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vaginal birth after c-section



 
 
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  #1  
Old August 21st 05, 03:32 AM
chris
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Default 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.

  #2  
Old August 21st 05, 04:48 AM
Leslie
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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

  #3  
Old August 22nd 05, 02:25 AM
chris
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It's not that I want to be induced it's if they feel that the labour
isn't progressing and they would under normal circumstanceds induce, to
help the delivery/lobour along.

  #4  
Old August 22nd 05, 12:51 PM
Ericka Kammerer
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chris wrote:

It's not that I want to be induced it's if they feel that the labour
isn't progressing and they would under normal circumstanceds induce, to
help the delivery/lobour along.


Are you talking about induction or augmentation? Induction
is *starting* labor when it won't start. Augmentation is artificially
strengthening contractions when labor has started but isn't
progressing adequately. Pitocin/oxytocin can be used for either.
Frankly, induction and augmentation are both done *far*
more often than they're really necessary, and they do have risks,
so the first question should always be whether they're truly
necessary. Only after that is there a question of how safe it
is during a VBAC.

Best wishes,
Ericka

  #5  
Old August 21st 05, 06:16 AM
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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

  #6  
Old August 21st 05, 11:24 AM
Mary W.
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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.

  #7  
Old August 21st 05, 03:07 PM
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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

  #10  
Old August 21st 05, 03:22 PM
Ericka Kammerer
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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

 




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