If this is your first visit, be sure to check out the FAQ by clicking the link above. You may have to register before you can post: click the register link above to proceed. To start viewing messages, select the forum that you want to visit from the selection below. |
|
|
Thread Tools | Display Modes |
#1
|
|||
|
|||
VBAC and induction
My midwife kind of threw me for a loop at my last appointment. I'm due
tomorrow (July 24) and have no signs of impending labor. I'm trying for a VBAC (DD's c-section was over 3 years ago). So on Wed, I was talking to the midwife and we were discussing what the next two weeks brings. An ultrasound at 41 weeks to make sure things are going well, and then she asked me how I felt about induction. I was surprised, thinking they wouldn't induce a VBAC. She said they wouldn't do the cervix ripening gels, but would do a low dose pitocin. Any thoughts? I'm going to do some digging in the literature, although I have time since we are talking at the earliest 41 weeks and they'll let me go to 42 if everything is OK with baby (although I'm not sure I can stand this for another 2 weeks!). My blood pressure was a bit high at the last appointment, but came down when I layed down for a bit. That may be what prompted her comment about inducing. She also told us to have lots of sex and go to a local restaurant and get their eggplant parmisan, guarenteed to put you in labor! Mary |
#2
|
|||
|
|||
VBAC and induction
"Mary W." wrote in message ... ... and then she asked me how I felt about induction. I was surprised, thinking they wouldn't induce a VBAC. She said they wouldn't do the cervix ripening gels, but would do a low dose pitocin. Any thoughts? I'm going to do some digging in the literature, although I have time since we are talking at the earliest 41 weeks and they'll let me go to 42 if everything is OK with baby (although I'm not sure I can stand this for another 2 weeks!). The question that springs instantly to my mind is this: what happens if the "low dose of pitocin" doesn't work? Do they turn it up? Keep turning it up? Break your water, wait an hour or two and if you don't go magically into labor, tell you you must have a cesarean? These are important questions. Because what if the "induction" fails? What steps will they want to take? --angela |
#3
|
|||
|
|||
VBAC and induction
Chotii wrote:
"Mary W." wrote in message ... ... and then she asked me how I felt about induction. I was surprised, thinking they wouldn't induce a VBAC. She said they wouldn't do the cervix ripening gels, but would do a low dose pitocin. Any thoughts? I'm going to do some digging in the literature, although I have time since we are talking at the earliest 41 weeks and they'll let me go to 42 if everything is OK with baby (although I'm not sure I can stand this for another 2 weeks!). The question that springs instantly to my mind is this: what happens if the "low dose of pitocin" doesn't work? Do they turn it up? Keep turning it up? Break your water, wait an hour or two and if you don't go magically into labor, tell you you must have a cesarean? These are important questions. Because what if the "induction" fails? What steps will they want to take? Really good questions. I'm thinking that if I agree to an induction we are at the no turning around point (for whatever reason, 42 weeks, high BP, whatever) and the only other option is an ERC. So if we get to the point where the decision has been made that baby is better off on the outside than the inside, do I consent to an ERC, or do I try the low dose pitocin and see what happens? And yes, where do I draw the line - how much intervention to I risk (with the associated rupture risks) before consenting to the c-section. So I guess it boils down to the risks of inducing a VBAC (pitocin/ breaking water, etc) vs. the risks of an ERC. Hopefully we wont come to this, but I want to have it clear in my mind what I want to do if we reach the point where baby needs be out. Thanks Angela! Mary |
#4
|
|||
|
|||
VBAC and induction
"Mary W." wrote: My midwife kind of threw me for a loop at my last appointment. I'm due tomorrow (July 24) and have no signs of impending labor. I'm trying for a VBAC (DD's c-section was over 3 years ago). So on Wed, I was talking to the midwife and we were discussing what the next two weeks brings. An ultrasound at 41 weeks to make sure things are going well, and then she asked me how I felt about induction. I was surprised, thinking they wouldn't induce a VBAC. She said they Did a little digging and found this article by Henci Goer: http://www.parentsplace.com/pregnanc...4115-1,00.html Sheds some light on the subject and I thought fellow VBACers might find it useful. Mary |
#5
|
|||
|
|||
VBAC and induction
My midwife kind of threw me for a loop at my last appointment. I'm due
tomorrow (July 24) and have no signs of impending labor. I'm trying for a VBAC (DD's c-section was over 3 years ago). So on Wed, I was talking to the midwife and we were discussing what the next two weeks brings. An ultrasound at 41 weeks to make sure things are going well, and then she asked me how I felt about induction. I was surprised, thinking they wouldn't induce a VBAC. She said they wouldn't do the cervix ripening gels, but would do a low dose pitocin. Any thoughts? I'm going to do some digging in the literature, although I have time since we are talking at the earliest 41 weeks and they'll let me go to 42 if everything is OK with baby (although I'm not sure I can stand this for another 2 weeks!). When I was going to try a VBAC with Patrick (after 1 c-section) my OB said she did not induce with a VBAC. She said you didn't want to force a uterus that wasn't ready, and had a weak spot. My blood pressure was a bit high at the last appointment, but came down when I layed down for a bit. That may be what prompted her comment about inducing. She also told us to have lots of sex and go to a local restaurant and get their eggplant parmisan, guarenteed to put you in labor! Mary I'd go to the restaurant anyway - lol. |
#6
|
|||
|
|||
VBAC and induction
On Fri, 23 Jul 2004 10:56:06 -0400, "Mary W."
snuck out of the ether to utter: , and then she asked me how I felt about induction. I was surprised, thinking they wouldn't induce a VBAC. She said they wouldn't do the cervix ripening gels, but would do a low dose pitocin. Any thoughts? I experienced low dose pit while attempting a VBAC. My membranes had ruptured early the previous morning and I'd tried every non-intervention technique I could manage for about 30 hours before I consented to the pit. They started the drip rate at 6 (I believe it's normally at 30), and did turn it up a couple times until I told them not to, as my contractions were *very* strong. A couple hours later and I still wouldn't dilate beyond 2 cm so I consented to Nubain. Still no dilation, so hours later I consented to an epidural. 2 1/2 hours later and still no dilation beyond 3. I was so exhausted by that time I chose an RCS after deciding I'd done everything I could to VBAC. I don't feel the Pit lead to an RCS, as she'd never descended and I wouldn't dilate so I'd have had the RCS regardless.... Just thought I'd share my personal experience. Nan -- "when the sun goes down we'll be groovin' when the sun goes down we'll be feelin' alright, when the sun sinks down over the water everything gets hotter when the sun goes down" ~Kenny Chesney |
#7
|
|||
|
|||
VBAC and induction
Nan wrote: On Fri, 23 Jul 2004 10:56:06 -0400, "Mary W." snuck out of the ether to utter: , and then she asked me how I felt about induction. I was surprised, thinking they wouldn't induce a VBAC. She said they wouldn't do the cervix ripening gels, but would do a low dose pitocin. Any thoughts? I experienced low dose pit while attempting a VBAC. My membranes had ruptured early the previous morning and I'd tried every non-intervention technique I could manage for about 30 hours before I consented to the pit. They started the drip rate at 6 (I believe it's normally at 30), and did turn it up a couple times until I told them not to, as my contractions were *very* strong. A couple hours later and I still wouldn't dilate beyond 2 cm so I consented to Nubain. Still no dilation, so hours later I consented to an epidural. 2 1/2 hours later and still no dilation beyond 3. I was so exhausted by that time I chose an RCS after deciding I'd done everything I could to VBAC. I don't feel the Pit lead to an RCS, as she'd never descended and I wouldn't dilate so I'd have had the RCS regardless.... Just thought I'd share my personal experience. Thanks Nan, I appreciate it! Not descending was the reason for my c-section (after my water broke on its own before labor started). I suspect she was malpositioned. This baby, while floating, seems to be in a very good position. From the article I posted, it looks like pit only induction barely increases the rupture rate. So if faced with an ERCS or pit induction, I might just go with the induction. Mary |
#8
|
|||
|
|||
VBAC and induction
Sophie wrote: My midwife kind of threw me for a loop at my last appointment. I'm due tomorrow (July 24) and have no signs of impending labor. I'm trying for a VBAC (DD's c-section was over 3 years ago). So on Wed, I was talking to the midwife and we were discussing what the next two weeks brings. An ultrasound at 41 weeks to make sure things are going well, and then she asked me how I felt about induction. I was surprised, thinking they wouldn't induce a VBAC. She said they wouldn't do the cervix ripening gels, but would do a low dose pitocin. Any thoughts? I'm going to do some digging in the literature, although I have time since we are talking at the earliest 41 weeks and they'll let me go to 42 if everything is OK with baby (although I'm not sure I can stand this for another 2 weeks!). When I was going to try a VBAC with Patrick (after 1 c-section) my OB said she did not induce with a VBAC. She said you didn't want to force a uterus that wasn't ready, and had a weak spot. That'd be my concern. My blood pressure was a bit high at the last appointment, but came down when I layed down for a bit. That may be what prompted her comment about inducing. She also told us to have lots of sex and go to a local restaurant and get their eggplant parmisan, guarenteed to put you in labor! Mary I'd go to the restaurant anyway - lol. Just might do that! Mary |
#9
|
|||
|
|||
VBAC and induction
On Fri, 23 Jul 2004 15:55:46 -0400, "Mary W."
snuck out of the ether to utter: Thanks Nan, I appreciate it! Not descending was the reason for my c-section (after my water broke on its own before labor started). I suspect she was malpositioned. This baby, while floating, seems to be in a very good position. From the article I posted, it looks like pit only induction barely increases the rupture rate. So if faced with an ERCS or pit induction, I might just go with the induction. Right, I think the rupture rate remains low. There may also be a difference between receiving pit once you're in labor v. starting out with a pit induced labor. With all the methods I tried, rupture wasn't really a concern for my doctors, so I felt okay about it. Nan -- "when the sun goes down we'll be groovin' when the sun goes down we'll be feelin' alright, when the sun sinks down over the water everything gets hotter when the sun goes down" ~Kenny Chesney |
#10
|
|||
|
|||
VBAC and induction
Mary W. says:
I was surprised, thinking they wouldn't induce a VBAC. She said they wouldn't do the cervix ripening gels, but would do a low dose pitocin. Any thoughts? My VBAC attempt was a low-dose pitocin induction. When it started looking like I might hit 42w with no onset of labor, I discussed AROM vs. pitocin with my midwives. In the end, I decided on pitocin because I was concerned that AROM might bring on malpresentation, which was the cause of my first c/s. I also figured that we could still do AROM if the low dose of pitocin didn't end up working. I was induced at 42w+1d, and they started on a very low dose of pitocin. I have no idea what units we're talking about here, but I believe they started at 2 and increased by 2 every hour. With such a low dose, it took awhile for labor to start at all, and that interim period of waiting for contractions to start was very frustrating, especially since I was very disappointed to be having an induction at all. After the contractions started, it seemed like the dose we were at started to become too much, so the midwife turned it down a bit. I honestly had been hoping that the pitocin would just sort of help my body kick into labor, but it didn't happen that way. Many hours into it, I requested an epidural; they turned the pitocin off while trying to place the needle, and my contractions stopped entirely. :-\ -- Alpha mom to Eamon and Quinn |
Thread Tools | |
Display Modes | |
|
|
Similar Threads | ||||
Thread | Thread Starter | Forum | Replies | Last Post |
VBAC | Wendy | Pregnancy | 72 | August 2nd 04 09:43 PM |
Opinions on induction?? | Jill | Pregnancy | 23 | March 26th 04 04:15 PM |
VBAC consult and questions | larissa | Pregnancy | 0 | October 31st 03 11:04 PM |
VBAC vs repeat C... again... sorry | Daye | Pregnancy | 33 | October 24th 03 06:49 AM |
Vbac questions | Tara | Pregnancy | 10 | October 21st 03 01:35 AM |