V-BAC and Dr. Vinod Bharati from Rising Medicare

Do you know the saying “Once a cesarean, always a cesarean”? It’s common knowledge among cesarean mothers. But let me tell you that it’s a general simplified rule and not a necessary condition. To overcome this MYTH you need two things

1. A strong will from you (i.e. expected mother) and
2. An equally strong and supporting doctor

Our journey for 2nd kid started with consulting the doctor before we decided to conceive.

When we raised our concern about to have Normal delivery after a previous C-section, surprisingly, the very first reaction from the doctor was “It’s possible” with a grin and high enthusiasm. We were relieved to hear that.

We are talking about Dr. Vinod Bharati from Rising Medicare. We already had an excellent experience and relationship with Dr. Sumedh Giri, a Pediatrician for our first kid.

Like any regular doctor, it started with guidelines on vitals and healthy food/sleeping habits. But as our pregnancy progressed we started to feel the difference. It was not only the positive, enthusiastic and hopeful attitude of doctor but the entire support system from the Rising Medicare Hospital which makes sure that you get not only guidelines but an opportunity to follow the guidelines. We started to feel confident about normal delivery.

Whenever we were in any confusion or doubt, we always had a positive, enthusiastic and hopeful reply from the doctor, with focus only on getting the normal delivery.

Like any pregnancy we too faced difficulties, but with the help of Dr. Bharati’s experience we were able to get through

1. Previous C-Section: We had no idea till the day we saw the name on the bill that a Normal birth and a Normal Birth after a C-Section is medically treated differently. It’s called a V-BAC. Throughout the consulting, we were always guided towards how we will get to normal delivery and focused towards doing things which will help us do it. You must have heard about “Once a Cesarean, always a Cesarean!”, but that’s just a guideline and Dr. Bharati very well understands that. We know for a fact, he had even done many V-BAC in past.
2. Body and age factors: Because of the modern lifestyle we are delaying marriages and family planning. But this does not stop our body from aging and with age lot many factors starts to change into unfavorable conditions. But with Dr. Bharati at Rising, we get free weekly pregnancy literacy and exercise session under the supervision of trained doctors. This helps a lot to overcome these problems.
3. Tailbone problem: Unfortunately at the end of the 8th month, my wife had an injury in the tailbone, most likely it was a minor crack, but we can’t X-ray at 8th month. Nirali was not even able to sit straight because of pain and we were dejected that it will have an impact on normal delivery or worst we might end up in an emergency c-section. Again we had great guidance and support to deal with the problem, we overcome it.
4. Cervix was not dilating: The very reason for a cesarean for the first kid was, cervix didn’t dilate until the 39th week, even after trying induction for about 10 days. We were facing the same problem this time as well. Because we had a previous c-section, we can’t do induction. But again doctor didn’t let us lose the hope and total us to double down on walking and more squats (remember tailbone problem was still there). He clearly said we will wait till the end of the 40th week or baby weight less than 4 KG.
5. Cervix opened but not station 0 (occiput posterior): Pain had started, but because the cervix was not open we thought it was Braxton Hicks. We were a bit sad but still hopeful. As discussed with the doctor, we doubled down on walking, did more squats and even did house sweeping with a broom (traditional methods). We also started timing the pains and kept walking with pains. Within 24 hours cervix dilated 5 cm, this was 3 days to completion of the 40th week. The doctor advised to get admitted, but the head was rotated by about 180 ̊. Something called Occiput Positions. Once again the doctor insisted on waiting more with pain, gave more oxytocin dose because the cervix was well dilated to about 7+ cm and the baby was getting into better station position. We had amazing support from Assistant doctors, nurses in the labor room. It was worth waiting. We had V-BAC with Episiotomy (surgical cut).

The Rising Medicare Hospital has a really good support staff for Gynec department including Dr. Poonam and Dr. Ritika. They are available 24 hours a day. But the most differentiating factor at Rising are

1. Personal Pregnancy literacy: Dr. Bharati is very friendly and always ready to listen and respond patiently for every single doubt. Either it’s cultural myths from mother(-in-law) or your doubts on modern science medicine/practices. In one of the similar situations, my wife was suffering from severe pain because of pain in the tailbone. On insistence from my wife, Tramadol was suggested, which doctor usually don’t suggest. I had an argument about why opioid and it’s dose. The doctor was very well open to discussion, explained things in detail, open to learning and he did reconsider the medication while keeping us in confidence.
2. Monthly pregnancy sessions: About once a month, Rising Gynec team conducts a free session about pregnancy and post pregnancy literacy. Apart from Dr. Vinod Bharati and Dr. Meghna Giri, Assistant Doctors, Dr. Poonam, Dr. Ritika, and Dr. Safa are the star of those sessions. The sessions were (are) very useful for us during the entire journey. These sessions are free and even if they are chargeable, I would highly recommend those.
3. Weekly exercise session for pregnant ladies: Every Saturday morning, we used to have a pregnancy exercise session with Dr. Stephy Timothy Shinde. She used to make difficult pregnancy exercise task into a smooth fun activity. Even I had attended a few partner sessions where we had a blast dancing on romantic Bollywood songs. This exercise session is free as well.

Overall we highly recommend Dr. Vinod Bharati and Rising Medicare Hospital in General.

V-BAC with Episiotomy with 3.8 KG

Update:

1st July 2022 this was published in Pune Mirror

1st July 2022