7, 2014 11:55:27 GMT -5
WTH is a VBAC?
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NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Aug 7, 2014 11:56:19 GMT -5
Vaginal Birth After C-Section
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ArchietheDragon
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Post by ArchietheDragon on Aug 7, 2014 11:59:56 GMT -5
The links also say that from 2001-2009 the rate of SIDS has remained unchanged even though the reporting of back-sleeping has gone up. If SIDS was caused by tummy sleeping then it should have gone down as back sleeping went up. It appears to have way more complex causes that they are just now starting to understand (race is a big factor, birth weight, and now some studies on brain issues). I'm not saying it's not worth mentioning to sleep on their backs, but if the baby prefers their tummy it isn't a death sentence either. Provided the other factors are accounted for (safe sleeping environment, controlled temps, not smoking in the house) I don't see that there's a statistical difference in back v. tummy. Of course it isn't a death sentence. Neither is riding in a car without an infant seat. But why someone would risk it is what I don't understand. That said, i have have let my older daughter ride in a short car ride without a car seat and my younger daughter has ridden in her cat seat without being buckled. All three kids have also sleep on my chest, on their stomachs. But as a general rule, I wouldn't recommend either. Maybe that is just hypocritical on my part.
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Post by The Walk of the Penguin Mich on Aug 7, 2014 12:04:05 GMT -5
Not true at home, Maybe it is because I am not a scientist, but when every doctor in the country recommends something, to me, that means something.
Sadly, that means nothing. I can give you a dozen instances of procedures that doctors recommended that turned out to be wrong. It takes a LOT of medical evidence to change a medical paradigm.
You wouldn't believe the work that it took to prove that ulcers were caused by H. pylori and even after tomes of evidence, many doctors refused to believe that ulcers could be an infection.
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zibazinski
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Post by zibazinski on Aug 7, 2014 12:06:12 GMT -5
Kind of like hand washing and washing/sterilizing instruments.
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