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Old September 20th 05, 06:41 PM
Ericka Kammerer
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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