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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 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

  #4  
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.

  #5  
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Is my data out of date?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

  #6  
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

  #9  
Old August 21st 05, 03:56 PM
Ericka Kammerer
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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

  #10  
Old August 21st 05, 04:42 PM
xkatx
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"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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