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-   -   vaginal birth after c-section (http://www.parentingbanter.com/showthread.php?t=33661)

chris August 21st 05 03:32 AM

vaginal birth after c-section
 
Has anyone been induced in a second pregnancy after having a c-section
the firsttime around? It's been 3 1/2 years since my c-section but my
doctor will not induce me for fear of the scar rupturing and creating
an emergency c-section. Now she will let me go a normal vaginal birth
but just will not induce me.


Leslie August 21st 05 04:48 AM

I've not been induced but have had labor augmented with pitocin for two
VBACs after three sections. It's not the recommended protocol, though.

Why do you want to be induced, if I may ask?

Leslie


[email protected] August 21st 05 06:16 AM

That's pretty much standard, although I understand that it's getting
much more difficult to find a doctor who will provide care for VBAC in
the first place. Induction raises rupture risk.

--
C, mama to 2.75 year old nursling


Mary W. August 21st 05 11:24 AM



chris wrote:

Has anyone been induced in a second pregnancy after having a c-section
the firsttime around? It's been 3 1/2 years since my c-section but my
doctor will not induce me for fear of the scar rupturing and creating
an emergency c-section. Now she will let me go a normal vaginal birth
but just will not induce me.


Its great that you found a doctor that will let you have a vaginal
birth, that's getting harder to do now (in the United States).

I had a vaginal birth after my first baby, and I was not induced,
and she didn't come until a week after my due date. Remember to
be patient.

Oh, and my vaginal birth was *so* much better than my section.
Especially since I had a toddler to chase around.

Mary W.


[email protected] August 21st 05 03:07 PM

I'm curious as to why it's getting harder to find a doctor in the US
will to do a VBAC? I just finished reading 2 VBAC books that I got in
the library and both indicated that VBAC numbers were trending upwards.
Is my data out of date?

Mandy


Ericka Kammerer August 21st 05 03:22 PM

chris wrote:

Has anyone been induced in a second pregnancy after having a c-section
the firsttime around? It's been 3 1/2 years since my c-section but my
doctor will not induce me for fear of the scar rupturing and creating
an emergency c-section. Now she will let me go a normal vaginal birth
but just will not induce me.


Be grateful your doctor is up on the latest research.
It is indeed riskier to induce in a VBAC situation, particularly
with prostaglandins or pitocin. While they have gotten much better
at saving mothers and babies after uterine rupture, it's still
something that has a significant mortality and morbidity rate,
so it's not "just" that you might end up with an emergency
c-section as a result if the uterus ruptures.
If you get to the point that it's dangerous to leave
the baby in utero and yet your body will not go into labor
on its own, you could look at the specific risks and see if
perhaps something like just rupturing your membranes (if
the situation were favorable for that) might be enough to send
you into labor without as many risks as prostaglandin or
pitocin induction, or you may find that an elective repeat
c-section becomes the lower risk if you can't wait any
longer and you can't induce without unacceptable risk.

Best wishes,
Ericka


Mary W. August 21st 05 03:33 PM



wrote:
I'm curious as to why it's getting harder to find a doctor in the US
will to do a VBAC? I just finished reading 2 VBAC books that I got in
the library and both indicated that VBAC numbers were trending upwards.
Is my data out of date?


There was a big shift towards encouraging VBACs in the 90's, then I
think the driving factor was a change in the american college of
gyn and obstetrics which then made it harder for hospitals to
offer VBACs (I can't remember exactly what the rules were). Since
then things have gotten worse and there are plenty of women who
are being refused VBACs.

See:
http://www.ican-online.org/

Mary W.


Ericka Kammerer August 21st 05 03:36 PM

wrote:

I'm curious as to why it's getting harder to find a doctor in the US
will to do a VBAC? I just finished reading 2 VBAC books that I got in
the library and both indicated that VBAC numbers were trending upwards.
Is my data out of date?


Yep. After that poorly done study a few years ago (2002,
maybe?) all sorts of doctors and hospitals either stopped doing
VBACs entirely or put so many constraints on them that few were
able to get them at all. This was encouraged by many insurers
who refused to insure those who provided VBACs, or upped their
rates exorbitantly. Consequently, the number of c-sections has
been on the rise over the last few years, with the biggest gains
among ERCSs. Subsequent (and prior) research has shown that VBAC
remains a very reasonable option for most women and should be
offered as a choice, but unfortunatly, that doesn't seem to have
stemmed the anti-VBAC tide very much.

Best wishes,
Ericka


Ericka Kammerer August 21st 05 03:56 PM

Elfanie wrote:


usually the risk of even a pitocin-induced labor is not nearly as
great as the risk of a cesarean surgery...


For a VBAC? I would be curious upon what you based that
assertion. And, of course, the risk of an induced VBAC ending
up in a c-section is also something one has to factor into the
mix.

you just have to looka t everything, weigh your options, and do what
you feel is best for you...


Absolutely agree with this.

Best wishes,
Ericka


xkatx August 21st 05 04:42 PM


"chris" wrote in message
ups.com...
Has anyone been induced in a second pregnancy after having a c-section
the firsttime around? It's been 3 1/2 years since my c-section but my
doctor will not induce me for fear of the scar rupturing and creating
an emergency c-section. Now she will let me go a normal vaginal birth
but just will not induce me.


I'm a VBAC for DS#2 and DD. DS#1 was an emergency section for a footling
breech, and the other 2 deliveries went without any incidents. I was
actually asking pretty much the same question you asked only a couple weeks
ago. I had my section 5 and a half years ago, had my first VBAC 4 and a
half years ago and this VBAC was just about 2 and a half weeks ago.
My doctor said she would not induce me for fear of rupture, and she said if
I didn't go in to the hospital on my own first, she would book me in and
schedule a c-section for when she got back into the hospital (I believe it
was something like 10-14 days after EDD) Thankfully I went in on my own, and
IME, I found it to be a lot easier to wait for labor to start than to have
another c-section or to risk a major problem - like if I was to face a
rupture and need yet another emergency c-section.
I was kind of put off because it was over 5 years since the section and over
4 years since my first VBAC, but I guess the risks are still there, and the
risks are still pretty unfavorable.
I was told the difference was that when induced, labor and contractions are
often more intense and almost forced to happen, but if labor starts on its
own, it tends to start off lighter and easier before it works its way up to
full blown labor - or something to that extent... lol




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