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Old 10-29-2009, 04:29 AM   #1
Default Vaginal birth after cesarean (VBAC)???'s  
debellafunk
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OK so when I was at like my 20 week apt the Dr asked me about VBAC and I kind of totally shot him down. I was induced with #1, 3 days early, 100% induced ripening of cervix, breaking my water, pitocin...... Pushed for 2 + hours. Forceps attempted baby was posterior. Ended in C section... Went in at 8pm baby was born 9 pm next day. Short version of a long story.
So now that I am sitting here at 30 weeks I am think hummm it would be nice to be out of hospital in 24-48 hours, this house we have stairs no matter what (split level), I have a 4 yr old, and it is going to be around the holidays.
What do you think would be good questions to ask my Dr. I have some will list at end. Also I will have a schedule c section on December 29th or 31st. They are done Tuesdays and Thursdays. Due date is Jan 5th.
Would be bad of me to say I would like to try for a VBAC if I go into labor on my own before the 29th or 31st?
Questions so far. How many VBAC's have you attended? How many were successful? Who is your back up? And do they also do VBAC's? Reasonable length of time for a VBAC labor/delivery? Any hospital restrictions on VBAC? At what time do you arrive during labor/delivery? Can I have or do I have to have an Epidural? Grater risk of infection if c-section is end result?
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Old 10-29-2009, 04:07 PM   #2
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bumping for someone suggest more questions or comment on the questions I have listed.
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Old 10-29-2009, 05:45 PM   #3
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They don't even allow VBAC at the hospital here anymore.

I think your questions for the dr are great!
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Old 10-30-2009, 09:28 AM   #4
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I think those are all good questions. Even if you don't go into labor on your own you can still try for VBAC. I was induced with #2 (pitocin only since I had C-section with #1) and delivered ~12 hours later. It sounds as if your Dr. asking about what you want means that he/she is open to VBAC. My Dr. pushed for a 2nd c-section but I said no. Do what you feel is right for you. I'm sure your Dr. would happily answer your questions.
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Old 10-30-2009, 01:47 PM   #5
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Quote:
Originally Posted by MXD View Post
I think those are all good questions. Even if you don't go into labor on your own you can still try for VBAC. I was induced with #2 (pitocin only since I had C-section with #1) and delivered ~12 hours later. It sounds as if your Dr. asking about what you want means that he/she is open to VBAC. My Dr. pushed for a 2nd c-section but I said no. Do what you feel is right for you. I'm sure your Dr. would happily answer your questions.
My Dr was actually PUSHing for a VBAC but I was the one that was one the fence due to my experance with my 1st. I was induced. He did say that I can not be induced with a VBAC, I would have to go into labor on my own something that wasn't happening at all with my 1st. I know every one is diffrent so I am trying to keep that in mind but I do have a small pelvis so going past my due date means that I will have a c-section due to baby size. #1 was 8lbs 15oz so I know a few whoms 2nds were smaller their 1st was their largest so I am hopeing for that.
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Old 11-01-2009, 03:25 AM   #6
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Each labor is different. I didn't go into labor on my own with DD. It just wasn't happening so they induced me. With DS I went in to labor the morning of my scheduled induction.
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Old 11-09-2009, 11:34 AM   #7
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Did you need to be induced? A lot of women (in general ) claim they "never go into labor" when the truth is that they just need more time. You aren't "overdue" until you hit 42 weeks. Unfortunately, no one wants to wait that long but in the absence of a medical indication, there is really no reason to induce before that. Actually, if you look at the studies, even the 42 week deadline is a bit questionable.

You are a great candidate for VBAC b/c you dilated all the way and the reason for your c-section is known: you had a posterior baby which are notorious harder to push out (especially for a 1st time mom). You are trying to get the biggest part of the head out first. 24 hours for a first time labor is actually really good!!!! The average first time labor is 17 hours. You were a little over that without even being ready. The problem with inductions is trying to push babies out before they are ready so positioning (like your case) can be a huge issue.

I'd ask the doctor what he thinks your chances of success are (your chances are very good but I'd get him to confirm that to show that he believes in your body's ability to do this).

FWIW, I went into spontaneous labor the first time and had a c-section after more than 24 hours. My VBAC was also spontaneous labor but it took me nearly too days of labor before my baby came. It was a long and tough vaginal birth but it was still way easier than my uncomplicated c-section.

Oh, and bonus for us.... our out of pocket cost with the c-section was $1000. With my VBAC, it was $0.
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Old 11-09-2009, 02:04 PM   #8
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Thanks for the reply I have spoke with my Dr. He is not the same Dr as with my 1st since we don't live where we use to..

We have decided that I will try to VBAC if I go into labor before a scheduled c section.
With my dd the reason I was induced was due to baby size, I was retaining tons of water since 29 weeks ( for some reason I didn't have preeclampsia but all the symptoms except high BP)
EDD with dd was Apr 1, 05 I was induced March 29th Pm dd was born 9 pm 03/30/05 NOTHING was moving on me. No dialating or thinning, and I was have very regular good bracks and hicks contractions for weeks prior.

I can not be induced with VBAC, he wants to see me dialate 1cm/hr the only way he can speed it up or do anything is break my water if it doesn't on its own.. I feel really safe and comfortable with him he has to stay with me my whole L&D he can NOT pass me off to someone else. HE will show up when I am 4cm and stay with me till baby arrives. That is why I have to progress 1cm/1hr I don't know how long he can be on shift. since he can't pass me off and has to say at the hospital I am at.
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